2012 school health services assessment results
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2012 School Health Services Assessment
ResultsWISHeS:
Wisconsin Improving Health Services Project
The following powerpoint contains highlights of the 2012 School Health Services Assessment Results.
In the note section of the powerpoint you will find the assessment question and response options that correlate to the results presented.
Assessment Results
Assessment completed in March-April 2012 As of April 24th, 2012: Assessment completed by 117 school districts
(27%) Results of assessment represents 44% of
Wisconsin school children 63% of assessments completed by school nurse 37% of assessments completed by
administrator
Preliminary Statewide ResultsOverall Statistics:
Total student enrollment in the district: Districts who completed assessment:
<500
500-999
1000-2999
3000-4999
>5000
0 40
17%
23%
37%
12%
12%
# students enrolled
Assessment
State averages:
<500
500-999
1000-2999
3000-4999
>5000
0 50 100150
24%
27%
31%
15%
8%
# students enrolled
State
Responses=115
State data:2011-12
Number of schools within the district:Districts that completed assessment:
1 to 5
6 to 10
11 to 15
16 to 20
>20
0 102030405060708090
72%
16%
4%
2%
6%
Assessment
State averages:
1 to 5
6 to 10
11 to 15
16 to 20
> 20
010
020
030
040
0
73%
16%
3%
1%
3%
State
State
Responses=115
Assessment
State data:2011-12
Rural vs. Urban County Districts who completed assessment:
Rural
Urban
50 55 60 65
48%
52%
Assessment
Assessment
State averages:
Rural
Urban
190200210220230
52%
48%
State
State
Responses=117 State data:2011-12
Percentage of Students Enrolled by Race/EthnicityDistricts that completed assessment:
White
Pacific Isle
Black
Amer Indian
010
086%
1%<1%5%4%2%3%
Assessment
Assessment
State averages:
WhiteTwo or More
Pacific IsleHispanic
BlackAsian
Amer Indian
0% 50%
100%
74%2%<1%10%10%
4%1%State
State
State data:2011-12Response=115
The Number of RN FTEs
0 FTE
0.09-0.49
0.5-0.74
0.75-0.99
1.00
1.5-2.0
2.5-10
>10
0 5 10 15 20 25 30 35 408%
15%
11%
8%
36%
10%
1%
<1%
Assessment
Percentage of FTEs:
Responses=114 Average=2.2 FTEs
Who employs the district RN(s):
Other
District does not have RN
Health care organization
Health department
School district
0 20 40 60 80 100
6%
<1%
4%
6%
81%
Assessment
Responses=115
Overall Implementation
Quality Improvement
Evidence Based
Best Practice
Mandatory items
0% 10%
20%
30%
40%
50%
60%
70%
48%
42%
52%
64%
Assessment
Response=115*some best practice results not incorporated
District has no RN
1:1624 or more
1:1000-1623
1:751-999
1:750 or less
0% 10% 20% 30% 40% 50%
6%
43%
26%
11%
14%
Assessment
RN to Student Ratio
Response: 113
Policy & protocol manual for emergency nursing services provided during after school (extra curricular and sporting events) is in place
Policy & protocol manual for emergency nursing services provided during the school day is in place
0% 20%40%60%80%
40%
75%
Assessment
Emergency Nursing Protocol Manual
Responses=114
Procedure manual is evaluated yearly and updated as appropriate by RN
School district does not have a nursing procedure manual
School district is in the process of developing nursing procedure manual
RN developed procedure manual is in place
0% 20% 40% 60%
31%
31%
21%
49%
Assessment
Nursing Procedure Manual
Responses=114
RN completes Annual "Health Services Report" and sends to Wisconsin Department Public Instruction
RN presents the nursing services report at board meeting
School board reviews emergency nursing services annually
0% 20% 40% 60%
44%
28%
39%
Assessment
Annual Review of Nursing Services
Responses=114
Documents disposition
Documents in student record
Electronic record used
Policy reviewed yearly
Written policy in place
Process in place
Developing system to document
Does not document nursing services
0% 20%
40%
60%
80%
100%
63%79%
61%28%
38%80%
9%6%
Assessment
Documenting Nursing Services
Responses=115
Uses standardized nursing languages in electronic health records
Uses standardized nursing languages
Does not use standardized nursing language
0% 20% 40% 60%
32%
43%
49%
Assessment
Standardized Nursing Language
Responses=113
Does not track return to class rate
Tracks return to class rate for student seen by school nurse
Tracks return to class rate for student seen by school nurse
0% 20% 40% 60%
57%
42%
29%
Assessment
Return to Class Rates
Response=111
Has written policy and pro-cedure for reimbursement
for nursing services
Has procedure for Categorical Aid reimbursement and seeks
payment
0% 20% 40% 60% 80%
18%
32%
51%
73%
Assessment
Reimbursement for Nursing Services
Response=114
No job descriptions are in place
School district is in process of developing job descriptions
Job descriptions for: Advanced Practice Nurse Prescriber (APNP), Registered Nurse (RN), and Licensed Practice Nurse (LPN), (as appropriate) on file
0% 20%40%60%80%
13%
16%
71%
Assessment
Job Description
Response=114
School district does not have a procedure for the training of
UAP(s)
School district is in the process of developing a procedure
Procedure for training UAPs is in place
0% 20% 40% 60%
17%
11%
54%
Assessment
Training UAPs
Respones:114
Does not provide formal training of UAP(s)
No formal system for documentation
Training occurs at least annually
File containing documentation of competency
Training is completed but not annually
0% 20%40%60%80%
4%
18%
59%
49%
29%
Assessment
Training of Unlicensed Staff
Responses=112
Does not complete continuing ed
Attends NASN conference
Attends WASN district meetings
Attends WASN conference
RN member of NASN/WASN
Yearly continuing ed
0% 20% 40% 60% 80%
9%
7%
39%
61%
61%
73%
Assessment
Continuing Education
Responses: 114
