2015 SCHOOL NURSE NEEDS - West Virginia...

2015SCHOOLNURSENEEDSAssessment Data

West Virginia Board of education

2015-2016

Michael I. Green, PresidentLloyd G. Jackson II, Vice President

Tina H. Combs, Secretary

Thomas W. Campbell, MemberBeverly E. Kingery, MemberGayle C. Manchin, MemberWilliam M. White, MemberJames S. Wilson, Member

Paul L. Hill, Ex OfficioChancellor

West Virginia Higher Education Policy Commission

Sarah Armstrong Tucker, Ex OfficioChancellor

West Virginia Council for Community and Technical College Education

Michael J. Martirano, Ex OfficioState Superintendent of Schools

West Virginia Department of Education

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TALLIES FOR 289 NURSES FOR COUNTY - STATEWIDE FOR YEAR 2015

Nurses represented -

Section IThis section seeks to obtain information regarding professional preparation, years of service and provision of school health services. Please complete the questions as indicated, using every means available to collect accurate, complete information.

1. Population served (number of students): Pre-K 15,707Grades K-7 157,494Grades 8-12 92,908

2. Highest Degree Helda. Diploma 0b. Associate Degree 4c. Bachelor’s Degree in Nursing 192d. Bachelor’s Degree in field other than nursing 4e. Master’s Degree in Nursing 26f. Master’s Degree in field other than nursing 49g. Doctorate 0h. School Nurse Practitioner 0i. Family Nurse Practitioner 1

3. Credentials Helda. WV Certified School Nurse/Professional Service Certificate 242b. Permanent Authorization 74c. First Class Permit 16d. Substitute Permit 4e. ANA Certification 4f. NASN Certification 61g. None of the Above 3h. Other 13

4. Please provide information regarding your employment status:Employer: Board of Education: 273 County Health Department: 1Status: Part-Time: 13 Full-Time: 259

5. Please indicate your years of experience in SCHOOL NURSING ONLY.a. 0-2 years 39b. 3-5 years 49c. 6-10 years 78d. 11-13 years 33e. 14+ years 76

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6.a. Immediate supervisor(s) for school nurses for your area (check all letters that apply).a. Medical Director 10 b. Superintendent 53 c. Principal 90 d. Special Education Director 59 e. Director/Coordinator of Health Services 118 f. Director of Pupil Services 49 g. Other 34

6.b. In your current position as a certified school nurse, do you assign or delegate health care procedures to the following nursing staff? More than one answer is acceptable.a. Licensed Practical Nurse (LPN) employed by the county Board of Education 34 b. LPN/AIDE employed by the county Board of Education 114 c. Contracted LPN 23 d. RN on a School Nurse Authorization 34 e. Contracted RN 16 f. None of the above 110

6.c. What is the main role(s) of the nursing staff who were identified above as providing health care procedures in schools under your supervision? More than one answer is acceptable.a. Administering basic procedures only 57 b. Administering insulin only 43 c. Administering one-on-one specialized health care procedure(s) 64 d. Administering basic and specialized health care procedures to all students

within the school building96

e. Administering basic and specialized health care procedures to all students within the county

33

f. Providing classroom aide services to the teacher and health care services under the supervision of the certified school nurse in a school

70

g. Other 30 6.d. Other than School-Based Health Center services provided to your school(s), do you have

community medical services being offered to students through an agreement or understanding between an agency or private provider and your school(s)? If yes, what are these services? More than one answer is acceptable.a. Medical services (EPSDT/HealthCheck, Immunizations, screenings, etc.) 52 b. Behavioral/Mental Health Services 68 c. Dental Services 135 d. Family Planning Services 12

6.e. Do you currently have a need or interest in any of the following medical services being offered to the students in your school?a. School-Based Health Center 77 b. Behavioral/Mental Health 124 c. Dental Services 89 d. Family Planning Services 53

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7. Student screening data totals where you are responsible for supervision/coordination or performance of procedure (complete each column).

