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CQI Strategy 2:Information Session for Potential Candidates

Image downloaded 9/21/18 from https://www.cdc.gov/healthyyouth/wscc/

PurposeThis strategy is to increase participant awareness and interest in school nursing role, scope of practice, and educational and career pathways for becoming a school nurse.

DescriptionIntroduce prospective nurses to the nursing role in a school setting through an Information Session via a powerpoint presentation, interactive group discussion, and/or hands-on demonstrations of Electronic Health Record documentation.

Instructions:

1. Choose a strategy

2. Implement the strategy

3. Complete the CQI User Survey to report your results to the ESHS Evaluation Team

PDSA Strategy1) Identify problem. There is a lack of qualified candidates applying for school nurse (per

diem / building based) positions.2) Analyze problem . Potential candidates may be unfamiliar with the role of the school

nurse and/or lack awareness of and respect for school nursing as a viable and rewarding career option. Nurse leaders need an efficient and effective way to identify and educate appropriate candidates about pathways for becoming a school nurse.

3) Generate potential solutions. Facilitate an information session including a powerpoint presentation, interactive group discussion, and hands-on demonstrations of Electronic Health Record documentation.

4) Select plan and solution.5) Implement solution on a test basis .

CQI Project 2 –Information Session for Potential Candidates of 15

Preparation for this Strategy

a. Adapt a sample PowerPoint presentation for individual school or district. Samples are

available on the SHIELD website.

b. Add additional information as needed (See sections below)

c. Obtain administrative approval and/or consult with HR Director

d. Consider holding joint open house with another district

e. Recruit district school nurses to attend meeting to provide nurse’s perspective and assist

with questions and answers

f. Set date/ time/ location/ speakers/presenter

g. Consult with food service and other community venues to consider donations

h. Adapt tools (see below)

i. Post invitational flyer

j. Email blasts to local schools of nursing

k. Develop fictional student in electronic health record to use as example

l. Contact local media (TV, radio, local paper) to advertise your program

Outreach Strategies

a. Note which parents or guardians list “nurse” as occupation on emergency forms and

send home flyer

b. Post on PTO/ PTA webpage and school social media sites

c. Post a flyer in a local hospital job information bulletin board and in nurses’ lounge

d. Post flyer in local library, grocery store, salon, coffee shop

e. Blast email to parent groups with position listing and links for more information

f. Upload invitation to school/ district website posting

g. Social media post: Facebook, Twitter, LinkedIn, Instagram

Presentation Tools List

a. Laptop with PowerPoint and projector

b. Agendas and sign-in sheet

c. Pre-surveys

d. School Nurse job description


e. Laptop with web access to electronic health record with fictional student and

SchoolSpring access

f. Informational handouts:

i. “Are you Interested in Becoming a School Nurse”

ii. Mandated trainings

iii. “Nurses in the School Setting.”

iv. School Nurse Licensure Requirements and Renewal

v. New School Nurse Quick-Reference resource sheet with Health Office website,

BU SHIELD trainings, MADPH information, NASN, MSNO, etc.

b. Post Surveys

Presentation Content Suggestions

a. Add human interest stories

b. Consider parent or student guest to describe the impact of having a school nurse

c. Add pictures (team, treatment areas)

d. Consider creating a video

e. Review job description, SchoolSpring and DESE licensure process

f. Review electronic health record with fictional student

g. Review resources from SHIELD, DPH and MSNO

Presentation Process

a. Facilitate pre-survey completion by attendees and review agenda

b. Present PowerPoint

c. Have participants fill out training needs survey as applicable

d. Facilitate question and answer period

e. Consider panel discussion with school nurses on panel

f. Conduct hands-on computer sessions to practice documentation

g. Facilitate post-survey completion

h. Collect contact information

i. Discuss next steps

j. Track and record outcome data


Measurement

a. Record number of attendees

b. Record Pre-survey results

c. Record Post-survey results

d. Record Number of qualified SchoolSpring/or other applications received

e. Record Number of interviews completed

f. Record Number of hires

g. Fill out CQI User Evaluation Survey

Following are helpful handouts you may use for these strategies.Sample PowerPoints are located on the CQI Project webpage at

www.SHIELD-BU.org


http://www.SHIELD-BU.org/

School Nurse Recruitment Handout or Webpage

Are You Interested in a Career in School Nursing?

A nurse in a school setting is responsible for:

● Illness assessment and care

● Injury prevention, triage and

treatment

● Individualized healthcare

planning and case management

for students with special health

needs

● Medication administration and

monitoring

● Community health promotion

● Communicable disease

prevention and control

● Staff education and training

● Family health education

● Consulting with providers along

with family for medical, social,

behavioral, and emotional issues

● Collaboration with school

personnel and administration to

ensure health and academic

positive outcomes for students

● Monitoring and ensuring

immunization compliance

● Health policy development and

evaluation

● Collaborating with

interdisciplinary crisis teams,

wellness committees, and health

agencies

Contact: _____________________


Ten Benefits of Being a Nurse in a School Setting

Picture downloaded from https://www.nasn.org/nasn/nasn-resources/professional-topics/framework

Impact: Affect the lives of youth AND their environments Relationship-Building: Benefit from countless opportunities to develop positive long term relationships with students, families and staff Sustainability: Follow nursing interventions and outcomes over time Ownership: Manage your “own” caseload and office Community and Collaboration: Work as a health specialist within an interdisciplinary educational community

Education: Never stop learning!

