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Belinda Cameron BSN, RN, NCSN
Kathy Whitby BSN, RN, NCSN
Lori Rogan BSN, RN
2015
Basic Training for the New School Nurse Coordinator Part I
The participant will be able to describe an overview the role, responsibility, and job duties of a nurse coordinator and list 3 models found in our state.
The participant will be able to formulate and share their vision for their health services.
The participant will be able to compare pros and cons of electronic health record and traditional paper documentation in school health services and name 2 examples documentation needs that each could serve.
The participant identify the three components recommended for a best practice evaluation process and will be able to compare different nurse evaluation tools and peer review tools.
The participant will be able to define program guidelines and school board policy, identifying when one is preferred over the other. .
The participant will be able to demonstrate effective interview techniques and share hiring practices of her school system with small group
Objectives
The School Nurse is pivotal to connecting the student to resources inside and outside the community.
School Nursing; A Comprehensive Text, Selekman
School Nurses ensure that students are in school, in class, and ready to learn.
NASN
The School Nurse CoordinatorIs the essential link between educational administrators and school nurses
Since only school nurses can evaluate the clinical, technical, and judgment aspects of nursing practice, it is important to have nurse supervisors evaluate these aspects of the school nurse. Otherwise non-nurse evaluators determining the appropriateness of the nurses clinical decisions and actions could be considered practicing nursing without a license. Bourne in Schwab & Gelfman 2001 p146
Program plannerBudget
ManagementInterviewer/HirerTrainerEvaluatorData
managementHealth Advisory
Chair
Clinic organization and procurement of health supplies
Establishing Screening guidelines and equipment
National, State, and local requirements for training
Nursing protocols managementSchool visitsEvaluations, Recognitions, and
Improvement PlansCollection of dataReport completion Community liaison to nursing
schools, health department, local physicians, hospital
Serve on district committees/boards
Responsibilities & Job Duties
Stafford:Fulltime coordinator called Nurse Manager
since 2002, 31 schools and RN’s, 2 LPN’sSpotsylvania:
Full time nurse Director, 32 RN’s, Supervises Bus drivers and staff wellness and Workers Comp.
Fredericksburg:No coordinator, Under Student Services(Spec
Ed), lead nurse attend coordinator meetings and works on programs with Supervisor of Student Services, 4 schools
Health Services Model’s Across Our State
132 school divisions and 1 school for the deaf and blind
Not all schools/school divisions in Va. have an RN
In 2013-2014 54 counties had school nurse coordinators in some capacity. This information was not captured for 2014-2015
Currently 4 counties have public health nurses who work as school nurses and 1 of these counties is transitioning to school board hired nurses
Facts from School Nurse Surveys
from Leadership Roles and Management Functions in Nursing, by Marquis & Huston
Vision: statement describing future goals of an organization. The Alliance for Non-profit Management states if a strategic plan is the “blueprint” for work, then a vision is “the artist rendering” of the achievement. It is the picture in words of what the group wants to accomplish.
Mission: brief statement identifying the reason an organization exists. Identifies the organization’s constituency and its position regarding ethics, principles, and standards of practice.
MISSION: To advance school nurse practice to keep students healthy, safe and ready to learn.
VISION: To lead the transformation of school health.CORE VALUES:
Child Well-being Diversity EthicsExcellenceInnovationIntegrityLeadershipScholarship
NASN
Examples
Vision Statement Alexandria City Public Schools will set the international standard
for educational excellence, where all students achieve their potential and actively contribute to our local and global communities.
The mission statement :Alexandria City Public Schools will provide the environment, resources, and commitment to ensure that each and every student succeeds — academically, emotionally, physically, and socially.
The mission statement that we have for School Health Services is:The mission of the School Health Services Program is to integrate health services within the school and community to promote the academic, emotional, physical, and social well-being of all ACPS students.
Inspire a Shared VisionLeaders believe passionately that they can
make a difference and envision an exciting future. But visions seen only by the leader are insufficient to energize.
Leaders enlist others in their dreams and visions by appealing to shared dreams. They breath life into ideal and unique images of the future and get others to see how their dreams can be realized in a common vision.
Leaders collaborate with the school system and community partners for their vision
The Nursing Process is key:http://en.wikipedia.org/wiki/Nurs
ing_process Collect Data, Make a Plan, Implement,
Evaluate, Implement Change to ensure success
Involve your staffDon’t make too many changes in one
year.
Be Flexible
In the educational world we have to speak their language.
SOL’s, AYP, AMD, etcWhat’s in it for THEM?