Does not participate
Not consistent
Every 2 years
Yearly continuing education regarding the management of life threatening emergencies
3%
58%
35%
30%
Assessment
Continuing Education Life Threatening Emergencies
Responses=113
Policy requires RN to review medication log on monthly basis
Policy requires RN to review all new medication orders
Policy is evaluated and updated annually by the school board
Has policy regarding medication administration
0% 50% 100%
31%
59%
48%
95%
Assessment
Medication Administration Policy
Responses=115
Does not provide training on medication administration
Evaulates med admin competency annually
School personnel are trained every 2 years by RN
School personnel are trained every 4 years by RN
Provides training of medication administration
0% 50% 100%
3%
66%
32%
18%
83%
Assessment
Medication Administration
Advisory committee informs and updates public regarding wellness policy
Wellness policy establishes plan to measure implementation
School nurse is a member of the school health advisory council
Each school has a school health advisory council
0% 20%40%60%80%
40% (108)
51% (105)
64% (107)
51% (108)
Assessment
Wellness Policy
Safety plan addresses how to manage the complex medical needs of the student
with disabilities or health concerns in the event of a larger community emergency
School district has a written plan for the evacuation of students with disabilities or
health concerns
School district has a school safety plan
0% 50% 100%
48%
66%
89%
Assessment
School Safety Plan
Responses: 110
RN provides education to staff regarding prevention of communicable disease
RN provides education to pupils regarding prevention of communicable disease
Policy & Procedure for reporting & documentation of communicable disease to health department
Reports communicable disease to health department
84%
37%
81%
92%
Assessment
Communicable Diseases
Responses: 115
District evaluates success of plan
District implements compliance plan
Submits plan to health services by Sept 1
District develops plan to encourage compliance
0% 20%40%60%80%
57%
72%
28%
60%
Assessment
Compliance with Immunizations
Responses: 116
81 to 90%
91 to 98%
99% or above
0% 10% 20% 30% 40% 50% 60% 70%
2%
34%
64%
Assessment
Immunization Rates
Responses: 117
District does not require ex-clusion
District requires exclusion for students in K5-5th who are not compliant (if district is not at
least 99%)
0% 20% 40% 60% 80%
26%
74%
Assessment
Exclusion of Non-Compliant Students
Responses: 114
RN participates in community exercise that tests pandemic flu
plan
District has a written pandemic flu plan
District does not have written pandemic flu plan
0% 20%40%60%80%
39%
61%
34%
Assessment
Pandemic Flu
Responses: 116
School Health Services
School Nurse Provides or Coordinates
74. RN provides or coordinates the provision of the following school health services: Administration of medication,Assistance with accessing benefits for students with disabilities,Assistance with enrolling in Medicaid or SCHIP,Case management for students with disabilities,Case management for pregnant or parenting students,Crisis intervention for personal problems,Family Planning,First aid,HIV counseling and/or testing and referral,Identification of emotional or behavioral disorders,Identification of and referral for oral health problems,Identification and/or school based management of acute illness,Identification and/or school based management of health conditions,Identification and/or treatment/referral for STDs,Instruction on self-management of chronic health conditions,Prenatal Care Coordination,Prenatal care referrals,Services for gay, lesbian, bisexual or trans gender students,Stress management,Tobacco use cessation,Tracking of students with chronic health conditions.
No services provided
6 or less services
6 or more services
12 or more services
18 or more services
0% 20% 40%
3%
9%
28%
34%
26%
Response: 116
RN evaluates outcomes of interven-tions
RN develops & implements action plan based on priorities identified
School community
Administration
School personnel
Pupils
0% 5% 10%15%20%25%30%
10%
16%
12%
10%
14%
27%
Assessment
Yearly Needs Assessment
Responses: 112
RN follows up on referrals
Re-screening for failures
Height/Weight screenings
Dental screenings
Audiometry screens
Yearly vision screens
0% 20% 40% 60% 80%100%
77%
90%
33%
30%
79%
87%
Assessment
Preventive Screenings
Responses: 116
District provides or coordinates the application of dental sealants
District provides or coordinates application of flouride varnishes
District provides or coordinates application of flouride rinses
0% 10% 20% 30% 40% 50%
42%
33%
29%
Assessment
Dental Services
Responses: 113
RN reports trends to health department
RN reports trends to administration
RN conducts surveillance on absentee reports
RN conducts surveillance on health complaints
55% 60% 65% 70%
65%
66%
59%
65%
Assessment
Surveillance
Responses: 116
Tobacco Free Policy
Education on dangers of tobacco provided to pupils
Posted signs regarding policy
Enforces policy
Written policy regarding prohibition of tobacco
0% 50% 100%
91%
66%
90%
89%
Assessment
Response: 116
OtherGuidance
DietaryEngineer
Health AideSecretary
TeacherBoard MemberSocial Worker
PsychologistDirector Pupil Services
School NurseAdministrator
0% 20% 40% 60% 80% 100%10%
17%28%
1%8%
29%21%
3%5%8%
28%90%
52%
Assessment
Assisted in Completion
Response=116
If you have questions or would like more information on the results please contact:
Teresa DuChateauSchool Nurse Resource CoordinatorWisconsin Public Health Association
teresa@badgerbay.co414.875.7257
Questions
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