School First Aid and Emergency Medication Audit

Count against par: 4x4 and 2x2 sterile gauze pads, roller gauze, ABD pads, triangular bandages, and an assortment of adhesive bandages (knuckle, fingertip, butterfly closures). Anything below par goes on the supply requisition before you leave the health office.

Trauma shears, splinter forceps, tweezers, and safety pins. Confirm shears cut cleanly through gauze and clothing — dull shears are a recurring finding when state nurse consultants spot-check.

Nitrile (latex-free) gloves in S/M/L, CPR pocket mask with one-way valve, biohazard bags, absorbent solidifier, and red-bag waste container. PPE is the OSHA bloodborne-pathogens line item OCR and state inspectors look for first.

Antiseptic wipes, hydrocortisone 1%, triple antibiotic ointment, saline eye-rinse, and instant cold packs. Note expiration dates on each container; ointments routinely expire before they are used up.

Verify district stock-epi quantities required under your state's stock epinephrine law (typically EpiPen Jr and adult doses, two each). Read the expiration date printed on the auto-injector itself — not the carton — and inspect the viewing window for cloudiness or precipitate.

Submit the requisition through the district health services PO process; many states allow EpiPen4Schools or similar manufacturer programs at reduced cost. A school cannot operate without compliant stock-epi on hand — this is not a next-quarter problem.

Cross-check the locked medication cabinet against the SIS health module roster (PowerSchool, Infinite Campus, or Aeries). Every student with an asthma action plan, anaphylaxis plan, seizure protocol, or diabetes care plan should have current, in-date medication on site with a signed authorization on file.

If your state authorizes stock albuterol, confirm the inhaler is in date and the dose counter is above 50. Stock single-patient-use spacers (e.g., AeroChamber) and disposable mouthpieces — sharing spacers is an infection-control finding.

Glucagon kit (Baqsimi nasal or Gvoke pre-filled) for any student with a diabetes care plan listing severe hypoglycemia. Also: glucose tabs or gel, ketone strips, lancets, and pen needles. Glucagon expires roughly 18-24 months from manufacture — track on the medication log.

Export the contact roster from PowerSchool, Infinite Campus, or your SIS of record. Flag any student whose contacts have not been confirmed in the last 90 days for outreach through ParentSquare or Remind. Custody flags must be honored — non-custodial parents do not automatically have pickup authority.

The 911 script (school name, street address, gate code, and best entry point for EMS) should be posted at every phone in the building, not just the health office. Confirm the nearest pediatric-capable ED on the wall card matches your current routing.

National Poison Control: 1-800-222-1222. Posting is required by most state school-health codes alongside 911 and the on-call school nurse. Front desk, cafeteria, gym office, and every classroom phone.

Walk a test from the health office to the farthest classroom, the gym, the cafeteria, and the athletic field. Dead spots are a known failure mode during medical emergencies on the field — the AD and front office must be reachable from anywhere a student can collapse.

Confirm the green ready indicator on every unit (main hallway, gym, athletic field cabinet). Check pad expiration on the pouch — pediatric pads age out faster than adults expect — and the battery install-by date. Log the check on the AED inspection card mounted inside the cabinet.

Order from the manufacturer or district vendor of record. Until replacement is installed, post a unit-out-of-service notice and route responders to the next-nearest AED. Re-run the self-check after install before closing this step.

Duplicate trauma supplies, current student rosters by grade, printed emergency contact list, three school-day supply of student-specific meds, and a charged spare phone. The go-bag is what leaves with you during a fire drill or lockdown evacuation; it cannot be assembled in real time.

Two flashlights or headlamps in the health office, fresh batteries on hand, and verify the battery-backup egress lighting trips correctly when the breaker is cycled (coordinate with custodial).

Pull the certification roster from Vector (SafeSchools), Frontline, or your training tracker. Coaches, PE staff, and after-school program leads need current AHA or Red Cross CPR/AED. Flag any card expiring within 90 days; lapsed certs on coaches are a common athletic-department audit finding.

Book the district trainer or local AHA/Red Cross instructor; block a PD half-day or after-school session. Notify affected staff in writing with the make-up date and the consequence of non-attendance per the staff handbook.

Walk through the Individualized Healthcare Plans and emergency action plans for students with diabetes, severe allergies, asthma, seizure disorders, and bleeding disorders. Confirm the classroom teacher, PE teacher, and substitute folder all have current copies — substitute folders missing the EAP is the recurring FERPA-adjacent miss.

Nurse signature certifies the audit is complete; principal countersignature confirms operational items (PA, AED, go-bag, training schedule) are accepted. The signed record is the artifact the district health services coordinator collects each quarter.