T ASK F ORCE ON SCHOOL NURSI NG MARCH 8 T H , 2016 1:00-4:00
1. NAME AND ORGANI ZAT I ON 2. WHAT I S YOUR ORGANI ZAT I ON’ S I NT E RE ST I N SCHOOL NURSI NG 3. WHAT I S YOUR PE RSONAL I NT E RE ST I N SE RVI NG ON T HI S T ASK F ORCE 4. PL E ASE SHARE A SCHOOL HE AL T H E XPE RI E NCE – PE RSONAL OR OT HE R WE L COME AND I NT RODUCT I ONS
Co nflic t o f I nte re st F o rm Co mmo n L a ng ua g e F o rm E le c t Cha ir E le c t Vic e -Cha ir Sta nding me e ting time s a nd lo c a tio ns Me e ting fo rma ts/ no rms HOUSE K E E PI NG
S NT DOCUME ORCE AN F R PL E CHART WORK ASK T
Bra insto rming F uture a g e nda to pic s de sire d T ASK F ORCE NE E DS
Nic ky Zimme rma n RN, MSN – OSNA Pre side nt SCHOOL NURSI NG 101, A SNAPSHOT
NG ANYWAY? NURSI S SCHOOL I WHAT
WORK RAME NG F NURSI SCHOOL
WORK RAME NG F NURSI SCHOOL
ON I VAT I OUR MOT
OR F T DO I WHO WE
S E D VARI ZE ORGANI E AT ST HE ’ RE ACROSS T HOW WE
AR YE NURSE SCHOOL E K HE I S L T WHAT OOK L
T ra ining s g a lo re ! Dia b e te s, se izure s, a lle rg ie s a nd mo re …… JUMP ST ART I NG T HE SCHOOL YE AR
Pre ve ntio n a nd he a lth pro mo tio n T HE COL DS AND F L US OF WI NT E R
E xc lusio n da y in F e b rua ry T HE I MMUNI ZAT I ON SCRAMBL E
ASON NG SE NI E He a ring SCRE De nta l Visio n
T a ke rs o f o ur time Me nta l he a lth issue s Ab use re po rting F o o d po iso ning o utb re a ks On a nd o n… YE AR ROUND
BAD RS ARE E AL E ST ME I T L AL NOT
CS SHOW… I ST I AT ST HE T WHAT
CS SHOW… I ST I AT ST HE T WHAT
HB 2772 – 2007 HB 2693 – 2009 o the rs L E GI SL AT I VE HI ST ORY
Ma yb e so me a nswe rs…. ONS I ST QUE
Or e gon Sc hool Nur sing Pr e se ntation Mar c h 8, 2016 E ly Sande r s Sc hool He alth Spe c ialist Stude nt Se r vic e s, Offic e of L e ar ning Or e gon De par tme nt of E duc ation Ore g o n De pa rtme nt o f E d uc a tio n
Sc hool Nur se s I s a re g iste re d nurse who is c e rtifie d b y the T e a c he r Sta nda rds a nd Pra c tic e s Co mmissio n a nd c o o rdina te the he a lth se rvic e s pro g ra ms o f a sc ho o l. ( OR S 342.455 ) Pro vide s he a lth se rvic e s fo r a ll stude nts fre e o f c ha rg e . Must pro vide he a lth c a re se rvic e s fo r stude nts who q ua lify fo r se rvic e s unde r I ndividua ls with Disa b ilitie s E duc a tio n Ac t (I DE A) a nd F re e a nd Appro pria te Pub lic E duc a tio n (F APE ). I DE A Se c . 300.34(c )(13). Ha s a n impo rta nt ro le in inte rpre ting a stude nt’ s he a lth sta tus, in e xpla ining the impa irme nt, a nd in inte rpre ting me dic a l a nd o the r he a lth info rma tio n in re la tio n to the e xpa nde d sta nda rds fo r e lig ib ility unde r Se c tio n 504. Ore g o n De pa rtme nt o f E d uc a tio n
SCHOOL NUR SE S (CON’T ) I ndividua lize d he a lth c a re pla ns (I HP) a re a nursing re spo nsib ility tha t a re b a se d o n sta nda rds o f c a re tha t a re re g ula te d b y Sta te Nurse Pra c tic e Ac ts a nd c a nno t b e de le g a te d to unlic e nse d individua ls (Na tio na l Co unc il o f Sta te Bo a rds o f Nursing [NCSBN], 2005) He a lth e va lua tio n a nd se rvic e s fo r I E P a nd 504 fo r stude nts with disa b ilitie s who a re me dic a lly fra g ile , o r me dic a lly c o mple x. Re spo nd to c risis inte rve ntio n during me dic a l e me rg e nc y. As sc ho o l e mplo ye e s nurse s wo rk unde r the F a mily E duc a tio na l Rig hts a nd Priva c y Ac t (F E RPA). Ore g o n De pa rtme nt o f E d uc a tio n
SCHOOL NUR SING SE R VICE S ( SE ) E HANDOUT SCHOOLNUR SE • Gove r ne d by state and fe de r al e duc ation r ule and statute ; • Se r ve all stude nts. • Pr ovide c ase manage me nt for c hr onic and ac ute stude nt he alth c onditions. • Coor dinate mandate d sc r e e ning. • T r ain and de le gate spe c ific nur sing tasks to othe r sc hool pe r sonne l, dr afts stude nt he alth plans, and assist with IE P and 504 plans. • Pr ovide me ntal he alth c r isis inte r ve ntion. • Wor ks unde r stude nt’s pr imar y doc tor . • Me dic aid is fir st paye r . • Wor ks unde r F E R PA. Ore g o n De pa rtme nt o f E d uc a tio n
