Score 1 FAQs

  • Score 1 for Health provides free, comprehensive health screenings for children in select Kansas City area elementary schools. Answers to frequently asked questions regarding the program can be found here.


    For Parents (English) | Para los Padres (Spanish)

    What is blood pressure?

    Blood pressure is the force of blood pushing on the blood vessel walls.

    It can be measured with two numbers:

    Systolic Blood Pressure: the top number, which indicates when the heart beats.
    Diastolic Blood Pressure: the second number, which indicates when the heart relaxes.

    Your child's blood pressure reading depends on age, height and gender. Results can be affected by exercise or stress level. The more difficult it is for the blood to flow through the body, the higher both numbers will be. Staying in the normal range of blood pressure decreases the amount of work the heart does and keeps your child's heart healthy. Results can be affected by exercise, stress level and some medication. 

    Children's bodies change as they grow, so it is important to have annual blood pressure checks. If your child's blood pressure reading is high on three different screenings, then a note will be sent home for follow-up with your child's physician. Click here to see list of free or low cost clinics in the Kansas City area.

    Does my child need glasses?

    Vision can change rapidly after a growth period, which is why we suggest scheduling annual vision screens. An eye exam is needed if your child has 20/40 vision or higher. 20/30 is still within the normal vision range. Score 1 for Health conducts tests for both far and near vision, as well as an exam to see if both eyes are working together equally well. This is called a Random Dot E (RDE) screening, and it checks if your child's eyes can focus at the same time, and helps to identify problems like a lazy eye. Score 1 also conducts a Plus Lens test, which is a more comprehensive near-vision test. If your does not pass the vision test on two separate occasions, a full vision exam is recommended. Click here to download a list of free or low cost vision clinics in the Kansas City area.

    What is BMI?

    Body Mass Index (BMI) is determined by your child's height, weight, age and gender. A BMI below the 85th mark is healthy, and will help prevent health problems like diabetes, high blood pressure and heart disease. To keep your child's BMI at a healthy level, encourage your child to be active everyday. Serve healthy foods like fruits, vegetables, grains, and foods that are low in fat and cholesterol and moderate in sugar and salt. In addition to free health screenings, Score 1 for Health also offers resources to help your child stay healthy. Click here to see list of free or low cost weight/nutrition programs in the Kansas City area.

    Why did my child fail the hearing test?

    Your school district hearing specialist and your child's doctor can tell you the exact reason. It may be related to earwax build-up, fluid behind the eardrum or ear infection. To help avoid ear damage, nothing smaller than an elbow should be put in the ear.

    What areas are checked in the physical exam?

    The physical exam checks the head, nose, skin, chest/lungs, eyes, throat, arms and legs, heart, ears, neck, spine and brain.

    How do I keep my child's teeth healthy?

    Para los Padres (Parents FAQs in Spanish)

    Preguntas Frecuentes

    ¿Qué es la presión arterial?

    La presión arterial es la fuerza de la sangre en las paredes de los vasos sanguíneos.

    Se calcula la presión arterial con dos números:
    La presión arterial sistólica: el primer número, lo cual indica cuando el corazón se contrae.
    La presión arterial diastólica: el según número, lo cual indica cuando el corazón se releja entre los latidos cardíacos.

    La presión arterial de su hijo depende de su edad, estatura, y género. El estrés, el estado de ánimo, y algunas medicamentos afectan los resultados. Cuando es más difícil que la sangre fluya por el cuerpo, los dos números son más altos. Si su número está dentro de la escala apropiada, el corazón trabaja menos y el corazón está más sano.

    Los cuerpos de los niños cambian mientras que crecen. Por eso, es importante chequear la presión arterial cada año. Si la presión arterial de su hijo está alta durante tres chequeos diferentes, le mandaremos una carta por seguimiento con su médico. Haga clic aquí para una lista de clínicas gratis o de precio reducido.  

    ¿Necesita mi hijo anteojos/lentes?

    La visión de los niños puede cambiar rápidamente mientras que crecen. Por eso, recomendamos chequeos anuales. Su hijo necesita un examen de la vista si su visión es 20/40 o más. (20/30 está dentro de la escala apropiada.) Score 1 for Health checa la visión cerca y la visión lejos, y también revisa si sus ojos pueden enfocar al mismo tiempo. Se llama el chequeo de Dot E, e identifica problemas como el ojo vago. También, Score 1 hace el chequeo de Plus Lens, un chequeo más extenso de la visión de cerca. Si su hijo no pasa un chequeo de Score 1 dos veces, le recomendamos que vaya al oculista por un examen de visión. Haga clic aquí para una lista de clínicas de visión gratis o de precio reducido.

    ¿Qué es el IMC?

    El Índice de Masa Corporal (IMC) se calcula con la estatura, el peso, la edad, y el género del niño. Un IMC menos del percentil 85 es bueno y previene problemas como la diabetes, la presión arterial alta, y la cardiopatía. Para mantener el IMC dentro de la escala apropiada, ayude a su hijo a hacer actividades físicas cada día. Sirva comidas saludables como frutas, verduras, granos, y las comidas bajas en grasa y colesterol y moderados en sal y azúcar. En adición a los chequeos físicos sin cargo, Score 1 for Health tiene recursos para mejorar la salud de su hijo. Haga clic aquí para una lista de programas del peso y de la nutrición gratis o de precio reducido.

    ¿Por qué mi hijo no pasó el chequeo de audición?

    Su médico le puede decir la razón exacta. Posiblemente era algo como acumulación de cera, líquido detrás del tímpano, o infección del oído. Para evitar dañar el oído, su hijo no debe poner nada en el oído.

