private duty nurse orientation - grand prairie independent school … · 2019-07-30 · private...
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Private Duty Nurse Orientation
Grand Prairie Independent School District
Special Education Services
Health Services
April 2019
Private Duty
Nurse
Orientation
A Guide to Policies, Procedures
and Expectations
Private Duty Nurse Orientation
• Guidelines and Policies
• Private Duty Nurse (PDN) Expectations
• Teacher Expectations
• School Nurse Expectations
• Parent Expectations
This Photo by Unknown author is licensed under CC BY.
Private Duty
Nurse
Orientation
• Grand Prairie ISD provides campus nurses
for nursing care but sometimes parents wish
to have additional care provided for their
children who are medically fragile. It is our
goal to work together to provide the best and
safest educational experience for the child for
whom you are contracted to provide care.
Prior to
initiation
of services
• The parent of a medically fragile child may make a request that GPISD allow their parent-contracted Private Duty Nurse (PDN) also provide nursing services while the student is at school.
• The District's designee will conduct an assessment to determine the student's health needs during the school day.
• If nursing services are required, GPISD will offer appropriate services and develop an Individualized Health Plan (IHP).
• If the parents decline GPISD's services, the District may, but is not obligated to, allow the parent-contracted PDN to accompany the student to school.
• The campus nursing staff will provide nursing support only if/when the PDN is absent or unavailable, except for the provision of state mandated campus-based hearing, vision and scoliosis screenings.
• Before PDNs may be allowed on campus:
• An ARD or 504 Meeting must be held.
• Background check and fingerprinting of the PDN is conducted.
• Necessary documents are acquired from the PDN's agency.
• Agreement between parent and district must be completed/signed.
• PDN Orientation is provided to parents, PDNs and staff.
Regulations and Laws
• GPISD is guided by federal and state guidelines and laws, as well as local
school board and district policies.
• We are required to know who is on campus and why they are present.
• We are also required to ensure the safety of ALL students by conducting a
criminal background check for individuals who may come in contact with
them during the school day.
Individual Health Plan (IHP)
• If a student requires medical care, an IHP shall be developed through the
ARD committee. This is much like a nursing care plan for schools.
• The IHP will address the child's health needs, who will be providing
necessary health services and when the services will be provided.
• This plan will detail the student's health goals while at school and may
include Private Duty Nursing, if approved.
Private Duty Nurse Expectations
Private Duty
Nurse
Expectations
• The PDN accompanying a student to school is to attend to the ongoing and emergency medical needs of the client in her or his care, as outlined in the Parent Agreement.
• The PDN is responsible for providing a copy of the most recent or updated medical orders (usually via a Plan of Care, or POC) and MAR(medication administration records) to the school nurse within 1 school day of changes. It is the PDN's and parent's responsibility to provide new orders as soon as they are received.
• The PDN is responsible for orienting the campus nurse to the student's specific equipment and procedures, in the event that the student is at school when the PDN is not.
• The PDN is responsible for having weekly communication with the campus nurse regarding the student's medical needs and to provide weekly documentation of treatments and medication administered.
Private Duty Nurse
Expectations
•The PDN is responsible for
signing in and out daily:
• electronically at the main office
of the campus.
•on a paper log in either the school
clinic or classroom.
•Please do not proceed to
the child's classroom without
signing in.This Photo by Unknown author is licensed under CC BY-SA-NC.
Private Duty Nurse Expectations
• If the PDN must leave campus for ANY reason
(including personal illness), the campus nurse,
classroom teacher, as well as the parent and agency,
must be notified.
• Remember, this is a transfer of care and
communication is imperative to ensure the child
can be safely cared for.
• Before services may be provided by campus nursing
staff, current GPISD medication and procedures
forms must be completed by the physician and parent.
If necessary, student-specific training will be required,
as well.
Private Duty Nurse Expectations
• The PDN must not video record, audio record, and/or photograph students, campus locations or campus staff for any reason.
• Cell phone use by the PDN is restricted to personal breaks, if allowed by agency contract, and is not allowed in the educational setting.
• Violation will result in notification of your employer.
Private Duty Nurse Expectations
• The PDN is only responsible for medical services for
his or her client and shall not provide medical
services of any type to any other students, staff or
visitors. They shall only provide care for the students
for whom they are contracted.
• The PDN is responsible for ensuring that parent-
provided medications, equipment and other supplies
are with the student on a daily basis and are in
appropriate working order.
Private Duty Nurse Expectations
• The PDN shall make every effort to ensure that
the medical services he or she provides to his or
her client shall be as non-disruptive and non-
intrusive as possible and does not disrupt the
student individual education plan (IEP).
• Just as it is important that nurses provide timely
medical care, it is important that we in
GPISD provide every educational opportunity
for the child.
Private Duty Nurse Expectations
• PDNs are not to be a conduit, or means of communication, between the school and the parent regarding educational matters.
• Just a laypersons (non-medical staff) are not aware of all details in a patient's Plan of Care, nursing staff are also not privy to details of a student's Individualized Education Plan (IEP).
• Violating this boundary leads to miscommunication.
• If parents have questions, refer them to the appropriate campus staff.
This Photo by Unknown author is licensed under CC BY.
