Transcript of Department of Coordinated School Health Shunji Q. Brown-Woods, Ed.D., MHA Director 901-473-2693...
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- Department of Coordinated School Health Shunji Q. Brown-Woods,
Ed.D., MHA Director 901-473-2693 brownwoodssq@scsk12.org 1 School
Health: What Every New Teacher Needs to know?
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- Reducing the Barriers to Learning Community and Parental
Involvement is one component of CSH Every day in America, children
come to school not ready to learn Absenteeism No AYP ADHD Bullying
ASTHMA Diabetic 2
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- Session Objectives Understand CSH structure, purpose and
responsibilities Introduction to Policy 6043Health Care Management
Health Information First Aid and Emergency response training know
where your AED is located Confidential Health Information
Individualized Health Care Plans CAADS (cardiac, asthma, allergy,
diabetes, and seizure related chronic health issues) Who to contact
regarding health related concerns 3
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- CSH Purpose & Responsibilities Ensure delivery of high
quality health services Oversee: School Nursing/health services
Mental Health Center services Four (4) regional School-based
clinics Northside High, East High, Westwood High, and Sheffield
High School Family Care Centers (employee health clinics)
901-473-2628 appointment line Family Resource Centers Employee
Wellness/Health Promotion for Staff State Coordinated School Health
grant functions School Health Compliance Special Projects
CPR/AED/First Aid training Vision/Hearing Screening for students
CDC HIV/YRBS grant Bloodborne Pathogen (BBP) Exposure training and
immunization program for Hepatitis B 4
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- Health Care Management #6043 Purpose To provide an efficient
and effective district-wide school health program to address the
health education and health service needs of students attending
Shelby County Schools. Policy Statement The Shelby County Schools
Board believes that academic success is impacted by the overall
well- being of the student; and that a fundamental mission of the
school system is to help students remain healthy. It is therefore
the policy of Shelby County Schools to provide an effective system
of programs to support student health and learning. 5
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- Policy Summary 6 Covers 11 broad areas in health care
management: First Aid Student Accident Reports Physical
Examinations Immunizations IHPs Medication Administration Diabetes
Seizure Allergy Communicable Diseases and AIDS Psychological as
well as social services.
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- First Aid and Emergency Medical Care Faculty and staff of each
school shall be prepared to provide basic first aid in response to
general medical emergencies. The objective of the SCBE is to have
an adequate number of staff at each site who are trained and
certified in CPR and other first aid emergency techniques. In
accordance with state law any person who in good faith provides
emergency care or assistance at the place of the emergency or
accident will not be liable for any civil damages as a result of
any act or omission. 7
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- Student Accident Reports Any accident involving students that
occur on the property of Shelby County Schools and/or while under
the approved supervision of District employees shall be reported in
writing to the office responsible for student services within
twenty-four (24) hours after the accident occurs. Report should
include the following; Persons name Date of the accident An
explanation of the accident Care used for treating the individual
Principal signature Reports should be kept on file in the
principals office for one (1) yr. 8
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- School Health Screenings/Evaluations Services 9 Services
include: Vision and Hearing assessments Body Mass Index (BMI=Height
and Weight) assessments Blood Pressure EPSDT The district will
provide healthcare services (preventive and early intervention
health services) and health referral services whose test results
indicate a possible condition that may interfere or tend to
interfere with the students academic progress. Services shall be
conducted by qualified healthcare providers. School-Based Health
Clinics shall be available to increase access to healthcare
services for all Shelby County students. Health Care monitoring
will occur through school based health screenings for students
entering PK, K, 2, 4, 6, 8, and Lifetime Wellness courses. Students
entering the District from another district will be asked to
provide evidence of completion of an EPSDT or preventive well-child
screening within the last 12 months.
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- Confidentiality EmployeesVolunteers and Contractors 10 Shall
safeguard student medical information from unauthorized disclosure
except as permissible by law or as a required function to perform
his/her job responsibilities; and/or in cases where the student
poses an imminent threat of harm to him/herself or others. An
employee who misuses, alters, removes, or improperly uses
confidential student medical information shall be subject to
disciplinary action up to and including termination. Volunteers
whose activity may place them in a position where they may gain
knowledge of a students healthcare information as well as other
entities contracted by or working in collaboration with the
District shall be held to the same professional standards as an
employee of Shelby County Schools. Sanctions for breach of
confidentiality may apply.
