Schools + School Nurses = Safe and Healthy Students

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Schools + School Nurses = Safe and Healthy Students. Add Presenter’s name and credentials here. School Day. A classroom teacher sees Tyler wheezing and suddenly struggling to breathe -. Is Tyler experiencing an episode of asthma? - PowerPoint PPT Presentation

Transcript of Schools + School Nurses = Safe and Healthy Students

Page 1: Schools + School Nurses =  Safe and Healthy Students

Schools + School Nurses = Safe and Healthy Students

Add Presenter’s name and credentials here

Page 2: Schools + School Nurses =  Safe and Healthy Students

School Day

A classroom teacher sees Tyler wheezing and suddenly struggling to breathe -

Is Tyler experiencing an episode of asthma?

With proper assessment, medication and treatment (inhaler and/or nebulizer) the student may return to class and continue with his academic program.

Is Tyler experiencing a life-threatening allergic

reaction?

With proper emergency care, Tyler can be safely on his way to the hospital. Without it, he could die within minutes.

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School Nurse

A School Nurse has the nursing assessment skills to manage this potentially emergent situation as well as provide daily care for:– Chronic conditions (diabetes, asthma, seizures)– Medically complex conditions (requiring tube

feedings, tracheostomy care, catheterization)– Mental Health support– Emergency care– Injury and illness care and prevention

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Chronic Conditions

Diabetes – New cases have almost doubled in the past 10 years– Requires monitoring, injectable medication

administration, potential for emergency care Food allergies – Increased 18% in children under 18 – Requires preventative measures, emergency care

planning Asthma– Affects over 10 million children in the U.S. – Requires monitoring, medication

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Chronic Conditions

Epilepsy– 45,000 children under the age of 15 develop it each year – Requires medication (often given rectally) within minutes

of onset, emergency care planning Obesity– Incidence of obesity has tripled among 6 – 11 year olds

and more than tripled among 12 – 19 year olds– 33% of students are overweight or obese affecting their

physical and mental health Medically complex concerns– Require ventilator care, tube feedings, medication and

other complex medical cares

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Health Conditions

per 100 U.S. Students

Our students need a school nurse!

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Statistics

Overall, from 15% to 18% of children and adolescents have some sort of chronic health

condition, nearly half of whom could be considered disabled

That’s 18 out of every 100

students in every school!

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Mental Health Support

One in five children and adolescents have a diagnosable mental health disorder in the course of a year

Academic achievement can be improved through:– Early detection– Timely referral– Access to appropriate services

School Nurses spend 32% of their time

providing mental health services

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Emergency Care

School Nurses develop Emergency Care Plans to guide the response to life-threatening health issues:– A student with an allergy (bees, food or latex) who

needs injectable epinephrine immediately– Students with seizures need their medication within

minutes – often given rectally– Students with diabetes may need injectable glucagon

to treat a life-threatening low blood sugar episode– A student with asthma who is struggling to breathe

may need a nebulizer treatment

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Prevention and Care

Immunization rates are higher in schools with school nurses

Unlicensed personnel in schools make more medication errors than nurses

School nurses can identify environmental hazards at school based on injury patterns

A School Nurse first identified H1N1 Flu based on the increase in illness in her school!

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Attendance

School nurses reduce absenteeism

A higher nurse to student ratio is related to better attendance rates– Less likely to dismiss students early than unlicensed

personnel– More time in the classroom provides more time for

learning– Increases a student’s chances for success!

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Positive Outcomes

When students are kept in school, parents are able to be productive at work and at home

Appropriate use of health care saves time and money for everyone

Fewer 911 calls Appropriate referral

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Every teacherdeserves a

School Nurse, so they canteach.

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Every parentdeserves a

School Nurse, so they can feel confident that their child is

safe at school.

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Every studentdeserves a

School Nurse so they can be healthy, safe and successful at

school.

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References

Chronic Health Conditions Perrin, J.M., Bloom, S.R., Gortmaker, S. L., (2007). The

Increase of Childhood Chronic Conditions in the United States. Journal of the American Medical Association, 297 (24) 2755-2759. doi: 10.1001/jama.297.24.2755.

Branum. A.M. & Lukacs S.L. (2008). NCHS Data Brief, Food Allergy Among U.S. Children: Trends in Prevalence and Hospitalizations, 10, http://www.cdc.gov/nchs/data/databriefs/db10.htm

Ogden, C.L., Carroll, M.D., Curtin, L.R., Lamb, M.M., & Flegal, K.M. (2010). Prevalence of high body mass index in U.S. children and adolescents, 2007-2008. JAMA 303, 242- 249.

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References

Medications Farris, KB, McCarthy, AM, Kelly, MW, Clay, DL, & Gross, JL.

(2003). Issues of medication administration and control in Iowa schools. Journal of School Health, 73(9), 331-337

McCarthy, AM, Kelly, MW, & Reed, D. (2000). Medication administration practices of school nurses. Journal of School Health, 70(9), 371-376

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References

Attendance: Maughan, E. (2003). The impact of school nursing on

school performance: A research synthesis. Journal of School Nursing, 19(3), 163-171.

Pennington, N & Delaney, E (2008). The number of students sent home by school nurses compared to unlicensed personnel. Journal of School Nursing, 24: 290 - 297.

Wyman, L. (2005). Comparing the number of ill or injured students who are released early from school by school nursing and nonnursing personnel. Journal of School Nursing, 21(6), 350-355.