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SCHOOL HEALTH UPDATE 2009. PENNSYLVANIA DEPARTMENT of HEALTH Division of School Health. Beth Anne Bahn and Rosemary Danchick-Moyer State School Health Consultants March 22, 2009. DIVISION OF SCHOOL HEALTH. Jon Dale, Director Beth Anne Bahn, State School Health Consultant

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pennsylvania department of health division of school health

SCHOOL HEALTH UPDATE 2009

PENNSYLVANIA DEPARTMENT of HEALTHDivision of School Health

Beth Anne Bahn

and

Rosemary Danchick-Moyer

State School Health Consultants

March 22, 2009

division of school health
DIVISION OF SCHOOL HEALTH
  • Jon Dale, Director
  • Beth Anne Bahn, State School Health Consultant
  • Rosemary Danchick-Moyer, State School Health Consultant
  • Administrative Officer
  • Bill Barbour, STEPS School Health Coordinator
  • Valerie Morgan, Administrative Support
  • Six Regional School Health Consultants
district office program staff
Diabetes

Cardiovascular

Injury Prevention

Chronic Disease

Tobacco Prevention

Maternal Child Health

Special Needs Health Care

Public Health Educator

School Health Consultant

HIV

STD

Communicable Disease

Environmental Health

Sanitarians

Tuberculosis

Immunization

EMS Program Specialist

DISTRICT OFFICE PROGRAM STAFF
regional school health consultants

REGIONAL SCHOOL HEALTH CONSULTANTS

NW - Linda Deeter 724-662-6068 [email protected]

NC - Andrea Dale 570-327-3400 [email protected]

NE - Lois Elick 570-826-2062 [email protected]

SC - Linda Katherman 717-787-8092 [email protected]

SE - Sue Templin 610-378-4352 [email protected]

SW - Vacant 724-830-2701

school immunization requirements
SCHOOL IMMUNIZATION REQUIREMENTS
  • Regulations expected to be final this summer
  • Too late for start in school year 2009 – 2010
  • New regulations will go into effect for school year 2010 - 2011
slide6

SCHOOL IMMUNIZATION REQUIREMENTS

For Attendance in All Grades

  • 4 doses tetanus (DTaP, DT, Td)
  • (1 dose on or after 4 years old)
  • 4 doses diphtheria (DTaP, DT, Td)
  • (1 dose on or after 4 years old)
  • 3 doses polio
  • 2 doses measles (MMR)
  • 2 doses mumps(MMR)
  • 1 dose rubella (MMR)
  • 3 doses hepatitis B
  • 2 doses of varicella vaccine or history of disease
slide7

SCHOOL IMMUNIZATION REQUIREMENTS

For Entering 7th Grade

  • Same requirements as “Attendance in All Grades”
  • PLUS
  • 1 dose tetanus/diphtheria/acellular pertussis
  • (if 5 yrs. have lapsed since last tetanus immun.)
  • 1 dose meningococcal conjugate
  • Tdap & meningococcal – no provisional – 1 dose antigen
school immunization requirements9
SCHOOL IMMUNIZATION REQUIREMENTS
  • The changes were first published in the PA Bulletin on February 9, 2008
  • Comments were extended in a notice published March 8, 2008.
  • Comments were published May 3, 2008
  • Continuing through regulatory process
  • Final form regulations will be published in the PA Bulletin, www.pabulletin.com
statewide immunization information registry siis
STATEWIDE IMMUNIZATION INFORMATION REGISTRY (SIIS)
  • Began in 1996
  • Used primarily by hospitals, state health clinics
  • Now marketing to private providers
  • No cost to enter immunizations or view data
  • “View only” access for school nurses
statewide immunization information registry siis11
STATEWIDE IMMUNIZATION INFORMATION REGISTRY (SIIS)
  • To enroll for view-only access:
    • Go towww.health.state.pa.us/pasiis
    • Click on Provider enrollment
    • Complete the application & fax or mail it to the Department
revision of ch 27 regulations
REVISION OF CH. 27 REGULATIONS
  • Strengthens language for contact investigations in schools
  • Immunization administration would be reportable via SIIS
  • Update school and child day care section
  • Will be published in PA Bulletin for comments
slide13

WHAT: Potassium Iodide (KI) tablets provided to schools who voluntarily request to participateWHY: KI protects thyroid from radiation during a release WHO: Schools located within a 10 mile radius (Emerg. Planning Zone)WHERE: 5 nuclear facilitiesHOW: Info/orientation and tablet pre-distributionWHEN: Fall of 2002 and planned for 2009

KI DISTRIBUTION PROGRAM FOR SCHOOLS

five nuclear facilities
FIVE NUCLEAR FACILITIES

Beaver Valley Power Station - Shippingport Borough (Serves parts of Beaver Co.)