Private Duty Nurse
Expectations
• The PDN shall follow all
classroom, campus and district
health and safety procedures,
including handwashing, cleaning
and hygiene.
• Please wash your hands before
providing medication, feeds or
treatments. Also, please wash
your hands after using the
restroom, feeding a child, etc.
Teacher Expectations
This Photo by Unknown author is licensed under CC BY-SA-NC.
Teacher Expectations
• Teachers and other school
staff shall not expect or
request the PDN to assist
with any tasks, medical or
otherwise, for any
students other than the
PDN's own client.
• Please respect the
boundaries for the PDN.
Teacher Expectations
• Teachers and other school staff shall consider the
student's medical needs and schedule when
planning the student's educational program.
• Space may need to be set aside for the student's
medical equipment.
• We are still responsible for providing for all
services in the student's IEP.
Teacher
Expectations
• Teachers and other school staff shall not share educational information with the PDN unless it is necessary for medical planning purposes for her or his client.
• Remember, FERPA requires that we keep all educational information about students confidential.
• Please use means for communicating with parents that you use with all your students.
Teacher Expectations
• Teachers and other classroom staff
shall direct the private duty nurse to
the campus nurse if there is
knowledge of any changes in the
student's medical needs or care.
This Photo by Unknown author is licensed under CC BY-NC-ND.
Teacher
Expectations• If there is any concern
regarding the provision of medical services or care by the PDN, the teacher and/or other school staff shall notify the campus nurse and Principal, who will coordinate with the Special Education Nurse Liaison to determine if the PDN's agency and the student's parent should be contacted for clarification or further action.
• The student's health and safety must come first.
This Photo by Unknown author is licensed under CC BY-SA-NC.
School Nurse Expectations
• When parents request to have a PDN on campus, they waive having the campus nurse provide care.
• In the event of unexpected circumstances with the PDN, GPISD Health Services Staff will provide care .
• An exception is the provision of state mandated hearing, vision, scoliosis and dental screenings.
• Before services may be provided by campus nursing staff, current GPISD medication and procedures forms must be completed by the physician and parent. If necessary, student-specific training will be required, as well.
This Photo by Unknown author is licensed under CC BY-NC.
School Nurse Expectations
• The school nurse will review the student's Plan of Care with the PDN.
• The campus nurse will coordinate with the parent to acquire new physician orders for any services GPISD nursing staff may provide, if made aware of any changes to the POC.
• The campus nurse will orient the PDN to the campus and maintain copies of necessary documents.
• The campus nurse will ensure weekly communication with the PDN and receive documentation of health-related services provided, including updates and changes to the student's medical needs.
This Photo by Unknown author is licensed under CC BY-NC-ND.
School Nurse Expectations
• The campus nurse will participate in the ARD or 504 process, including the formation of an IHP (Individualized Health Plan) for the student's medical needs.
• The campus nurse will ensure weekly communications with the PDN related to updates or changes to the student's medical needs.
• Although the responsibility for updating the campus nurse remains with the PDN and the parent, we expect the campus nurse to reach out to assure the communication of changes is occurring regularly.
School Nurse Expectations
• If there is any concern regarding the provision of medical services or care by the PDN, the campus nurse shall notify the campus Principal and the Special Education Nurse Liaison. If needed, the PDN's agency and the student's parent will be contacted for clarification or further action.
This Photo by Unknown author is licensed under CC BY-SA.
Parent Expectations
• The parent waives campus nursing services related to
the provision of school health services and related
services to the student, except for the provision of
state mandated hearing, vision, dental and
scoliosis screening.
• As mentioned earlier, Grand Prairie ISD provides
campus nurses for nursing care but sometimes
parents wish to have additional care provided for
their children who are medically fragile.
This Photo by Unknown author is licensed under CC BY-NC.
Parent Expectations
• The child's parent is responsible for providing all necessary medication, equipment and supplies that are required for the PDN to implement the child's Plan of Care.
• It is also important that the parent communicate with the campus nurse in the event that there are changes to the agency nursing services or if the agency nurse is unable to attend school with the child.
This Photo by Unknown author is licensed under CC BY-ND.
Parent Expectations
• If the parent requests new services
or adjustments to the student's
health services, the parent will
request an ARD committee
meeting for consideration of any
changes.
Parent Expectations
• The parent shall provide a copy of any and all doctor's orders for the student.
• Any doctor's orders must be provided prior to the start of any nursing services in the school setting and when there are any changes.
This Photo by Unknown author is licensed under CC BY.
Parent Expectations
• The parent understands that the PDN may not share
information regarding their child's educational or
instructional services. They may also not ask the
PDN to share any information regarding other
student's medical or educational needs.
• Confidentiality for all students is important.
• Teachers may not share educational information with
your PDN.This Photo by Unknown author is licensed under CC BY-SA-NC.
Thank you!
• We appreciate you taking the time to understand more about our Private Duty Nursing processes in Grand Prairie ISD.
• Please complete the survey provided by the Special Education Nurse Liaison to receive credit for receiving this orientation. [Or will be indicated on PDN/parent/district agreement form(s)]
This Photo by Unknown author is licensed under CC BY.
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