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School Nurse Funding Sources Mary Kirkpatrick Haskell - Mary Sprayberry Public School Nurse Act of 2007 Mississippi Department of Education

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School Nurse Funding Sources Mary Kirkpatrick Haskell - Mary Sprayberry Public School Nurse Act of 2007 Mississippi Department of Education School Nurse Assessment February 2008 The following information was compiled through information submitted through the Mississippi Student Information System (MSIS) and through telephone interviews with school district personnel. Information has been considered for all school districts. Legislation During the 2007 Regular Session, the Mississippi Legislature passed the “Mary Kirkpatrick Haskell – Mary Sprayberry Public School Nurse Act of 2007.” This Act designated the Department of Education as the state agency responsible for the administration and supervision of the school nurse program in the public schools of the State of Mississippi. The Department of Education, through the Office of Healthy Schools, was tasked with the following: • Develop standards, procedures and criteria for the public school nurse programs in Kindergarten through Grade 12; • Administer the School Nurse Intervention Program (formerly administered by the Partnership for a Healthy Mississippi and the State Department of Health); • Provide resources to all public school nurses; • Develop criteria to measure the effectiveness of a school nurse; • Develop a recommended salary structure for school districts to use when hiring a school nurse; and • Report to the Senate and House Public Health and Welfare and Education Committees’ Chairmen annually on the number of public school nurses, in which schools they are employed, and results of their work in relations to the measures established. Action The following documents cleared the Administrative Procedures Act (APA) process and were approved by the State Board of Education September 21, 2007: • Mississippi School Nurse Procedures & Standards of Care [a separate document available as a resource] • Criteria for School Nurse (including performance measures for evaluation) [Tab 2] • Recommended Non-Binding Mississippi School Nurse Salary Schedule [Tab 3] The Department of Education, through the Office of Healthy Schools, is administering the School Nurse Intervention Program (including distributing legislatively appropriated funds), providing training and resources for these nurses, and collecting data on a monthly basis of the performance measures detailed in the criteria. Statewide data from these nurses, in both numerical and graphical format, is detailed behind Tab 4. The following resources have been provided and/or made available to public school nurses statewide: • Mississippi School Nurse Procedures & Standards of Care • Mississippi Comprehensive Health Framework (T.E.A.C.H. Manual) • Mississippi Comprehensive Physical Education Framework • Wellness Policy Guidelines • Communicable Disease Policy Guidelines School Nurses For the period defined as the 2007-2008 school year, the Department of Education reports 419 school nurses statewide. 94% of these nurses are Registered Nurses (RN), and 6% are Licensed Practical Nurses (LPN). An LPN must be supervised by an RN to meet Mississippi School Nurse Procedures & Standards of Care guidelines. In addition, there are 2 Nurse Practitioners, and 10 Certified Nurse Assistants. A detailed listing of the public school nurses in Mississippi (by school district) can be found behind Tab 5. Overall, the average across the state was 2.7 school nurses per district. We estimate a nurse to student ratio of 1:1174 – a number well above the National School Nurse Association’s recommendation of 1:750 for general student population or 1:225 when students with special health needs are mainstreamed with other students. The nurse-to-student ratios by district are included in the information behind Tabs 4 and 5. School Districts Without a School Nurse We identified 20 school districts with no school nurse on staff. County District Benton Benton County School District Bolivar Benoit School District Bolivar Cleveland School District Bolivar North Bolivar School District Bolivar Shaw School District Chickasaw Chickasaw County School District Choctaw Choctaw County School District Claiborne Claiborne County School District Clarke Enterprise School District Clay Clay County School District Forrest Forrest County AHS Hinds Hinds County AHS Holmes Durant Public School District Prentiss Booneville School District Quitman Quitman County School District Scott Forest Municipal School District Smith Smith County School District Sunflower Drew School District Wilkinson Wilkinson County School District Yazoo Yazoo City Municipal School District Funding We have identified the following funding sources for school nurses: • District funding/MAEP funding • Federal funding o Title programs o IDEA • Medicaid reimbursement o