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What is in the FUTURE for West Virginia School Nurses?

What is in the FUTURE for West Virginia School Nurses?. Rebecca King RN, CSN, MSN, MEd School Nurse Liaison WVDE-Office of Healthy Schools Coordinator. Many Thanks!. Where have we been?. SN ratio of 1:1500 K-7 (W.Va. Code §18-5-22)

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What is in the FUTURE for West Virginia School Nurses?

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  1. What is in the FUTURE for West Virginia School Nurses? Rebecca King RN, CSN, MSN, MEdSchool Nurse LiaisonWVDE-Office of Healthy Schools Coordinator

  2. Many Thanks!

  3. Where have we been? • SN ratio of 1:1500 K-7 (W.Va. Code §18-5-22) • WVBE Policy 2422.7-Standards for Basic and Specialized Health Care Procedures in the School Setting • WVBE Policy 2422.8-Medication Administration (Prescribed and OTC) • WVBE Policy 2423-Communicable Disease Control (HIV & Comm. DxInservices)

  4. Where have we been? • WVBE Policy 5200- Certification • Asthma laws-WVaCode §18-5-22b • Diabetes laws- WVaCode §18-2K-1 • High Acuity Funding-WVaCode §18-5-22 • School Nurse National Certification- WVaCode §18A-4-2b

  5. Where are we going?

  6. Unheard of…..Health and Education

  7. Objective #2: • Participants will be knowledgeable of current school health service initiatives at a national, state and local level.

  8. Health Care Reform • WV children with increased insurance coverage • Expansion of Primary Care Center services and funding (currently serving 1 in 5 West Virginians) • School-Based Health Services • Dental • Mental Health • Family Planning Helping us move to full-service communities/schools

  9. Changing the WAY WE DO BUSINESS • Parent Involvement • Collaboratives with community medical dental and behavioral health providers • Moving toward ensuring children have medical and dental homes with annual well child visits and exams • Moving towards referrals and resources • Linkage to insurance coverage through Medicaid and WVCHIP

  10. Changing the WAY WE DO BUSINESS • Utilizing data to drive school health programming and prevention education (YRBS, school level HEAP, FitnessGram, School Health Profiles, School Level Impact Measures, WVDHHR-Birth rate, STD, Immunization, etc.) • Committing to RESEARCH BASED PRACTICES (Scoliosis, lice, periodicity schedules, etc.) • Ensuring a CORDINATED APPROACH TO SCHOOL HEALTH

  11. What is in it for Me and My Students?

  12. Working as a Collaborative • Developing a seamless health and medical record with the most influential people working together for the best of each student. • Increasing the use of WV Statewide Immunization Information System (WVSIIS) • Ensuring children receive annual Well Child visit and Dental exam for continued health promotion and prevention practices

  13. Working as a Collaborative • Capitalization of funding sources • Working relationships • Training of staff to recognize early signs and symptoms of communicable diseases, provide fluoride rinse programs, health promotion programs, enhancing health and physical education, physical activity, nutritional programs, relationships with hospitals, programming to assist school health, filling in the resource gaps, etc.

  14. Working as a Collaborative • Increase the utilization of Asthma Action Plans • Incorporation of nursing students (LPN to NP and Doctorate in the school setting) • Developing MOUs/Contracts for a county medical director (Primary Care Centers, School-Based Health Centers, Private) • Developing supports at the RESA

  15. Together we serve the WHOLE CHILD

  16. Objective #1: • Participants will be informed of current state level restructuring at WVDE, WVDHHR and collaborative partners.

  17. WV Department of Education

  18. Current leadership changes in WVBE • Priscilla Haden of Kanawha County continues as president • Jenny Phillips of Randolph County continues as vice president • Robert Dunlevy of Ohio County continues as secretary • First Lady Gayle Manchin accepts nomination as next NASBE President in Fall 2011

  19. Leadership changes at WVDE • State Superintendent Schools, Dr. Steven Paine announced retirement for 01/03/11 • Deputy Superintendent-Dr. JoreaMarple • Divisions/Assistant Superintendents: • Division of Educator Quality and System Support, Dr. Amelia Courts • Healthy Schools* • School Improvement • Certification • Title I, II and III