Limerick Generating Station - Limerick Twp. (Serves parts of Berks, Chester & Montgomery Cos.)

Susquehanna Steam Electric Station - Salem Twp. (Serves parts of Columbia & Luzerne Cos.)

Three Mile Island Nuclear Station - Londonderry Twp. (Serves parts of Dauphin, Lancaster & York Cos.)

Peach Bottom Atomic Power Station - Peach Bottom Twp. (Serves parts of Lancaster & York Cos.)

department of health will
DEPARTMENT OF HEALTH WILL:
  • Identify all schools within each Emergency Planning Zone (EPZ)
  • Provide procedures to request participation in the program
  • Develop and provide orientation sessions to school health & administrative staff
  • Provide guidance on how to incorporate KI distribution plans into existing all-hazard plans
  • Develop sample resource materials
  • Distribute supply of KI tablets to schools
schools will
SCHOOLS WILL:
  • Request participation in the plan
  • Request the number of doses of KI that will be needed for students & staff
  • Identify staff (administration & health) to receive orientation from DOH
  • Accept or amend the KI plan for its school and incorporate into all-hazard plan
  • Develop plan for receipt, storage and distribution of KI
school districts providing services for private non public schools
SCHOOL DISTRICTS PROVIDING SERVICES FOR PRIVATE/NON-PUBLIC SCHOOLS
  • 28 PA Code § 23.51, Children to be provided nursing services
    • A child in private, parochial & public schools shall be provided with school nurse services in the school which the child attends.
  • 28 PA Code § 23.52, Administration
    • The school nurse services shall be provided through the public school system & the administration of this service shall be the responsibility of the public school administrator in consultation, as needed, with the private or parochial school administrator.
school districts providing services for private non public schools18
SCHOOL DISTRICTS PROVIDING SERVICES FOR PRIVATE/NON-PUBLIC SCHOOLS
  • Provide school nurse services
  • Review of health care needs including IHPs & emergency plans as needed
school districts reporting data for private non public schools
SCHOOL DISTRICTS REPORTING DATA FOR PRIVATE/NON-PUBLIC SCHOOLS
  • If the school district is providing school health services to private/non-public
    • ADMs included on Annual Health Report
    • Also include data for:
      • Health exams, screens & select services
      • Chronic diseases
      • Serious School Injuries
      • Medication Administration
important law
Important Law
  • 24 P.S. § 11-1101Purdon\'s Pennsylvania Statutes and Consolidated Statutes
  •  Title 24 P.S. Education  
  •  Chapter 1. Public School Code of 1949  
  •  Article XI. Professional Employes  
  •  (A) Definitions (Refs & Annos) 
  • § 11-1101. Definitions
important law21
Important Law

The term "professional employe" shall include

those who are certificated as teachers, supervisors, supervising principals, principals, assistant principals, vice-principals, directors of vocational education, dental hygienists, visiting teachers, home and school visitors, school counselors, child nutrition program specialists, school librarians, school secretaries the selection of whom is on the basis of merit as determined by eligibility lists and school nurses.

transfer for health records
TRANSFER FOR HEALTH RECORDS
  • 24 P.S. §14-1409, Confidentiality, transference & removal of health records
    • “… the district or school wherein the child is newly enrolled shall request and the district or school where the child previously attended shall surrender the health record of the child.”
    • “…shall not destroy a child’s health record for a period of at least two years after the child ceases to be enrolled,…”
maintenance of health records
MAINTENANCE OF HEALTH RECORDS
  • 28 Pa Code, § 23.55, Maintenance of health records
    • “Health records shall be maintained for each child. These records shall be kept in the school building where the child attends school and shall be available to the school nurse at all times. Records shall be transferred with the child when he moves from one school to another or from one district to another.”
medication issues
MEDICATION ISSUES
  • Do school nurses need a doctor’s order to administer over-the-counter medications to students?
    • 49 PA Code § 21.14. Administration of drugs
      • “(a)  A licensed registered nurse may administer a drug ordered for a patient in the dosage and manner prescribed.”
  • Who can administer?
    • Nurses can, when a licensed provider, authorized to prescribe, has written an order.
medication issues25
MEDICATION ISSUES

Securing medications? Is it necessary?