EPSDT (Mississippi Cool Kids) o School-Based Administrative Claiming (SBAC) • School Nurse Intervention Program • Other grants o The Bower Foundation o Abstinence • Hospital/local clinic/Regional Mental Health funding • Head Start funding CRITERIA FOR SCHOOL NURSE (REGISTERED NURSE)1 & LICENSED PRACTICAL NURSE WORKING IN THE SCHOOL SETTING2 QUALIFICATIONS: 1. Possess a valid Mississippi Nursing License 2. Possess a minimum of one year of work experience in the health care area 3. Possess good verbal and written communication skills 4. Possess organizational and time management skills, and the ability to communicate well with children, parents, school faculty and administration 5. Possess the ability to work independently according to all nursing practice standards 6. Such alternatives to the above qualifications as the District School Board may find appropriate and acceptable JOB GOAL: Ensure the health of all students as a means to ensure academic success PERFORMANCE RESPONSIBILITIES: The major focus of school nursing services is the prevention of illness and disabilities and the early detection and correction of health problems. The school nurse promotes and protects the health status of students and staff through functions in all areas of Coordinated School Health. A. HEALTH SERVICES 1. Provide health assessments i. Obtain a health history ii. Screen and evaluate vision, hearing, scoliosis, dental and others as directed iii. Observe students as required for development and health patterns/concerns iv. Participate in school registration process to procure parental consent and health insurance information 2. Develop and implement health plans and procedures i. Maintain a confidential cumulative health record for each student ii. Interpret the health status of students to parents and school personnel iii. Initiate and follow referrals for intervention and/or remediation iv. Plan and implement health management protocols and modification of school programs and environment 3. Provide direct nursing intervention i. Administer appropriate level of first aid for illness and injury, including CPR ii. Administer/supervise medication and monitor the effects iii. Provide individual health counseling concerning high-risk behaviors iv. Perform skilled nursing functions B. HEALTH EDUCATION 1. Provide health education for students, staff and parents i. Coordinate and participate in student support groups and activities ii. Promote and interpret health careers which may include participation of school in allied health programs iii. Teach health topics as outlined in the Mississippi Comprehensive Health Framework which will include but not be limited to tobacco, alcohol and substance abuse prevention 2. Serve as a resource person in health education i. Participate in health curriculum planning and evaluation ii. Promote drop-out prevention programs C. HEALTHY SCHOOL ENVIRONMENT 1. Recommend provisions for a safe, healthy school environment 2. Serve on school committees to develop and implement safety programs 3. Promote and assist in control of communicable diseases 4. Ensure that each student complies with the immunization requirements of the State of Mississippi 5. Confirm that students have medical emergency cards on file 6. Participate in wellness projects D. PHYSICAL EDUCATION 1. Promote healthy physical education, sports policies and practices 2. Serve as a health resource to the physical education staff E. NUTRITION SERVICES 1. Support healthy food service programs 2. Serve as a health resource to school food service staff F. COUNSELING, PSYCHOLOGICAL & SOCIAL SERVICES 1. Provide crisis intervention for emotional/physical disturbances 2. Counsel students as needed G. HEALTH PROMOTION FOR STAFF 1. Screen and counsel school employees as needed 2. Administer/provide influenza vaccinations for staff upon request 3. Provide staff with in-service training programs on health-related issues H. FAMILY/COMMUNITY INVOLVEMENT 1. Work with agencies and civic clubs in providing assistance to indigent children 2. Make home visits as necessary I. COLLECT DATA AS ESTABLISHED BY THE MISSISSIPPI DEPARTMENT OF EDUCATION/OFFICE OF HEALTHY SCHOOLS AND REPORT TO SAME ENTITY MONTHLY (See Program Evaluation & Measurement document.) J. ATTEND ANNUAL TRAINING MEETING SPONSORED BY THE MISSISSIPPI DEPARTMENT OF EDUCATION/OFFICE OF HEALTHY SCHOOLS 1It is the position of the Mississippi Board of Nursing that the scope of practice of the school nurse requires the knowledge of the RN (Registered Nurse). A LPN (Licensed Practical Nurse) may not function in the role of “school nurse.” 2A Licensed Practical Nurse working in the school setting is functioning within her scope when she is working under the direct supervision of a RN who is either physically present on the premises or available at all times to the LPN. PROGRAM EVALUATION & MEASUREMENT SCHOOL NURSE DATA COLLECTION (MONTHLY) 1. Total student visits 2. Total
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