Times Are Changing

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Times Are Changing

• Our society is changing with emerging new
  technologies and globalization of our economy.
• Our families are changing and becoming smaller
  and more mobile in response to our changing
  economy.
• Our students are changing as more students with
  complex medical conditions and other health
  issues are included in daily instruction.
• Our schools are changing so that all students can
  gain the knowledge and skills they need to
  achieve success in school and in life.

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Somewhere in New York State

• A kindergarten student missed 22 days of his
  first year in school due to uncontrolled asthma.
• A second grader, afraid to go to the playground,
  develops a stomach ache and misses classes.
• A fourth grader strains to hear a teacher from
  her back-row seat.
• A sixth grader with diabetes experiences a growth
  spurt and his insulin levels fluctuate. He cant
  concentrate in class.

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Somewhere in New York State

• An eighth grader with special needs requires
  daily assistance with a feeding tube.
• A ninth grade student is heard purging in the
  girls bathroom. Her grades are failing.
• A football player experiments with
  over-the-counter medication to build muscle tone.
  He is inattentive in class.
• An eleventh grade honor student is stressed about
  her parents divorce and is absent from school.

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Somewhere in New York State

• On a typical day, a school nurse administers more
  than 200
• doses of medication supervises use of asthma
  inhalers conducts
• vision screenings assists a student afraid to go
  to class and
• handles conditions ranging from scrapes to sports
  injuries to
• life-threatening peanut allergies .
• Along the way, the school nurse presented a class
  on stress
• reduction, attended to a student with
  disabilities, and
• coordinated school health services for a new
  student. By days
• end, students immunization records were
  completed, a child
• study team meeting was attended, a teacher of a
  child with
• diabetes was consulted, and daily logs were filed.

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Its No Wonder that

• School nurses play a powerful role in the
  educational achievement of students so that
  students can
• Come to school
• Stay in school
• Be ready to learn
• Be safe

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In Helping Students Come to School, School Nurses
Can

• Identify, assess, plan, and develop health care
  plans
• Facilitate policies/procedures for medication
  administration and complex medical procedures
• Provide support systems for all students with
  special needs
• Shorten illness-related absences through family
  supports
• Provide support/guidance after prolonged
  illnesses or absences

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In Helping Students Stay in School, School Nurses
Can

• Establish medication schedules and medical
  protocols
• Encourage families to select alternative times
  for health-related appointments
• Provide health services to students during the
  school day
• Create procedures for emergency care
• Support teachers within the classroom

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In Helping Students Be Ready toLearn, School
Nurses Can

• Attend educationally related professional
  development
• Educate students on self-directing their own
  health care
• Identify health-related barriers to learning
  facilitate referrals
• Teach problem-solving, decision-making, and
  conflict resolution skills for students at-risk
• Provide information about emerging health issues
  to others

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In Helping Students Be Safe, School Nurses Can

• Serve as a resource to create safe school
  environments
• Promote healthy psychologically safe school
  environments.
• Participate on school-wide teams
• Train and prepare staff in emergency procedures
• Provide health and safety education for all

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School Nurses Play Many Roles

• Throughout New York State and the nation, the
  recognition of school nurses as capable and
  knowledgeable partners in assisting schools in
  meeting their primary mission quality education
  for all students is an emerging trend.
• The primary role of the school nurse is to
  support student learning.
• National Association of School Nurses

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As a Care Provider

• School nurses
• Promote healthy students
• Increase school attendance
• Create safe havens
• Assess health needs
• Screen for barriers to learning

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As an Educator

• School nurses
• Promote academic performance
• Support at-risk students
• Increase health knowledge and skills
• Encourage school/classroom participation
• Strengthen student learning readiness

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As an Advocate

• School nurses
• Promote healthy schools
• Participate on teams and committees
• Strengthen youth development
• Improve school morale
• Foster staff and school wellness

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As a Change Agent

• School nurses
• Enhance learning environments
• Encourage parental involvement
• Identify health-related barriers
• Model healthy behaviors
• Implement research-based practice

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As a Manager

• School nurses
• Support shared leadership
• Foster community partnerships
• Administer health policies
• Implement health protocols
• Promote healthy schools

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Yet Schools Face a Growing Shortage of School
Nurses

• United States Department of Health and Human
  Services projects a current shortage of over
  100,000 registered nurses to grow to 700,000 by
  2020
• The average salary of school nurses is often
  considerably below other professional school
  staff and below salaries in other employment
  settings, making recruitment and retention
  difficult

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Many Professional Issues Have an Impact on School
Nurses

• The Role of the School Nurse
• Statewide School Health Standards
• Professional Development
• Communication
• Technology
• Collaboration

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The Role of the School Nurse

• Because school nurses are often seen as skilled
  health care personnel, their impact on student
  achievement may be misunderstood because of a
  lack of information or misinformation.
• As a result, the school nurse may not be seen as
  part of the educational team for building student
  success.
• How would you address this issue?

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Statewide School Health Standards

• Because school health standards differ across the
  State and the nation, the role of the school
  nurse in supporting student learning may not be
  fully understood.
• As a result, the role of the school nurse can be
  different even within schools in the same
  district.
• How would you address this issue?

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Professional Development

• Because school nurses impact student achievement,
  they need continuing professional development
  that is made available to other professional
  school staff in order to provide the highest
  quality services to schools and students in
  promoting student achievement.
• How would you address this issue?