  • “The Controlled Substance, Drug, Device and Cosmetic Act” Act of 1972, P.L. 233, No. 64
      • Definition of practitioner’s includes nurses
      • Section 11. Professional Prescription, Administration, and Dispensing.
      • Section 12. Records of Distribution of Controlled Substances
medication issues26
MEDICATION ISSUES
  • 28 PA Code § 25.61. General provisions
    •  ”(a)  Persons maintaining stocks or having controlled substances in production areas or on hand for distribution shall provide effective controls and procedures to guard against theft and diversion of the substances.”
medication issues27
MEDICATION ISSUES
  • 28 Pa Code § 25.63. Security controls for practitioners and research personnel
    • “(b)  Controlled substances listed in Schedules II, III, IV and V shall be stored in substantially constructed, securely locked cabinets.”
medication issues28
MEDICATION ISSUES
  • All medication in schools are personal property for which the school nurse is responsible
  • Recommendation: ALL medications should be stored in locked space
  • Should have a method of accounting for access to these medications
delegation
DELEGATION

In PA, professional nurse law does not provide for delegation of nursing functions to unlicensed individuals

delegation30
DELEGATION
  • Emergency administration of an Epipen by a trained individual does not require professional nursing skill
  • The nurse may train an unlicensed person in how to respond using an Epipen

This Is Not Delegation

certification staffing policy guidelines cspg
CERTIFICATION STAFFING & POLICY GUIDELINES (CSPG)
  • Located at PA Dept. of Education website, www.pde.state.pa.us
  • In search box, type in CSPG #
    • 80 - School Nurse
    • 95 – Principal
    • 101 - Paraprofessional
cspg 95 principal
CSPG 95 - PRINCIPAL
  • Certification Assignment:
    • An educator holding a valid PA certificate as a K12 Principal is qualified to perform the following:
      • Supervision and direction of certified and non-certified staff persons required for school operation exclusive of directing health services controlled by the Nurse Practice Act.
cspg 101 paraprofessional
CSPG 101 - PARAPROFESSIONAL
  • Utilization of Paraprofessional Staff
    • #7. Paraprofessionals serving as health room aides or other non-professional school district employees shall not be directed to engage in health-related activities reserved exclusively for licensed professionals and controlled by the Nurse Practice Act or other medically related laws.
homeschooled students
HOMESCHOOLED STUDENTS
  • PA Public School Code of 1949, § 1327.1 states these students must have:
    • Evidence of Immunizations in accordance with Article XIV 1303 (a)
    • Evidence of Health & Medical services required for students of the child’s age or grade level per Article XIV
homeschooled students35
HOMESCHOOLED STUDENTS
  • According to PDE’s Basic Education Circular (BEC) on Home Education Programs, students must receive the same health tests as public school students
  • According to the affidavit form available as part of the BEC, the affidavit is to include attached evidence of immunizations, physical & dental exams & mandated screens
pde basic education circular bec
PDE BASIC EDUCATION CIRCULAR (BEC)

Enrollment of students

  • Date of Issue:  January 22, 2009
  • Documents which may be requested but not as a condition of enrollment:
    • Picture identification,
    • Health or physical examination records,
    • Academic records,
    • Attendance records,
    • Individualized Education Program, and other special education records

Although schools may ask for any of this information, they may not require it as a condition of enrolling or admitting a child & they may not delay a child’s enrollment or attendance until these documents are provided.

