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Module 5 School Health Services

By Carlos Griffin,2014-05-07 13:51
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Module 5 School Health Services

    SCHOOL HEALTH INDEX ELEMENTARY SCHOOL

    Module 5: School Health Services

    Full Score Card

    Instructions

    1. Carefully read and discuss the Module 5 Discussion Questions (pages 5-15), which contains

    questions and scoring descriptions for each item listed on this Score Card.

    2. Circle the most appropriate score for each item.

    3. After all questions have been scored, calculate the overall Module Score and complete the

    Module 5 Planning Questions located at the end of this module (pages 17-18).

     Under

    Fully Partially Develop- Not in

    in Place in Place ment Place CC.1 Health services provided by a full-time school 3 2 1 0

    nurse

    CC.2 Health and safety promotion for students and 3 2 1 0

    families

    CC.3 Collaborate with staff 3 2 1 0 CC.4 Establish strong community links for referral 3 2 1 0 CC.5 Student medical information 3 2 1 0 CC.6 Consulting school health physician 3 2 1 0 S.1 Identify and refer students who are victims or 3 2 1 0

    perpetrators of violence

    S.2 Assess extent of injuries on school property 3 2 1 0 S.3/ Emergency response plans 3 2 1 0 A.1

    PA.1 Identify and refer students with health problems 3 2 1 0

    affected by physical activity

    N.1 Identify and refer students with health problems 3 2 1 0

    affected by nutrition

    A.2 Identify and refer students with asthma 3 2 1 0 A.3 Track students with known asthma 3 2 1 0 A.4 Provide or facilitate case management for 3 2 1 0

    students with poorly controlled asthma

    A.5 Ensure immediate and reliable access to 3 2 1 0

    medications for students with asthma

    A.6 Offer asthma management education to all 3 2 1 0

    students with asthma

    COLUMN TOTALS: For each column, add up the numbers that are circled and enter the sum in this row.

    (If you decide to skip any of the topic areas, make sure TOTAL POINTS: Add the four you adjust the denominator for the Module Score (48) by sums above and enter the total to the

    subtracting 3 for each question eliminated). right.

     MODULE SCORE = %

    (Total Points / 48) X 100

    ______________________________

    MODULE 5 Page 1

    SCHOOL HEALTH INDEX ELEMENTARY SCHOOL

    Module 5: School Health Services

    SELECTED Discussion Questions

CC.1 Health services provided by a full-time school nurse

Does your school have a full-time licensed, registered school nurse responsible for providing (or

    supervising LPNs or health assistants to provide) health services*? Is an adequate number of

    full-time school nurses provided, based on the recommended ratio of at least one nurse for every

    750 students?

     NOTE: More nurses are recommended if students have extensive nursing needs.

*Health services may include first aid, administration of medications, identification and

    treatment of acute illnesses, immunizations and vaccination, health screenings, chronic disease

    management, or emergency care.

3 = Yes, we have a school nurse present all day everyday, and the recommended ratio is present.

    2 = We have a school nurse present all day everyday, but fewer than one for every 750 students. 1 = We have a school nurse present some of the time each week, or we have an LPN or health

    assistant (supervised by a school nurse) who is present at least some of the time each week. 0 = No, we do not have a school nurse, LPN, or health assistant present in our school, or we have

    an unsupervised LPN or health assistant in our school.

    ______________________________

    MODULE 5 Page 2

    SCHOOL HEALTH INDEX ELEMENTARY SCHOOL

A.2 Identify and refer students with asthma

    Does your school have a system to identify* students diagnosed with asthma and refer** those

    students to the appropriate school or community-based services?

    *Identify means to:

    ? Conduct asthma case identification by reviewing health history intake forms, emergency

    contact forms, and requests for medication administration to identify students with

    diagnosed asthma. Most schools should avoid asthma screening (spirometry) or case

    detection (symptom surveys).

    ? Compile a confidential list of students diagnosed with asthma.

    **Refer means to:

    ? Contact parents of students with asthma signs or symptoms and recommend that the

    students be evaluated by their primary health care provider or specialist.

    ? Contact parents of students without a primary health care provider and give information

    about child health insurance programs and primary care providers.

3 = Yes, our school has a system that identifies students with asthma and refers all of them to the

    appropriate services.

