Presentation Transcript

1. KDE School Health ServicesKaren Erwin, RN, MSNEducation School Nurse ConsultantJuly 24, 2012

2. School Nurse Consultant Role KRS 156.501 Consults with school districts, local health departments, local boards of education, other statewide stakeholders, etc. to improve the delivery of school health services (administration of medication, the operation, maintenance or health care through use of medical equipment; or the administration of clinical procedures-KRS 156.502)
3. Works with state and national stakeholders to improve school health services in Kentucky Provides technical assistance, information and resources to school districts, local health departments that relate to the provision of school health services Facilitates collection of school health services data Email: Karen.Erwin@education.ky.gov Phone: 502-564-5279
4. School Health ServicesKRS 156.502 Requires that school districts provide school health services & defines health services: 1. Administration of medications 2. Operation, maintenance or health care through use of medical equipment 3. Administration of clinical procedures 4. Does not include ER meds or first aid
5. Does not detail how school health services are to be administered (local school district decision) KY Nursing Laws on delegation must be followed Provides exemption from liability for unlicensed school personnel if KY Nursing Laws (KRS 314) and KRS 156.502 are followed
6. School Policies and Procedures All school districts are responsible for writing their own policies and procedures; many utilize policy KSBA policy writing service Most school district Policies & Procedures online: School Health Policies for medication administration- 09224, 092241 Procedures for medication administration: 09224 or 092241 with AP 1 or AP21
7. Family Education Rights Protection Act (FERPA ) governs confidentiality for all student education records Student education records include student health services records
8. Contracting for School Health Services School Health Coordinator 504 and IEP Coordinator School Board Policies and Procedures Specific Contract language
9. Health Records Immunization Certificate Vision Exam Physical Exam Forms Screening Programs Dental Exam/Dental Screening Cumulative Health Records KHSAA Sports Physical Form
10. Health Records Immunization Certificate Vision Exam Physical Exam Forms Screening Programs Dental Exam/Dental Screening Cumulative Health Records KHSAA Sports Physical Form
11. Immunization CertificatesKRS 214.034 Must present within two weeks of initial enrollment: 1. Regular or Provisional 2. Medical Exemption 3. Religious Exemption (KDE website) Certificates must be presented again-usually prior to entering 6th grade
12. Vision ExamKRS 156.160 (10) (g) Required by January 1 of the first year enrolled in public school, public preschool or Head Start Performed by optometrist or ophthalmologist Kentucky Vision Exam Form (KDE website)
13. DentalScreening or Exam KRS 156.160 (i) Proof of dental screening or exam required no later than January 1 of the first year that a five (5) or six (6) year old is enrolled in a public school (can’t accept Headstart or Preschool) Dental screening form can be found on the KDE website
14. Physical Exam Forms702 KAR 1:160 Section 2 Required 1 year prior to initial enrollment and within 1 year prior to entering 6th grade Must be on a KDE Preventative Health Exam Form (all forms on KDE website) Exam may be performed by MD, PA, ARNP, or EPSDT provider TB skin test requirement removed from KRS 214.034 in 1998
15. Deadline to present exam may be extended up to two (2) months…know your district policy! Out-of-state transfer students must present evidence of a physical exam—may download KY preventative health exam form and have their LMD fill out before moving to Kentucky
16. School Screening Programs702 KAR 1:160 Section 2 (11) Each school district shall adopt a program of continuous health supervision Continuous health supervision shall include scheduled, appropriate screening tests for vision, and hearing School districts determine the grades to be screened for vision and hearing during school yr
17. Keeping Health Records Cumulative Health Record 1. Health Information 2. Medication Information 3. Other Health Services documentation; including health office visits, documentation of physician or parent communication Record Retention per page Y5, # L2372, Public School District Records Retention Schedule (2010) 1. Hard copy 2. Electronic
18. KHSAASports Physical Exam FormKRS 156.070 (d) Sports Physical Exam Form is required if student is enrolled in high school athletic activity or sports (updated 2012) Content of Sports Physical Form not as extensive as the Preventative Health Exam Form (cannot substitute for 6th grade physical) May be performed by MD, PA, ARNP or Chiropractor
19. FERPA/HIPAA FERPA (Family Educational Rights and Privacy Acts) applies to any educational agency that receives funds from the U.S Department of Education FERPA protects privacy interests of students and their educational records Preamble to HIPAA specifically excludes schools as “covered entities” since they are covered under FERPA Student educational records are not subject to HIPAA except for the billing statement
20. Educational Records Include: Health records maintained by school employees or contracted employees who provide “school health services” Health Services may include: health promotion, health maintenance and “related or supportive” services
21. FERPA Related/Supportive Services Anything that enables a student (especially student special healthcare needs) to: 1. Attend school 2. Maintain (or improve) health status during the school day 3. Progress toward independence in self-care in school setting and achieve educational success 4. Achieve educational success
22. For More Information NASN School Nursing: A Comprehensive Text, Chapter 13, pp 296-298 U.S. Department of Education, The Privacy of Student Information, A Resource for Schools www.nces.ed.gov/pubs2006/stu_privacy/ferpa.asp
23. Communicable Diseases Bloodborne Pathogen Training for School Personnel 1. Required by OSHA 2. Must be reviewed yearly 3. Training must be “interactive” –ability to ask questions and receive answers during training session KSBA has OSHA training for school district each year-ask who is responsible for Exposure Control Plan in your district Some school districts have this training online @ KY TRAIN
24. Communicable Diseases Head Lice – KSBA Policy excludes only for live lice The American Academy of Pediatrics and the Harvard School of Public Health do not recommend exclusion from school for nits Know you district policy
25. Reportable Communicable Diseases KRS 158.160 MRSA is not a reportable disease Reportable Disease Form (HSRG: link to DPH form)
26. TB Risk Assessment TB skin test no longer required for new school employees (702 KAR 1:160 Section 1) At time of employment physical, assessed for risk of TB infection New employee school physical exam form available KDE web site
27. End of Year Reports School health data to entered in to data base (Infinite Campus) KDE Standards Document describes what data to be entered and reported: 1. Health Conditions 2. Health Conditions Flags (health alerts for life threatening events) 3. Immunizations (type of certificate and expiration date of certificate
28. 4. Physical Exams documented for initial entry and 6th grade (IC = Child and Teen Checkup) 5. Vision exam for initial entry(age 3,4,5 or 6) Dental exam/screening (age 5 or 6) Screening results for vision and hearing (Each school and each school district has IT personnel who can assist you with IC data entry ?’s)
29. End of Year Reports Don’t wait until the EOY to look at your school data. Verify your data before the end of the school year. REPORTS DUE last Friday in May. KDE will pull the data, no reports to be sent.
30. Staying In Touch KDE Health Services Reference Guide KDE Medication Administration Training Manual Email: Karen.Erwin@education.ky.gov Phone: 502-564-5279 KY SchoolNurse listserve and District Health Coordinator’s listserve