child protection law
CHILD PROTECTION LAW
  • Child Abuse Reporting LawAct 179 of 2006
  • School Nurses are mandated reporters
  • Who to call: Childline (1-800-932-0313) and local Child Protective Services
  • Child may be interviewed at school without parent notification
  • Documentation of suspected abuse
hipaa ferpa guidelines
HIPAA/FERPA GUIDELINES
  • FERPA is a Federal law that protects the privacy of students’ “education records” 
  • The HIPAA Privacy Rule requires covered entities to protect individuals’ health records and other identifiable health information and gives patients rights over their health information
hipaa ferpa guidelines39
HIPAA/FERPA GUIDELINES
  • NEW HHS/ED Joint Guidance on the Application of FERPA and HIPAA to Student Health Records
  • November 2008
  • http://www.hhs.gov/ocr/privacy/index.html
pe dental modifications
PE & DENTAL MODIFICATIONS
  • Districts may request modifications to accept mandated physical and dental exams up to one year prior to the year they are required
  • School Board must vote to make the modification; then the district sends a letter to DOH, Division of School Health, providing notice of the board decision
all hazard planning for schools
ALL-HAZARD PLANNING FOR SCHOOLS
  • Title 35, all public-funded schools shall develop and implement ER preparedness plans…
  • Subcommittee of PA Safe School Statewide Advisory Committee
  • PEMA, Dept. of Education, Dept. of Health, Attorney General’s Office, State Police, representatives from IUs and school districts
all hazard planning for schools42
ALL-HAZARD PLANNING FOR SCHOOLS
  • School-based Emergency Preparedness
    • AHRQ- Agency for Healthcare Research & Quality
    • http://www.ahrq.gov/prep/schoolprep/
clarification on act 48 reporting
CLARIFICATION ON ACT 48 REPORTING
  • Letter sent to Supt. Dec. 2008
    • Activities/Programs must be at least 3 hours in length
    • PERMS won’t accept <3 hrs after Jan. 31, 2009
  • Clarification letter being drafted
    • Recommend at least 3 hrs
    • PERMS will continue to accept 1 hr

activities

    • Title must include content
rn continuing education requirement
RN CONTINUING EDUCATION REQUIREMENT
  • June 29, 2006 Act 58 of 2006 was signed into law
  • Requires 30 hours of CEs every 2 years
  • July 12, 2008 PA State Board of Nursing released regulations (49 Pa Code §§ 21.131 – 21.134)
  • School districts considered approved providers, under PDE
rn continuing education requirement45
RN CONTINUING EDUCATION REQUIREMENT
  • Begins with those renewing their RN license in October of 2010
  • CSNs may use their Act 48 hours
  • CRNPs may use their CRNP CEs
  • Additional information available at: www.dos.state.pa.us
rn continuing education requirement46
RN CONTINUING EDUCATION REQUIREMENT
  • 49 PA Code § 21.131 Continuing education
      • (c) Board audits: proof of completion 
        • “(5) For school nurses, evidence that the nurse\'s certification by the Department of Education is current.”
rn continuing education requirement47
RN CONTINUING EDUCATION REQUIREMENT
  • Submission of Continuing Education Information by School Nurses
    • CSNs verify on their biennial renewal application that they have complied with the continuing education requirements for certification by the school district.
    • If the CSN\'s renewal is selected for a compliance audit, the nurse would submit proof of current certification by the Department of Education
rn continuing education requirement49
RN CONTINUING EDUCATION REQUIREMENT

Effective Dates of CE Requirements

Effective date of CE Requirements

rn continuing educaiton requirement
RN CONTINUING EDUCAITON REQUIREMENT

Effective Date of CE Requirements

rn continuing education requirement51
RN CONTINUING EDUCATION REQUIREMENT
  • 49 PA Code § 21.134 Continuing education sources
    • Documentation needed on the certificate of attendance:

