arkansas school nursing: out with the old, in with the new paula smith, rnp, mnsc. state school...
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Arkansas School Nursing:Out with the Old, In with the New
Paula Smith, RNP, MNSc.State School Nurse Consultant
Arkansas Department of EducationArkansas Department of Health
Objectives
Describe changes in Screenings for School Year 2009-2010
Describe 2009 Legislation that will impact school nursing practice and the school environment.
Discuss assessment/survey tools utilized in identifying practice issues common to school nurses in the state and nation.
Screenings and Reporting
VisionHearing ScoliosisGrowth (Height and Weight)Programming changesReport Deadlines
Vision
Initial Screenings NEED to be completed by end of Fall semester.
If screenings are performed during registration in August, will not be able to enter into APSCN until August 19, the first official day of SY 09-10.
Any data completed needs to be entered soon after. Data pulls will be Cycle 3 (Nov. 15) and Cycle 6 (April
15). DO NOT wait until then to enter. Make your deadline to enter Oct. 31 and March 31. Have to make time to run error reports and fix the errors before submitting report to ADE. Deadline may be sooner if your APSCN person requires that.
Hearing and Scoliosis for SY 09-10
Data belongs to ADHEnter all Hearing and Scoliosis data into
APSCNData will be pulled in Cycle 7, June 15,
2010; Make your deadline June 1, 2010No more paper summary
2009 Legislation and school nursing
Act 496, “Antony Hobbs III ActADE will write the rulesAll in place by May, 2011More details to follow
Seasonal Flu Vaccine clinicsOct. 15-Dec. 31Collaborate with LHU No liability issues for School Nurses giving
injections
Immunizations
New and improved rulesKindergarten requirements for entry 1st – 12th grade requirements7th grade requirementsResponsibility for enforcementDocumentationExemptions
Kindergarten Requirements
DTaP/DTP or DT- 4 dosesPolio – 3 dosesMMR-2 dosesHepatits B – 3 dosesVaricella – 2 doses
1st through 12th grade requirements
DTaP/DTP/DT-ped or Td-adult or Tdap-adult– 3 doses
Polio – 3 dosesMMR – 2 dosesHepatitis B – an appropriate series
7th grade requirements
In addition to those listed in the previous slide— Tdap
a 5-yr interval between Td and Tdap. May be shorter than 5 but not less than 2 yrs. If protection from pertussis is needed.
Varicella – 1 or 2 doses 1 dose required if less than age 13 2 doses, separated by 28 days, are required if dose 1 is
given at or greater than age 13. A parent/guardian or physician history of disease may
be accepted in lieu of receiving Varicella vaccine
Responsibility for enforcement
School boards, superintendents and principals shall be responsible for enforcing immunization requirements for K-12.
May temporarily admit a child provided the child becomes appropriately immunized, is in-process of receiving the needed doses of vaccine, or shows proof that they have applied for an exemption for those vaccines he/she has not received within 30 calendar days after the original admission.
Must have written statement that the student is in process. If no documentation, they must be excluded until
documentation is provided.
School Nurse Survey
87 Schools completed the surveyLook for the results before school startsLink is on www.arkansascsh.org
Epinephrine
Use of Epi-pens at schoolTrack usage of epi-pensForm will be sent to your CHNS for
distribution to all school nursesEach time an Epi-pen is used, please
complete the form and can fax or email it to me
Gathering data