SCHOOL NUR SE R E POR T 2014-2015 T he ra tio o f nurse s to stude nts, in distric ts re po rting da ta fo r the 2014-2015 sc ho o l ye a r is 1:4664 Ore g o n la w se ts fo rth sta ffing ra tio s fo r the fo llo wing : nurse s a nd me dic a lly c o mple x stude nts (1:225) nurse s a nd me dic a lly fra g ile stude nts (1:125) nurse s a nd nursing -de pe nde nt stude nts (1:1) e nc o ura g e d: nurse s a nd e nro lle d stude nts (1:750) Ore g o n De pa rtme nt o f E d uc a tio n
ST AT E OF NURSING IN ORE GON Ore g o n ra nks 51 o ut o f 51 sta te s fo r nurse :stude nt ra tio Ob se rve d nurse :stude nt ra tio in Ore g o n ra ng e fro m 1:1500 to 1:9800. (So me distric ts re po rt no sc ho o l nurse s.) T he re ha s b e e n a sig nific a nt inc re a se in the numb e r o f stude nts pre se nting with c o mple x a nd/ o r c hro nic me dic a l issue s. At the sa me time the re ha s b e e n a de c re a se in funding fo r sc ho o l he a lth se rvic e s tha t ha s re sulte d in a de c re a se in the numb e r o f sc ho o l nurse s Ore g o n De pa rtme nt o f E d uc a tio n
OR E GON SCHOOL NUR SE S R E POR T INCR E ASE NE E D Stude nts pre se nting with: Ob e sity I nsulin de pe nde nt dia b e te s Asthma F o o d a lle rg ie s Visio n de fic ie nc ie s Me nta l he a lth / E mo tio na l he a lth pro b le ms Stre ss re la te d illne sse s L imite d o r no a c c e ss to He a lth Ca re Se xua l he a lth/ T e e n pre g na nc y c o nc e rns Ore g o n De pa rtme nt o f E d uc a tio n
SCHOOL NUR SE DE L E GAT ION Nurse de le g a tio n to no n-me dic a l sc ho o l sta ff ha s b e c o me the ne w no rm in Ore g o n I n distric ts with hig h nurse :stude nt ra tio s, nurse s a re una b le to c a re fo r stude nts o r b e pre se nt fo r me dic a l c risis Nurse s a nd sc ho o l o ffic ia ls re po rt de le g a tio n o f da ily me dic a l pro c e dure s suc h a s: I nsulin do sing a nd inje c tio n Anti-se izure me dic a tio n a dministe re d re c ta lly during e piso de Urina ry c a the te riza tio n Crisis re spo nse me dic a l e me rg e nc y Ore g o n De pa rtme nt o f E d uc a tio n
Sc hool Nur se F unding in Or e gon Sc ho o l nurse s a re funde d thro ug h the Ore g o n Sta te Sc ho o l F und a nd a re pa id a c c o rding to the c e rtifie d sa la ry sc he dule in mo st distric ts . Do e s a sc ho o l princ ipal hire a math te ac he r o r sc ho o l nurse ? Me dic a id is 1 st pa ye r fo r Sc ho o l he a lth se rvic e s fo r q ua lifie d I DE A e lig ib le stud e nts. (Ma jo rity o f sc ho o l distric ts do no t o r pa rtia lly b ill Me dic a id) Me dic a id re imb urse s 60% with a 40% sc ho o l ma tc h Ore g o n De pa rtme nt o f E d uc a tio n
NE XT ST E PS AND SOL UT IONS (PR E SE NT E D T O L E GISL AT UR E 2015) 1. Po te ntia l ne e d fo r a n a dditio na l 1.0 F T E E duc a tio na l Spe c ia list I I to inc re a se sc ho o l he a lth se rvic e s 2. SB 698 e sta b lish a Sc ho o l Nurse ta sk fo rc e to lo o k into funding fo r sc ho o l nursing 3. Cro ss a g e nc y pa rtne rship (OHA/ ODE ) to tra in a nd suppo rt sc ho o l distric ts a ro und Me dic a id funding 4. E sta b lish Sc ho o l he a lth po lic y ste e ring c o mmitte e . Ste e ring c o mmitte e , ma de o f sc ho o l nurse s a nd o the r sc ho o l he a lth sta ke ho lde rs will a ssist ODE in po lic y re c o mme nda tio ns a nd c linic a l pra c tic e q ue stio ns b y sc ho o ls a nd pa re nts Ore g o n De pa rtme nt o f E d uc a tio n
QUE ST I ONS? E ly Sande r s, MPA Sc hool He alth Spe c ialist Or e gon De par tme nt of E duc ation Offic e of L e ar ning | Stude nt Se r vic e s Unit Offic e : 503-947-5904 e ly.sande r s@ode .state .or .us
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Se nd Ja mie a ny c o mme nts o n Cha rte r/ Wo rk Pla n fo r e diting Co nflic t o f I nte re st fo rm HOME WORK
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