Full name of the provider

Full address of the provider

Title of the activity

Date of the activity

Location of the activity

Hours of continuing education

Participant’s Name

crnp liability insurance
CRNP LIABILITY INSURANCE
  • Act 48 of 2007
  • Requires CRNPs to maintain professional liability insurance
  • CRNPs working in schools:
    • May be covered under their employer
    • May purchase their own liability insurance
    • May be covered under the Tort Claims Act
    • Should check with the school solicitor
legislative items
LEGISLATIVE ITEMS
  • Web site: www.legis.state.pa.us
  • Search for bill status with H.B. or S.B. & the number
  • Search for bills by subject – School Health or Registered Nurses
enactments
ENACTMENTS
  • ACT 3 (SB 1, P.N. 1763: February 14, 2008) –
    • Amends the Right-To-Know Law
    • Extends the act in a limited way to both the General Assembly and the judiciary
    • Provides a list of 30 exceptions for executive agencies and local agencies, which include among others Social Security numbers, and individual medical records
    • Reduces the time period for response by a Commonwealth agency and legislative agency from 10 days to 5 days
enactments55
ENACTMENTS
  • Act 27 (SB 246, P.N. 2099: June 13, 2008) –
    • Creates the Smoke Free Pennsylvania Act
    • Prohibiting smoking in enclosed & substantially enclosed areas
    • Imposing duties on the Department of Health
enactments56
ENACTMENTS
  • ACT 16 (SB 1278, P.N. 1844: May 13, 2008)
    • Providing for child medical support
    • Adding that a court order for child support must include a requirement for medical support
  • Act 68 (HB 1693, P.N. 3393: July, 9 2008)
    • Social Worker title protection
    • Includes requirements for degree and three years or 3,000 hours of supervised clinical experience
enactments57
ENACTMENTS
  • Act 102 (H.B. 834, P.N. 4510: October 9, 2008)
    • Prohibits administration from requiring nurses to work in excess
    • Exceptions include unexpected absences that impact patient safety
  • Act 87 (S.B. 684, P.N. 2475: October 8, 2008)
    • Establishes Child Death Review teams
pending legislation
PENDING LEGISLATION
  • SB 30
    • Establishing a Child Abuse Identification Training Program (DPW consulting with PDE)
  • SB 31
    • Defining – day care & “eligible provider”; regarding school students, kindergarten, Keystone STARS, Pre-K Counts Program
pending legislation59
PENDING LEGISLATION
  • SB 55 School employees & Background checks
    • Felony offense charge but convicted of a 1st or 2nd degree misdemeanor, only eligible for employment if a period of 10 years has elapsed from the end of their sentence
    • Administrator shall have the authority to require a current report of criminal history record …when they have reason to believe the employe has a conviction for a criminal offense
    • School employes shall report convictions for criminal offenses occurring in this Commonwealth and in Federal or other state jurisdictions immediately
pending legislation60
PENDING LEGISLATION
  • SB 153
    • Requiring seat belts in school buses
  • HB 132 Title 18 (Crimes & Offenses) § 912 Possession of weapon on school property
    • Commits misdemeanor of 1st degree if possess a weapon in the buildings of, on the grounds of, or in any conveyance providing transportation to or from any elementary or secondary publicly-funded educational institution, any elementary or secondary private school licensed by the PDE or any elementary or secondary parochial school or private residential rehabilitative institution
pending legislation61
PENDING LEGISLATION
  • HB 361
    • Diabetes testing included with immunization requirements for attendance
  • HB 358
    • Requires exact minutes of Physical Education each week
      • K-5 150
      • 6-8 225
pending legislation62
PENDING LEGISLATION
  • SB 184 School-based Child-care Assistance Act
    • Children are on their own before and after school
    • Purpose of this act is to encourage and support child-care services in public and private schools for school-age children for the time period before and after the school day
  • HB 298
    • Children with exceptionalities attending nonpublic schools shall be furnished a program of special education services which are required by law to be offered to public school students and which are appropriate to the needs of those children
mandated formula for reimbursement
MANDATED FORMULA FOR REIMBURSEMENT
  • Medical Services: The lesser of $1.60 X ADM or certified costs
  • Mandated Dental Services: The lesser of $.80 X ADM or certified costs
  • Dental Hygiene Services Program: The lesser of $2.00 X number of children served, not to exceed ADM by grade level, or certified costs
  • Nursing Services: The lesser of $7.00 X ADM or certified costs
  • Act 25 Supplemental Allocation: $9.70 X ADM
prevalence of obesity among u s children and adolescents
Prevalence of Obesity* Among U.S. Children and Adolescents

(Aged 2 –19 Years)

NHANES – Natl. Health & Nutrition Examination Survey

data entry
DATA ENTRY
  • Small errors in data make large errors in percentages
  • When data is widely variable it is not considered to be valid
data entry67
DATA ENTRY
  • Everyone needs to keep their tally sheet, no matter how the record is kept. (BMI for age percentile groups; diabetics, procedures, etc.)
  • When the numbers have been collected, calculate the percentages. (i.e. What percentage of the student population is obese? What percentage of the student population has a diagnosis of asthma? etc.
data problems
DATA PROBLEMS
  • 2005-06 SY
    • Worked with 133/500 SD
  • Impacted 2006-07 SY data
  • 2007-08 SY
    • Data has fewer errors and less variation
chronic disease errors
CHRONIC DISEASE ERRORS
  • Examples of Problem Data:
    • Spina Bifida: 3 (05-06) to 43 (06-07)
    • Arthritis: 4 (04-05) to 370 (05-06)
    • Bleeding Disorder 185 (04-05) to 12 (05-06)
data entry errors
DATA ENTRY ERRORS

