About medical care to carry out in elementary and junior high schools

elementary school studenｔ students who fall under any of the following 1 and 2

1. elementary school studenｔ students enrolled in elementary schools, junior high schools, compulsory education schools and special needs schools (excluding special needs schools where school nurses are located) in Yokohama City, who have been diagnosed by family doctor as being able to go to school or need medical care on a daily basis at school.
2. Those who are deemed to need assistance from a professional point of view at the Medical Care Implementation Coordination Meeting, which is composed of doctors, school officials, etc.

※ Not applicable if the elementary school studenｔ student is able to provide medical care.

"Medical care" refers to medical activities such as suction and injection performed using medical equipment, not general medical care. Nurses perform at hospitals, etc., but in daily life, they and their families do it. Care that can be taken by yourself is carried out at school under the supervision of teachers.

• Sputum aspiration (in the oral cavity, in the nasal cavity, inside the trachea cannule)
• Tube feeding (nasal, gastric, intestinal)
• Urination (including self-guiding urinary requiring technical guidance from nurses)
• Other medical care deemed necessary

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• Care that can be carried out by yourself without the need for nurse technical guidance (insulin self-injection, blood sugar measurement, self-guiding, etc.)
• Care possible for non-nurses (stoma care for colostomy, regular medication for therapeutic agents, etc.)
• Non-daily medical care (required treatment only during emergencies and worsening, specific seasons and short-term care, advanced medical nursing skills)

• Municipal Elementary Schools, junior high schools, compulsory education schools and special needs schools where elementary school studenｔ students are enrolled (excluding special needs schools for the physically challenged)

※ It covers medical care performed on the school premises on the school day (Monday to Friday). It does not cover weekends and holidays, school holidays, activities and accommodation events that take place outside the school premises.

• According to the time of medical care, the medical association of the school district entrusted by Yokohama City will coordinate and dispatch nurses from local visiting nursing stations to the school.
• We will discuss at the implementation coordination meeting held by the Board of Education and coordinate with home-visit nursing stations, and determine the time and number of nurse dispatch, so we may not be able to carry out as desired by parents and schools .

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• This is a business in which visiting nurses come to schools, make use of breaks, etc., and provide necessary medical care for children.
• We will provide support for the child's own care, such as sputum aspiration and urine conduction, as much as possible, and aim for independence in the future. Provide care for the required period of time if tube feeding or other nurse care is needed continuously.
• We provide care and technical guidance according to the child's medical condition and characteristics, so that learning and activities at school can spread.
• Several times a year, through meetings related to support by the person / guardian, school, nurse, etc., we confirm the status of the person's efforts, how to support the child, and their roles.

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• There are also cares that allow children to do alone as they grow up, such as sputum aspiration and urine conduction. Nurses will help you acquire skills and support independence so that you can do it alone to expand your child's social life. We will support the independence of care as the child grows up.
• Some people no longer need medical care due to surgery or treatment.
• If you become independent, the dispatch of nurses will be terminated and care will be carried out safely while watching over the school.

※ Some children do not use this business and take care of themselves from the beginning.

• If you can adjust the number and content of care and medications performed in the school as little as possible, care in the school will be smooth and the impact on school activities will be reduced. Consider as much as possible, such as conducting pre-school care and adjusting the time of medicine.
• It is important to share annual goals and work together so that families, schools, and nurses can promote care based on a common understanding.
• Let's help you to work on what your child can do. Keep doing what you can do in the same way at home, including during long holidays.
• As the condition and condition of a growing child will change, you must submit a medical certificate and instructions from family doctor once a year.
• Schools, nurses, boards of education, etc. confirm information, set support goals, and provide appropriate care.

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• Please consult with the school you plan to enroll in or the school you are enrolled in. Application for use will be made through the school.
• If you are a new student, please do not wait for physical checkup at school.
• At the time of application, along with the submission of family doctor's medical certificate and home-visit nursing instructions, we will ask you about the status (contents, number of times, etc.) of medical care currently being conducted at homes, schools, and community nursing centers. Please check with the school about required documents and when to submit.
• We will focus on school activities first and adjust the schedule for medical care, so we may not be able to do so as parents wish.
• The dispatch of nurses will be coordinated by the ward medical association. (It may be dispatched from multiple offices.)
• Application for use is made every year. (You can apply in the middle of the fiscal year)
• From the application to the start of use, there is a period during which application documents are reviewed and contract procedures are performed. During that time, parents will be required to take care of them.
• If care skills become independent or treatment no longer requires care, the dispatch of nurses will be terminated. If you leave school for a long time due to hospitalization, etc., stop dispatching nurses.

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