Transcript PENNSYLVANIA DEPARTMENT of HEALTH Division of School Health

PENNSYLVANIA
DEPARTMENT of HEALTH
Division of School Health
SCHOOL HEALTH UPDATE
2008
Presented by
Beth Anne Bahn
and
Rosemary Danchick-Moyer
State School Health Consultants
March 30, 2008
DIVISION OF SCHOOL
HEALTH

Jon Dale, Director

Beth Anne Bahn, State School Health Consultant

Rosemary Danchick-Moyer, State School Health Consultant

Stephanie Weigle, Administrative Officer

Bill Barbour, STEPS School Health Coordinator

Valerie Morgan, Administrative Support

Six Regional School Health Consultants
District Office Program Staff
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



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Diabetes
Cardiovascular
Injury Prevention
Chronic Disease
Tobacco Prevention
Maternal Child Health
Special Needs Health
Care
Public Health Educator




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HIV
STD
Communicable Disease
Environmental Health
Sanitarians
Tuberculosis
Immunization
EMS Program Specialist
Regional School Health Consultants
NW - Linda Deeter
724-662-6068
[email protected]
NC - Andrea Dale
570-327-3400
[email protected]
NE – Lois Elick
570-826-2062
SW - Cindy Thomas
412-565-5101
[email protected]
SC – Linda Katherman
717-787-8092
[email protected]
SE - Sue Templin
610-378-4352
[email protected]
[email protected]
School Health Consultant Caseload
Health District
No. of
No. of Full
School
Time
Districts School
Nurses**
No. of Part
Time
School
Nurses**
No. of IUs
No. of
Counties
North Central
46
102
7
4*
12
North East
59
264
7
4
10
North West
70
174
10
5*
13
South Central
76
241
10
5*
13
South East
109
830
84
8*
8
South West
140
438
16
8*
11
Totals
500
2049
134
29
67
** Data from
05-06 reports
* Includes
duplicates
School Immunization Requirements
School Immunization
Requirements
NOW:
School Immunization
Requirements
PROPOSED:
http://www.pabulletin.com/secure/data/vol38/38-6/217.html
School Immunization Requirements
For New School Enterers in Kindergarten or First Grade
NOW:
• 4 doses tetanus
(DTaP, DT, Td)
(1 dose on or after 4 years old)
• 4 doses diphtheria (DTaP, DT, Td)
(1 dose on or after 4 years old)
• 3 doses polio
• 2 doses measles (MMR)
• 1 dose mumps
(MMR)
• 1 dose rubella
(MMR)
• 3 doses hepatitis B
• varicella immunity
(vaccine or history of disease)
PROPOSED:
• 4 doses tetanus (DTaP, DT, Td)
(1 dose on or after 4 years old)
• 4 doses diphtheria (DTaP, DT, Td)
(1 dose on or after 4 years old)
• 3 doses polio
• 2 doses measles (MMR)
• 2 doses mumps (MMR)
• 1 dose rubella
(MMR)
• 3 doses hepatitis B
• varicella immunity
(vaccine or history of disease)
• varicella immunity (vaccine or history
of disease) 2 doses phased in by year
2010/2011
School Immunization Requirements
For Attendance In All Grades
NOW:
PROPOSED:
• 3 doses tetanus
• 3 doses diphtheria
• 3 doses polio
• 2 doses measles
• 1 dose mumps
• 1 dose rubella
(DTaP, DT, Td)
(DTaP, DT, Td)
(MMR)
(MMR)
(MMR)
•
•
•
•
•
•
•
•
4 doses tetanus
(DTaP, DT, Td)
4 doses diphtheria (DTaP, DT, Td)
3 doses polio
2 doses measles (MMR)
2 dose mumps
(MMR)
1 dose rubella
(MMR)
3 doses hepatitis B
varicella immunity (vaccine or
history of disease) 2 doses phased in
by year 2010/2011
School Immunization Requirements
NOW:
For Entering 7th Grade
PROPOSED:
• 3 doses tetanus
(DTaP, DT, Td)
• 3 doses diphtheria
(DTaP, DT, Td)
• 3 doses polio
• 2 doses measles
(MMR)
• 1 dose mumps
(MMR)
• 1 dose rubella
(MMR)
• 3 doses hepatitis B
• varicella immunity
(vaccine or history of disease)
• 3 doses tetanus
(DTaP, DT, Td)
• 3 doses diphtheria
(DTaP, DT, Td)
• 1 dose tetanus/diphtheria/acellular
pertussis
• 3 doses polio
• 2 doses measles
(MMR)
• 2 dose mumps
(MMR)
• 1 dose rubella
(MMR)
• 3 doses hepatitis B
• varicella immunity (vaccine or history of
disease) 2 doses phased in by year
2010/2011
•1 dose meningococcal conjugate
Additional Proposed Changes to
School Immunization Regulations
 Grace Period - A vaccine dose
administered within the 4-day period
prior to the minimum age for the
vaccination or prior to the end of the
minimum interval between doses shall
be considered to be a valid dose of the
vaccine.
Additional Proposed Changes to
School Immunization Regulations
 Attendance at child care group setting located in a
public, private or vocational school or in an
intermediate unit or a prekindergarten program, early
intervention program or private academic preschools
is conditional upon satisfaction of the immunization
requirements in 27.77, unless the child is 5 years of
age or older.
 Attendance of a child 5 years of age or older at a
child care group setting is conditional upon the
immunization requirements in 23.83 (School Health
regulations)
Reporting Requirements
OLD WAY:
All Schools Self Report Aggregate Counts (Department Form)
 # of students attending by grade level
 # of students attending by grade-level completely immunized
 # of students attending school by grade level classified as
medical exemptions
 # of students attending school by grade-level classified as
religious exemptions
 # of students provisionally admitted
 # of students denied admission with inability to qualify for
provisional enrollment
Reporting Requirements
PROPOSED:
Schools will self report (Department Form)
 # of students attending in a specific grade level or age group
 # of vaccine dose(s) of every enrolled student in grade level
or age group (as requested on reporting form)
 May request information for only 1 or 2 grades or age levels
 Will continue to request same information for exemptions,
provisional enrollments and denied admissions
School
Immunization
Law Report
(SILR)
Statewide Immunization
Information Registry (SIIS)