BMI Data Problems: 06-07 SY K-6 examples

data entry errors71
DATA ENTRY ERRORS
  • Have CSN double-check entries before report submitted
  • Contacting school to clarify doesn’t mean the data is wrong
  • Maintain tally sheets for 5 years
    • Data validation lags 1 – 2 school years
computer resources
Computer Resources
  • Ensure that any computer program that calculates uses the age in months and years or uses the date of birth
  • Ensure that any computer program that calculates the BMI-for-Age Percentile does not round to whole numbers
  • Ensure that any computer program that tabulates the number of students in each category uses accurate cutoffs
resources
RESOURCES
  • CDC Children’s BMI Tool for Schools
    • http://www.cdc.gov/healthyweight/assessing/bmi/childrens_bmi/tool_for_schools.html
    • Calculates BMI and BMI-for-Age Percentile
      • Does not classify categories as DOH requires
      • Unable to sort information in worksheet
resources74
RESOURCES
  • CDC Children’s BMI Tool for Schools
    • http://www.cdc.gov/healthyweight/assessing/bmi/childrens_bmi/tool_for_schools.html
    • Calculates BMI and BMI-for-Age Percentile
      • Does not classify categories as DOH requires
      • Unable to sort information in worksheet
asthma survey
ASTHMA SURVEY
  • Collected for the DOH Asthma Program
  • Completed March 15, 2009
  • 613 respondents
  • Awaiting the data
growth screening program gsp survey
GROWTH SCREENING PROGRAM (GSP) SURVEY
  • School nurse survey conducted fall 2007
    • Collaborative effort w/ Div. of Nutrition and Physical Activity
    • Web-based via Zoomerang
    • 5 week open window (Oct. 15 – Nov. 21)
growth screening program gsp survey77
GROWTH SCREENING PROGRAM (GSP) SURVEY
  • 888 school nurse responses, representing:
    • 393 School Districts
    • 21 Charter Schools
    • 6 Intermediate Units
    • 4 Vo-Techs
    • 10 Private Schools
growth screening program gsp survey78
GROWTH SCREENING PROGRAM (GSP) SURVEY
  • >70% agreed screening identifies students at risk for underweight as well as overweight & obese
  • School nurse is primarily responsible for screening process
    • PE teachers & volunteers help
  • 95% used computer program to calculate BMI and BMI-for-Age Percentile
growth screening program gsp survey79
GROWTH SCREENING PROGRAM (GSP) SURVEY
  • Weight
    • 63% Balance scales
    • 48% Digital scales
    • 51% scales calibrated
    • 49% scales not calibrated or don’t know when calibrated
  • Height
    • 78% stadiometers
    • 32% measuring tape or scale device
growth screening program gsp survey80
GROWTH SCREENING PROGRAM (GSP) SURVEY
  • 92% notify all parents of students screened with results
  • Ways that parents are notified of results:
    • 61% mail letter directly to parents
    • 17% mail with other materials directly to parents
    • 14% give letter to student to deliver to parents
    • 13% give letter with others materials to student to deliver to parents
growth screening program gsp survey81
GROWTH SCREENING PROGRAM (GSP) SURVEY
  • 89% educate parents on the GSP process
  • 71% provide info on health risks associated with unhealthy weight
  • School Nurses requested educational information on:
    • 58% Wt management programs
    • 59% Programs promoting healthy eating & activity
    • 77% Health risks of childhood overweight
    • 85% Resource materials on healthy eating and increasing physical activity
lessons learned from gsp survey
LESSONS LEARNED FROM GSP SURVEY
  • Prescreening education yielded fewer

parental concerns

  • Computers preferred method for administering the program
  • Everyone wants a good computer program
  • Majority reported GSP process takes more time
pa advocates for nutrition activity pana
PA ADVOCATES FOR NUTRITION & ACTIVITY (PANA)

