22 results
School nurse documents for Microsoft Word and for special education
Seizure Tracking Form: Special Education Document
This checklist form includes fields to track the date and duration of seizures, a checklist to record symptoms, and a notes field. This Word document can be customized to meet your unique situation. It can be used alone or in conjunction with my Seizure Protocol form.
Subjects:
Grades:
Not Grade Specific
Section 504 Plan Snapshot
This completely editable document provides a quick and easy-to-use reference point for Section 504 Plans. It includes general student demographic information and a spot to write down when the annual review meeting is due so you don't forget!
It is organized in an easy-to-use and efficient manner and has designated spaces for recording medication and a variety of accommodations.
As the 504 Plan Case Manager at my school, I create these for the teachers and pass them out at the beginning of th
Grades:
Not Grade Specific
MTSS Health Screening Form
Health Screening Form to use with Multi-Tiered Systems of Support (MTSS) / Response to Intervention (RtI) or for special education evaluations. Should be filled out by a campus nurse. Downloads as an editable Microsoft Word document.
Subjects:
Grades:
PreK - 12th, Staff
Seizure Protocol: Symptoms and Steps to Follow
This one page form is a quick and ready reference for symptoms of absence and tonic clonic seizures, emergency contact information, and the steps to follow in the event of a seizure. It includes fields for the student's name and parent/guardian signatures. This Word document can be customized to suit your unique needs.
Subjects:
Grades:
Not Grade Specific
EDITABLE BioPsychoSocial History for the Committee on Special Education
To be completed by parents/guardians of students who are involved with the Committee on Special Education. Professionals may then use this information to create/update a student's 504 or IEP.This is a confidential document to be used as an assessment tool for the Committee on Special Education when creating/updating your student’s Individualized Education Plan. Many of these questions are adapted from the BASC-3.
Grades:
Not Grade Specific
TOILET TRACKING SHEET
The fastest and easiest way to track toileting to assist you in determining the best toilet training program. 8.5 x 13 inch printout, but can be edited to fit 8.5 x 11 paper.
Subjects:
Grades:
PreK - 12th, Staff
Daily Bathroom Log
This is an editable microsoft word document to help document bathroom routines. Enjoy!
Subjects:
Grades:
Not Grade Specific
TOILET TRACKING SHEET
The fastest and easiest way to track toileting to assist you in determining the best toilet training program.
Grades:
PreK - 12th, Staff
Specialized Health Care Procedures in the School Setting Pamphlet
Informative Pamphlet including what it is, who can do it, what are the signs, supplies needed, procedures, and resources for: Cleaning Intermittent Catheter, Shunt Monitoring, Tube Feeding, and Tracheostomy Care.
Subjects:
Grades:
Not Grade Specific
Comprehensive Medical Review Health History Form
Developed by a certified school nurse, this form includes all aspects of a student's health history, physical exam and recommendations for accommodations in school.
Subjects:
Grades:
PreK - 12th
Visual Steps for Toileting - Editable
Steps for going to the bathroom with visual aides- can be edited.
Boardmaker Picture Symbols provided by The Picture Communication Symbols © 1981–2010 by Mayer-Johnson LLC. All Rights Reserved Worldwide. Used with permission. Boardmaker™ is a trademark of Mayer-Johnson LLC
DynaVox Mayer-Johnson
2100 Wharton Street
Suite 400
Pittsburgh, PA 15203
Phone: 1 (800) 588-4548
Fax: 1 (866) 585-6260
Email: mayer-johnson.usa@mayer-johnson.com
Web site: www.mayer-johnson.com
Subjects:
Grades:
Not Grade Specific
Types:
Half Hour Bathroom Break Schedule
This is a recording sheet for tracking bathroom usage for someone who is practicing toileting. This can be used at home or at school to help determine natural restroom trends.
Subjects:
Grades:
PreK - 5th
Medication Incentive Plan - Home and School Collaboration (Editable)
Help your student develop responsibility and self care skills!Includes parent letter with instructionsHelps the parent and student stay organizedFun way to help build confidence and independenceCustomize these forms to specific needs...add or take away days or weeks*Follow me for updates, new material and freebies!
Grades:
Not Grade Specific
Also included in:Â Quick data collection & Easy intervention PDF Sheets
Documentation of Medical Need for Homebound Services
This form is a companion piece to the Service Delivery and Homebound Procedures documents. The form provides medical documentation of the need for homebound services. This form should be completed by the student's doctor in order to properly plan for providing homebound services.
Grades:
Not Grade Specific
Thumbs Up, A Social Story
This social story was written to encourage students who are thumb suckers to stop and use their thumbs for appropriate activities.
Grades:
PreK - 2nd
Health Communication Board
Print and use with students who appear ill or like they're hurting, so that they can point to what the problem is. I also included common body parts, so they can point to those, too.
Subjects:
Grades:
Not Grade Specific
Emotion Intensity Chart
This chart is good for students who have emotional difficulties. This is particularly useful for students prone to aggressive outbursts or panic attacks. Go over this chart with a student (when he or she is not in an emotional crisis) to help him or her become aware of his or her emotions and develop a plan for how to help.
Grades:
Not Grade Specific
Bathroom Report Home
Daily Bathroom Report Home. I use this to communicate with my parents the date, time and what happened in the bathroom. It is editable for your needs. I print on two-part paper and give a copy to school nurse for documentation who gives it back to me and a copy to go home.
Grades:
PreK
Restroom Log
Restroom log that is simple to fill out. Easily keep track of students' with personal care needs while respecting their privacy and remaining accountable.
Subjects:
Grades:
Not Grade Specific
Parent Contact Log For Counselors- Editable
Parent contact log specific to counselors but can be used by anyone. Documents date and time contacted, details, resources given and whether a follow-up is needed.
Subjects:
Grades:
Not Grade Specific
Monthly/Quarterly Contact Log
A monthly or quarterly contact log that I use for my IEP caseload. It gives a spot for the students name and then boxes for a significant amount of summarization from each contact you have with the students.
Could also be used to document other contacts.
Grades:
Not Grade Specific
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