Screen Procedure Number of Students Screened per Year

Number of Students Referred for Evaluation/

Follow-upBlood Pressure 17,616 961Oral Health 21,051 3,734Height/Weight 29,145 757BMI Body Mass Index 23,400 943Hearing 16,192 923Scoliosis Mass screenings no longer recommendedVision 48,434 4,949Cholesterol No longer assessedLice 37,507 7,870Immunizations 122,492 23,543Well Child Screens(EPSDT/Healthcheck) 17,941 1,350

WVU CARDIAC Program 15,692 1,1638. Other student health services performed by you (complete each column).

Health Service Provided Number of Students Provided Service per Year

Number of Students Referred for Evaluation/

Follow-upFirst Aid/Injuries 213,940 24,531Health Counseling (Individual) 61,772 9,596Health Counseling (Group) 12,886 277Acute Care Health Problems (i.e. URI, ear infection, conjunctivitis, scabies, impetigo, ringworm, rashes)

212,046 49,258

CPR/AED 525 539. Average number of miles traveled weekly by you.

Average Weekly Miles for ( 14,592 Summed Average Miles / 1 Nurses) 62,572.0010. Number of schools you serve.

Schools Served 79311. Number of health care plans written and/or revised by you.

Health Care Plans 24,30812. Number of consultations with staff, parents, physicians regarding health issues.

Consultations 93,71513. Total number of TB skin tests given by you.

TB Skin Tests No longer administered by school nurses

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14. Meetings attended by you.a. Individualized Education Plan (IEP) 2,466b. Student Assistance Plan (SAP) 150c. Student Assistance Team (SAT) 1,873d. 504 Meetings 1,838e. Chronic Medical Team for Attendance Policy 0f. Other Meetings 2,210

15. Total number of students per year for whom Medicaid is billed for specialized health care procedures performed by you.a. Number of Students 1,041b. Hours Spent on Medicaid Billing 1,242

16. Total number of classroom instructional programs conducted by you.Number of Classroom Instructional Programs 2,277

17. Total number of health fairs conducted by you.a. Number of Health Fairs - Students 355b. Number of Health Fairs - Staff 67

18. Total number of community programs presented by you.Number of Community Programs 160

19. Total number of home visits regarding student health concerns conducted by you.Number of Home Visits 629

20. County-wide Education or School Intervention Teams on which you participate (check all that apply).a. Alcohol/Drugs/Substance Abuse 30b. Crisis Intervention 71c. Crisis Response 82d. School Improvement Council 15e. LSIC or UCIP 21f. S.B.H. Center 21g. Disaster Preparedness 68h. School Wellness 172i. County Wellness 89j. Regional Wellness 12k. Other 40

21. Community Based Committees on which you participate (check all that apply).a. Family Resource Network (FRN) 7b. Red Cross 22c. Disaster Preparedness 55d. WV DHHR (local health department, Adolescent Health, Adolescent

Pregnancy Prevention, etc.)25

e. Oral Health 24f. Other 44

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22. Is your health data entered on WVEIS (check appropriate letter)?Yes: 272 No: 3 No Answer: 19

23. Who enters health data on WVEIS (check all that apply)?Self: 268 Other Staff: 58

24. Number of immunization records checked by you. Please complete in table for Section I, question 7.

25. Number of hours spent training and supervising personnel who perform delegated student health care procedures.Number of hours spent training and supervising 13,646

26. Counts of programs or services in which actively participating:a. WVDHHR Fluoride Rinse Program 96b. Community Schools Program 35c. American Dairy Fuel Up to Play 60 74d. WVU CARDIAC Program 215e. Mobile Dentist 95

27. School Personnel Screening - Staff Wellness - where you are responsible for supervision/coordination or performance of procedures.

