Microsoft Word - School Health Activities.doc



The Value of a School Nurse: What Do School Nurses Do?Management of Health ExaminationsMandated Activities for School Health Services StaffReview and documentation of mandated Health Examinations for new entrants to the district, Pre-Kindergarten, Kindergarten and in Grades 2, 4, 7 and 10Send parent letters to obtain Health Certificate 30 days after the commencement of the school yearAssist the school medical director in completing Health Appraisals not returned to the school by the parentDocument body mass index and weight status category reporting information and prepare for surveyRequest Dental Certificate when Health Examination is requiredDocumentation of dental certificate, if providedAdaptive physical education needs communicated to staffSchool Health Activities Typically Overseen by the School Health Services StaffSports PhysicalsRequired annually for participation in school sportsModifications identified as needed for student participation i.e., protective equipment needsSports CertificationCompleted for Fall, Winter and Spring sports seasonsOversight of selective classificationWork PermitsProvide proof of physical fitness for workHealth Appraisal required within 12 months of applicationCommittee on Special Education – CSE/CPSEProvide health related information to CSE on a need to know basisAttend CSE meetings as requestedStudent Weight Status Category ReportingDocumentation of obesity related diseases if reported to schoolOrganization of dataCommunicate “opt out” option to parentsHealth ScreeningMandated Activities for School Health Services StaffVision ScreeningDistance acuity for new entrants and students in K and Grades 1, 2, 3, 5, 7 and 10Near vision acuity for new entrantsColor perception for new entrantsSend referral as needed to parent or the person in relationship to the studentHearing Screening20 db sweepcheck for new entrants and students in K and Grades 1, 3, 5, 7 and 10 - Pure Tone Send referral as needed to parent or the person in relationship to the studentScoliosis ScreeningFor students in Grades 5 – 9Send referral as needed to parent or the person in relationship to the studentSchool Health Activities Typically Overseen by the School Health Services StaffMaintain equipment, including recalibration as neededImmunizationsMandated Activities for School Health Services StaffReceive and review immunizations from all students for school admissionReceive parental requests for immunization exemptionsRefer yearly medical exemption requests to school medical director/administratorRefer religious exemption requests to school administrationProvide information to parents regarding the importance of vaccinationsDocument immunizations on the cumulative health recordMaintain an original copy of the student’s immunization recordSchool Health Activities Typically Overseen by the School Health Services StaffProvide immunization forms to colleges and summer camp programsSurvey and State ReportingMandated Activities for School Health Services StaffImmunization School Survey – NYS Department of HealthDue annually on December 15thReviews immunization compliance of all newly entering studentsAssess intervals between immunizations for designated grade levelsStudent Weight Status Category Reporting – NYS Department of HealthDue annually at end of JanuaryA sample (50%) of schools must report Student Weight Status of all students with mandated Health AppraisalsChild Abuse ReportingMandated reporters through Child Protective ServicesSchool Health Activities Typically Overseen by the School Health Services StaffStatewide voluntary emergency medication and treatment data reportingIndividual and/or district school health services data collectionDistrict Accident ReportsMedication AdministrationMandated Activities for School Health Services StaffSet up and maintain medication policies and delivery systemPrescription medicationsNonprescription medicationsDaily MedicationsMedications given on an “as needed” basisPreparation of medication dosages for all studentsAdministration of medications to Nurse Dependent StudentsTraining of unlicensed staff to assist Supervised Students in taking their own medicationTraining of willing unlicensed staff to administer student specific doses of epinephrine auto-injector and glucagon emergency medications as appropriateAttestation from provider for students to be Independent with respiratory, diabetes and life-threatening allergies School Health Activities Typically Overseen by the School Health Services StaffAdministration of medications to Nurse Dependent StudentsAdministration of emergency medicationsPlanning for emergency medication administration in emergencies and building evacuationsDocumentation of healthcare provider orders and medication administrationProvision of First Aid and Nursing CareSchool Health Activities Typically Overseen by the School Health Services StaffProvide first aid and nursing care to students and staff as neededIllnessesChronic Health Condition ManagementInjuriesSubstance Use AssessmentCommunication with healthcare providers as appropriateNotification of school administration and parents as appropriateProfessional development attendance to remain current in the nursing professionRespond to medical emergencies as neededProvide nursing expertise in school emergency planningOffice managementOrdering of suppliesMaintaining adequate and appropriate first aid and nursing care suppliesCommunicable Disease ManagementMandated Activities for School Health Services StaffReporting to Health Department of identified reportable communicable diseasesAct as a liaison between school medical director, health department and school administration as neededMonitoring of susceptible students with immunization exemptions during an outbreak of a vaccine preventable diseaseNotification of parents as appropriateSchool Health Activities Typically Overseen by the School Health Services StaffMonitoring of communicable diseases in the school settingExclusion of students, where necessary, with contagious diseases or conditionsBloodborne Pathogen TrainingSchool Health Activities Typically Overseen by the School Health Services StaffStaff training on Universal PrecautionsPreparation and distribution of Universal Precaution kitsConsultation provided on ongoing basisDevelopment of Healthcare PlansSchool Health Activities Typically Overseen by the School Health Services StaffDevelopment of Emergency Care PlansObtain healthcare provider ordersReview with parent, obtain signature to share plan at schoolTrain unlicensed staff to administer the plan as neededProvide ongoing support to school staffDevelopment of Individualized Healthcare PlansObtain healthcare provider ordersOutline care to direct nursing response to complex medical condition ................
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