Rachel Gallagher, R.N., A.P.N.P.School Nursing ConsultantWisconsin Department of Public Instruction125 S. Webster St.Madison, WI 53707(608) 266-8857Rachel.gallagher@dpi.wi.gov

Why is it important to

know the LAWS?

Wisconsin Statute Chapter Section 121.02(1)(g) PI 8.01 - Emergency nursing serviceChapter 118.29 Administration of Medication and Emergency CareDelegation and Chapter 441 Nurse Practice Act/N6 Standards of Care

Asthma LawChild Abuse Reporting LawReporting requirements for Sexually Active TeensSharing of health information Human Growth and Development

“Provide for emergency nursing services”

One of the twenty standards

State Law

Administrative CodeHow to provide emergency nursing services

Emergency nursing policies – Policies for accidental injury, illness and

medication administrationMedical advisorNursing services at ALL school sponsored eventsER card, supplies and facilitiesReview and evaluate annually

http://dpi.wi.gov/sspw/pdf/snemergency.pdf

National Association of School NursesQuality Nursing Intervention in the School Setting, Procedures, Models and GuidelinesResponding to Student Injury and IllnessAvailable at: https://nasn.networkats.com/members_online/members/createorder.asp?

Administration of Drugs to Pupils and Emergency Care-OTC Medication-Prescription Medication-Emergency Medication –

Glucagon/Epinephrine-Civil Liability Exemption-DPI-approved medication training – rectal, injectable,

inhaled or gastrostomy access-Written Policies – record keeping, obtaining forms, storage.-School personnel-oral medication

http://www.dpi.wi.gov/sspw/pdf/sndrugs.pdf.

Nurse Practice Act-Professional Nursing Definition-Education Standards for the Schools of

Nursing-Requisites for examination -Examination rules and test questions-Fraudulent representation of a nurse-Renewal requirements-Disciplinary proceedings

No list of nursing tasks that you can delegateDelegation decisions should be based on the predictability of the outcome, complexity of the task, knowledge and skill of the person assuming taskIf there is any assessment or decision making needed to perform the taskCannot delegate assessment, diagnosis or evaluation

Administrative Rule-Nursing Process -Delegated Medical Acts

1. Protocols, written or verbal orders

2. Competent3. Consult if suspect harm4. Perform under general

supervision

-Supervision of Direction of Delegated Nursing Act

1. Task – educational preparation and skills

2. Provide direction and assistance3. Observe and monitor the

activities4. Evaluate the effectiveness

http://dpi.wi.gov/sspw/pdf/snpracticeact.pdf

Some Schools – limited nursing capacityNursing owns - evaluation of staff for competency to perform the duty Authority for administration of medication flows from the physician to the parent and ultimately to the delegate in those settings.

http://drl.wi.gov/board_docview.asp?docid=69&boardid=42&locid=0

Asthmatic Pupils; possession and use of inhalersfor prevention or treatment of symptomsMay possess and used a metered dose inhaler if the following are true

1. Inhaler to prevent and alleviate symptoms

2. Written approval from medical provider and parent 3. Pupil must provide a copy of approval to

principal

While in school, at a school-sponsored activity or under the supervision of a school authority, a pupil may possess and use an epinephrine auto-injector if all of the following are true:

Student uses the epinephrine auto-injector to prevent the onset or alleviate the symptoms of an emergency situation. Student has the written approval of the pupil's physician and, if the pupil is a minor, the written approval of the pupil's parent or guardian. Student has provided the school principal with a copy of the approval.

No school board, school district, private school, or tribal school, or any employee of the foregoing, is civilly liable for an injury incurred.Stock supply of medication

State law

Abused or Neglected ChildrenReasonable cause to suspect that a child seen by the person in the course of professional duties has been abused or neglected or who has reason to believe that a child seen by the person in the course of professional duties has been threatened with abuse or neglect and that abuse or neglect of the person will occur, must report to a child protection agency or law enforcement.

Mandated Reporter

Exception is due to poverty

Health care provider and service – School NursesMaintain confidentiality if the following are not true.

1. Intercourse or contact with caregiver2. Child with mental illness or deficient3. Age and immature – consequences4. Child was unconscious or physically

unable to communicate5. Participant was or is exploiting the child

Any reasonable doubt regarding child’s willingness – report

Reporting Requirements for Sexually Active Adolescents: http://dpi.wi.gov/sspw/pdf/rrfsaa.pdf

• Sharing Health Care Information – FERPA

Licensed staff with legitimate educational and safety

interests• Emergency situations may share health

care information

Provision in the law:Age appropriate – suitable for a particular age group based on cognitive and emotional capacity and consistent with adolescent development and community standards.Medically accurate – scientifically based and published in peer reviewed journals and textbooks.Instructional topics are recommended but not required. Importance of abstinence only effective form of contraception.

Provision repealed in law:Instructional material and methods must not promote bias against student of race, gender, religion, sexual orientation or ethnical or cultural backgrounds or against sexually active student with disabilities

To take required post-assessment:Close course window by clicking on the red X in the right hand corner.Go to the TRAIN home page by clicking on Home in the green ribbon.Look at My Learning Record in the right hand blue box.Click on My Learning.Select the M (Manage) to the right of the title.Select completed.Select assessment. You must answer 5 out of the 5 questions correctly to complete the course.

• To get a certificate:• — Go to TRAIN home page.• — Go to My Learning Record and click on certificate in right

hand column and print.

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Any suggestions on future school nursing topics?

Contact:

Rachel Gallagher(608) 266-8857E-mail: rachel.gallagher@dpi.wi.gov