Present your Vision to multiple audiences to collect your supportersTeachers and instructional staffPrincipals and AdministratorsSchool Board
Speaking the right language
Society and the United States healthcare system is transitioning from paper to electronic technology. The Centers for Medicare and Medicaid Services (CMS) actively promotes EHRs with a goal of improving health care
Hospitals have moved to EHRColleges are moving to EHRThe large caseloads and volumes of
longitudinal student information collected by school nurses result in a quantity of data that is not readily managed by paper processes.
FACTS
Reports from EHR systems will allow school nurses to
• Efficiently describe health service activity,• Develop evidence for practice,• Describe nursing sensitive student outcomes,• Analyze population health,• Evaluate the effectiveness of care delivery,
and• Manage appropriate resource allocation.
Johnson & Guthrie, 2012, p. 28
FundingTime for Training and Switch overSpecial provisions must be established to
protect EHRs and student privacy in the school district. The use of secure passwords, screensavers, firewalls, etc
Federal and state laws and regulations need to be considered when determining EHR policies and
procedures
Barriers
Other considerations….. What additional forms of
documentation/communication do your nurses use?◦ Phone calls,email, text, notes, personal notes,
communication logs, student agendas How do you monitor their documentation and
record keeping? Electronic monitoring◦ Consider Peer Reviews◦ Consider using your float or sub nurses◦ Consider Personal Reviews/checklists
Start small, but start Find your champions and make a strategyConsider deals for Medicaid Funding with
Electronic Record CompaniesBe involved in the technology committees for
educators…your student database.
Solutions
According to NASN:
Without EHRs, the contributions of school nursing services to a child’s healthand academic success cannot be fully examined or appreciated.
Considerations in doing Observations and Professional Practice Evaluations How many sites do
you have? How many visits
would be practical? How many meetings
could you have with the group?
What sort of check lists or reviews could the nurses submit to you?
What evaluations does your county have in place for nurses, educators or service employees?
Who does those evals ….
administrators? What is the process to
add/change checklists or observations from health services?
Nuts & Bolts Observations
How many times annually? From checklist?
Peer Reviews Medication Administration Review Documentation Review Record Review Who would perform the peer review and when? Sub nurse reports
Checklists/Statistics How often do you receive reports or checklists from nurses? Could you institute some of these to help with supervision
load?
Evaluations: Who does the nurse coordinator’s? Are you responsible for your nurses or is the principal ? Would administrator complete with you?
Can you collaborate? Who would do health assistants? Different types
Performance Evaluations
Self EvaluationsDOE’s model
Have you reviewed it? Have you used it?Who would review?
More Nuts and Bolts
Examples: https://www.wcs.k12.
va.us/documents/forms/pdfs/gdn8.pdf
http://www.uintah.net/districtoffice/hrdocs/Evaluations/School%20Nurse%20Evaluation%20Form.pdf
Stafford County Schools
What questions can you legally ask?What answers should be red flags?What references can tell you
Interview styles or types?One on oneGroupPanel
Asking the right questions
Having one of your nurses assist in interviews?Shadowing Process: the interviewee makes a
planned visit to one of your clinics for a specified amount of time and observes. She is allowed to ask questions and interact with the school nurse. She answers some questions on a form and returns them to you the coordinator. The school nurse also completes some questions on the interviewee and forwards them to the coordinator.
Be prepared: know your job description, salary, physical requirements. Hand the job description out and you can ask questions from it.
Have you considered?
http://jobsearch.about.com/od/interviewquestionsanswers/a/interviewquest.htm
http://jobsearch.about.com/od/interviewquestionsanswers/a/nurse-interview-answers.htm
http://hiring.monster.com/hr/hr-best-practices/recruiting-hiring-advice/interviewing-candidates/best-interview-questions.aspx
Examples
Plan realistically for a year…month by monthHow much “Hands On” appeals to youPrioritizeDelegateLet go of what you have tooRe-evaluate at the end of the yearImplement change and adjust your calendar
You May or May Not be able to do it All…..
Net Work Support within your School System and Community School Health
Advisory Indoor Air Quality Administrators/
Principals/Special Ed. Designees Meetings
Head Start Health Advisory
Crisis Teams Administrative
Assistants meetings
Health Department Schools of Nursing Community Multicultural
Committees Hospitals Medical Practices
Groups Drug Stores(CVS, Rite
Aid) Pregnancy
Prevention/Adoption Centers
NASN Position Statements and Issue Briefs Scope and Standards of Practice, NASN School Nursing: A comprehensive Test, Selekman Manual of School Health Lewis and Bea Leadership Roles and Mangement Functions in Nursing,
Lippencott
References / Resources