what’s up in school health? school health program report
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What’s up in School health? School Health Program Report. Carol Tucker BSN, RN NCSN School Health Program Manager Lifespan Health, NDHHS. Telephone Survey August 2012. Team called all public schools in NE Do you have a school nurse? If yes, is your school nurse an RN or LPN or other? - PowerPoint PPT PresentationTRANSCRIPT
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What’s up in School health?School Health Program Report
Carol Tucker BSN, RN NCSN
School Health Program Manager
Lifespan Health, NDHHS
2 Telephone Survey August 2012
Team called all public schools in NE
Do you have a school nurse?
If yes, is your school nurse an RN or LPN or other?
How many hours per week is your school nurse in your building?
3 Results
~10% report no school nurse available during school hours
~ 5% report “limited availability” of nurse during school hours
~ 85% report school nurse available at least 4 hours/week
~ 27% report school nurse available 20 hours/week or more
Majority of schools with a school nurse employee an RN
Larger school districts employee more nurses
Smaller school districts less likely to employ a nurse
4 Heartland Genetics IHP Collaboration
8 States - North Dakota, South Dakota, Nebraska, Kansas, Oklahoma, Iowa, Missouri, Arkansas
Nebraska Team
Mark Smith – Monroe Meyer Institute
Nina Baker – Parent Training and Information ( PTI)
Vicky Roberts – Weeping Water Schools, School Nurse
Becky Wetenkamp – Plattsmouth Community Schools, School Nurse
Carol Tucker – NE DHHS School Health Program Manager
5 What did we learn?
Not every student with special health care needs has to have a full IHP
“All About Me” – an introduction to the student by the student and/or family
Parents, Administrators and School Nurses don’t always see the nursing plans in the same way
6 Parent concerns
Health cares for their child
Qualified and available school staff to provide the needed health care
Confidentiality
Recognition of their child as a person with rights
Some parents want to write the care plan and give it to the nurse
7 Administrator Concerns
Financial burden of hiring appropriate staff to provide for child’s needs
What can be delegated?
What cares absolutely need to be done by a licensed health care professional such as an RN or LPN?
If a nurse is needed, does it have to be an RN or can we hire an LPN?
Does the nurse have to be with the child at all times?
8 Nurses’ Concerns about Nursing Plans
Gathering all information needed
Time to write nursing plan
Which nursing plan is appropriate
Who is the audience of the nursing plan?
Communication of child’s needs
Confidentiality
9 Emergency Response Protocol
EMS personnel serving on School District team
What does local EMS medical director approve?
In what role does School District see employee?
10 Injury Prevention Work
Concussion Awareness Act
LB 260 – Return to Play
LB 782 - Return to Learn
BIRSST teams
Medical education efforts
Prescriptions Drug Abuse Task force – PSA on Downton
Abbey
Website offered by the Nebraska Regional Poison Control Center in Omaha at http://www.nebraskapoison.com/Prescription-Drug-Abuse.aspx
11 Community Coalition for Behavioral Health
Behavioral Health Regional Teams will help local communities set up a coalition
Coalitions focus on prevention efforts to help keep youth free of:
Drug use
Alcohol use
Tobacco use
Unhealthy relationships
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Presentations New School Nurses Conferences
2013 - Six sites - 36 School Nurses with two years or less experience as a NE School Nurse
New School Nurse Conference 2014 – 28 School Nurses
Back to School presentation – med administration, diabetes
Wellness for National Conference of School Nurses who work in Deaf Schools
Emergency Response Protocol
Food in the Classroom
What is School Health – for medical professionals at UNMC
School Health Screenings – 11 sites – 130 attending
13 Early Child Care
QRIS – Quality Rating & Improvement System
Step Up to Quality
Medication Administration for Child Care Centers
CCHC – Child Care Health Consultant
Home Visiting Conference October 30, 2014 Younes Center, Kearney, NE ~ 5.5 contact hours available
14 Systems of Care (SOC)
Behavioral Health Grant
Improved mental health care and access across the state
Trauma informed care
Empowerment of families
15 Health Literacy NE
Quarterly Webinars
Are your communications health literate?
Who is your audience?
What level of literacy is needed?
Can you use a simpler word – one with fewer syllables or more commonly used?
Are there some terms there is no substitute for?
Sometimes it takes more words to say the same thing, but it is more clear
People tend to comprehend at a level at least two grades lower than their highest achievement
16 Ready or Not… Here Come School Health Screenings!
Mandatory starting 2014-2015 school year
Optometrists
Dental Hygienists
Audiologists
Local Public Health Departments, ESU’s
Whole Child Project
Attended Nebraska School Principal’s Conference as a vendor
17 Dental Data Project
Screening data received on 9,154 first, fourth, seventh, and tenth grade students
Inconsistency in methods across the state
Findings:
~ 10-11% of students screened were noted to have dental concerns
Lack of dental professionals in rural areas is a barrier for referrals
18 Drive Smart Nebraska
Teens in the Driver’s Seat
11 Schools 1st year
Many more schools interested
Cost is ~ $900/year for supplies and resources
Check in to local vendors to help support the costs – provide advertising
19 Save the Date!!!Positive Youth Development Conference September 15, 2014 Holiday Inn Locust Street, Grand Island
$35
Includes 6.0 contact hours, breakfast, lunch and handouts
Topics include:
Bullying
Positive youth development topics
Brain development
20 My newest piece of paper to display in my office…
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Carol Tucker BSN, RN, NCSNSchool Health Program ManagerState School Nurse ConsultantLifespan HealthNebraska Department of Health & Human [email protected] 402 471-1373www.nebraska.gov/schoolhealth