SPRING 2016 OSNA CONFERENCE State School Nurse Consultant – roles & responsibilities

JAMIE SMITH  BSN – 1997 – NMU  MPH – 2013 – Walden  9 years - School Nursing  OSNA Treasurer  OEA Choice Trust Board member

 My reflections on School Nursing in Oregon  Varied models of delivery  Shortage – undervaluing of the school nurse as a member of the healthcare delivery team  Every student and school deserves to have access to a school nurse  Collaborations are key  Current momentum  Support structure for the profession

OSNA MEMBERSHIP (n=90)

WHERE DO SCHOOL NURSES WORK IN OREGON (n=88)

NUMBER OF SCHOOLS SERVED (n=85)

FTES (n=180)

SCHOOL NURSE CASELOAD (n=180)

SCHOOL NURSE EMPLOYER (n=86)

TSPC CERTIFICATION (n=87)

WHO SUPERVISES THE SCHOOL NURSES? (n=72)

HOW MANY SCHOOL NURSES DELEGATE NURSING SKILLS TO UNLICENSED ASSISTIVE PERSONNEL? (n=87)

DOES YOUR DISTRICT BILL MEDICAID? (n=86)

HOW IS YOUR POSITION FUNDED? (n=60)

YEARS OF SCHOOL NURSING EXPERIENCE (n=180)

OREGON LEGISLATION FOR SCHOOL NURSES  HB 2772, 2007  Task Force on School Nurses  Findings and Recommendations document  HB 2693, 2009  Medically Fragile/Complex count  School Nurse count/ratio  SB 698, 2015  Task Force on School Nursing  State School Nurse Consultant  School Nursing Standards

STATE SCHOOL NURSE CONSULTANT  Collaborate with ODE  Provide policy and program guidance  Coordinated school health  Technical assistance to school nurses  Standards and protocols  Quality Assurance including data collection  Leadership in the delivery of school nursing  Liaison regarding school nursing to policymakers  Coordinate with public health, social services, environmental, and education agencies  Keep school nurses up-to-date  Represent Oregon school nursing

TASK FORCE ON SCHOOL NURSING  Governor-appointed – 14 members  Senator  Representative  ESD rep  Urban SD  Rural SD  Local public health official  OHA  ODE  OSEA  OSNA  ONA  OSBHA  CCO  Private insurer

TASK FORCE OBJECTIVES  1. Examine other healthcare funding sources to get health services budgets out of general fund for education  2. Recommend sustainable funding sources for required screenings and to meet recommended ratio of 1:750

TASK FORCE OBJECTIVES, CONT.  3. Recommend standards of school nursing practice with outcome measures  4. Coordinated school health services model – appropriate levels of funding to school nursing & SBHCs

OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION  Adolescent & School Health Program  Access to related sections

STEP UP & BE COUNTED  NASN/NASSNC data collection  15/16 Data points  FTE RN, LPN, health assistant  Number of students with diagnosed asthma, Type I, Type II, seizures, severe allergies  Health room disposition data

THANK YOU  Thank you for supporting SB 698  My contact info:  Jamie Smith  