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Began in 1996
Used primarily by hospitals, state health
clinics
Now marketing to private providers
No cost to enter immunizations or view
data
“View only” access for school nurses
Benefits of Statewide Information
Immunization System (SIIS)



Prevents extra and unnecessary doses
of vaccines- decreasing costs
More accurate immunization records for
those enrolled in the system
Access by State Health Clinics, Providers
and Schools to accurate and complete
vaccine administration records
Statewide Information
Immunization System (SIIS)

To enroll for view-only access:
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Go to www.health.state.pa.us/pasiis
Click on Provider enrollment
Complete the application and fax or mail it
to the Department
“No Child Left Behind” and
Immunization Exclusion


There is no evidence found in “No Child Left
Behind” that would prevent excluding
students for inadequate immunizations.
This was determined after discussions with
the PA Department of Health, Division of
Immunizations and Legal Counsel; the PA
Department of Education; NCLB Compliance
Office and Legal Counsel; and the US Dept. of
Education Compliance Office
Pre-K Counts Grant Program
http://www.pde.state.pa.us/early_childhood/cwp/view.asp?A=316&
Q=125765
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
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Established by Dept. of Education
Provide high quality pre-K education for
3 and 4 yr. olds
Free to families
Focus on children at risk of academic
failure
Approximately 300 early learning
programs participating
Pre-K Counts Grant Program

Immunizations:


