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School Nurse Case Management: The Importance of Process and Outcomes

School Nurse Case Management: The Importance of Process and Outcomes. Maria M. Bonaiuto, RN,MSN,NCSN Mecklenburg County Health Department 249 Billingsley Road Charlotte, NC 28211 mbonaiuto@carolinas.org 704-336-4707. School Nurse Panel. Mary Cappleman, RN, MPH, NCSN Glenna Cook, RN, MPH

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School Nurse Case Management: The Importance of Process and Outcomes

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  1. School Nurse Case Management:The Importance of Process and Outcomes Maria M. Bonaiuto, RN,MSN,NCSN Mecklenburg County Health Department 249 Billingsley Road Charlotte, NC 28211 mbonaiuto@carolinas.org 704-336-4707

  2. School Nurse Panel Mary Cappleman, RN, MPH, NCSN Glenna Cook, RN, MPH Dixie Furr RN, BSN, NCSN Denise McIlwain, RN, BSN

  3. Lillian Wald 1867-1940

  4. Mecklenburg County School Nurses:Our Place in History

  5. Who Should be Case Managed? Students who have: • Multiple complex interactions with the nurse • Chronic health conditions (poorly controlled) • Academic concerns, with a health component • Health or behavior issues that impede learning • Multiple absences • A goal for improving health or other related criteria that effect learning

  6. Improved Quality of Life….what is it ? • Increased participation in activities, sports • Improved nutrition, healthy weight • Improved relationships, acceptance by others • Decreased anxiety, depression • Decreased tobacco use, substance use • Decreased risk taking behaviors • Self report of increased well being • Improved score on a formal Q of L Tool

  7. Steps to Case Management • Select students, using established criteria • Set goals with student, family, school, provider (SMART goals) • Document baseline • Identify strengths, needs, stakeholders, and resources • Implement strategies • Monitor, evaluate, repeat • Document outcomes • Celebrate!!!

  8. SMART Goals • Specific • Measurable • Attainable • Realistic • Time related

  9. Documentation of OutcomesPart of the Individual Student Health Record Goal in one or more areas:

  10. Outcomes of Nursing Case Management

  11. School Nurse Case Managementand YOU

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