1. Please keep this, this will be a placeholder to have up on the screen when you aren’t presenting.

2. Sometimes There is Just No Substitute for the School Nurse
This is where you put the name of your presentation.
By: Kelli Hopkins, Associate Executive Director

3. Introduction What duties are ordinarily performed by the school nurse?
Can others perform any of these duties?
How to advocate for more help
Bonus: A quick review of recent legislation that might impact you.
This should be the style on all of you slide with content.

4. Common Nursing Duties Consultation with IEP and 504 teams
Individualized student health plans
Health screening
Coordinating services with outside entities
Age-appropriate health education for students
Monitoring and reporting contagious diseases

5. Common Nursing Duties Administration of medications
Maintenance of health records
Immunization management
Chronic disease management
Emergency assistance
First aid
Staff education and training

6. How do you Manage? I delegate some duties to other health staff.
I delegate some duties to trained staff (not health professionals).
I have clerical assistance.
I set priorities and do what I can.
I work on a crisis basis and do what needs done NOW).
I do not have time for ________________

7. Consultation with IEP and 504 Teams
Nurse availability in the plan
On site during the school day
On busses
On field trips and other activities
Should NOT be an accommodation unless part of FAPE
Using a parent is not a good option

8. Individualized Health Plans
This should be a nursing function
May be part of the IEP or 504 plan

9. Health Screening This should be a nurse-supervised activity
Can be supported by trained, unlicensed staff

10. Coordinating Services with Outside Entities
This should be a nursing activity
Some duties may be delegated to clerical staff

11. Health Education
This should be a nursing activity

12. Monitoring and Reporting Contagious Disease
Could be performed by clerical personnel
Should have a confidentiality agreement

13. Administration of Medications
Normally a nursing activity
Medications can be administered outside the school day
Some medications can be administered by trained, but unlicensed personnel
Supervision required, but does not have to be direct

14. Maintenance of Health Records
Could be performed by clerical personnel
Should have a confidentiality agreement

15. Immunization Oversight
Could be performed by clerical personnel
Should have a confidentiality agreement

16. Chronic Disease Management
Primarily a nursing function
Promote student self-care
Data recording may not need a nurse

17. Emergency Care Nurses are only truly required for emergency care if:
The 911 response time is too slow
Nursing care is required prior to the arrival of EMS

18. First Aid
This could be provided by trained, but unlicensed staff

19. Staff Education and Training
This should be a nursing activity
This must be a nursing activity if training others to perform some nursing duties

20. Resource The Manual for School Health Programs
Includes great guidance on when delegation is appropriate.

21. How Do I Get More Help? Deputize unlicensed staff
Seek stipends for those who attend required training
Identify the work that could be done by someone who is lower on the pay scale
Calculate how many hours that will free up for you to do nursing activities
Gather all information about current health staff and duties
Including volunteers and draftees
Gather information on the students served and the services provided

22. How Do I Get More Help? Put your proposal into an easy-to-read format
Use bullets rather than paragraphs
Use color, charts and graphs (simple)
Put all of the important information on the first page and the supporting details on attachments
Include an estimated budget
Do not forget the cost of benefits if additional personnel are requested
Present your proposal to the appropriate administrator (make an appointment)

23. How Do I Get More Help?
Provide the administrator your proposal before you meet.
Anticipate what questions may arise and prepare answers.
Do not complain when meeting with the administrator. You are presenting a solution to a problem, not whining.
Focus on how more help would benefit students, not staff.

24. How Do I Get More Help?
Exchange pleasantries, reference the proposal and spend about 3-5 minutes hitting the highlights.
Stop and ask if there are specific questions before you continue. If there are none, start answering the questions you anticipated.
Do not use a lot of acronyms and jargon.
You may offer examples from other districts, but tread lightly.

25. How Do I Get More Help?
Depending on the associated costs, time the request so that costs can be built into the next FY budget.
Thank the administrator and ask for a time frame as to when he or she might make a decision.
If the proposal is refused, politely ask for the reasons. Do not rebut them, just listen.
You will use them next year

26. New Laws
Immunizations (SB 819): Allows a 30-day immunization exception for children who are homeless or in the custody of Children’s Division when enrolling in daycare or preschool.

27. New Laws
Task force on preventing child sexual abuse (SB 843): Creates a task force of state agencies, school personnel, and advocates to make policy recommendations for reducing child sexual abuse, including school curriculum, school personnel training, educational information for parents and support for students to be successful in school.

28. New Laws
Task force on trauma-informed care for children and families (SB 819): Creates a committee to create guidance to assist in the identification of children who have experienced trauma and implement trauma-informed approaches in schools and other settings.

29. New Laws
Organ Donation (HB 2129): A state or nationally recognized program or organization that requests to present to the school board or charter school board information on organ, eye, and tissue donation will be given a minimum of 30 minutes for the presentation. The school board or charter school board will then consider whether and how to present information on the topic to students and parents.

30. New Laws
Whistleblower (SB 1007): Prohibits public employers, such as school districts, from disciplining or terminating an employee, volunteer, intern, or other person working in the district for discussing the operations of the district with the legislature, state auditor, attorney general, prosecuting attorney, law enforcement, news media, state investigative body, or the public.
Prohibits school districts from disciplining employees for the disclosure of any activity that is a violation of the law, mismanagement, a gross waste of funds, abuse of authority, violation of policy, waste of public resources, alteration of technical findings, breaches of professional ethics, or a substantial danger to health or safety, if the disclosure is not prohibited by law.
Prohibits the district from requiring an employee to give notice prior to disclosing information or preventing the employee from testifying before a court, administrative body or legislative body.
Requires the district to post notice of this statute where all employees may view.

31. New Laws
Immunizations (HB 1606): If a school board provides information on immunizations, infectious diseases, medications or other school health issues to parents of K-12 students, the school board will include CDC information about influenza and influenza vaccinations.
Human Sexuality (HB 1606): If a school district teaches human sexuality, the district must teach students about sexual harassment, sexual violence, and consent.

32. Twitter: @MissouriSBA | Facebook: @moschoolboards | #2018MSBA
Kelli Hopkins
ext. 345 |
This is you contact slide. Add your information and leave up after your presentation so people can write down you contact information.
2100 I-70 Drive Southwest
Columbia, MO 65203
| | #2018MSBA