Follow 27.77 regulations, Immunization
requirements for children in child care
group settings. Have up to 60 days to
provide immunizations
http://www.pacode.com/secure/data/028/c
hapter27/s27.77.html
Reimbursement

May not count these students under K4
ADMs on Annual Health Report
Pre-K (K4) Programs

Immunizations:

Follow 27.77 regulations, Immunization
requirements for children in child care
group settings. Have up to 60 days to
provide immunizations
http://www.pacode.com/secure/data/028/c
hapter27/s27.77.html
Pre-K (K4) Programs


Integral part of the school program
Students counted in ADMs for
reimbursement



Required to have physical and dental
examinations
Required to have mandated screens
(vision, hearing, growth)
Required to have nursing services
TB Testing of Students

PA Public School Code of 1949

Section 14-1402. Health services


(a) Each child of school age shall be given… (4)
tests for tuberculosis under medical
supervision…
(f) The Secretary of Health, upon petition of
the school board…,may modify for individual
school districts the school health services
program specified in this section.
TB Testing of School Staff

PA Public School Code of 1949

Section 14-1418. Medical examinations of
teachers and other persons

(b) Each teacher, any other school employe and
any person providing services for school
children under contract shall be given tests for
tuberculosis…
TB Testing


485 out of 501 school districts in PA
have asked for modifications of their
routine TB testing of students
New school employees when hired and
volunteers are still required to have a
TB test
TB Report to Dept. of Health


Historically, schools have been
submitting a “School Tuberculin Testing
Report” (form H516.488) to the
Department on an annual basis.
Provided aggregate data on students
and staff that had been tested or sent
for follow-up testing during the previous
year.
TB Report to Dept. of Health


The Department has determined that
this aggregate data is no longer useful
as a surveillance tool
Effective immediately, it is no longer
necessary to submit the School
Tuberculin Testing Report.
PE and Dental Modifications


Districts may request modifications to
accept mandated physical exams up to
one year prior to the year they are
required
School Board must vote to make the
modification; then the district sends a
letter to DOH, Division of School Health,
providing notice of the board decision
SHARRS
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School
Health
Annual
Reimbursement
Request
System
Common Errors on Health Exams,
Screens & Select Services
ERROR:
Entering the number of CONTACTS under
Students Requiring Skilled Nursing.
CORRECT:
Should be the number of INDIVIDUAL
students, not the number of contacts.
Health Exams,
Screens, &
Select
Services
(cont.)
Common Errors on Health
Exams, Screens & Select
Services (cont’d)
ERROR:
Counting only 6th grade for Scoliosis
screenings when mandated for Grades 6 & 7.
CORRECT:
If a student had his/her scoliosis screening
done by a private provider during the 6th
grade physical, it gets counted.
Health Exams,
Screens, &
Select
Services
(cont.)
The sum of
A, B & C do
not match
#13 and 14.
Common Errors on Health
Exams, Screens & Select
Services (cont’d)
ERROR:
Number 13 & 14, respectively, match the sum
of the at-risk categories A, B, and C
CORRECT:
13 and 14 – Should be the total number of
students screened with BMI-for-age percentile


A, B, and C: Total number of students in each of the
at-risk categories
Students in healthy ranges are automatically
calculated by the computer
These 3
numbers
must
match
Common Errors on Health
Exams, Screens & Select
Services (cont’d)
ERROR:
Nature, Time and Location of Injury
categories don’t match
CORRECT:
Nature, Time and Location of Injury
categories have the same total
The numbers
in the Other,
Doses by
Individual or
Standing
Order, should
be low.
These fields
should only
include
medications
that do NOT
fall into the
other nine (9)
categories.
Data Entry Errors


Small errors in data make large errors
in percentages.
When data is widely variable it is not
considered to be valid.
Data Entry Errors