    2 = Our school has a system that identifies students with asthma and refers most of them to the

    appropriate services.

    1 = Our school has a system that identifies students with asthma and refers some of them to the

    appropriate services.

    0 = Our school does not have a system that identifies students with asthma.

A.3 Track students with known asthma

Based on a confidential list of students diagnosed with asthma, does your school have a system

    to track* all students with asthma in at least three of the following ways?

    ? Note frequent absences from school.

    ? Note frequent visits to the school health office due to asthma.

    ? Note frequent asthma symptoms at school.

    ? Note frequent non-participation in physical education class due to asthma.

    ? Note students sent home early due to asthma.

    ? Note calls from school to 911, or other local emergency numbers, due to asthma.

*Track means to collect the information described below and share it with the appropriate

    person(s), as needed.

    3 = Yes, our school tracks all students with known asthma in at least three of these ways. 2 = Yes, our school tracks all students with known asthma in two of these ways. 1 = Yes, our school tracks all students with known asthma in one of these ways. 0 = No, our school does not track students with known asthma.

    ______________________________

    MODULE 5 Page 3

    SCHOOL HEALTH INDEX ELEMENTARY SCHOOL

A.6 Offer asthma management education to all students with asthma

    Does your school offer* asthma management education** at school for all students with known

    asthma?

*Offer means doing any of the following:

    ? School staff providing asthma management education

    ? Partnering with organizations providing asthma education (e.g., American Lung

    Association, Asthma and Allergy Foundation of America) and providing programming

    space in school

    ? Allowing time for students to participate in school- or community-sponsored programs

    ? Disseminating asthma education materials as a supplement to a formal asthma education

    program

**Asthma management education should include the following topics:

    ? Basic facts about asthma

    ? Adhering to asthma action plans

    ? Identifying and avoiding triggers

    ? Signs and symptoms of an asthma episode

    ? Medication information

    ? Self-management skills (e.g., monitoring asthma, use of peak flow meter, proper use of

    inhalers)

    ? When and how to take emergency actions

    ? Maintaining physical activity

    3 = Yes, our school offers asthma management education for all students with known asthma 2 = Our school offers asthma management education for most students with known asthma. 1 = Our school offers asthma management education for some students with known asthma. 0 = No, our school does not offer asthma management education for students with known asthma.

    ______________________________

    MODULE 5 Page 4

    SCHOOL HEALTH INDEX ELEMENTARY SCHOOL

    Module 5: School Health Services

    Planning Questions

    (photocopy before using)

The Module 5 Planning Questions will help your school use its School Health Index results to

    identify and prioritize changes that will improve policies and programs to improve students’

    health and safety. .

Planning Question 1

    Look back at the scores you assigned to each question. According to these scores, what are the

    strengths and the weaknesses of your school’s health services related to students’ health and safety?

Planning Question 2

    For each of the weaknesses identified above, list several recommended actions to improve the

    school’s scores (e.g., have the school nurse actively promote physical activity to students and

    their families).

    Continued on next page

    ______________________________

    MODULE 5 Page 5

    SCHOOL HEALTH INDEX ELEMENTARY SCHOOL

Planning Question 3. List each of the actions identified in Planning Question 2 on the table below. Use the five-point scales defined

    below to rank each action on five dimensions (importance, cost, time, commitment, feasibility). Add the points for each action to get the total points. Use the total points to help you choose one, two, or three top priority actions that you will recommend to the School Health Index team for implementation this year.

Importance How important is the action to my school?

     5 = Very important 3 = Moderately important 1 = Not important Cost How expensive would it be to plan and implement the action?

     5 = Not expensive 3 = Moderately expensive 1 = Very expensive Time How much time and effort would it take to implement the action?

     5 = Little or no time and effort 3 = Moderate time and effort 1 = Very great time and effort Commitment How enthusiastic would the school community be about implementing the action?

     5 = Very enthusiastic 3 = Moderately enthusiastic 1 = Not enthusiastic Feasibility How difficult would it be to complete the action?

     5 = Not difficult 3 = Moderately difficult 1 = Very difficult

     Total Top Priority

    Module 5 Actions Importance Cost Time Commitment Feasibility Points Action?

     ______________________________

    MODULE 5 Page 6

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