RESOURCES FOR NURSES NEW TO SCHOOL NURSING NOTE: This document was originally developed as a resource for the 2018 ODH New School Nurse Orientation and is not meant to represent all resources that might be available/applicable to specific school nurses and communities. Content has been updated as of August 19, 2019 NOTE: Resources for Nurses New to Ohio Schools is a document originally developed as a resource for the 2018 ODH New School Nurse Orientation and is not meant to represent all resources that might be available/applicable to specific school nurses and communities. Content has been updated as of August 19, 2019 Table of Contents Section 1 School Nurse Licensure page 1 Section 2 Privacy and Confidentiality page 4 Section 3 Health Screenings page 7 Section 4 Health Conditions page 10 Section 5 IHPS, EAPs, and Section 504 Plans page 20 Section 6 Medication Administration in Ohio Schools page 25 Section 7 Communicable Diseases, Vaccine Preventable Illnesses and Parasites page 29 Section 8 Immunizations and Vaccines page 36 Section 9 Emergency Preparedness page 38 Section 10 Specific Age Groups page 41 Section 11 Special Education page 44 Section 12 Trainings of School Staff page 47 Section 13 Cultural Competency, Health Literacy, and Health Disparities page 49 Section 14 Data page 51 Section 15 School Attendance and Chronic Absenteeism page 53 Section 16 Abuse and Neglect, Human Trafficking page 55 Section 17 Safe Schools page 57 Section 18 Substance Use and Abuse page 59 Section 19 Physical Activity Guidelines page 60 Section 20 Wellness page 61 Section 21 Traveler’s Health page 62 Section 22 Animals in Schools page 63 APPENDICES Appendix A: Independent Study Course Library (FREE CNEs) page 64 Appendix B: Asthma Care for Health Professionals (FREE CNEs) page 67 School Nurse Roles and Responsibilities: “School nursing, a specialized practice of nursing, protects and promotes student health, facilitates optimal development, and advances academic success. School nurses, provide care coordination, advocate for quality student-centered care, and collaborate to design systems that allow individuals and communities to develop their full potential” (National Association of School Nurses, 2017). Information about School Nurses: A school nurse is a bachelor’s degree-prepared Registered Nurse (RN) with additional education leading to an Ohio Department of Education pupil services license, specifically, the one-year temporary school nurse license, five-year professional school nurse license or school nurse wellness coordinator endorsement. School Nurses are Trained to: • Use the Nursing Process, a critical thinking model, to determine a course of nursing care. The school nurse conducts an assessment; develops a nursing diagnosis; provides outcomes identification; and plans and implements evidence-based coordination of care, health teaching, health promotion, evaluation of care and outcomes; • Impact the health of students, schools, families and communities in a number of ways; • Address health promotion and disease prevention for both individual and population health; • Promote biopsychosocial health and well-being of school-aged children and intervene with health problems with a core focus of keeping students healthy and in school, which is essential for academic success; • Collaborate with public health partners for screenings, referrals, follow up and communicable disease surveillance; • Participate in health prevention activities, such as immunization, obesity prevention, substance abuse assessment, tobacco control, asthma education, and promoting health and safety; • Understand and educate others, including staff, students and families, about normal development; • Provide care provision or coordination, including care for chronic diseases like diabetes, asthma, epilepsy and allergies; and contribute to Individual Assessment Team (IAT), 504 plan and individualized education program (IEP) processes; • Provide training of other school staff on appropriate health and safety procedures related to health, including emergency preparedness; • Provide care of students and staff with acute illnesses or injuries by rendering first aid and training for school staff; • Practice in a manner that is ethical and culturally congruent, with effective communication in all areas of practice in an environmentally safe and healthy manner; • Act in a leadership role in the professional practice setting and collaborate with key stakeholders, including professional practice evaluation (of self and others); • Provide program management, directing the health services program within the school and community; • Maintain an interdisciplinary practice, including actively collaborating with educators, physicians and other health care team members to build