Basic Training for the New School Nurse Coordinator Part II

1. Basic Training for the NewSchool Nurse Coordinator Part II Belinda Cameron BSN, RN, NCSN Kathy Whitby BSN, RN, NCSN

2. Objectives • The participant will consider their vision for their health services and their time management. • The participant will be able to compare electronic health record and traditional paper documentation in school health services. • The participant will be able to implement strategies for having courageous conversations and work with difficult people. • The participant will be able to compare different evaluation and peer review strategies and tools • The participant will be able to demonstrate effective interview techniques. • The participant will be able to recall resources that will benefit new school nurse coordinators.

3. Do you have a Vision ?Not your school system’s , but yours… for Health ServicesYour Vision is your Focus and your Drive for best time management Objective 1

4. from Leadership Roles and Management Functions in Nursing, by Marquis & Huston • Vision: statement describing future goals of an organization. The Alliance for Non-profit Management states if a strategic plan is the “blueprint” for work, then a vision is “the artist rendering” of the achievement. It is the picture in words of what the group wants to accomplish. • Mission: brief statement identifying the reason an organization exists. Identifies the organization’s constituency and its position regarding ethics, principles, and standards of practice.

5. The School Nurse is pivotal to connecting the student to resources inside and outside the community. School Nursing; A Comprehensive Text, Selekman School Nurses ensure that students are in school, in class, and ready to learn. NASN

6. Vision Statements

7. Examples: • National Association of School Nurses • Mission: The National Association of School Nurses (NASN) advances the specialty practice of school nursing to improve the health and academic success of all students. • Vision: NASN is the indispensable resource to the global health community. • Core Goal: Every child has a school nurse, all day, every day.Core Values: • Scholarship - NASN believes in continuous, critical exploration and utilization of knowledge. Excellence - NASN exhibits high quality service, products, standards and practice.Integrity - NASN values ethical, fair, and honest relationships.Collegiality - NASN promotes respectful, accountable and responsible community and professional partnerships.Diversity - NASN embraces a diverse membership and acknowledges that each member is inherently valuable and brings unique perspective and contribution to its mission.Collaboration - NASN values collaboration with diverse groups to advance common goals.

8. Examples • Vision Statement • King George County Schools will provide the highest quality educationwhereby each student will emerge as a life-long learner, a competentand responsible citizen, and a competitive contributor to a global society. Mission Statement • The mission of King George County Schools is to prepare our studentsto be valuable contributors to society by providing the highest quality • education that will engage and challenge our students by transformingthem into life-long learners. The students will develop the knowledge and skills necessary to become active participants in society and face the challenges of the future.

9. Examples • Vision Statement • Alexandria City Public Schools will set the international standard for educational excellence, where all students achieve their potential and actively contribute to our local and global communities. • The mission statement :Alexandria City Public Schools will provide the environment, resources, and commitment to ensure that each and every student succeeds — academically, emotionally, physically, and socially.The mission statement that we have for School Health Services is:The mission of the School Health Services Program is to integrate health services within the school and community to promote the academic, emotional, physical, and social well-being of all ACPS students.

10. Get Moving!!! The view is worth it!!!

11. Get Moving • Tia’s Coordinator calendar • Attend Tia’s Nurse Coordinator meetings. • Good networking opportunities. • Vital information of legislative and practice changes. • Modify to your school system and practices of your schools • Review your job description & duties • Plug duties/actions in to your school calendar • Join VASN and attend VASN Fall Conference! • November 2014 VASN 30th Annual Fall Conference, Williamsburg

12. Prioritize • Hospital nursing operates on shifts, School Nursing operates annually • Is your position 10 months, 11 months, 12 months • Do you also have clinic responsibilities? • Do you manage other departments? • Administrative needs are 12 months and somewhat predictable, so they can be managed with 10 or 12 month personnel

13. Be Flexible • The Nursing Process is key: • http://en.wikipedia.org/wiki/Nursing_process • Collect Data, Make a Plan, Implement, Evaluate, Implement Change to ensure success • Involve your staff • Don’t make too many changes in one year.

14. Nuts & Bolts Objective 2 • Documentation— • What does your school system currently use? • Traditional paper records • Electronic records --http://www.nasn.org/PolicyAdvocacy/PositionPapersandReports/NASNIssueBriefsFullView/tabid/445/ArticleId/75/Health-Records-School-2004 • Health Office --http://www.healthmaster.com/ • SNAP--http://www.promedsoftware.com/ • http://curatx.com/Products/School-Nurse-EHR.aspx • Your school systems data base program such as: • Power School • Synergy • Others? • Other specific clinic documentation programs? • What are some concerns • http://www.doe.virginia.gov/support/technology/info_briefs/preserving_paper_records.pdf

15. Other considerations….. • What additional forms of documentation/communication do your nurses use? • Phone calls,email, text, notes, personal notes, communication logs, student agendas • How do you monitor their documentation and record keeping? • Electronic monitoring • Consider Peer Reviews • Consider using your float nurses • Consider Personal Reviews/checklists

16. Speaking the right language • In the educational world we have to speak their language. • SOL’s, AYP, AMD, etc • What’s in it for THEM? • Documentation is the primary way to collect data that will show that school nursing makes a huge impact on the academic success of our students. • We know this but we have to prove it. • Present data to multiple audiences • Teachers and instructional staff • Principals and Administrators • School Board

17. Courageous ConversationsObjective 3

18. Courageous Conversations • Things to consider • The setting • The timing • The most important part of the message • The nursing process --http://nursingworld.org/EspeciallyForYou/What-is-Nursing/Tools-You-Need/Thenursingprocess.html • Assessment • collect data, be specific • Diagnosis • What’s the real problem • Planning/Outcome • What’s the needed change? What’s the goal? • Implementation • What’s the plan? How will it be implemented? • Evaluation • When and how will the effectiveness of the change be measured and reported?