Everyone needs to keep their tally sheet, no
matter how you keep track of your numbers.
(BMI for age percentile groups; diabetics,
procedures, etc.)
When you have collected your numbers you
should calculate your percentages. (i.e. What
percentage of your student population is
obese? What percentage of your student
population has a diagnosis of asthma? etc.
School Districts Providing Services for
Private/Non-Public Schools


If the Private/Non-Public school asks for
school health services the Public school must
provide these services.
28 PA Code § 23.51. Children to be
provided nursing services. A child in
private, parochial and public schools shall be
provided with school nurse services in the
school which the child attends.
School Districts Providing Services for
Private/Non-Public Schools
SERVICE
Medical Examination
Dental Examination
K or 1
2
3
4
5
X
6
7
8
9
10
X
X
X
11
12
X
Special
Education
As Needed
X
As Needed
Growth Screen
X
X
X
X
X
X
X
X
X
X
X
X
X
Vision Screen
X
X
X
X
X
X
X
X
X
X
X
X
X
Hearing Screen
X
X
X
X
X
Scoliosis Screen
Tuberculin Test (unless
approved to
discontinue)
X
As Needed
X
X
X
Age Appropriate
X
X
X
X
X
X
X
X
X
X
X
X
X
Maintenance of
Health Record
X
X
X
X
X
X
X
X
X
X
X
X
X
Immunization
Assessment
X
X
X
X
X
X
X
X
X
X
X
X
X
School Nurse Services
School Districts Providing Services for
Private/Non-Public Schools

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Provide school nurse services
Review of health care needs
including IHPs and emergency
plans as needed
School Districts Reporting Data
for Private/Non-Public Schools

If the school district is providing school
health services to private/non-public

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ADMs included on Annual Health Report
Also include data for:

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Health exams, screens and select services
Chronic diseases
Serious School Injuries
Medication Administration
Transfer of Health Records



24 P.S. Section 14-1409. Confidentiality,
transference and removal of health records
“… the district or school wherein the child is newly
enrolled shall request and the district or school where
the child previously attended shall surrender the
health record of the child.”
“…shall not destroy a child’s health record for a
period of at least two years after the child ceases to
be enrolled,…”
Maintenance of Health
Records


Pennsylvania Code, Section 23.55, Health
Services
Maintenance of health records
 “Health records shall be maintained for each child.
These records shall be kept in the school building
where the child attends school and shall be
available to the school nurse at all times. Records
shall be transferred with the child when he moves
from one school to another or from one district to
another.”
Proposed Amendments to
Chapter 27 Regulations



Communicable and Non-Communicable
Disease Regulations
DOH proposed revisions near
completion
To be published in PA Bulletin for
comment

www.pabulletin.com
Medication Issues


Do school nurses need a doctor’s order
to administer over-the-counter
medications to students?
SBN regulation @ 49 PA Code
§ 21.14. Administration of drugs.

(a) A licensed registered nurse may administer a
drug ordered for a patient in the dosage and
manner prescribed.
Medication Issues



Who can administer tylenol?
Nurses can, when a licensed provider,
authorized to prescribe, has written a
prescription.
Dental Hygienists have no such
authority.
Medication Issues


Securing medications? Is it necessary?
“The Controlled Substance, Drug, Device and
Cosmetic Act” Act of 1972, P.L. 233, No. 64
Definition of practitioner’s includes nurses
 Section 11. Professional Prescription,
Administration, and Dispensing.
 Section 12. Records of Distribution of
Controlled Substances

Medication Issues

28 PA Code § 25.61. General
provisions.

(a) Persons maintaining stocks or having
controlled substances in production areas
or on hand for distribution shall provide
effective controls and procedures to guard
against theft and diversion of the
substances.
Medication Issues

28 Pa Code § 25.63. Security
controls for practitioners and
research personnel.

(b) Controlled substances listed in
Schedules II, III, IV and V shall be stored
in substantially constructed, securely
locked cabinets.
Medication Issues


