Children with special health needs are included in the regular school classroom setting as authorized by federal and state laws. The school nurse has a crucial role in the provision of school health services. The school nurse has a crucial role in the seamless provision of comprehensive health services to children and youth. disaster teams, school health advisory councils Advocates for programs and policies that positively affect Reference: National Association of School Nurses (2002). The school nurse also works with community organizations and primary care physicians to make the community a healthy place for all children and families. School physicians review guidelines, policies, and programs related to health care in schools. Pediatricians can offer direct support of school nurses by serving on school wellness policy committees, school health advisory committees, emergency preparedness committees, or other school-related decision-making bodies. The following health services are the minimum that should be offered, according to the American Academy of Pediatrics (AAP) manual School Health: Policy and Practice:19. Health Information Exchange requirements, as defined in stage 3 of Meaningful Use, should permit the direct exchange of school-related information collected in the pediatrician’s office at each visit, including attendance and health problems contributing to absenteeism. They can also remind students, families, and staff of immunization schedules and retrieve and update immunization records for state-specific reporting requirements. Increasing numbers of students enter schools with chronic health conditions that require management during the school day. 39 Direct health services provided by a school nurse are linked to positive academic achievement. Outcomes of preterm infants: morbidity replaces mortality. 2003. The school nurse functions as a leader and the coordinator of the school health services team. By understanding the benefits, roles, and responsibilities of school nurses working as a team with the school physician, as well as their contributions to school-aged children, pediatricians can collaborate with, support, and promote school nurses in their own communities, thus improving the health, wellness, and safety of children and adolescents. Healthier students are better learners: high-quality, strategically planned, and effectively coordinated school health programs must be a fundamental mission of schools to help close the achievement gap. Preterm birth-associated cost of early intervention services: an analysis by gestational age. School nurses perform a critical role within the school health program by addressing the major health problems experienced by children. This policy statement has been endorsed by the National Association of School Nurses. There should be a process by which additional certification or licensure for the school nurse is established by the appropriate state board. Provide consultation on school health issues, both clinical and management, to parents, students, school administrators, school nurses, school physicians, local boards of health, health educators, teachers, counselors, municipal agents, health care providers, etc. School nurses work with parents to educate, facilitate, and expedite necessary communication between schools and the medical home. Pediatricians can establish a working relationship with school nurses to improve chronic condition management. Barbara L. Frankowski, MD, MPH, Immediate Past Chairperson, Centers for Disease Control and Prevention. In some schools, a pediatric or family nurse practitioner functions as the school nurse and may provide additional services. Dynamics of obesity and chronic health conditions among children and youth. Policy statements from the American Academy of Pediatrics benefit from expertise and resources of liaisons and internal (American Academy of Pediatrics) and external reviewers. Download transcript School nurses see all children with their parents during their first year of schooling for a health assessment, which will include a vision and hearing test. School nurses play an important role in interpreting medical recommendations within the educational environment and, for example, may participate in the development of action plans for epilepsy management and safe transportation of a child with special health care needs.11,12 School nurses may also provide insight to a student’s pediatrician when attendance concerns, parental noncompliance with medical home goals, or even neglect or abuse is suspected. We do not capture any email address. The school health service is free and confidential. The relationship between school absence, academic performance, and asthma status. School nurses lead in the development of policies, programs, and procedures for the provision of school health services at an individual or district level (NASN, 2016a), relying on student-centered, evidence-based practice and performance data to inform care (Robert Wood Johnson Foundation, 2009). An overview of School Health Services tasks. For students with chronic health conditions, school nurses and other health care providers play a large role in the daily management of their conditions. The school nurse promotes health.13 The school nurse provides health education by providing health information to individual students and groups of students through health education, science, and other classes. The school nurse has a unique role in the provision of school health services for children with special health needs, including children with chronic illnesses and disabilities of various degrees of severity. School nurses, as part of a coordinated school health program, contribute to meeting the needs of the whole child and supporting their success in school.28. Working closely with parents, school staff, and community pediatricians, school nurses are well positioned to help contain costs. Assessment of health complaints, medication administration, and care for students with special health care needs; A system for managing emergencies and urgent situations; Mandated health screening programs, verification of immunizations, and infectious disease reporting; and. Variations, taking into account individual circumstances, may be appropriate. Electronic health records should include the name of the patient’s school and primary contact at the school. These policies include health promotion and protection, chronic disease management, coordinated school health programs, school wellness policies, crisis/disaster management, emergency medical condition management, mental health protection and intervention, acute illness management, and infectious disease prevention and management.16. One in five young people between the ages of 4 and 17 years experiences symptoms of minor to severe mental/behavioral health problems. 104-191) and Family Educational Rights and Privacy Act (Pub L No. The AAP supports having a full-time school nurse in every school as the best means of ensuring a strong connection with each student's medical home. Over the past century, the role of the school nurse has expanded to include critical components, such as surveillance, chronic disease management, emergency preparedness, behavioral health assessment, ongoing health education, extensive case management, and much more. The number of students sent home by school nurses compared to unlicensed personnel. The role of the school nurse in providing school health services. 38 School nurses can provide key leadership in all the components of the Whole School, Whole Community, Whole Child model. American Academy of Pediatrics, Committee on Injury, Violence, and Poison Prevention, Council on Sports Medicine and Fitness; Council on School Health. Initiatives such as chronic disease management, early detection of behavioral health issues, and obesity prevention are just a few examples of how school nurses contribute to significant cost savings for the health care system. Unlicensed assistive personnel (unlicensed individuals who are trained to perform as an assistant to the licensed nurse) may be part of the school health services team. In addition, the school nurse provides for the safety of the environment by participating in environmental safety monitoring (playgrounds, indoor air quality, and potential hazards). In addition to providing direct services, the school nurse is ideally placed to promote health education and to integrate health-care solutions into the school setting. One in ten children and adolescents has a mental illness severe enough to cause some level of impairment; yet, in any given year, only about 12% of children in need of mental health services actually receive them.33 Pediatricians, both community- and school-based, and school nurses need to collaborate to advocate for professional resources addressing this burgeoning problem that affects both their practices.9, Health care reform, including how health care is financed and delivered, is a significant societal change. The regular school classroom setting as authorized by federal and state laws Rights Privacy. 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