    ¿Qué se chequea en el examen físico?

    El examen físico revisa: la cabeza, la nariz, la piel, el pecho, los pulmones, los ojos, la garganta, los brazos, las piernas, el corazón, los oídos, el cuello, la columna vertebral, y el cerebro.

    ¿Cómo puedo mantener sanos los dientes de mi hijo?

    • Lleve a su niño al dentista cada seis meses.
    • Haga que su niño se cepille sus dientes, lengua, y encías dos veces al día y use hilo dental cada día.
    • Vaya al dentista pronto si su hijo tiene una caries sin dolor.
    • Vaya al dentista inmediatamente si su hijo tiene una caries con dolor.
    • Haga clic aquí para cómo cepillar los dientes. 

    For Health-care Partners

    What experience will allied health students gain from Score 1 screening?

    Allied health students are a critical component of a successful Score 1 screening. If a student participates the entire day, he/she receives hands-on experience in chart preparation and delivery, screening station set-up and orientation to screening processes.

    During the screening, we will have opportunities for students to become proficient in screening elementary school children in vision, height/weight and blood pressure. The students will also learn to effectively communicate with pediatric clients as well as refine patient interaction skills.

    What is the time commitment for a Score 1 screening day?

    Some volunteers commit to a full 8-hour clinical day. Others only come for a 4-hour screening session.

    What kind of supervision will students have?

    Two to three Score 1 nurses (all experienced RNs) are at each screening. The nurses are responsible for training the screeners to specific stations as well as periodic supervision of adequate technique throughout the screening. Faculty presence from allied health schools is preferred, but not required by Score 1.

    What do students need to bring to the screening?

    We encourage allied health students to bring stethoscopes, black/blue pen, lunch (if anticipating a full clinical day), bottled water, not soda or pop, if needed. Typically, there is not a refrigerator or microwave that can be used, so students should keep in mind when packing the lunch. We also discourage smoking, as Score 1 promotes healthy lifestyles. Students can wear scrubs or business casual/professional clothes with a lab jacket and comfortable shoes! Make sure a school name tag is worn.

    For School Nurses

    What do I need to do with the permission forms?

    We strive for at least 85 percent participation in each school. We appreciate any effort you can make to generate enthusiasm for the screening.

    The parent permission forms that we give you at the beginning of the school year should be distributed to the teachers when you feel it is most appropriate, but do not wait until it is too late!

    Distribution of permission forms should be at least one month prior to screening. Some schools use parent/teacher conferences or PTA/SAC meetings to explain the program and obtain signatures if needed.

    Consent forms will be collected three weeks prior to the screening day. It would be helpful to organize the forms by classrooms.

    What is my role on screening day?

    We value your association with your students and encourage your presence during the Score 1 screening. Often, the nurse is best suited at the Physical Assessment station so he/she can observe any abnormalities that may be identified in that station. This will be especially helpful when following-up with parent/guardian concerning any "urgent notification slips" that are sent home. We also need your support in gathering charts after the screening.

    Do I get the results from the screenings?

    Two to three weeks after the screening, your students' results will be returned to the school for distribution. In that same package, you will find a comprehensive report detailing your students' results. The report will be sorted by your preference if it given on the day of the screening, but if no preference was noted, it will be sorted by room number.

    How do I help with rescreening?

    We look to the nurses to help schedule a good day, time and place for rescreening. We will FAX you a list of children who we need to rescreen. You can share that list with the teachers so they know who will be involved in rescreening. Re-screens are conducted by the Score 1 Nursing Staff.

    What happens after a child has been identified as needing medical follow-up?

    A Score 1 nurse will partner with you to follow-up with families regarding screening results. Resources available both through Score 1 and the greater KC community will be shared to ensure as many families follow-up as possible.



    For Teachers

    Can all of my students participate in the screenings?

    Our screenings are offered to all students in kindergarten through fifth grade. Only children that have returned a signed and positive permission form from their parent/ guardian will be able to participate in the screening. On the day of the screening, the Score 1 staff will provide you with a form detailing who has parent permission to participate and who does not. Please submit all permission forms to your school nurse or health official.

    How long will my students be involved in the screenings?

    Generally, the screenings take approximately 50 minutes for a class to complete 6 stations (vision, hearing, dental, blood pressure, height/weight and physical assessment).

    It is important to stay with your students during screening. After the initial screening day, we will come back for rescreening if needed. The school nurse or secretary will provide you with a list of your students who will need to participate in the rescreening. Generally, we need to rescreen just a few areas, so the child should only need to be out of the classroom for a few minutes.

    How will I know when to start the screening?

    You may receive a draft copy of the schedule from either the principal or the school nurse about a week before the screening. Please review the schedule carefully to make sure that you and your students can work with the timing of your slot.

    Communicate with your principal or school nurse if you have problems with your time frame. On the day of the screening, we will provide you with a final schedule that shows the time and where your class should be at your first station. It is important to be at the correct station on time. Ask your school nurse or a Score 1 nurse if you have questions about the schedule.

    How will the screening results be documented?

    Just prior to screening, we will provide you with a personalized chart for every child participating in the screening. It is important to pass out these charts to the appropriate child before you leave the classroom for your first screening station. Encourage the children to keep their folders closed and not to share personal health information. After the screening, we ask that you gather the charts and send them to the nurse's clinic.

    Approximately one week after the initial screening and subsequent re-screenings, you will receive personalized letters for parents/guardians with screening results for each child. These letters should be sent home in the child's backpack. If a child needs further follow-up in a screening area, a separate referral letter will be mailed home.

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