This is why we count narcotics with
another nurse and sign off for the
process in most health care facilities
where nurses work.
Some accountability needs to be
established in the school environment
as well.
Medication Issues




All medication in schools are personal
property for which the school nurse is
responsible
All medications are substances that can be
abused and may be injurious if not taken as
ordered or if taken by someone other than
the person for whom it has been ordered.
Recommendation: ALL medications should be
stored in locked space.
Should have a method of accounting for
access to these medications.
Delegation


Administration of an Epipen in an
emergency by anyone trained to use
one = emergency first aid and does not
require professional nursing skill
The nurse may train an unlicensed
person in how to respond using an
Epipen.
This Does Not = Delegation
Defining Delegation

In PA, professional nurse law does not
provide for delegation of nursing
functions to unlicensed individuals.
CSPG’s – Certification Staffing and
Policy Guidelines


Located at PA Dept. of Education
website @ www.pde.state.pa.us
In search box, type in CSPG #



80 - School Nurse
95 – Principal
101 - Paraprofessional
CSPG 95 - Principal

Certification Assignment:

An educator holding a valid PA certificate
as a K12 Principal is qualified to perform
the following:

Supervision and direction of certified and noncertified staff persons required for school
operation exclusive of directing health services
controlled by the Nurse Practice Act.
CSPG 101 - Paraprofessional

Utilization of Paraprofessional Staff

#7. Paraprofessionals serving as health
room aides or other non-professional
school district employees shall not be
directed to engage in health-related
activities reserved exclusively for licensed
professionals and controlled by the Nurse
Practice Act or other medically related
laws.
Homeschooled Students

PA Public School Code of 1949, Section
1327.1 states these students must
have:


Evidence of Immunizations in accordance
with Article XIV 1303 (a)
Evidence of Health and Medical services
required for students of the child’s age or
grade level per Article XIV.
Homeschooled Students


According to PDE’s Basic Education Circular
(BEC) on home schooled children, the school
must have evidence of the immunizations and
health and medical services.
According to the affadavit form available as
part of the BEC, the affadavit is to include
attached evidence.
Child Protection Law

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School Nurses are mandated reporters
Who to call: Childline (1-800-932-0313)
and local Child Protective Services
Child may be interviewed at school
without parent notification
Documentation of suspected abuse
Child Abuse Reporting Law
Act 179 of 2006



Reporting of child abuse committed by
any person
Reporting is required by any person
affiliated with an institution, etc, who
has the child under it’s care
Verbal reports are made to Child Line
and F/U with a written report
SCAN


“The SCAN Program provides excellent
presentations and abundant resources. We
need to get this clinical program out to all
school nurses.” Barbara Zimmerman, DNSc,
RN, Nurse Educator Chair, PASNAP Board of
Directors
Suspect Child Abuse?

Call 1-800-932-0313
STEPs
[email protected]
http://www.stepstoahealthierluzernecounty.org/
http://www.stepstoahealthierfayettecounty.org/
http://www.tiogasteps.com/
Transition plan for Special
Education Students


Should include a health component
Transition Health Care Checklist is
available online:


www.health.state.pa.us/transitionchecklist
Workshops and Trainings available through
PaTTAN (PA Training and Technical Assistance
Network) Online Registration:

www.pattan.net
http://www.dsf.health.state.pa.us/health/cwp/view.asp?q=243876
Transition areas to Consider

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Communication
Transportation
Financial & Legal Concerns
HIPAA/ COBRA
SSI/SSDI/Medicare/Medicaid/CHIP
Health & Medication Insurance
Assistive Technology
Transition
Medical Home



Term defined by the American Academy of
Pediatrics (AAP) and The Academy of Family
Physicians (PAFP)
An approach to providing comprehensive
health services in a high-quality and costeffective manner
Provides considerations for all adolescents,
especially those with special needs, when
transitioning from schools to adulthood
All-Hazard Planning for
Schools