19. Your turn………..

20. Divide into pairs • Practice the following scenarios: • Discuss with an UAP that they are operating outside their scope of practice. • Discuss with a nurse a complaint from a parent that they did not perform a thorough assessment on a child. The child had a broken wrist that was not noted by the nurse. • Discuss with a nurse that their clinic is not organized and their records are not complete.

21. Working with difficult people: Objective 3: The participant will be able to implement strategies for having courageous conversations and work with difficult people.

22. Working with difficult people • Get to the root of the problem • What makes them difficult to work with? • Attitude? • Personality? • Beliefs? • Work habits or work ethic? • Personal hygiene? • Communication style? • Diarrhea of the mouth? • Mums the word? • What can you do or change within yourself ?

23. Examples • http://content.opportunityknocks.org/2011/08/09/smart-tips-for-working-with-difficult-people/ • http://lensonlifecoaching.com/7-tips-for-working-with-difficult-people • http://women.webmd.com/features/difficult-people?page=3&bookmark=true

24. Your turn…with a different partner • Discuss how you would handle a nurse that is a “know it all”. The principal at her school has called you numerous times and reports that “none of the teachers like her.” • Discuss how you would handle a well meaning older school nurse that is “great with students” but she refuses to use the counties electronic documentation. • Discuss how you would handle a “blamer” nothing is ever their fault… • Discuss how you would handle a “negative Nancy”

25. Evaluations Objective 4: The participant will be able to compare different evaluation and peer review strategies and tools

26. Evaluations:

27. More Nuts & Bolts • Evaluations: • Who does the nurse coordinators? • Are you responsible for your nurses or is the principal ? • Can you collaborate? • Different types • Performance Evaluations • Peer Review • Self Evaluations • Documentation Review • Records Review • Statistic Review

28. Considerations in doing Observations and Professional Practice Evaluations • How many sites do you have? • How many visits would be practical? • How many meetings could you have with the group? • What sort of check lists or reviews could the nurses submit to you? • What evaluations does your county have in place? • Who does them…. administrators? • Are you allowed to add checklists or observations from health services?

29. Examples: • SNIP • https://www.wcs.k12.va.us/documents/forms/pdfs/gdn8.pdf • http://www.uintah.net/districtoffice/hrdocs/Evaluations/School%20Nurse%20Evaluation%20Form.pdf • Stafford County Schools

30. Interviewing Objective 5: The participant will be able to demonstrate effective interview techniques.

31. Interviewing

32. Asking the right questions • What questions can you legally ask? • What answers should be red flags? • What references can tell you • Interview styles or types? • One on one • Group • Panel

33. Examples • http://jobsearch.about.com/od/interviewquestionsanswers/a/interviewquest.htm • http://jobsearch.about.com/od/interviewquestionsanswers/a/nurse-interview-answers.htm • YOUR TURN WITH A NEW PARTNER: Pick two of the scenarios and practice with each other.

34. Think Outside the Box • Screenings: GET HELP!!! • Nursing students (high school, CAN, LPN) • Lyons Club • Trained Volunteers • Partner with other health professionals in your system (PT, OT, Speech) • Adopt a Classroom / Adopt a Clinic • Delegate

35. You May or May Not be able to do it All….. • Plan realistically for a year…month by month • How much “Hands On” appeals to you • Prioritize • Delegate • Let go of what you have too • Re-evaluate at the end of the year • Implement change and adjust your calendar

36. Areas of Practice to Consider and Plan • Budget • Evaluations, Peer Reviews • Supplies and Ordering • Crisis Management • Professional Development • Clinic Management and Documentation • Orientation of New Staff • Community Partnerships • Health Screening • Reporting and Statistics

37. Net Work Support within your School System and Community • School Health Advisory • Indoor Air Quality • Administrators/Principals/Special Ed. Designees Meetings • Head Start Health Advisory • Crisis Teams • Administrative Assistants meetings • Health Department • Schools of Nursing • Community Multicultural Committees • Hospitals • Medical Practices Groups • Drug Stores(CVS, Rite Aid) • Pregnancy Prevention/Adoption Centers

38. Community Partners and Health Screenings • Collaborative teaming with other health professionals and coordinators in your area • School system collaborations (indoor air quality, Safety and security, Special Programs) • Hospital or Nursing Schools Partnerships • Mass Screenings vs Individual school screenings • Using nursing students • Using volunteers from PTA • Searching out the “Mom” RN’s in your area • Lyons club, PMD partnerships, Schools of nursing

39. Reports and Statistics • State level for VDOE and VDH • OSHA • County level • Health Services • Chronic Disease • 911 • Office Visits • IHCP’s • Medication Administration • Treatment Administration • Dental

40. Resources Objective 6: The participant will be able to recall resources that will benefit new school nurse coordinators.

41. References • NASN Position Statements and Issue Briefs • Scope and Standards of Practice, NASN • School Nursing: A comprehensive Test, Selekman • The Truth about Managing People, Robbins • Manual of School Health Lewis and Bear • How Good People Make Tough Choices, Kidder • 1001 Ways to Reward Employees Nelson • Leadership Roles and Mangement Functions in Nursing, Lippencott • School Nurse Resource Manual, School Health Alert • School Nurses Survival Guide, Adams • http://www.doe.virginia.gov/support/technology/info_briefs/mgmt_stu_ed_records.pdf • http://www.schoolnurse.com/public/department41.cfm • http://www.nmschoolhealthmanual.org/shm_01.pdf

42. And most important KEEP SMILING!