Relevance: Impart current life skills and timely public health interventions School Employee Benefits: Obtain school employee benefits while working a predictable schedule Support: Receive guidance from the Massachusetts Department of Public Health and the Massachusetts School Nurse Organization

Leadership: Grow as a community leader

Advocacy: Make a life-long difference in the lives of youth at risk


https://www.nasn.org/nasn/nasn-resources/professional-topics/framework

School Nurse Licensure Requirements and Renewal Handout

(a) Initial License.

1) Valid license to practice as a Registered Nurse in Massachusetts.

2) A bachelor's or master's degree in nursing.

3) A minimum of two full years of employment as a Registered Nurse in a child health, community health, or other relevant clinical nursing setting.

4) Completion of an orientation program (Level 1) based on the requirements for delivery of school health services as defined by the Department of Public Health.

5) Passing score on the Communication and Literacy Skills test (MTEL).

Level 1 includes completing these four (4) programs (can be taken in any order)a. Professional School Nursing Practice in Massachusetts (2 day program)

b. Medication Administration and Delegation in MA Schools (online program)

c. Mandated Screening Training (includes BMI, Postural Screening, Vision and Hearing screening) (1 day program)

d. SBIRT in Schools (1 day program)

Information about these courses can be found at www.SHIELD-BU.org

(b) Professional License.

1) Possession of an Initial license.

2) Three years of employment as a school nurse.

3) Completion of one of the following:

a. Achievement and maintenance of certification or licensure by a nationally recognized professional nursing association as a school nurse, community health nurse, or a pediatric/family/school nurse practitioner.

b. A master's degree program that may include credits earned in a master's degree program for the Initial license in community health, health education, nursing, or public health.

School Nurse DESE Educator License and National Certification Renewals

School Nurses must renew their educator license and their national certification every 5 years, regardless if they have their Master's degree. In order for School Nurses to obtain a professional educator license, they must either have their Master's degree or National Certification. School Nurses can obtain the initial educator license and waive these requirements once, so that they have 10 years to either get the Master's or the National Certification. (Click on both links above to review details).

DESE Licensure Requirements Tool: https://gateway.edu.state.ma.us/elar/licensurehelp/LicenseRequirementsCriteriaPageControl.ser


http://www.SHIELD-BU.org/

Downloaded 9/20/2018 from www.NASN.org: https://higherlogicdownload.s3.amazonaws.com/NASN/6bdbf043-ac3b-4ff9-a902-317498781a88/UploadedImages/New%20Website%20Documents/FiveWays.pdf


Downloaded 9/20/2018 from https://www.pinterest.com/pin/54958057927373140/


Willgerodt, M.A., Brock, D. M., & Maughan, E.M. (2018). Public School Nursing Practice in the United States. The Journal of School Nursing, 34(3), 232-244.

Downloaded 9/20/2018 from: https://higherlogicdownload.s3.amazonaws.com/NASN/3870c72d-fff9-4ed7-833f-215de278d256/UploadedImages/PDFs/Advocacy/2017_Workforce_Study_Infographic_School_Nursing_Practice.pdf


Downloaded 9/20/2018 from https://www.nasn.org/nasn/nasn-resources/professional-topics/framework


New School Nurse Training Needs Survey

The purpose of this survey is to determine the level of expertise each nurse has in specific areas of pediatric care and school-based clinical services. Results of the survey will determine orientation for training needs and programs. Safety and prevention are our primary goals, and your participation is very much appreciated. The following list comprises clinical services that have existed or currently exist in at least one school in the district.

Name:_________________________Date:____________________Contact information: Phone: ________________________Email:_________________________

Required Certifications: DESE:RN License: renewal date: __________CPR/AED: expiration date:_____________ First Aid: expiration date:___________


Clinical Services: Please check yes if you have experience working with children in the community setting and no if if you need instructional support and/or review in an area.

Clinical Needs Yes NOAsthma:Peak flowPulse OximetryNebulizer treatmentsInhaler useDiabetes Management:Glucometer readingsCounting carbs/insulin ratiosInsulin injectionsGlucagonInsulin pump managementVagal Nerve Stimulator

G/J Tube care and feedingsPediculosisSeizure disordersTracheostomy careCatheter care/ straight catheterizationColostomy careMedication administration in schoolsSNAP computer documentation

Please list any concerns or areas that you feel you may need support or re-training in:

____________________________________________________________________________

____________________________________________________________________________

Prior Nursing experience:

____________________________________________________________________________

____________________________________________________________________________

____________________________________________________________________________

Please submit survey to : ____________________________________________________


1) coverage

2) Number of applicants for per diem positions prior to CQI intervention

3) Per diem pay prior to CQI intervention

4) Nurse leader perception of need for per diem nurses (Likert scale?)

5) Number of schools/districts with a Resource Nurse available

Credit: Sandra Berquist BSN RN NCSN

Nurse Coordinator WRSD