student and family capacity for adaptation, self-management, self-advocacy and learning. References: • American Nurses Association (ANA) and National Association of School Nurses. (2017). School Nursing: Scope and Standards of Practice, 3rd Edition. • Selekman, J. (2013). School Nursing: A Comprehensive Test. 2nd Edition. • Council on School Health of the American Academy of Pediatrics. Role of the School Nurse in Providing School Health Services. Available from http:// pediatrics.aappublications.org/content/early/2016/05/19/peds.2016-0852. • National Association of School Nurses Position Statement. (2016). Role of the 21st Century School Nurse. Available from https://www.nasn.org/nasn/ advocacy/professional-practice-documents/position-statements/ps-role. • Ohio Department of Education. (2014). Ohio Operating Standards for the Education of Children with Disabilities. Available from http://education.ohio.gov/ getattachment/Topics/Special-Education/Federal-and-State-Requirements/Operational-Standards-and-Guidance/2014-Ohio-Operating-Standards-for-the- Education-of-Children-with-Disabilities.pdf.aspx. • Ohio Administrative Code 4723. Available from http://codes.ohio.gov/oac/4723. • Ohio Revised Code 3319.221. (2014). School nurse and school nurse wellness coordinator. Available from http://codes.ohio.gov/orc/3319.221. • Ohio Revised Code 3313.68. (2015). Available from http://codes.ohio.gov/orc/3313.68. Department of Education P a g e | 1 Section 1 School Nurse Licensure, Laws, Role Description, Delegation, Scope and Standards of Practice, Ethics, Organizations and Tools School Nurse Licensure: • List of Approved School Nurse Licensure Programs Ohio Department of Higher Education https://www.ohiohighered.org/education- programs/program-finder • How to obtain/renew School Nurse License (look under Ohio Department of Education Pupil Services License): https://education.ohio.gov/Topics/Teaching/Licensure/Renew-Certificate-License/How-to- Renew-a-Pupil-Services-License Laws Regarding School Nursing http://codes.ohio.gov: • OAC 3301-24-05 (School Nurse) Licensure Section (C) http://codes.ohio.gov/oac/3301-24-05 • OAC 3301-24-08 Professional or associate license renewal Section (E) http://codes.ohio.gov/oac/3301-24-08 • ORC 3319.221 School nurse and school nurse wellness coordinator http://codes.ohio.gov/orc/3319.221 • OAC 3301-23-44 Temporary and substitute licenses http://codes.ohio.gov/oac/3301-23-44 Other laws referencing school nurses/nursing (Search at http://codes.ohio.gov): o ORC 3313.68 Employment of physicians, dentists and nurses - delegation of duties and powers to board of health http://codes.ohio.gov/orc/3313.68 o ORC 3313.70 Member of board cannot be school physician, dentist, or nurse. http://codes.ohio.gov/orc/3313.70 o ORC 3313.721 Health care for students http://codes.ohio.gov/orc/3313.721 Role Description • The Role of the 21st Century School Nurse. National Association of School Nurses (NASN) Position Statement. (Adopted June 2016) https://www.nasn.org/advocacy/professional- practice-documents/position-statements/ps-role • National Association of School Nurses: Additional position statements available at https://www.nasn.org/nasn/advocacy/professional-practice-documents • Framework for 21st Century School Nursing Practice https://www.nasn.org/nasn/nasn- resources/professional-topics/framework • AAP Position Statement. Role of the School Nurse in Providing School Health Services. Published in Pediatrics June 2016, VOLUME 137 / ISSUE 6. http://pediatrics.aappublications.org/content/137/6/e20160852 Roles Comparison • The Ohio Board of Nursing http://www.nursing.ohio.gov/ o RN and LPN Scopes of Practice (October 2018) http://www.nursing.ohio.gov/PDFS/Practice/RN_and_LPN_Scope_of_Practice.pdf o RN and LPN Scope of Practice FAQs (6/11/2015) http://www.nursing.ohio.gov/PDFS/Practice/RN-LPN_FAQs.pdf Section 1 School Nurse Licensure, Laws, Role Description, Delegation, Scope and Standards of Practice, Ethics, Organizations and Tools-last updated 8/16/2019 P a g e | 2 o RN and LPN Decision Making Model (REV. March 2015) http://www.nursing.ohio.gov/PDFS/Practice/Decision_Making_Model.pdf o The Practice of Nursing and Scopes of Practice http://www.nursing.ohio.gov/PDFS/Practice/Scope_of_Practice.pdf • Ohio Association of School Nurses Role Comparison of LSN-RN-LPN-UAP http://www.oasn.org/oasn-resources/professionaltools • Ohio Nurse Practice Act Ohio Revised Code Chapter 4723 Nurse Practice Act http://www.nursing.ohio.gov/Law_and_Rule.htm Delegation • Ohio Board of Nursing o Delegation Law & Rules for Ohio’s School Nurses (Search at http://codes.ohio.gov) ▪ Ohio Administrative Code (OAC) Chapter 4723-13 Delegation of Nursing Tasks http://codes.ohio.gov/oac/4723-13 o Practice Statements: http://www.nursing.ohio.gov/Practice.htm