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 Education Arkansas Department of Health

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Page 1: Arkansas School Nursing: Out with the Old, In with the New Paula Smith, RNP, MNSc. State School Nurse Consultant Arkansas Department of Education Arkansas

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

Page 2: Arkansas School Nursing: Out with the Old, In with the New Paula Smith, RNP, MNSc. State School Nurse Consultant Arkansas Department of Education Arkansas

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.

Page 3: Arkansas School Nursing: Out with the Old, In with the New Paula Smith, RNP, MNSc. State School Nurse Consultant Arkansas Department of Education Arkansas

Screenings and Reporting

VisionHearing ScoliosisGrowth (Height and Weight)Programming changesReport Deadlines

Page 4: Arkansas School Nursing: Out with the Old, In with the New Paula Smith, RNP, MNSc. State School Nurse Consultant Arkansas Department of Education Arkansas

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.

Page 5: Arkansas School Nursing: Out with the Old, In with the New Paula Smith, RNP, MNSc. State School Nurse Consultant Arkansas Department of Education Arkansas

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

Page 6: Arkansas School Nursing: Out with the Old, In with the New Paula Smith, RNP, MNSc. State School Nurse Consultant Arkansas Department of Education Arkansas

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

Page 7: Arkansas School Nursing: Out with the Old, In with the New Paula Smith, RNP, MNSc. State School Nurse Consultant Arkansas Department of Education Arkansas

Immunizations

New and improved rulesKindergarten requirements for entry 1st – 12th grade requirements7th grade requirementsResponsibility for enforcementDocumentationExemptions

Page 8: Arkansas School Nursing: Out with the Old, In with the New Paula Smith, RNP, MNSc. State School Nurse Consultant Arkansas Department of Education Arkansas

Kindergarten Requirements

DTaP/DTP or DT- 4 dosesPolio – 3 dosesMMR-2 dosesHepatits B – 3 dosesVaricella – 2 doses

Page 9: Arkansas School Nursing: Out with the Old, In with the New Paula Smith, RNP, MNSc. State School Nurse Consultant Arkansas Department of Education Arkansas

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

Page 10: Arkansas School Nursing: Out with the Old, In with the New Paula Smith, RNP, MNSc. State School Nurse Consultant Arkansas Department of Education Arkansas

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

Page 11: Arkansas School Nursing: Out with the Old, In with the New Paula Smith, RNP, MNSc. State School Nurse Consultant Arkansas Department of Education Arkansas

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.

Page 12: Arkansas School Nursing: Out with the Old, In with the New Paula Smith, RNP, MNSc. State School Nurse Consultant Arkansas Department of Education Arkansas

School Nurse Survey

87 Schools completed the surveyLook for the results before school startsLink is on www.arkansascsh.org

Page 13: Arkansas School Nursing: Out with the Old, In with the New Paula Smith, RNP, MNSc. State School Nurse Consultant Arkansas Department of Education Arkansas

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