Title 35, states that all public-funded schools
shall develop and implement emergency
preparedness plans…
Subcommittee of PA Safe School Statewide
Advisory Committee
PEMA, Dept. of Education, Dept. of Health,
Attorney General’s Office, State Police,
representatives from IUs and school districts
All-Hazard Planning for
Schools




Develop “all-hazards” toolkit to assist schools
in their planning efforts through general
policy guidance and checklists for specific
hazards
Follow National Incident Management
Systems (NIMS) model
To be Introduced at Safe Schools Conference
May 2008
Released to schools August 2008
Continuing Education
Requirement for RN’s



June 29, 2006 Act 58 of 2006 (SB 235) was
signed into law.
Requires 30 hours of Board approved
continuing education (CE) in each two year
license period for Registered Nurses in
Pennsylvania
PA State Board of Nursing is in the process of
developing CE regulations for the Registered
Nurses.
Continuing Ed. (cont)



Effective date of CE requirement has
yet to be determined
PDE Certified School Nurses may use
their Act 48 CEs to complete the RN
licensure CE requirement
www.dos.state.pa.us/nurse
LMS –
Learning Management System




School track has been added
Now offers on-line courses for school
nurses and Act 48 hours through the
Div. of School Health
58 hours available in 26 courses
665 school personnel signed up
LMS (cont.)


To become a registered user:
www.health.state.pa.us


Send an email to [email protected] and
provide your name, email address, phone
number and job title or description
http://key.emsed.com/login.asp
Topics under LMS for CE



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Assessment I & II
 Exam, Documentation,
Clinical Decision Making
Bioterrorism & Infections
 SARS, MRSA, WMD
Management I & II
 Asthma, Seizure, N&V,
Allergic Reaction, D.M.,
Obesity, Hypoglycemia
Environmental Trauma
 Hypothermia, Animal
Bites

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NIMS – National Incident
Management System
The role of School Nurses in
Wellness
Disaster Nursing
Orthopedic Trauma
Drug Abuse
Trauma I & II
Grant Writing
Multi-Hazard Emergency
Planning for School Nurses
Training

Disaster Preparedness Training for
School Nurses

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April 25, 2008- BLaST IU 17, Williamsport
May 5, 2008- Safe School Conference,
Harrisburg
June 19, 2008- Lincoln IU 12, New Oxford
PA Annual Safe Schools Conference

May 5-7, 2008- Harrisburg
Training

Keystone Health Promotion Conference


June 17-19, 2008- Lebanon Valley College,
Annville
School Health Updates


April 29, 2008- Southcentral- Capitol Area
IU, Summerdale
May 1, 2008- Southwest- PaTTAN
Pittsburgh
School Nurse Induction
Program




