Accurate documentation of all health … As the number of children with increasingly complex medical problems has risen, school nurses have taken the primary role in issues such as the management of medical equipment and complicated treatments while the child is at school. School Nursing is defined as a specialized practice of professional nursing … In addition to routine care such as medication management and screenings, she may act as the first responder in health emergencies for both students and school staffers. School health nurse-role promotion & specific protection: Immunization of children Helping school authorities and teachers to plan mid-day meal which is cheap, nutritious, hygienical and supplemental. The school nurse has a central management role in the implementation of the school health services program for all children and youth in the school. The school nurse collaborates with parents or other family members and serves as the liaison between school personnel, family, health-care providers and the community at large. New paradigms are evolving for school health services as school systems develop comprehensive school health programs to address the diverse and complex health problems of today's students.1 In addition to health issues, schools must cope with problems caused by immigration, homelessness, divorce, remarriage, poverty, substance abuse, and violence.2. As a leader of the school health team, the school nurse must assess the student's health status, identify health problems that may create a barrier to educational progress, and develop a health care plan for management of the problems in the school setting. 38 School nurses can provide key leadership in all the components of the Whole School, Whole Community, Whole Child model. The rationale for placing nurses in school is based on the concept that a child with unmet health needs will have difficulty learning. The health office should be viewed as a safe and welcoming place for the students (Selekman et al., 2019). Dialogue with subspecialists, community agency staff, and case managers can add important information. What Is the Difference Between a School Nurse & an Acute Care Nurse. The school nurse develops this plan with the student, parents or guardians, and the child's primary care physician. The Emergency Information Form from the AAP and American College of Emergency Physicians, for example, could be used as a template for formulation of the individual medical plan.5. In the years since Lina Rogers first implemented the practice of school nursing, the role has expanded, but the goal has not changed. As a nursing professional, prepared at the baccalaureate level, the school nurse often practices independently. The National Association of School Nurses has determined that the minimum qualifications for the professional school nurse should include licensure as a registered nurse and a baccalaureate degree from an accredited college or university.6 In addition, there should be a process by which certification or licensure for the school nurse is established by the appropriate state board. In some schools, a pediatric family nurse practitioner functions as the school nurse and may provide additional services. When the first school nurse was hired in New York City in 1902, her primary goal, according to the National Association of School Nurses, was to reduce student absences from communicable diseases. If unlicensed assistive personnel are part of the school health services team, their performance of skilled nursing procedures must be supervised by the school nurse in accordance with state laws. All school health services are delivered in the overall context of the child, the family, and the child's overall health plan. School nurses perform a critical role within the school health program by addressing the major health problems experienced by children. These partners should work together closely to promote the health of children and youth by facilitating the development of a comprehensive school health program, ensuring a medical home for each child,8 and integrating health, education, and social services for children at the community level. School nurses continue to perform valuable services to schools, individual students and the community. Some schools may have a school-based health center in or adjacent to the school, which may provide primary care and psychosocial services. The school nurse has a critical role within this school health program and provides acute, chronic, episodic, and emergency health care. The school nurse's participation in the educational plan development heightens the potential for achieving the goals of the health care plan, which are to maximize the student's educational experience and to provide adequate preparation for responses to urgent situations. The team may include a school physician, licensed practical nurses, health aides and clerical staff, school counselors, school psychologists, school social workers, and substance abuse counselors. Children's Health Needs. US Department of Health and Human Services. The School Health Nursing Program adopts and utilizes the definition of School Nursing developed by the American Nursing Association (ANA) and the National Association of School Nurses (NASN). 39 Direct health services provided by a school nurse … Ideally, the school nurse collaborates with primary care physicians, specialists, and local public health and social service agencies to ensure a full spectrum of effective and quality services that sustain children, youth, and their families. National Education Association, Health Information Network, Centers for Disease Control and Prevention. 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). School nurses are ideally placed to assess physical, emotional, mental and social health needs of the school children for whom they care.

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