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School Nursing: Defining the Role

School Nursing: Defining the Role. WELCOME. Rebecca King RN, CSN, MSN, MEd School Nurse Liaison West Virginia Department of Education Office of Healthy Schools. John Allen King II. A BIG Thank You to ALL School Nurses!. POLICIES & PROCEDURES:

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School Nursing: Defining the Role

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  1. School Nursing: Defining the Role WELCOME

  2. Rebecca King RN, CSN, MSN, MEdSchool Nurse LiaisonWest Virginia Department of EducationOffice of Healthy Schools John Allen King II

  3. A BIG Thank You to ALL School Nurses!

  4. POLICIES & PROCEDURES: • Policy 4336–WV Bus Transportation Policy and Procedures Manual-incorporated school nurses throughout with language relating to health care plans, 6 hour initial and 1 hour training annually for transportation of students with specialized health care with continuation of all drivers and transportation aides required to have first aid and CPR. • Policy 6200-Planning for School Facilities(newly constructed schools)- continuation of the School Health Unit(Section 303.10) and added “optional” specifications for School-Based Health Center(Section 303.11). REFLECTION for 2007/08:

  5. School Aid Formula SCHOOL NURSES MOVED FROM STEP #1(Professional Educators) to STEP #5(administrative cost): ↓ (5) An allowance for administrative costs in an amount appropriated by the Legislature All certified school nurses funded under school aide in 2007/08 were fully funded in school aide formula. Laws

  6. Addition School Nurses Funding from SB 53 in 2006 The allocation for school nurses authorized under WVC 18-9A-10a is for the employment of additional nurses to meet the ratio of one nurse per each 1,500 students in grades Pre-kindergarten through 12, less existing nurses employed during the 2005-06 year, the base year for this purpose. These funds are to be used solely for the employment of additional nurses.  The amount appropriated for this purpose for the 2008-09 year was $1,107,618, which is roughly 80% of the amount appropriated the previous year, and the amount appropriated will continue to decrease by 20% a year over the next four years. Laws

  7. High Acuity Health Care Needs • The allocation for high acuity health care needs authorized under WVC 18-5-22 is for distribution to county boards to support school health service needs that exceed the capacity of staff as mandated in this code. • The Legislature intends to keep appropriating the $1,000,000 per year for high acuity health care needs. This allocation will continue to be distributed in two separate installments based on the number of high acuity services provided each semester, as reported by each county board via the WVEIS – Web-based Electronic Health Care Plan. Laws

  8. SURVEYS/DATA: Youth Risk Behavior Survey and Youth Tobacco Survey (YRBS/YTS) 2007 was finally released-poor outcomes. Health Education Assessment Project (HEAP)-Posted per participating school on Office of Healthy Schools website. RWJ survey on Healthy Lifestyles Act to be released this 2008/09 school year. REFLECTION for 2007/08:

  9. EDUCATION: 2007 WVASN Conference in Bridgeport 2007 Children’s Health Conference 2008 NASN HANDS training in Beckley and Morgantown 2008 School Health Services Conference 2008 NASN Conference Marshall University School Health Workshops throughout 2007/08. Take Action! Asthma and Diabetes Website REFLECTION for 2007/08:

  10. COLLABORATION/COMMUNICATION: WV State Board of Education WV Association of School Nurses WV Asthma Coalition WV Immunization Network CHIP WVDHHR HealthCheck Program WVDHHR Dental Program Governor’s Work Group on KIDS FIRST REFLECTION for 2007/08:

  11. Bureau for Public Health Divisions of : 1. Abstinence 2. Adolescent Health Initiative 3. Asthma 4. Diabetes 5. Epidemiology 6. HIV/AIDS 7. Immunizations 8. OMCFH 9. Paternity 10. Pregnancy Prevention 11. STDs 12. TB Control 13. Healthy Lifestyles REFLECTION for 2007:

  12. COMMITTEES/GROUPS: SBOE Wellness Committee Policy 4336-WV School Transportation Regulations Policy 6200-Planning for School Facilities Health and Physical Education Academy REFLECTION for 2007/08:

  13. WVCOSN • Intervention Guides for Asthma, Seizures, Anaphylactic Shock, Diabetes • School Nurse Performance Evaluation Guide- optional (not in Policy 5310) • Recommendations for Conjunctivitis • Position Statement on Immunizations REFLECTION for 2007/08:

  14. Future plans : 2008/09 School Year

  15. Defining the role of the School Nurse • Revise Policy 2422.7-Standards for Basic and Specialized Health Care Procedures(BSHCP) • Revise BSHCP manual • Revise “Supplement Guidelines for School Nurses”-Checklist as needed per manual changes. • WVCOSN Recommendations and Information Sheets in the Supplement Guidelines • WVCOSN revising hearing and vision screening recommendations WVDE/WVCOSN

  16. School Nurse Needs Assessment and collection of data Online instructions for EHCP KIDS FIRST-staying with kindergarten WVEIS HealthCheck Screen with statewide webinar WVEIS web-based application for health screens with SN input WVDE/WVCOSN