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- Individualized Healthcare Plans IHPs shall be written by school
nurse staff to address student specific health conditions and shall
include: 1. A specified timeframe to develop a student IHP that
must be reviewed with the parent/guardian (at least once per school
year); 2. The medical condition; health assessment; emergency plan;
identified health needs; and procedures/treatments required during
school hours; 3. Relevant documents, such as a physicians
statement. The IHP should be distributed to school employees with a
legitimate need to know. Special Cases: If a student is identified
as special education, IHP shall be a part of the IEP and shall be
maintained in the special education records. HIV/AIDS cases are
considered to be unique and shall be responded to in accordance
with policy and corresponding rules and regulations. 11
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- Administering Medicines to Students If under exceptional
circumstances a student is required to receive medication during
school hours and parent cannot be at school to administer the
medication, only the school nurse or the Principals designee will
administer the medication in compliance with the regulations that
follow: (see policy for detailed regulations) 12 General Written
instructions will be signed by the parent or legal guardian. Signed
instruction form will be kept on file at the school. All medication
must be brought to school by the parent or guardian, unless other
arrangements have been approved by the school Principal, but under
no circumstances shall a student bring the medication to school by
himself/herself Parents of the student must assume responsibility
for informing the school Principal of any change in the students
health or change in medication. Should medications of an invasive
nature be required to be given the school personnel for emergency
action, proper physician orders and instructions will be obtained
and proper training will be given to appropriate personnel. The
school system retains the discretion to reject a request for
administration of medicine. A copy of this procedure will be
provided to parents upon their request for administration of
medication in the schools.
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- Psychological and Social Services The District shall make
psychological and social service programs available for all
students of Shelby County Schools. Each school shall provide a
social service program for all students through cooperative efforts
of the principal, teachers, and school counselors. The Principal,
in consultation with the social service provider and the office
responsible for student support and Coordinated School Health,
shall ensure the development of a program of social services.
Confidentiality in Psychological Services Confidentiality shall be
maintained by any District employee providing services related to
psychology services except: 1. Where there is a clear and present
danger to the student or other person; 2. To consult with another
psychologist when it is in the best interest of the student; 3.
When the student and/or parent waives this privilege in writing; or
4. When required by federal law. 13
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- Overview of Common Chronic Illness High Priority Health
Conditions CCardiac AAllergy AAsthma DDiabetes SSeizure
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- How we Identify Priority Health Conditions Confidential Student
Health Forms Nurse reviews health information and communicates with
parents/guardians to determine the appropriate level of care needed
to address student health needs at school. Once information is
shared at the school level a school health plan (IHP), Health
Information Fact or Condition Sheet is developed and shared with
school staff who have a legitimate need to know. (HIPAA)
(FERPA)
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- Protecting Student Health Information 16
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- Confidential Student Health Information 17 ...personal,
sensitive information obtained most often by a health professional
concerning the physical, developmental, or mental health of an
individual student. A students health history might also include
sensitive family information. Source: Guidelines for Protecting
Confidential Student Health Information. Pg. 11. Published by ASHA
National Task Force on Confidential Student Health Information
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- Ethical Responsibilities & Issues 18 Responsibility to
Respect Privacy Privacy is a fundamental right of individuals to be
free from intrusion. Responsibility to Do No Harm Careful
consideration of need to know balanced with best interest of
individual students Can disclosure be justified for the students
benefit? To what extent might personal bias affect my judgment?
Responsibility to Disclose Some Types of Information Suspected
Child Abuse Self-injury or Suicide Possible Harm to Another Person
Duty to Warn If known threat exists to a student has been
identified by health professionals, then this information should be
disclosed.
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- Legal Obligations & Confidentiality Family Educational
Rights and Privacy Act of 1974 FERPA provides parents with access
to all their childs school records, including health records, and
stipulates that these records may not be released outside the
school without specific parental consent except in a few
circumstances: When a student intends to enroll in another school
Research and/or evaluation studies focused on improving instruction
or care; or An emergency in which disclosure is necessary to
protect the health or safety of the student or other individuals.
Only that information necessary to reduce the danger may be shared
and then only with necessary medical, administrative, or law
enforcement personnel. 19
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- Legal Obligations & Confidentiality HIPAA Education records
in public schools are covered by FERPA and are specifically
exempted from the HIPAA Privacy Rule. Nonetheless, there are
multiple practice considerations for schools that relate to HIPAA
p. 18 Source: Protecting and Disclosing Student Health Information:
How to Develop School District Policies and Procedures. Published
by ASHA 2005 20
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- CSH Model Components Comprehensive school health education
Physical education Health services Nutrition services Counseling,
psychological, and social services Healthy school environment
School-site health promotion for staff Family and community
involvement in schools 21
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- Students cannot be totally committed to Learning until basic
needs are addressed MASLOW 23
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- Important Numbers to know... 24 CSH Department main line:
901-473-2693 Employee Health Services Family Care Center
appointment: 901-473-2628 Health Services/School Nursing:
901-473-2668 Mental Health Center Crisis Hotline: 901-473-2200
Employee Assistance Program: 901-458-4000