Services Provided Number Screened Number Referred for Evaluation/Follow-up

Blood Pressure 7,156 926PEIA or Staff Wellness 2,455 111First Aid 6,221 812Health Counseling 9,426 2,320Flu Shots 6,983 182Immunizations 585,324 581

28. Number of staff development trainings and/or programs presented by you.Number of trainings/programs 1,565

29. Epinephrine Administrationa. Anaphylactic Reaction (diagnosed) 325b. Anaphylactic Reaction (undiagnosed) collection runs August - June

30. Number of student encounters/health office visits to RN resulting in the student returning to class or staying in school during the 2014-15 school year.

477,025

31. Number of student encounters/health office visits to the RN resulting in 911 being called or regionally appropriate equivalent during the 2014-15 school year.

3,815

32. Number of student encounters/health office visits to RN resulting in the student being sent home during the 2014-15 school year.

82,202

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Section IITotal Number of Cases Requiring School Nurse Involvement, Intervention, or Follow-Up

1. Cardiovascular/Blood Disorders Pre-KKindergarten to 4th Grade

5th Grade to8th Grade

9th Grade to 12th Grade

Heart Problems 86 449 417 416Hemophilia/Coagulation Disorders 4 65 57 72Hepatitis 5 8 5 4Hypertension 5 53 160 301Immunosuppressed 11 56 69 54Other Cardiovascular/Blood Disorders 18 103 78 1272. Central Nervous System/

Neurological Pre-KKindergarten to 4th Grade



Cerebral Palsy 54 159 130 131Epilepsy/Seizures 141 755 557 547Brain/Spinal Cord Trauma/Infection 9 30 36 86Hydrocephalic/Microcephalic 23 57 37 35Migraine/Severe Headache 3 468 823 1,021Other Central Nervous System/Neurological Disorders 50 101 79 98

3. Dermatological Pre-KKindergarten to 4th Grade



Severe Burns 0 5 6 14Burns 10 22 38 70Other Dermatological Disorders 60 538 226 231

4. Endocrine Pre-KKindergarten to 4th Grade



Diabetes - Type I 12 183 343 400Diabetes - Type II 1 23 81 149Hypoglycemia not diagnosed as diabetic 2 64 92 173

Adrenal Insufficiency 3 20 28 35Other Endocrine Disorders 7 87 102 190

5. Eye, Ear, Nose, Throat Pre-KKindergarten to 4th Grade



Artificial Eye 2 14 19 6Other Eye, Ear, Nose, Throat 104 725 674 898

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6. Gastrointestinal Pre-KKindergarten to 4th Grade



Eating Disorders (Anorexia/Bulimia) 4 10 70 62Cleft Lip/Palate 9 50 31 26Obesity (nurse or M.D. diagnosed) 111 1,017 1,073 1,015Ulcerative Colitis 2 25 52 56Special diets (Medically Indicated) 315 1,793 851 741Other Gastrointenstinal Disorders 80 420 349 391

7. Genetic Pre-KKindergarten to 4th Grade



Autism 238 863 633 540Down’s Syndrome 25 106 72 97Tourette’s Syndrome 3 43 67 54Other Genetic Disorders 51 129 102 75

8. Musculoskeletal Pre-KKindergarten to 4th Grade



Juvenile Rheumatoid Arthritis 1 58 43 57Congenital Hip 3 10 10 13Lordosis, Kyphosis, Scoliosis 5 169 148 212Muscular Dystrophy 5 17 18 24Osteogenesis Imperfecta 3 9 12 6Spina Bifida 12 41 33 34Other Musculoskeletal Disorders 30 131 121 136

9. Behavior Medicine Pre-KKindergarten to 4th Grade



Mental Disorders(Diagnosed Depression, Bipolar, Schizophrenia, Suicidal)

20 523 739 1,075

Behavioral Disorders (ADD/ADHD-physician treated, Anxiety, OCD/ODD) 282 4,797 4,465 2,974

Other Behavioral Disorders 32 201 261 167

10. Reproductive Pre-KKindergarten to 4th Grade



Pregnancies 0 0 20 432Other Reproductive Disorders 0 6 32 49

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11. Respiratory Pre-KKindergarten to 4th Grade



