Transcript Shelby County Schools Department of Coordinated School Health

School Health:
What Every New Teacher Needs to know?
Department of Coordinated School Health
Shunji Q. Brown-Woods, Ed.D., MHA
Director
901-473-2693
[email protected]
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Every day in America, children
Reducing the Barriers to Learning
come to school not ready to learn
ASTHMA
No AYP
Community and Parental Involvement is one component of
CSH
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Session Objectives
 Understand CSH structure, purpose and responsibilities
 Introduction to Policy 6043—Health 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
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CSH Purpose & Responsibilities
 Ensure delivery of high quality health services
 Oversee:
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 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
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 wellbeing 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.
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Policy Summary
 Covers 11 broad areas in
health care management:
 First Aid
 Diabetes
 Student Accident Reports
 Seizure
 Physical Examinations
 Allergy
 Immunizations
 Communicable Diseases
 IHPs
and AIDS
 Psychological as well as
social services.
 Medication Administration
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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.
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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;





Person’s 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 principal’s office for one (1) yr.
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School Health Screenings/Evaluations
Services
 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 student’s
academic progress.
 Services shall be conducted by qualified
healthcare providers.
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 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.
Confidentiality
Employees
Volunteers and Contractors
 Shall safeguard student medical
 Volunteers whose activity may
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.
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place them in a position where
they may gain knowledge of a
student’s 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.
Individualized Healthcare Plans
 IHPs shall be written by school nurse staff to address student specific
health conditions and shall include:
A specified timeframe to develop a student IHP that must be
reviewed with the parent/guardian (at least once per school year);
The medical condition; health assessment; emergency plan;
identified health needs; and procedures/treatments required during
school hours;
Relevant documents, such as a physician’s statement.
1.
2.
3.
The IHP should be distributed to school employees with a
legitimate need to know.
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Special Cases:
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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.
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
Principal’s designee will
administer the
medication in
compliance with the
regulations that follow:
(see policy for detailed
regulations)
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 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 student’s
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.
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.
2.
3.
4.
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Where there is a clear and present danger to the student or other person;
To consult with another psychologist when it is in the best interest of the student;
When the student and/or parent waives this privilege in writing; or
When required by federal law.
Overview of Common Chronic Illness
High Priority Health Conditions –
 C Cardiac
 A Allergy
 A Asthma
 D Diabetes
 S Seizure
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)
Protecting Student Health
Information
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Confidential Student Health Information
 “. . .personal, sensitive information obtained most often by a
health professional concerning the physical, developmental,
or mental health of an individual student. A student’s 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
 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
student’s benefit?
 To what extent might personal bias
affect my judgment?
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 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.
Legal Obligations & Confidentiality
 Family Educational Rights and Privacy Act of 1974
 FERPA provides parents with access to all their child’s 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.
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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
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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
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Students cannot be totally committed
to Learning until basic needs are
addressed
MASLOW
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Important Numbers to know. . .
 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
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