Introduction to School Nursing

1
Introduction to School Nursing

• Role of Public Health in the School Setting

2
Public Health Nursing

• Is the practice of promoting and protecting the
  health of populations using knowledge from
  nursing, social, and public health sciences
  (American Public Health Association, Public
  Health Nursing Section, 1996).

3
The First School Nurse

• Miss Lina Rogers was Americas first school
  nurse, hired on October 1, 1902 placed in a
  public school in New York Citys Lower East Side.
• She was placed by Miss Lillian Wald, a pioneering
  Public Health Nurse of the Henry Street
  Settlement.
• Ms. Rogers purpose was to reduce absenteeism, the
  spread of communicable diseases among children
• and keep children in school.
• Careful record keeping documented effectiveness
  of her program.

4
(No Transcript)
5
NASN Issue Brief Role of the School Nurse

• Provides health care to students and staff
• Provides leadership for the provision of health
  services
• Provides screening and referral for health
  conditions
• Promotes a healthy school environment

6

• The school nurse promotes health
• The school nurse serves in a leadership role for
  health policies and program
• The school nurse serves as a liaison between the
  school personnel, family, community and
  healthcare providers.
• (2002)

7
Preventive Health Services

• Case findings in the use of regular health
  screenings and assessments to identify students
  with potential health deficits
• Nursing care procedures including well
  child/EPSDT exams, immunizations, medication
  administration, medically prescribed procedures
• Care coordination involving outreach, access to
  care, status monitoring and follow-up
• Health counseling and instruction
• Emergency management and care

8
Early, Periodic, Screening, Diagnosis, and
Treatment

• EPSDT is a component of Medicaid and a required
  service under Medicaid for categorically needy
  children and youth from birth to age 21 years.
• The federal program is matched and supplemented
  by state health funds.
• EPSDT was created to provide comprehensive
  healthcare services to ensure that health
  problems are identified treated in a timely
  manner, before becoming more serious costly.

9
Health Service Reference Guide

• Provides direction for school districts toward
  the development of school health programs
• Increase awareness of school health issues the
  potential strategies available to resolve these
  issues
• Provide guidelines for the development of
  district school health programs, policies
  procedures
• Serve as a guide for orientating new personnel

10
Public Health Practice Reference

• Contains guidelines, protocols, definitions
  actions for LHD to use in providing services
• Not all inclusive and does not supersede
  professional judgment, The KY Nurse Practice Act
  or current accepted practices

11
Contracts

• Contractual agreements for school health services
  depends on the assessment need of local school
  systems.
• The LHD or the local school system may initate a
  partnership.
• Contracts must reviewed, updated
  renegotiated/renewed annually.

12
Contractual Considerations

• Maintenance of student health records
• Nurses salaries and benefits
• Schedules and hours
• Office equipment and supplies
• HIPPA/FERPA-sharing information

13
Needs of Understanding

• Specifics of contract services and job
  responsibilities with the school/district
• ANA NASN Scope and Standards of Professional
  School Nursing Practice
• Department for Public Healths PHPR
• Kentucky Department of Educations HSRG
• The KY Nurse Practice Act

14
LHD Nurse in the School Setting

• Understand which services will be provided by the
  LHD and which ones by the local school district.
• KDE is the lead agency and works with DPH to
  fulfill the requirements relating to the
  provision of health care services in schools.
• LHDs may elect to provide school health services
  not included in the PHPR.
• NASN guidelines are to be utilized when school
  health services are not included in the PHPR.

15

• BOE School health coordinator other health
  personnel
• First responders for the school
• Individual school health policies
• Utilization of KDE school health policies

16
RESOURCES

• Kentucky Department of Education-www.education.ky.
  gov
• National Association of School Nurses-www.nasn.org
  
• KY Nurse List Serve- www.coe.uky.edu/lists/kylists
  .php
• Kentucky School Nurses Association-www.kysna.com
• Kentucky Public Health Association-www.kpha-ky.org
  
• Local Health Departments

17
Contact Information

• Sandi Clark RN
• School Health Nurse Consultant
• Division of Adult Child Health Improvement
• 275 East Main St, HS2GW-A
• Frankfort, KY 40621
• Phone [phone] ext. 3862
• sandik.clark_at_ky.gov