Student Health Services
Citizen’s Budget Advis ory Committee
Ches terfield County Public S chools
December 6, 2016
Overarching Priorities
S tudent health, s afety and wellbeing
Protection of s chool nurs es ,
adminis trators , s chool divis ion
Organization of Student Health Services
1 Director
1 As s is tant Director
1 Adminis trative As s is tant
5 Nurs e Supervis ors (1 funded through Exceptional Education)
42 Nurs es (6 funded through Exceptional Education)
Current Assignments
13 buildings with 1 full time s chool nurs e all day, every day
2 s chools , with 2 campus es , with 1 nurs e covering both campus es
24 nurs es as s igned to 2 s chools
Would need 29 full time s chool nurs e pos itions to s taff 1 nurs e per
building
Why CCPS vs. Public Health Nurses
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P rovides continuity of care
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S eamles s interdis ciplinary collaboration
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Cons is tency of policies and proces s es
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Enhanced acces s ibility to principals and CCP S leaders hip
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Ability to s upervis e clinic as s is tants
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On-s ite provis ion of health s ervices and care coordination
Why CCPS vs. Public Health Nurses
• Alleviation of fragmented provis ion of health s ervices
• Nurs es on s ite to provide overs ite of clinical operations at each s chool
• Maximum of 2 s chool as s ignment for s chool nurs es
• Leaders hip team to dis cus s emerging is s ues , provide input on P olicies &
P rocedures , participation in leaders hip team meetings to addres s health is s ues
and impact on academic s ucces s
Accomplishments to Date
• Fully s taffed
• Completed health s creening for 17,574 s tudents (P K, K, 3, 7 & 10)
• P articipated in a res earch s tudy with Conexus , (provided 117 pairs of glas s es
with ½ T itle I s chools s till to be provided)
• P rovided 2,384 flu vaccines for s chool s taff and retirees at 68 flu clinics
• Have begun review of health related P olicies & P rocedures (referred Medication
P olicy for revis ion, pending approval)
• 8,700 records reviewed for immunization compliance
Accomplishments to Date
Staff T raining
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S chool Nurs e Orientation
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Clinic As s is tant Orientation
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Life T hreatening Allergy training
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Ins tructional As s is tant T raining
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Clinic As s is tant S ubs titute training initiated at the reques t of HR
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S ite bas ed training: allergies , field trip management, bloodborne pathogens
Chronic Disease Burden
S chool nurs es have trans itioned to S ynergy Health for documentation of s tudent
health concerns and clinic vis its . Our firs t data download reveals :
4,859 S tudents with a diagnos is of As thma
281 S tudents with a diagnos is of S eizures
181 S tudents with a diagnos is of T ype 1 Diabetes , 16 with T ype 2 Diabetes
5,565 S tudents with a diagnos is of Allergies
Benefits of a nurse in every building?
(Core focus : keeping s tudents healthy and in s chool)
Cos t-Benefit S tudy of S chool Nurs ing S ervices (for every $1.00 s pent on the
s chool nurs ing program, s ociety gains $2.20).
Expanded role of the s chool nurs e includes s urveillance, chronic dis eas e
management, emergency preparednes s , behavioral health as s es s ment, ongoing
health education, individual and population health, coordination of care, and
extens ive cas e management. (AAP , 2016)
American Academy of Pediatrics recommends 1 full time RN in every school
Benefits of a nurs e in every building?
(Core focus : keeping s tudents healthy and in s chool)
A s tudent’s health is directly related to his /her ability to learn.
S chool nurs ing is a s pecialized practice of nurs ing that advances the well-being,
academic s ucces s , and lifelong achievement and health of s tudents .
S chool nurs e activities promote health equity, dis eas e prevention, health literacy
and increas es s eat time.
It is the position of the National Association of School Nurses that school nurses
play an essential role in keeping children healthy, safe, and ready to learn
(NASN, 2016)
Benefits of a nurse in every building?
(Core focus : keeping s tudents healthy and in s chool)
S ubmitted $664,220 to Medicaid for reimburs ement of s ervices by nurs es and
pers onal care as s is tants for the 2015-16 s chool year.
As we increas e the number of nurs es who are able to write P lans of Care, and
s upervis e pers onal care as s is tants , this figure s hould increas e.
Utilizing S ynergy Health to capture s tudent health data and improve
documentation, s aving funds which would have been neces s ary to purchas e
commercially available health documentation s ys tems .
Nurses & Clinic Assistants: the Current
School Health Team
CA provides coverage when the nurs e has multiple s chool as s ignments
CA provides coverage for the RN to attend s tudent-centered meetings (IEP , 504,
etc)
CA provides coverage for the RN to provide cas e management s ervices
School Nurse Scope of Practice
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Cas e management
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Direct care, chronic dis eas e management •
T raining (s taff, s tudent, family)
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Development of Individualized Care P lans •
Overall management of the health office
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Delegation of s pecific care tas ks
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P opulation bas ed prevention
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Writing P lan of Care for Medicaid billing
•
•
As s es s ment
Clinical overs ite of s chool bas ed health
s ervices
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Community Needs As s es s ment
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P articipation on s tudent centered teams
Clinic Assistant Scope of Practice
Once trained by the RN, the clinic as s is tant may:
• Adminis ter medications
• P rovide firs t aid
• P erform s tudent s pecific health tas ks
• Document health office activities
• Compile data for the RN to complete Individualized Health Care P lans
Student Health Services Motto
Coming together is a beginning; keeping together is
progress; working together is success.
Henry Ford
Contact information
T ia Campbell, MSN, RN, NCSN, FNASN
National Board Certified School Nurs e
Fellow, National Academy of School Nurs es
Director, Student Health Services
T ia_campbell@ ccps net.net
804-639-8779 (office)
804-248-1776 (work cell)