A resource to support schools in meeting school health GSP requirements

  • Web site: www.nrgbalance.org
  • nrgBalance Zone Schools
    • Formerly Keystone Healthy Zone Schools
    • Enrollment period extended to March 31, 2009
    • School Nurse Pack Awards available
pa advocates for nutrition activity pana84
PA ADVOCATES FOR NUTRITION & ACTIVITY (PANA)
  • Growth Screening Skills, Tools, and Resources
    • Archived webcast from January 2009
    • http://www.nrgbalance.org/training/webcast_professional_development.cfm
  • Growth Screening Communications Kit
    • http://www.nrgbalance.org/for-schools/bmi-about.cfm
school health web page
SCHOOL HEALTH WEB PAGE
  • Data/reports from Annual Report Database
  • Laws and Regulations
  • Policies and Procedures
  • Manuals, Guidelines and Forms
  • Training opportunities, Grants and Funding
  • Information on Current and Future Health Issues
  • What’s New

www.health.state.pa.us/schoolhealth

school health program manual
SCHOOL HEALTH PROGRAM MANUAL
  • Introduction
  • Nurse Practice Act and Regulations
  • School Health Law and Regulations
  • Department of Education
  • Documentation/HIPAA/FERPA
  • Medication Administration
  • Immunization Requirements
  • Child Protection Law
slide87

SCHOOL HEALTH PROGRAM MANUAL

  • Special Education/Special Health Care Issues
  • School Health Program – Screens
  • School Health Program - Physical/Dental Examinations and TB Testing
  • Annual Request for Reimbursement and Report of School Health Services
  • Communicable Diseases
  • Bloodborne Pathogens
  • Environmental
  • Resources
steps steps youth survey sys
STEPS & STEPS YOUTH SURVEY (SYS)
  • Steps Youth Survey (SYS) is again being administered in the Steps communities – Fayette, Luzerne, and Tioga counties
  • SYS administered in grades 9-12 during months of March, April, and May if necessary
  • 2009 SYS data will be compared to 2007 SYS data which was the baseline year
steps yrbs
STEPS & YRBS
  • Steps School Health Coordinator assigned to work with DOE to administer first ever Youth Risk Behavior Survey (YRBS) in PA
  • YRBS focuses on priority health risk behaviors in youth resulting in significant mortality and morbidity during both youth and adulthood
steps yrbs cont
STEPS & YRBS (cont.)
  • YRBS administered in grades 9-12 during months of March, April, and May if necessary
  • Sixty schools in PA randomly selected to participate
  • 2009 YRBS is will provide baseline data that is generalizable to the PA’s high school population
steps nacdd
STEPS & NACDD
  • National Association of Chronic Disease Directors (NACDD)
    • School Health Steering Committee
    • Steps School Health Coordinator assigned by PA Chronic Disease Director to participate on NACDD School Health Council.
steps nacdd cont
STEPS & NACDD (cont.)
  • Mission: Assist states and territories in reducing the risk and burden of chronic diseases in school communities
  • The School Health Council serves State Departments of Health staff involved in health of children and youth
  • Primary focus is link between healthy school communities and student academic success and policies that enhance this linkage
steps nacdd cont93
STEPS & NACDD (cont.)
  • NACDD provides a voice for school health issues at the national level in partnership with Directors of Health Promotion and Education and the Society of State Directors of Health, Physical Education and Recreation
steps the future
STEPS & THE FUTURE
  • STEPS funding through the CDC ends September 21, 2009
  • The State Steps program has been assisting Steps communities with their sustainability plans
  • Steps communities are actively seeking new sources of funding and partnerships to continue their work in policy, systems and environmental change
steps the future cont
STEPS & THE FUTURE (cont.)
  • Steps successes nationally in schools, communities, worksites, and in the health care sector have contributed to transformation at the CDC of the Steps program into the Healthy Communities Program (HCP)
  • To learn more about HCP visit the link: http://www.cdc.gov/healthycommunitiesprogram/
transition plan for special education students
TRANSITION PLAN FOR SPECIAL EDUCATION STUDENTS
  • Should include a health component
  • Workshops and Trainings available through PaTTAN (PA Training and Technical Assistance Network) Online Registration: www.pattan.net
transition health care checklist
TRANSITION HEALTH CARE CHECKLIST

Updated June 2008

http://www.dsf.health.state.pa.us/health/lib/health/familyhealth/hc_checklist_final_july2008.pdf

