DPAS II, Component 5 for School Nurses Linda C. Wolfe, RN, MEd Director, School Support Services Facilitator, DPAS II Component 5, School Nurses 11/2012

DPAS II, Component 5 DPAS II, Component 5 for for School Nurses School Nurses

Linda C. Wolfe, RN, MEdDirector, School Support ServicesFacilitator, DPAS II Component 5, School Nurses

11/2012

Linda C. Wolfe, RN November 2012


Myth or Fact?Myth or Fact?

This will be the first year that school nurses will be evaluated with DPAS II.


MYTH!MYTH!

The real FACT is – The real FACT is – DPAS Evaluation began about 10 DPAS Evaluation began about 10

years ago. The changes this year years ago. The changes this year are to include Component 5, which are to include Component 5, which measures Student Growth. measures Student Growth.


DPAS II – DPAS II – School Year 2012 - 2012 School Year 2012 - 2012 will include Component 5 for ALL will include Component 5 for ALL educators, including specialists educators, including specialists

Component 1 20%

Component 1I 20%

Component 5 20%

Component III 20%

Component 1V 20%



ALL certified staff in the public school system is evaluated with DPAS II:

• Administrators•Teachers•Specialists

DPAS II, Components 1- 4 measure nurse activities.DPAS II, Component 5 measures student growth/change

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Component 1 – Planning & Preparation 1a. Designing Coherent Programs or Services 1b. Demonstrating Knowledge of Best Practice and/or Models of Delivery 1c. Demonstrating Knowledge of Students or Clients 1d. Demonstrating Knowledge of Resources 1e. Demonstrating Knowledge of How to Design or use Student Assessments

Component 2 – Professional Practice & Delivery of Service2a. Creating an Environment to Support Student or Client Needs 2b. Demonstrating Flexibility and Responsiveness 2c. Communicating Clearly and Accurately 2d. Delivery of Services to Students or Clients

Component 3 – Professional Consultation & Collaboration3a. Collaborating with Others 3b. Serving as a Consultant to the School Community 3c. Providing Resources and Access 3d. Maintaining Standards of Professional Practice 3e. Using Assessment Data in Planning and Delivery of Services

Component 4 – Professional Responsibilities 4a. Communicating with Families /Clients4b. Recording Data in a Student Record System 4c. Growing and Developing Professionally 4e. Reflecting on Professional Practice



Component 5 expands the role of the school of the school nurse and redefines what we do.


MYTH!MYTH!

The real FACT is – The real FACT is – The current role and responsibilities

of the school nurse remain the same. The School Nurse Manual and NIC codes that we use will not change because of DPAS.

DPAS II may help the nurse to consider new approaches to “old” problems. Best practice will result in better student outcomes.


Window of OpportunityWindow of Opportunityto show what we to show what we alreadyalready do do

and the difference we already and the difference we already believebelieve we make we make



Delaware School Nurses developed DPAS II and DPAS II Component 5.


FACT!FACT!

ABSOLUTELY! – ABSOLUTELY! – A team of Delaware School Nurses

developed DPAS, including the addition of Component 5. It is built on an educational model, but was built on NASN’s Scope & Standards of School Nursing Practice and on current Delaware practice for School Health Services.


Development Development Team for Team for Component 5Component 5

Janet Brown Marilou ConlinLori EconomosMegan FiorivantiSharon-Rose

GargulaPat GuildaySusan Hoffmann Karen Kleinschmidt Cheryl Layfield Beth Light Nancy Nadel Sue B. Smith Libby Thomas Pam Wilson Linda C. Wolfe

Kimberly ColeMarilou B. ConlinLisa FitlerPat GuildaySusan HoffmannLoretta NewsomFrances Russo-AvenaSusan Shank Bonnie ShockleySue SmithLucy Sturmfelz Libby ThomasPam WilsonLinda C. Wolfe

Summer Summer Review/Revision Review/Revision TeamTeam



The Growth Measures document is exactly like the ones for educators and other specialists. The only difference is that “school nurse” is inserted where the word “specialist” or “educator” would be in the other documents.


