GSRP School Nurse Consulting Services Request Form

Wayne RESA GSRP offers School Nurse Consulting Services to support you, Wayne RESA GSRP consortium members, in meeting the chronic and acute health needs of your students.

Please click the box below to review the available School Nurse Consulting Services and complete this GSRP School Nurse Consulting Services Request Form to initiate a formal request for support.

Date of Service Request On what date do you require services?&amp;amp;#x200B;

Have you spoken with someone at Wayne RESA regarding your request? (required) Yes No

Community Based Organization/School District Name

Address 1

Address 2

Address 3

City

State

Zip Code

Organization Contact Name

Contact's Email Address

Contact's Phone Number

Ext

Preferred Method of Contact

Describe your Needs Please describe how a nurse may be able to support your specific need.&amp;amp;#x200B;

By providing a telephone number and submitting this form you are consenting to be contacted by SMS text message. Message & data rates may apply. You can reply STOP to opt-out of further messaging.

School Nurse Consulting Services

School Nurse Consulting Services are available upon request and include the following:

Review of and recommendations on program health policies and procedures.
Attendance for program staff to the foundational training, Safe and Legal Support of Students with Health and Medication Needs.
Assistance in securing appropriate individual Medication Administration Authorizations (MAAs) and Medical Management Plans (MMPs)
Facilitated trainings to support safe implementation of individual MMPs for all identified students, including:
- Access to templates of necessary forms;
- Review of completed MAA and MMP forms;
- General Tier 1 (Awareness) sessions on recognizing and beginning the response to potential health-related emergencies;
- Student-Specific Tier 2 (Emergency Care) and Tier 3 (Daily Care and Support) training sessions with the identified school health teams and parents/guardians.
Unlimited consultation for safe and legal school support of identified students’ health needs.
Attendance for school staff to Medical Emergency Response Team (M.E.R.T.) Training.
Communicable disease guidance and support.

Wayne RESA Resources

Professional Development

District / School Continuous Improvement

Special Education and Early Intervention

Shared Operational Services