Spanish December 2008

http://www.dsf.health.state.pa.us/health/lib/health/familyhealth/transition_hc_checklist_spanish.pdf

transition areas to consider
TRANSITION AREAS TO CONSIDER
  • Communication
  • Transportation
  • Financial & Legal Concerns
  • HIPAA/ COBRA
  • SSI/SSDI/Medicare/Medicaid/CHIP
  • Health & Medication Insurance
  • Assistive Technology
transition medical home
TRANSITION MEDICAL HOME
  • Term defined by the American Academy of Pediatrics (AAP) and The Academy of Family Physicians (PAFP)
  • An approach to providing comprehensive health services in a high-quality and cost-effective manner
  • Provides considerations for all adolescents, especially those with special needs, when transitioning from schools to adulthood
social security income ssi working
SOCIAL SECURITY INCOME (SSI) & WORKING
  • Students with SSI can work
  • There are several programs that protect the SSI and the wages
  • Students and parent/guardians should be referred to the local Social Security Administration Office’s Working Incentive Program Liaison
learning management system lms
LEARNING MANAGEMENT SYSTEM (LMS)
  • All School Personnel Eligible
  • Offers on-line courses for school staff & Act 48 hours through the Division of School Health
  • 58 hours available in 26 courses
  • 830 school personnel signed up
topics under lms for ce
Assessment I & II

Exam, Documentation, Clinical Decision Making

Bioterrorism & Infections

SARS, MRSA, WMD

Management I & II

Asthma, Seizure, N&V, Allergic Reaction, D.M., Obesity, Hypoglycemia

Environmental Trauma

Hypothermia, Animal Bites

NIMS – National Incident Management System

The role of School Nurses in Wellness

Disaster Nursing

Orthopedic Trauma

Drug Abuse

Trauma I & II

Grant Writing

Multi-Hazard Emergency Planning for School Nurses

TOPICS UNDER LMS FOR CE
lms cont
LMS (cont.)
  • To become a registered user:
    • www.health.state.pa.us
    • Send an email to [email protected] and provide your name, email address, phone number and job title or description
    • http://key.emsed.com/login.asp
training
TRAINING
  • Action for Healthy Kids Conference cancelled
  • New School Nurse Orientation
    • NC- August 19
  • School Health Updates
    • SC- April 29, Capitol Area IU
    • NE- August 14 & October 16
    • NC- October 12
training108
TRAINING
  • State Board of Nursing
    • May 4th- Special Informational Session
      • Continuing Ed for RNs
      • Safe Standards of Practice
      • Professional Conduct
      • Advanced Practice
      • Regulatory Update
    • May 5th- Regular Board meeting
    • Allentown, PA
    • www.dos.state.pa.us/nurse
diabetes manual
DIABETES MANUAL
  • Developed by Bureau of Chronic Diseases, Diabetes Program & Division of School Health
  • Being mailed to every public school building in the Commonwealth, including charter schools
  • Adapted from National Diabetes Education Program (NDEP) to match PA statutes/regulations
medication manual
MEDICATION MANUAL
  • Draft completed
  • Currently under review by
    • Dept. of Education
    • Dept. of State, Board of Nursing
  • Then Review by stakeholder organizations
  • Then Final Approval by Dept. of Health
resources111
RESOURCES
  • Healthy Schools Campaign
    • www.healthyschoolscampaign.org
    • Quick & Easy Guide to Green Cleaning in Schools
    • Quick & Easy Guide to School Wellness
  • PDE Nutrition Curriculum
    • http://www.pde.state.pa.us/nutrition/Nutrition_Curriculum
    • 4 lesson plans per grade grouping (K-3, 4-6, 7-9, and 10-12 )
english as second language esl
ENGLISH AS SECOND LANGUAGE (ESL)
  • Requirement of “No Child Left Behind”
    • Medical forms available : exam forms, asthma/action plans, parent/guardian screening notifications, health history, etc
    • Translated into 20 most common languages in PA
    • Transact – Contract through PDE
      • For access-contact your ESL coordinator
    • www.transact.com
pa health alert network han
PA-HEALTH ALERT NETWORK (HAN)

CSNs by County Registered with PA-HAN

3

1

2

1

5

1

2

2

1

1

2

2

4

2

1

5

1

1

5

2

2

7

1

1

2

5

7

16

2

4

4

6

2

6

9

6

10

4

5

4

3

1

1

5

4

3

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