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

Which one are you?

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.

Get Moving!! The view is worth it!!!

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

DARE TO INSPIRE

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

Break into groups of 5-6 and share your districts vision or begin a draft

“If you didn’t chart it, you didn’t do it”

DocumentationPaper vs Electronic

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.

Evaluations, Peer Reviews, and Self Evaluations

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

Guidelines, Protocols, or Policy?

Interviewing/Hiring

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

Getting a Good View

Your turn………..

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…..

Sometimes you want ROAR….

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

And most important KEEP SMILING!

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