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School nurse practices and recommendations for vision screening in Washington state

School nurse practices and recommendations for vision screening in Washington state. Vivian Lyons. Survey. 17 Question survey, created by OSPI, WA BOH, and WA DOH Distributed to school nurses via the SNOW list- serv and OSPI School Nurse Corps Nurse Administration. SNOW membership – 516

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School nurse practices and recommendations for vision screening in Washington state

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  1. School nurse practices and recommendations for vision screening in Washington state Vivian Lyons

  2. Survey • 17 Question survey, created by OSPI, WA BOH, and WA DOH • Distributed to school nurses via the SNOW list-serv and OSPI School Nurse Corps Nurse Administration. • SNOW membership – 516 • Survey responders – 519

  3. Who you are • 92.44% RN • 2.46% ARNP • 1.1% LPN • 2.5% Certificate or Diploma • 1.5% Other

  4. Degrees Held

  5. Where you work

  6. How Much do you work?

  7. Experience

  8. Caseload

  9. How soon are children rescreened?

  10. Grades Screened

  11. Who Completes the initial screening?

  12. Who rescreens?

  13. Other screening? • 3.5% screen students for color vision on an annual basis • 10% include near vision • 0.8% include depth perception • 7.9% include tracking • 5.4% include convergence • 3.7% include asymmetry • 4% include light reflex • 4.9% include cover/uncover • 73% of you only screen for distance, even for a student referred to special education

  14. What tests do you use

  15. Challenges and Changes • Challenges (52% responded) • Changes (43% responded)

  16. Analysis • Questions were voluntary – low response rate for the open-ended questions • Response variety • No statistical significance testing • Anonymous responses

  17. Years Education vs. Years Experience and challenges

  18. Years Experience and Requests

  19. FTE and challenges

  20. rescreening

  21. Conclusions • School Nurses are overworked! • Vision screening is not the choke point – there is a need overall for more support and caseload balance.

  22. Recommendations • Eliminate the requirement to rescreen before a referral if a registered RN conducted the first screening. • Change the test used from Snellen to “current best practices as defined by the American Optometric Association” with an option to include other approved tests if the recommended test does not fit the student needs. • Require the state to increase funding when it increases mandates. • Provide more vouchers for glasses.

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