Transcript Student Health Emergency Information

Highlights of School Health Care Services
April 26, 2010
Ann Powers, MS, RN, CPNP
School Nurse Leader
Highlights of School Health Care Services
April 26, 2010
Ann Powers, MS, RN, CPNP
School Nurse Leader
At a Glance
As of November 2009
 95% of the Student Emergency Health Cards were returned to the nurse’s office
–
Slight increase over 94% returned November 2008
 19% of students are enrolled in Mass Health
–
Consistent with November 2008
 22% have no recorded dental insurance/provider
–
–
Increase of 8% from November 2008
Still only one Mass Health Dental Provider in Plymouth
 41% of student population considered to have limited or no access to
routine/preventative oral health care
–
Represents a 8% increase from November 2008
 599 elementary students are participating in the Fluoride Mouth Rinse Program
–
Decrease of 35 students from 2008
 6,319 students have signed permission slips for KI administration
At a Glance
Growth Screening Trends 2008-09
 36% of Plymouth students screened in grades 1, 4, 7 and 10 are at risk
for being overweight or obese
– Consistent with data for 2007-2008
 34% of students in the same grades in other ESHS reporting districts in
the state are at risk
– Represents a 6% increase from 28% for other districts for 2007-2008
– This brings Plymouth closer to the rest of the schools in other reporting
districts
 Spring 2009 1,068 BMI letters were mailed home on students with a
BMI < 4th percentile or > 85th percentile
Plymouth Public Schools
Health Care Services
Total Reported Special Health Care Needs
2006-2009
2500
2000
1500
2006
2007
2008
2009
1000
500
0
SHCN
IHCP
(Source: Student Health Cards, M.D. documentation)
Plymouth Public Schools
Health Care Services
Selected Special Health Care Needs
2006-09
800
700
600
2006
2007
2008
2009
500
400
300
200
100
0
Allergies
Asthma
Cardiac
ADHD/ADD
Depression
Diabetes
Migraines
Seizures
(Source: Student Health Cards, M.D. documentation)
*Other Behaviors includes ASD population
Oth. Beh.*
School Year Activities Report
Essential School Health Services Program
1.
Month in which these health encounters occurred: School Year 2008-2009
2. Person completing report (include Name and Position):
3. Health Services Activity
Number of student and staff health encounters this month. (Do not count health screenings or casual conversations)
Office Visit Types
Injury/
First Aid
Illness
Assessment1
Mental/Behavioral
Health Support 2
Individual
Health Ed.
Other
Encounters
Scheduled
Medications
STUDENT
ENCOUNTERS
16,707
29,014
1,347
294
11,286
11,458
STAFF
ENCOUNTERS
305
831
50
95
720
Scheduled
Procedures
5,074
178
Total
Encounters
75,180
2,179
Note: It is assumed that every encounter will include nursing assessment and health education. When the primary issue is health education and
does not include illness or injury, the individual health education category should be used.
1 An illness encounter may include illness assessment, acute illness, chronic health condition, etc. It excludes scheduled medication administrations
(e.g. daily med administration for ADHD) and scheduled procedures (ostomy care, scheduled glucose testing).
2 Mental/Behavioral Health Support includes any encounter requiring active listening, anticipatory guidance, stress management, altered mental
health status or behavior modification/program support. The primary reason for the encounter is related to a mental/behavioral health need.
Plymouth Public Schools
Health Care Services
Number of Students Returned to Class
(Sept-Dec 2009)
25000
24500
24000
23500
23000
2007-08
2008-09
2009-10
22500
22000
21500
21000
20500
(Source: Healthmaster MA Monthly Report)
Plymouth Public Schools
Health Care Services
Significant Disposition of Students
(Sept-Dec 2009)
2000
1800
1600
1400
1200
2007-08
2008-09
2009-10
1000
800
600
400
200
0
911
Urgent
Referals
Dismissed ill
Dismisssed
Injury
(Source: Healthmaster MA Monthly Report)
In Addition…
Fall 2009 H1N1 Flu Season
– H1N1 and Seasonal Influenza Clinics at Middle
and High Schools, Grades 6-12
– 1,628 students immunized
• 985 students for Seasonal Flu
• 643 students for H1N1 Flu
• Utilization of nursing students instrumental
• Coordinated effort with the school health and
administrative staff, MDPH, Board of Health,
Jordan Hospital, and AMR staff
In Addition…
 Fall 2009 - Municipal Medicaid continued to fund each of the school nurses
to work 2 days prior to start of
– Review new student health records, conduct student/parent health interviews,
prepare for known SHCN, immunization compliance, etc.
 Ongoing review/revision of the medication administration policies and
related nursing procedures
– Revised Parent Consent For Medication Administration
– Developed Medication Specific Consent Forms
– Revised Student Health and School Bus Emergency Information Cards
 >200 staff trained by the nurses in Heartsaver AED (custodians, CRT, etc.)
 Ongoing clinical education of student nurses: Cape Cod Community,
Laboure, and Simmons College
School Health Advisory Committee
This Year At The SHAC
Transition Year with Committee membership and leadership
 Reviewed and updated the Plymouth Area Resource Guide located on our
school health website
 Reviewed and supported MA legislation An Act Relative to School Nutrition
passed by the MA State Senate and House of Representatives in March,
2010, now awaiting the governor’s signature to pass into law
 Developing goals for 2010-2011 school year
– Review our district programs in relation to requirements in the School Nutrition
Act
– Continue focus on student and staff wellness in relation to nutrition and physical
activity
• Implement BlueCross BlueShield programWalking Works for staff in the fall, 2010
Continue efforts to improve nutrition and physical activity for students and staff
Plymouth Public Schools
Health Care Services
Questions?
Thank You
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