Tools & Samples

Tell your district’s health services story with data. Modify / customize these tools to create Health Services Reports for district Administrators and School Boards:

• NASN Year-End Report Data Considerations
• School-Health-Report-fillable
• District Health Report – fillable
• NASN Advocacy / Administrator Presentation Template
• NASN School Nurses Promote Better Health and Better Learning Template
• NASN Ten Ways To Share Your Data

This toolkit is available to all North Central ESD school districts interested in a naloxone school program. WSSDA policy and procedure templates (3424 and 3424P) are available to all schools. Policy and procedure templates can be adopted or revised, in alignment with RCWs, WACs, and professional licensing standards, to meet specific district needs. Additional information, resources and supplies are available to districts at no cost through funding support from North Central Accountable Community of Health (NCACH) and School Nurse Corps. Contact cathyme@ncesd.org for additional support.

• Opioid-Related Overdose Policy Guidelines & Training in the School Setting (OSPI, 1/2022)
• WA Senate Bill Report 2SHB 1039
• RCW 69.50.315: Medical assistance, Drug-related overdose, Prosecution for possession
• WSSDA Policy 3424 – Opioid Related Overdose Reversal
• WSSDA Procedure 3424P – Opioid Related Overdose Reversal
• WA DOH Naloxone Standing Orders (2023)
• Direct Relief Narcan Community Donations
• Training Video: How to Use Narcan Nasal Spray (Emergent BioSolutions)
• Training Video: Opioid Overdose – Administering Naloxone (WA DOH)
• Training Checklist: Naloxone Nasal Spray Administration
• Print Instructions: Overdose Response Instructions – English (WA DOH, 2019)
• Print Instructions: Overdose Response Instructions – Spanish (WA DOH, 2019)
• Vector Solutions Course: Opioid Overdose Response Awareness Quiz (2022)
• Vector Solutions Course: Quiz Answer Key (2022)
• Narcan Nasal Spray Free Educational Kit Application (Emergent BioSolutions)
• Naloxone Administration Report Form for Schools (5/2020)

Additional Opioid-Related Toolkits and Resources:

• Naloxone in Schools Toolkit (NASN)
• Naloxone in the School Setting Position Statement (NASN)
• Opioid Overdose Prevention Toolkit (SAMHSA)
• School, Overdose Education & Naloxone (StopOverdose.org)
• Opioids: Information, Data, Resources (WA DOH)

• NCESD SPOT™ Vision Screener Lending Library Instructions
• NCESD SPOT™ Vision Screener Use Form
• Welch Allyn SPOT™ Vision Screener User Guide (March 30, 2021)
• NCESD SPOT™ Vision Screener PowerPoint (2019)
• Welch Allyn SPOT™ Vision Screener PowerPoint (2019)
• How to Screen a Subject (3:25)
• How to Create and Import a Patient List (5:56)
• How to Connect to a Wireless Direct Printer (13:23)
• How to Export Screening Results to a Computer (3:02)