PA Code- Ch. 49 Certification of
Professional Personnel, Section 49.16
http://www.pacode.com/secure/data/02
2/chapter49/s49.16.html
Plan for the induction of first year
teachers… and educational specialists
Historically, geared only toward
teachers
School Nurse Induction
Program
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Developed and piloted by York County
School Nurses
Based on Charlotte Danielson’s model
for teachers
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Enhancing Professional Practice: A
Framework for Teaching
School Nurse Induction
Program
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Subjects Covered:
 School Nursing Practice: Roles and
Responsibilities
 Medications, Immunizations & Special
Education Issues
 How to Begin: Preparing for Opening Day
 Communicating with Families and School
Personnel
 Individualized Student Medical Plans of
Care
School Nurse Induction
Program
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Subjects covered (cont.):
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State Reporting
School Screening Programs
Communicable Diseases
Resources and Budgeting
End of the Year Organization
Legal Issues & Professional Accountability
School Health Web page
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Data/reports from Annual Report Database
Laws and Regulations
Policies and Procedures
Manuals, Guidelines and Forms
Training opportunities, Grants and Funding
Information on Current and Future Health Issues
What’s New
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www.health.state.pa.us/schoolhealth
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Resources
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Healthy Schools Campaign
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Kids Health in the Classroom
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www.healthyschoolscampaign.org
Quick & Easy Guide to Green Cleaning in Schools
Quick & Easy Guide to School Wellness
http://classroom.kidshealth.org/
National Health Information Center
http://www.healthfinder.gov/library/nho/nho.
asp#m4
Resources
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Parent Education & Advocacy Leadership
Center
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Game On! The Ultimate Wellness Challenge
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http://www.pealcenter.org/
http://actionforhealthykids.org/gotuwc/index.php
PSAHPERD- Minutes in Motion School
Challenge
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www.psahperd.org
Pennsylvania Advocates for
Nutrition and Activity (PANA)
A resource to support schools in meeting
school health requirements
 Web site: www.panaonline.org
 Email: [email protected]
 Phone: 717-948-6315
PANA
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Pediatric Energy Balance Program
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For pediatricians and family practice
physicians
Provide 1 hour of training
Clinical guidelines for prevention,
treatment and management of childhood
obesity
Patient education
Network
PANA
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Pediatric Energy Balance Program
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Partners the physician with a community
organization
Pilot this summer in Harrisburg and
Hershey
National Assembly on SchoolBased Health Care- PA Chapter
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Currently trying to re-establish PA
Chapter
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Updated list of school-based health centers
Applying to national organization for
recognition as a state affiliate
Contact: Ann Duerst [email protected]
English as Second Language
(ESL) Considerations
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Requirement of “No Child Left Behind”
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Medical forms available : exam forms,
asthma/action plans, parent/guardian
screening notifications, health history, etc
Translated into 20 most common
languages in PA
Transact – Contract through PDE
www.transact.com
Legislative Items
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Web site: www.legis.state.pa.us
Search for bill status with H.B. or S.B. and the
number
Search for bills by subject – School Health or
Registered Nurses
Who may donate blood?

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16 year olds may donate blood with
parent permission
17 year olds may donate blood on their
own signature
Per Act 63 of 2007 signed into law
November 20, 2007 [HB 191 of 2007].
In a voluntary and non compensatory
blood collection program.
Pending Legislation affecting
Schools or School Nurses
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S.B. 456 Amend 1949 Code. Requires CPR Training
for school nurses
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S.B. 753 – School lunch and breakfast funding/School
Nutrition Incentive Prog.
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Referred to Education committee 3/14/07
Referred to Education committee 04/10/07
H.B. 2090 – School Nurse Task Force which is being
asked to study the feasibility of lowering the current
ratio of 1,500 students to 1 nurse
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To be known as “Every Child Needs a School Nurse ACT”
Referred to Education committee 12/05/07
Additional Pending Legislation
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S.B. 509 – Amend 1949 Code. Training of
School employees in Diabetes Care
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Referred to Education committee 03/19/07
H.B. 2002 – Amend 1949 Code. Training of
School employees on Diabetes Care
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Referred to Education committee on 11/2/07
Additional Pending Legislation
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SB 1312
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Introduced by Senator Vance on March 14,
2008,
Increase DOH school nurse reimbursement
from $7.00 to $12.00 per ADM
(approximately $10 million increase)
Federal Legislation
“Healthy High Performance Schools”
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Part of “Energy Independence and
Security Act of 2007” signed by
President Bush 12/19/07
To locate specifics: Search Bill: H.R. 6
ENR; Scroll down to Subtitle E :
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Healthy High Performance Schools
HHPS -
“Healthy High Performance Schools”
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For the first time HHPS directs EPA to
promote healthy school environments by
working with state agencies, by creating
federal guidelines for the siting of schools and
by developing model guidelines for children’s
environmental health in schools.
Appropriations of $10m over five years are
authorized with additional $1m over five
years for a comprehensive study
HAPPY SCHOOL NURSE’S
DAY May 7, 2008