MYTH!MYTH!

The real FACT is – The real FACT is – The Growth Measures document

uses the same framework (chapters, grids, etc.) as all the others, but there are some important differences!


Delaware School Nurse Delaware School Nurse TeamTeam

Important additions to the Manual:Suggested activities for each

measureExamples of calculations and

cohortsConsiderations for nurses

practicing in different settings.



The Measures are ones that Delaware School Nurses identified based on current research. They did not come from a national study or an evaluation from another state.


FACT!FACT!

FACT – FACT – Delaware school nurses reviewed

current literature and research to identify known areas where school nursing can impact a child’s ability to learn.



There are no restrictions on what baseline data the nurse can use or how long there can be between pre and post data.


MYTH!MYTH!

The real FACT is – The real FACT is – There is a minimum and maximum

length of time for showing student growth.

1.The growth must be seen during the current school year.

2.Some baselines may need to be taken from last year’s data, attendance.

3.There must be a minimum of 4 weeks between the baseline and final data.


MYTH OR FACTMYTH OR FACT

Did you get them all right?


Student Growth Student Growth MeasuresMeasures1. Absences Due to Illness2. Visits to the Nurse Office3. Vision Screening Referral

Completion4. Hearing Screening Referral

Completion5. Return to Class

These were the state selected items, which were believed to be applicable to all school nurses. They are marked in Performance Plus with R.


Student Growth Measures Student Growth Measures (cont.)(cont.)6. In-School Injury7. Access to Health Resources8. Health Behavior: Student9. Health Education: Student10.Infection11.Delaware Student Asthma Test12.IHP Goals13.IEP Goals14.IHP Activities15.IEP Activities16.Health Behavior: Staff17. Health Education: StaffLinda C. Wolfe, RN November

2012

Student Growth Measures: Student Growth Measures: Unique to School Nursing!Unique to School Nursing!Focus: helping the child enter the classroom ready to learn

Traditional:Decreasing Absences due to IllnessDecreasing Visits to the Nurses Office

Expanded Look at Outcomes:Vision/Hearing Screening Referral COMPLETION Return to Class

More targeted approaches:Decreasing In-School InjuryDecreasing Infection

Recognizing impact of resources:Access to Health Resources

Behavior is the application of knowledge:Health Behavior: StudentHealth Behavior: Staff

School nurse role in education:(9) Health Education: Student(11)Delaware Student Asthma Test(17) Health Behavior: Staff

Recognizing the work & value of IHPs & IEPs:IHP GoalsIEP GoalsIHP ActivitiesIEP Activities

The influence of staff:Health Behavior: StaffHealth Education: Staff


Selecting ItemsSelecting ItemsDistrict will provide guidelinesSelection should occur early in the school year

◦ Each nurse must have FOUR (4) measures ◦ Suggest - Don’t choose more than required for the

first year.Selection of the measures and student cohort will be

made in consultation and agreement with administrator, who will evaluate the school nurse ◦ The administrator has final decision-making authority.

One activity could relate to 4 different measuresOne activity can be used for 4 different cohorts.The same cohort could be used for all measures. The measures must be followed as presented, but the

rates can be negotiated.


Highlighting 4 Highlighting 4 MeasuresMeasuresDelaware Student Asthma Test

◦Libby ThomasInfection Rates

◦Lori EconomosVision/Hearing Referral Completion

Rates◦Susan Hoffmann

Visits to Nurses Office◦Nancy Nadel◦Sharon-Rose Gargula


Leading the Nation Leading the Nation again . . . again . . .


Documents

DPAS II, Component 5 for School Nurses Linda C. Wolfe, RN, MEd Director, School Support Services Facilitator, DPAS II Component 5, School Nurses 11/2012