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NORTH THURSTON PUBLIC SCHOOLS Compliance Statement for HE 1824, Youth Sports Head Injury Polices and SB 5083, Sudden Cardiac Arrest Awareness. (attach to any building/facility use request form) requests
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01
To fill out head injury:
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- Start by providing the patient's demographic information such as name, age, and contact details.
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- Next, describe the circumstances of the head injury, including the date, time, and location it occurred.
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- Document the symptoms experienced by the patient, such as loss of consciousness, headache, confusion, vomiting, etc.
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- Include information about any initial treatment provided to the patient, such as first aid or emergency medical care.
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- Record any diagnostic tests conducted, such as CT scan, MRI, X-rays, etc.
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- Document the diagnosis made by the healthcare professional and any ongoing treatment or recommended follow-up.
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To fill out cardiac:
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- Begin by providing the patient's personal information, including name, age, and contact details.
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- Mention the patient's medical history, including any pre-existing heart conditions, surgeries, or medications.
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- Describe the symptoms experienced by the patient, such as chest pain, shortness of breath, palpitations, etc.
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- Provide details about the onset of symptoms, their duration, and any triggers or alleviating factors.
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- Include information about any previous cardiac tests or procedures performed on the patient.
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- Record the results of recent diagnostic tests, such as ECG, echocardiogram, stress test, etc.
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- Describe the diagnosis made by the healthcare professional based on the patient's symptoms and test results.
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- Document the recommended treatment plan, including medication, lifestyle changes, or referral to a specialist.
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- Ensure all necessary signatures and dates are included in the form.
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Who needs head injury and cardiac?

01
Individuals who have suffered a head injury, such as concussion or traumatic brain injury, may need a head injury form to document their condition and treatment.
02
Cardiac forms may be required for individuals with known or suspected heart conditions, those experiencing cardiac symptoms, or those undergoing cardiac tests or treatments.
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Head injury refers to any trauma or damage to the head, while cardiac refers to anything related to the heart.
Medical professionals, caregivers, or individuals who witness or are involved in head injury or cardiac incidents are required to file reports.
Head injury and cardiac reports can typically be filled out online or through a specific reporting form provided by the relevant health authority.
The purpose of filing head injury and cardiac reports is to document and track incidents for medical and statistical purposes, as well as to ensure appropriate follow-up care.
Information such as date, time, location of incident, individuals involved, extent of injury, and any treatment provided must be reported on head injury and cardiac forms.
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