  20. Programs in the Office of Healthy SchoolsMelanie Purkey, Executive Director • ALTERNATIVE EDUCATION • COORDINATED SCHOOL PUBLIC HEALTH PROGRAMS • DRIVER EDUCATION • FITNESSGRAM • HEALTH AND PHYSICAL EDUCATION • HEALTH DATA COLLECTION • HEALTH EDUCATION ASSESSMENT PROJECT (HEAP) • HEALTH SERVICES • REGIONAL SCHOOL WELLNESS SPECIALISTS • POSITIVE SCHOOL CLIMATE • SCHOOL HEALTH PROFILES • STD AND TEEN PREGNANCY PREVENTION • STUDENT CODE OF CONDUCT / DISCIPLINE • SUBSTANCE ABUSE AND TOBACCO PREVENTION • YOUTH RISK BEHAVIOR SURVEY/YOUTH TOBACCO • SURVEY

  21. Leadership changes at WVDE • Assistant Superintendents: • Division of Student Support Services, Joe Panetta • Finance* • Internal Operations • Facilities • Transportation • Child Nutrition

  22. Leadership changes at WVDE • Assistant Superintendents: • Division of Vocational Education, Dr. Kathy D’Antoni • Vo-tech • Adult Education and Workforce Development • Institutional Education* • Cedar Lakes

  23. Leadership changes at WVDE Assistant Superintendents: • Division of Curriculum and Assessment, Dr. Robert Hull • Instructionexcept health, physical and drivers education • Assessment • Research* • School Readiness(PreK)* • Special Programs and Accountability

  24. Coordinated-School Public Health Partnership

  25. Coordinated School-Public Health Partnership State Agencies Support Regional Team District Team School Team Student/ Staff

  26. Expectation of RSWS • Participate in county School Wellness Council Meetings (at least once per quarter in each county) • Hold 2 Regional Wellness Council Networking Meetings (fall and spring) • Assist with School Wellness planning in each county • Form a Regional Coordinated School Public Health Team • Coordinate School Wellness services between the county School Wellness Councils and the Regional CSPH Team • Provide professional development (must include HEAP/Fitness Gram)

  27. Governor appointed Secretary of WVDHHR-BPH

  28. Coordinated School Health Approach

  29. Objective #3: • Participants will learn the current Youth Risk Behavior Survey (YRBS) and Health Education Assessment Project (HEAP) results especially in the areas of sexual health among WV high school students.

  30. Let’s talk about SEX… Health Education Assessment (HEAP) 2009/10 Percentage of correct responses (80 proficient) • 6th grade growth and development=73 • 8thgrade growth and development=76 • High School growth and development=75 HEAP Executive Summary and school level data at http://wvde.state.wv.us/healthyschools/HEAP.htm.

  31. Let’s talk about SEX… Youth Risk Behavioral Survey (YRBS) 2009/10 Trend data for high school students since 1993 with exception of 2001: • Percentage of students who ever had sexual intercourse from 49.2 in 2003 to 53.6 in 2009. • Among students who had sexual intercourse during the past three months, the percentage who used a condom during last sexual intercourse from 73.9 in 2003 to 61.4 in 2009.

  32. Let’s talk about SEX… • Percentage of students who had ever been taught in school about AIDS or HIV infection from 88.5 in 2003 to 82.8in 2009. YRBS Trend data posted at http://wvde.state.wv.us/healthyschools/documents/2009WVHTrendReport_000.pdf.

  33. Such risky sexual behaviors can have serious health consequences: • Approximately 18 percent of all new HIV diagnoses are among young people aged 13–24 years(2008). • Teens and young adults have the highest rates of sexually transmitted diseases (STDs) of any age group. • Three in 10 young women become pregnant before they reach the age of 20.

  34. How do we get there?

  35. Objective #4:Participants will be familiar with evidence-based practice recommendations in school health.

  36. Strategies • Bridge between public health and education • Bridge between medical communities and education • School-based HIV prevention • Implementing HIV prevention curricula that are medically accurate. • Helping communities collect and analyze data on sexual risk behaviors of young people to ensure that programs are data driven and responsive to local needs. • Providing state-of-the-art professional development to ensure that teachers have the knowledge and skills to effectively teach young people how to protect themselves from HIV infection.

  37. Strategies • School-based HIV prevention • Supporting the adoption and implementation of critical policies related to infection control procedures and confidentiality for students and staff with HIV infection. • Establishing links to community-based health services that provide testing, counseling, and treatment for HIV and other STDs.

  38. Effective HIV/STD/UIP EBIs and Promising Programs/Practices should: • Delaying first sexual intercourse • Reducing the number of sex partners. • Decreasing the number of times students have unprotected sex. • Increasing condom use.

  39. Effective HIV/STD prevention programs tend to be those that • Are delivered by trained instructors. • Are age-appropriate. • Include components on skill-building, support of healthy behaviors in school environments, and involvement of parents, youth-serving organizations, and health organizations.

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