What’s up in School health? School Health Program Report

1. What’s up in School health?School Health Program Report Carol Tucker BSN, RN NCSN School Health Program Manager Lifespan Health, NDHHS

2. Telephone Survey August 2012 • Team called all public schools in NE • Do you have a school nurse? • If yes, is your school nurse an RN or LPN or other? • How many hours per week is your school nurse in your building?

3. Results • ~10% report no school nurse available during school hours • ~ 5% report “limited availability” of nurse during school hours • ~ 85% report school nurse available at least 4 hours/week • ~ 27% report school nurse available 20 hours/week or more • Majority of schools with a school nurse employee an RN • Larger school districts employee more nurses • Smaller school districts less likely to employ a nurse

4. Heartland Genetics IHP Collaboration • 8 States - North Dakota, South Dakota, Nebraska, Kansas, Oklahoma, Iowa, Missouri, Arkansas • Nebraska Team • Mark Smith – Monroe Meyer Institute • Nina Baker – Parent Training and Information ( PTI) • Vicky Roberts – Weeping Water Schools, School Nurse • Becky Wetenkamp – Plattsmouth Community Schools, School Nurse • Carol Tucker – NE DHHS School Health Program Manager

5. What did we learn? • Not every student with special health care needs has to have a full IHP • “All About Me” – an introduction to the student by the student and/or family • Parents, Administrators and School Nurses don’t always see the nursing plans in the same way

6. Parent concerns • Health cares for their child • Qualified and available school staff to provide the needed health care • Confidentiality • Recognition of their child as a person with rights • Some parents want to write the care plan and give it to the nurse

7. Administrator Concerns • Financial burden of hiring appropriate staff to provide for child’s needs • What can be delegated? • What cares absolutely need to be done by a licensed health care professional such as an RN or LPN? • If a nurse is needed, does it have to be an RN or can we hire an LPN? • Does the nurse have to be with the child at all times?

8. Nurses’ Concerns about Nursing Plans • Gathering all information needed • Time to write nursing plan • Which nursing plan is appropriate • Who is the audience of the nursing plan? • Communication of child’s needs • Confidentiality

9. Emergency Response Protocol • EMS personnel serving on School District team • What does local EMS medical director approve? • In what role does School District see employee?

10. Injury Prevention Work Prescriptions Drug Abuse Task force – PSA on Downton Abbey Website offered by the Nebraska Regional Poison Control Center in Omaha at http://www.nebraskapoison.com/Prescription-Drug-Abuse.aspx Concussion Awareness Act • LB 260 – Return to Play • LB 782 - Return to Learn • BIRSST teams • Medical education efforts

11. Community Coalition for Behavioral Health • Behavioral Health Regional Teams will help local communities set up a coalition • Coalitions focus on prevention efforts to help keep youth free of: • Drug use • Alcohol use • Tobacco use • Unhealthy relationships

12. Presentations • New School Nurses Conferences • 2013 - Six sites - 36 School Nurses with two years or less experience as a NE School Nurse • New School Nurse Conference 2014 – 28 School Nurses • Back to School presentation – med administration, diabetes • Wellness for National Conference of School Nurses who work in Deaf Schools • Emergency Response Protocol • Food in the Classroom • What is School Health – for medical professionals at UNMC • School Health Screenings – 11 sites – 130 attending

13. Early Child Care • QRIS – Quality Rating & Improvement System • Step Up to Quality • Medication Administration for Child Care Centers • CCHC – Child Care Health Consultant • Home Visiting Conference October 30, 2014 Younes Center, Kearney, NE ~ 5.5 contact hours available

14. Systems of Care (SOC) • Behavioral Health Grant • Improved mental health care and access across the state • Trauma informed care • Empowerment of families

15. Health Literacy NE • Quarterly Webinars • Are your communications health literate? • Who is your audience? • What level of literacy is needed? • Can you use a simpler word – one with fewer syllables or more commonly used? • Are there some terms there is no substitute for? • Sometimes it takes more words to say the same thing, but it is more clear • People tend to comprehend at a level at least two grades lower than their highest achievement

16. Ready or Not… Here Come School Health Screenings! • Mandatory starting 2014-2015 school year • Optometrists • Dental Hygienists • Audiologists • Local Public Health Departments, ESU’s • Whole Child Project • Attended Nebraska School Principal’s Conference as a vendor

17. Dental Data Project • Screening data received on 9,154 first, fourth, seventh, and tenth grade students • Inconsistency in methods across the state • Findings: • ~ 10-11% of students screened were noted to have dental concerns • Lack of dental professionals in rural areas is a barrier for referrals

18. Drive Smart Nebraska • Teens in the Driver’s Seat • 11 Schools 1st year • Many more schools interested • Cost is ~ $900/year for supplies and resources • Check in to local vendors to help support the costs – provide advertising

19. Save the Date!!! Positive Youth Development Conference • September 15, 2014 Holiday Inn Locust Street, Grand Island • $35 • Includes 6.0 contact hours, breakfast, lunch and handouts • Topics include: • Bullying • Positive youth development topics • Brain development

20. My newest piece of paper to display in my office…

22. Carol Tucker BSN, RN, NCSNSchool Health Program ManagerState School Nurse ConsultantLifespan HealthNebraska Department of Health & Human Servicescarol.tucker@nebraska.gov402 471-1373www.nebraska.gov/schoolhealth