School Nurse Update

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• School Nurse Update
• TETN
• October 19, 2007
• 100 to 400

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Agenda

• Immunization Update
• Pandemic Flu Update
• TEA Legislative Update
• DSHS Update
• School Nurse Survey Results
• CE Credit for Future Trainings
• Future Update Topics
• What do school nurses need?

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On the HorizonImmunizations

• Required 4-year review began Summer 2007
• Workgroups were formed to review proposals for
  new requirements
• Proposed Rule timeline
• Initial Proposal to DSHS Council, Fall-2007
• Final Adoption sometime in 2008
• Proposed Effective date SY2009-10

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On the HorizonImmunizations

• Vaccine requirements to be proposed -(earliest
  adoption for SY 09-10)
• 2 doses of MMR at kindergarten entry
• 2nd varicella dose at kindergarten entry
• Tdap for a certain grade level (7th) replacing Td
  10 years since last dose

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On the HorizonImmunizations

• Nothing is FINALstill in the early phases
• The department will follow standard rule
  procedure at the time of the official proposal
• All stakeholders will be given opportunity to
  provide input on all proposed rules via the Texas
  Register commenting period

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Summary of Legislation-Immunizations

• Bills Signed into Law
• HB 1059
• Requires each ISD with internet access to post
  DSHS immunization requirements/recommendations,
  flu information, flu clinic locations, and
  information on how to request a conscientious
  exemption

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Summary of Legislation-Immunizations

• Bills Signed into Law
• HB 3184 (Relates to child-care facilities)
• Requires DSHS to publish flu awareness
  information on its website
• Requires DSHS to work with Family Protective
  Services to ensure flu awareness information is
  distributed to parents in August September of
  each year

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Summary of Legislation-Immunization

• Other Bills Passed
• HB 1098
• No HPV requirement for 6th grade girls
• HB 1379
• HPV awareness and education
• Required collaboration with several agencies in
  the development of materials.
• Are in the development and review phase
• Will notify school nurses through Nurse Update
• and Friday Beat

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Summary of Legislation-Immunization

• Please contact DSHS Immunization Branch, Austin
  for further information on the implementation of
  adopted bills
• Contact Information
• Monica Gamez
• 800.252.9152

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Pandemic Flu Preparation
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Pan Flu Planning Begins at Home

• http//www.pandemicflu.gov/plan/individual/index.h
  tml
• Topics on this page
• Overview
• Family Guide, Checklist, and Information Sheets
• Social Disruption May Be Widespread
• Being Able to Work May Be Difficult or Impossible
  
• Schools May Be Closed for an Extended Period of
  Time
• Transportation Services May Be Disrupted
• People Will Need Advice and Help at Work and Home
  
• Be Prepared
• Stay Healthy
• Get Informed
• Community Guidance

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Pan Flu Check List for Communities

• http//www.pandemicflu.gov/plan/states/statelocalc
  hecklist.html
• Checklist Sections
• Community Preparedness Leadership and Networking
• Surveillance
• Public Health and Clinical Laboratories
• Healthcare and Public Health Partners
• Infection Control and Clinical Guidelines
• Vaccine Distribution and Use
• Antiviral Drug Distribution and Use
• Community Disease Control and Prevention
  (including managing travel-related risk of
  disease transmission)
• Public Health Communications
• Workforce Support Psychosocial Considerations
  and Information Needs

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Pan Flu Checklist for Schools

• http//www.pandemicflu.gov/plan/school/schoolcheck
  list.html
• Checklist Sections
• Planning and Coordination
• Continuity of Student Learning and Core
  Operations
• Infection Control Policies and Procedures
• Communications Planning

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Federal Funding Regarding Pan Flu

• Texas
• Phase I- 5,875,044 (Jan. 2006)
• Phase II- 15,450,021 (July 2006)
• Phase III- 4,769,753 (Aug. 2007)
• The supplemental funding will be used to
• Establish or enhance stockpiles of critical
  medical equipment and supplies
• Continue development of plans for maintenance,
  distribution and sharing of those resources 
• Plan for and develop pandemic alternate care
  sites and
• Conduct medical surge exercises. 

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Pandemic Flu Preparation Activities

• Several mock drills around the state were
  conducted this summer
• More drills in smaller more diverse areas to
  follow
• New resource to assist with best practices
• http//www.pandemicpractices.org/practices/article
  .dojsessionidD79327C1A1BDCDCC51B21AF4873EBE26?pa
  gehome

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2007 80th Legislative Session
TEA
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DSHS School Nurse Survey

• 670 respondents
• 13 LVNs
• 74.3 RNs
• 5.7 APN or Nurse Practitioners
• Single Campus Nurse
• 47.9
• Single District Nurse
• 11.2

• Number of Children Provided Service
• 26 had campus under 500
• 26.5 had campus over 500
• 21.8 had campus over 750
• 25.1 had campus over 1000

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Survey-UCDA Training

• 49.1 do the UCDA training for school
• 16.5 of LVNs that responded said they did the
  UCDA training
• 80.9 stated they developed the IHP
• 45.6 of the LVNs stated they developed the IHP
• 71.2 stated they were involved with ARD
• 69.6 of LVNs involved with ARD

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School Nurse Survey

• DSHS Publications and Support
• School Health Bulletin
• 52.9 Receive the Bulletin
• 80.6 find it useful
• Future issues
• Format and new ideas
• Articles
• Friday Beat
• 74.3 Receive the FB
• New format starting in November

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School Health Guide

• Will be revised this year
• Need to develop a workgroup of school nurses
• Will contract out the writing of final document
• Many would like to see more templates included
  (66.7)
• We need copies of what is used by a number of
  districts and will be sending out requests
• Also more guidance on specific legislated
  mandates (51.4)
• Can give recommendations or best practice only

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School Nurse Consultant

• 40.1 know that there is one
• Requested Activities by school nurses
• Provide School Nurses Notes by e-newsletter
  (65.5)
• Develop a webpage on current issues (60.0)
• Provide more training/technical assistance
  (55.9)
• 59.9 Dont know about this
• More contact with nurse groups
• More direct communication systems
• (School Nurses Notes)
• TETN Updates
• Regional Meetings and additional training ideas

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What do School Nurses Need?