Asthma 430 4,670 4,406 3,560Bronchitis (Chronic) 28 80 147 155Anaphylactic Reaction (actual/potential for) 253 2,046 1,368 1,176

Cystic Fibrosis 5 37 30 33Other Respiratory Disorders 11 396 148 96

12. Urological Pre-KKindergarten to 4th Grade



Renal Disease including Nephritis or Nephrotic Syndrome 6 53 41 46

Neurogenic Bladder 8 34 20 35Other Urological Disorders 24 157 101 123

13. Cancer Pre-KKindergarten to 4th Grade



Cancer-Malignant (Current Diagnosis/ Need School Health Services) 0 36 13 12

Cancer-Nonmalignant(Current Diagnosis/Need for School Health Services)

2 11 7 4

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Section IIITotal Number of Students Needing Specialized Care/People Trained to Perform Delegated Procedures

1. Digestive Pre-KKindergarten to 4th Grade



School Personnel Trained

Contracted Licensed Provider Trained

Gastrostomy Tube Bolus Feeding 23 29 26 25 66 26

Gastrostomy Tube Slow Drip and/or Continuous Feeding 23 23 22 21 30 22

Gastrostomy Button Bolus Feeding 229 35 28 31 117 30

Gastrostomy Button Slow Drip and/or Continuous Feeding

24 27 228 20 55 23

Nasogastric Tube Bolus Feeding 20 21 21 20 28 22

Nasogastric Tube Slow Drip and/or Continuous Feeding 20 20 20 20 23 22

Inserting a Nasogastric Tube 20 20 20 20 23 22Ostomy Care: Emptying/Changing of Ostomy Pouch 21 23 22 22 37 23

2. Endocrine Pre-KKindergarten to 4th Grade





Diabetic Management 33 209 380 640 1,590 160Measurement of Blood Sugar with a Glucometer 34 409 562 447 1,333 153

Insulin by Injection 28 139 401 245 232 128Insulin Pump/Bolus 24 84 175 189 248 131Glucagon 32 185 342 371 1,372 351

3. Medications Pre-KKindergarten to 4th Grade





Adrenal Insufficiency Management 20 38 44 36 159 38

Long-Term Medication Administration 218 2,523 1,265 610 2,197 113

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4. Neurological Pre-KKindergarten to 4th Grade





Emergency Medication Administration 259 3,670 2,322 1,235 3,521 144

Administration of Rectal Diazepam 79 306 203 105 1,640 148

Phrenic Nerve Stimulator 220 0 24 24 35 22Seizure Management 123 574 386 408 2,474 140

5. Respiratory Pre-KKindergarten to 4th Grade





Vagus Nerve Stimulator 22 10 20 33 256 15Anaphylactic Reaction 396 1,632 1,005 865 3,390 156Epinephrine Auto-Injector (EPI-PEN) 180 1,653 920 680 3,171 164

Inhalation Therapy by Machine 65 191 285 253 601 74

Manual Resuscitator 21 223 21 21 298 28Mechanical Ventilator 22 21 20 20 3 225Metered Dose Inhaler (MDI) Therapy 344 3,156 2,320 1,739 2,986 165

Oral Suctioning 3 26 42 225 72 5Oxygen Administration 23 224 27 4 257 237Peak Flow Meter 20 44 37 29 48 24Postural Drainage and Percussion 20 24 23 221 32 6

Emergency Care and Cleaning of Tracheostomy Tube and Stoma

224 26 22 20 31 231

Emergency Replacement of Tracheostomy Tube 23 26 22 20 31 26

6. Urinary Pre-KKindergarten to 4th Grade





Tracheostomy Suctioning - Sterile Technique 23 24 44 21 30 34

Clean Catheterization 24 395 26 34 97 30Self Catheterization 20 28 32 38 61 28Sterile Catheterization 220 224 225 21 35 24Credés Method 221 21 20 20 26 221

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NOTES

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NOTES

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NOTES

Michael J. Martirano, Ed.D.State Superintendent of Schools

2015 SCHOOL NURSE NEEDS - West Virginia...

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