  17. WVSBOE Position Statement on Coordinated School Health Mountain State BCBS possibility for improving school health technology World AIDS Day-Quilt on display at CAMC-Memorial(home of Ryan White Program) Immunization Q&A Defining the role of LPN Quarterly conference calls WVDE/WVCOSN

  18. Funding for School Health Services Consultant Legislature improvement request:

  19. WV School Health Conference on June 9 and 10, 2009 at the Charleston Civic Center Save the Date

  20. Let’s talk about SEX…

  21. Q: Percentage of HS students who ever had sexual intercourse~53.4% = ↑ from 52.5 in 2005 Q: Percentage of HS students who ever had sexual intercourse with ONE or MORE people during the past three months~40.8% ↑ from 39.3 in 2005 Q: Among students who had sexual intercourse during the past three months, the percentage who drank alcohol or used drugs before last sexual intercourse~21.4% ↑ from 20.7 in 2005 2007 YRBS Sexual Health

  22. WHY Sexual Health…. • High rates of ATOD lead to ↑ sexual encounters, vice versa • Risk behaviors are RELATED • Can lead to school climate, mental and physiological health issue and possibly tragedy • How can you assist your county? • Review your statistics (YRBS, HEAP, PRIDE, etc) • Work with county health educators, parents and community • Assist with evidenced based programs/curriculum for schools and/or communities • Know the resources(Local Health Dept., BPH-HIV/AIDS/STDS, BPH-Abstinence, BPH-APPI, BPH-AHI, CBO, PTA, others…) 2007 YRBS Sexual Health

  23. WV AIDS/HIV cases 2007 BPH • HIV • 5-12 y.o.----0 cases • 13-19 y.o.—44 cases (6%) • 20-29 y.o.—262 cases (36%) • AIDS • Under 5-----9 cases • 5-12 y.o.----3 cases • 13-19 y.o.—16 cases (1%) • 20-29 y.o.---242 cases (16%) • NOTE: • 94% of Pediatric cases from HIV + mothers! • White males lead in WV • Behavior=MSM(50%) and Heterosexual(17%)

  24. Know your hiv status---get tested! • 1 in 5—or roughly 21%—don’t know their status in US.

  25. CDC’s new electronic tracking system • CDC • estimates that 56,300 new HIV infections occurred in the United States in 2006. Prior to the availability of STARHS, • CDC • previously estimated that approximately • 40,000 new HIV infections occurred annually since the 1990s.

  26. What is the problem?

  27. Sexual Risk Behaviors 54% ever had sexual intercourse. 6% had sexual intercourse for the first time before age 13 years. 17% had sexual intercourse with four or more persons during their life. 41% were currently sexually active. (1) 39% did not use a condom during last sexual intercourse. (2) Alcohol and Other Drug Use 22% drank alcohol or used drugs before last sexual intercourse. 3% used a needle to inject any illegal drug into their body one or more times during their life.

  28. What are the solutions? • Better health education• Supportive policies

  29. What is the status?The 2006 West Virginia School Health Profiles indicates that among middle schools and high schools:

  30. 59% required students to take two or more health education courses • 31% taught 11 pregnancy, HIV, or STD prevention topics in a required • health education course. • • 92% taught abstinence as the most effective • method to avoid pregnancy, HIV, and STDs in a required health • education course. • 91% taught how HIV is transmitted in a required health education • course. Health Education

  31. 34% taught how to correctly use a condom in a required health • education course. • • 81% taught how to find valid information or • services related to HIV or HIV testing in a required health education • course. • 24% had a lead health education teacher who received • staff development during the two years before the survey on HIV • prevention. Health Education

  32. Teen Pregnancy RatesBetween 1991 and 2005, the teen birth rate DECREASED 35 percent to a record low of 40.5 in 2005. However, the teen birth rate between 2005 and 2006 INCREASED 3 percent. The information reflects births per 1,000 teen girls aged 15-19 in the United States and are the most recent national data available. *Data for 2006 are preliminary

  33. 18% HPV 4% Chlamydia 2.5% Trichomoniasis 2% Herpes simplex CNN LIVE: http://www.cnn.com/video/?/video/health/2008/03/12/gupta.girls.and.stds.cnn Study: 1 in 4 teen girls has an STD

  34. Statewide, the number of reported cases of early syphilis in West Virginia has increased 67% since 2003. Therefore, the Bureau for Public Health is encouraging all county health departments, especially those located in counties that border Ohio County or are located in the northern part of West Virginia, to screen and test for syphilis all individuals at risk for sexually transmitted diseases. The Office of Laboratory Services has been informed of this situation and will provide supplies to accommodate county health department needs. Significant increase in syphilis infections recently reported in Ohio County(7 cases). WVBPH posting on Sept. 5, 2008:

  35. THANK YOU Have a WONDERFUL Thanksgiving!

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