© 2005 by The McGraw-Hill Companies, Inc. All Rights reserved. © 2005 by The McGraw-Hill Companies, Inc. All Rights reserved. School Health Services: Promoting and Protecting Student Health Chapter 2

© 2005 by The McGraw-Hill Companies, Inc. All Rights reserved. © 2005 by The McGraw-Hill Companies, Inc. All Rights reserved. School’s Role in Providing School Health Services School Health Services provide the following for students and school personnel –Appraisal –Protection –Promotion Services are offered by teachers and allied health professionals

© 2005 by The McGraw-Hill Companies, Inc. All Rights reserved. © 2005 by The McGraw-Hill Companies, Inc. All Rights reserved. Teacher’s Role with Health Services Observation of students’ behavior, appearance, or expressions Detect students’ needs Offer supporting role Intervene when necessary

© 2005 by The McGraw-Hill Companies, Inc. All Rights reserved. © 2005 by The McGraw-Hill Companies, Inc. All Rights reserved. Confidentiality of Student Health Information Family education rights and privacy act –Establishes confidentiality of all students’ information, records, and rights of parents to access this –Families do not have to disclose certain health conditions to school staff (i.e., HIV status) –School staff need to be trained in requirements of state law and school policies

© 2005 by The McGraw-Hill Companies, Inc. All Rights reserved. © 2005 by The McGraw-Hill Companies, Inc. All Rights reserved. Community Partnerships Can increase capacity to offer more health services The degree of services is dependent upon needs of the students Full service schools involve the following: –Educational, social, and health services delivery –Improvement of the quality of life for individuals/families

© 2005 by The McGraw-Hill Companies, Inc. All Rights reserved. © 2005 by The McGraw-Hill Companies, Inc. All Rights reserved. School-Based Health Centers Health care services are costly; however, there are strong arguments in support of the school- based centers School-based clinics have reduced visits to the ER Cut health care costs for poor children Lowered the number of STDs (Lawson, 2000) Lack of access is cited as the major reason for proliferation of these centers

© 2005 by The McGraw-Hill Companies, Inc. All Rights reserved. © 2005 by The McGraw-Hill Companies, Inc. All Rights reserved. Administration of Medications at School A written order must be from a family physician that identifies the following: –Dose –Type –Time of administration –Purpose –Side effects

© 2005 by The McGraw-Hill Companies, Inc. All Rights reserved. © 2005 by The McGraw-Hill Companies, Inc. All Rights reserved. Administration of Medications at School, cont. Strict statements are required regarding who administers the medication Record keeping is essential by the school nurse or designated person An emergency plan should be developed for students who might require emergency measures The most common medication dispensed are for ADHD (Attention Deficit Hyperactivity Disorder) Field trips will require an action plan with regard to medication administration