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Communication

• Because school nurses are required to frequently
  communicate with students, parents, teachers,
  school administrators, and community members to
  positively influence student academic outcomes,
  school nurses should be provided opportunities
  and have the skills to perform this key role.
• How would you address this issue?

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Technology

• Because extensive record-keeping functions are
  called for in the school setting, school nurses
  need to have appropriate technological tools to
  gather and analyze data in an efficient way, and
  to keep accurate and up-to-date records.
  Training opportunities should be provided to
  school nurses when offered to other school staff.
• How would you address this issue?

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Collaboration

• Because of complex medical conditions and other
  physical, emotional, and social needs of todays
  students that create barriers to student success,
  school nurses need to have opportunities to
  collaborate with many partners, both within the
  school as well as in the broader community.
• How would you address this issue?

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We Can All Work Together

• To ensure that students canbe healthy to
  learn and learn to be healthy.
• Only then can we create an environment where
  student achievement is a reality - not a dream.

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School Nurses Can

• Provide the knowledge, skills and expertise to
  promote the optimal health status of all students
• Create an environment where the link between
  health and learning is clearly understood and
  valued within the school community
• Provide leadership for initiating positive
  relationships where all stakeholders can focus on
  the academic and health needs of students

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School Principals Can

• Promote and nurture the vision that healthy
  students healthy schools educational success
• Provide strong educational leadership to support
  school nurses, teachers, and all school staff in
  meeting the educational and health needs of
  students
• Provide opportunities for professional
  development to ensure that all staff play a role
  in the educational success for students

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School Superintendents Can

• Engage schools, families and communities in
  supporting strategies to remove barriers to
  learning
• Provide leadership in establishing school
  policies and procedures that support healthy
  students who are ready-to-learn
• Increase school and public awareness of the
  critical link between good health and academic
  success of students

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School Boards Can

• Increase their understanding of the linkage of
  good physical, social and emotional health to
  academic achievement
• Work closely with school leadership and staff to
  support their efforts to improve the health and
  academic achievement of students
• Allocate appropriate resources to ensure
  educational excellence through supporting healthy
  students who are ready-to-learn

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Teachers Can

• Develop and enhance their knowledge and skills in
  addressing the academic and health needs of
  students
• Raise the awareness of students of the importance
  of good physical, social, and emotional health to
  academic achievement
• Set high expectations for achievement for all
  students and reduce barriers to learning

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Students Can

• Develop and foster positive attitudes towards
  achieving physical, emotional, and mental health
  to support their own learning
• Exercise healthy choices, and avoid health-risk
  behaviors that interfere with learning
• Access resources that support high achievement
  and assume responsibility for learning

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Parents and Families Can

• Create high expectations for achievement and good
  health for their children
• Support and partner with school health personnel
  to manage chronic illnesses and other conditions
  that interfere with the learning process
• Become part of a school and community team that
  encourages healthy students, healthy schools and
  academic success

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Community Members Can

• Promote and support a school and community
  environment that values good health and high
  expectations for learning
• Become involved in schools and learn where their
  talents and skills can support the healthy
  development and academic success of all students
• Support the allocation of resources necessary to
  ensure that all students can learn

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And Last, but Not Least

• Who is the school nurse?

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Only the Best Need Apply

• Wanted Registered professional school nurse
  with excellent health services and managerial
  skills and a child-focused attitude. Must have
  outstanding communication skills, and be
  nurturing, patient, and positive. Must be able
  to multi-task, pay attention to detail,
  follow-through, and be a team player. Keen
  interest in student achievement. Professional
  level salary with opportunities for professional
  development. Full benefits. Please callfor a
  chance to make a difference. Any school, USA

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And in Closing

• I am a school nurse. I love school nursing,
  especially after all of these years, because it
  is filled with energy and excitement. My job has
  become more demanding and the expectations have
  changed. Yet I can rise to the challenge. I
  support students to be the best human beings they
  are capable of being. Thats why I became a
  school nurse. I am making the difference. I do
  impact student achievement.

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Presentation to principals
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And it is important that

• Principals support the role of the school nurse
  in impacting student achievement so that students
  can
• Come to school
• Stay in school
• Be ready to learn
• Be safe

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In helping students come to school, principals
can

• Create a vision for healthy students and healthy
  schools
• Create an environment where all students and
  parents feel valued and welcome
• Disseminate information to parents about high
  expectations for all students
• Encourage parents to access school resources
• Increase awareness of the critical link between
  good health and academic success

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In helping students stay in school, principals
can

• Provide leadership in establishing school
  policies that support all students in a high
  quality teaching and learning environment
• Provide leadership to staff in understanding the
  role of the school nurse in supporting students
• Create opportunities for increasing collaboration
  between educators and school nurses
• Include the school nurse on school-wide teams
• Draw upon research-based health and academic
  strategies

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In helping students be ready to learn,
principals can

• Provide opportunities for school nurses to expand
  their knowledge and understanding regarding
  achievement for all students
• Encourage students and parents to learn more
  about services available through the school nurse
• Promote policy initiatives to develop students
  skills for healthy lifestyle choices
• Identify staff development and training needs to
  address barriers to learning
• Engage the full school community

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In helping students be safe,principals can

• Create a vision for a healthy school environment
  where all students can learn
• Draw upon the knowledge and skills of the school
  nurse to promote an environmentally safe school
• Increase awareness about the importance of a
  healthy and safe school environment to learning
• Help faculty and staff work together to promote a
  healthy school environment
• Foster an open school environment where everyone
  is welcome to contribute

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