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Shirley Schantz, EdD, ARNP, RN Director of Nursing Education

Healthy Environments + Healthy Children = Success - How School Nurses Help the Cause. Shirley Schantz, EdD, ARNP, RN Director of Nursing Education. sschantz@nasn.org.

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Shirley Schantz, EdD, ARNP, RN Director of Nursing Education

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  1. Healthy Environments + Healthy Children = Success - How School NursesHelp the Cause Shirley Schantz, EdD, ARNP, RN Director of Nursing Education sschantz@nasn.org

  2. I disclose the absence of personal financial relationships with commercial interests relevant to this educational activity within the past 12 months.

  3. Every child deserves a school nurse all day, every day Mission: Advance School Nursing Practice to keep students healthy, safe and ready to learn. Values: Child Well-being  Diversity Ethics Excellence Innovation Integrity Leadership Scholarship

  4. Over 16,000 members – and growing! • Evidence Based Professional Development • Annual Conference • Live Educational Programs • Online Continuing Education • Publications • Journal of School Nursing • NASN School Nurse • Books – Clinical, Practice & Inspirational Providing Member Services

  5. NASN Radio  Position Papers and Reports  Press Releases RSS Feeds on NASN.org NASN's 46thAnnual Conference June 28 – July 1, 2014 San Antonio, TX NASN Media Reach www.nasn.org

  6. Chronic Disease Care • Asthma, Life-Threatening Allergies • Diabetes • Obesity Related Diseases • First Aid and Injury Care /Disaster Preparedness • Communicable Disease Care and Control • Preventive Services • Immunizations • Health Screenings • Vision/Hearing School Nurse Role – Care Coordination

  7. School Nurse Role • School nursing is a specialized practice of professional nursing that advances the well-being, academic success and lifelong achievement and health of students. 98% (50 million) children spend their days in school 75.1% of schools have a school nurse

  8. 1. Respond to individual student needs - Identify resources/tools and referrals for children and parents/guardians • On a population level • Provide education and resources/promote a culture of health in schools • Promote / advocate for healthy lifestyles for all students • Promote policies that increase access to healthful foods and daily physical activity School nurses reach a large number of diverse youth

  9. Supporting Education, Advancing Student Health http://www.nasn.org/PolicyAdvocacy "School nurses play a vital role in making sure children are healthy and ready to learn." ~ Arne Duncan, Secretary, U.S. Department of Education The Case For School Nursing

  10. Asthma Online Tool Kit - provides resources for school nurses caring for students with asthma at school http://www.nasn.org/ToolsResources/Asthma • Managing Asthma Triggers - Managing Asthma Triggers promotes the school nurse role in promoting a healthy learning environment. • Online continuing education • Live program • Position Statement - Environmental Health in the School Setting:  The Role of the School Nurse http://www.nasn.org/Portals/0/positions/2014psenvironmental.pdf NASN Asthma Resources

  11. Managing Asthma Triggers (MAT) This program discusses the school nurse role in promoting a healthy learning environment through improving Indoor Air Quality and increasing awareness of potential asthma triggers within the school environment to reduce asthma episodes (Online and live)  Modules that discuss asthma triggers information for:  administration  parents  students  other school staff  resources [EPA Tools for Schools]

  12. Action Learning-- MAT Training connects The Frameworks for Effective School IAQ Management and The System for Delivering Asthma Care http://www.nasn.org/Portals/0/education/flyermat.pdf

  13. Over 1200 nurses trained in Years 1-3 • Over 5900 school nurses trained in 10 years • 75% nurses applied some part of the MAT III curriculum after training • Nurses reported increased involvement in a number of areas, with the most frequent being implementing and enforcing existing policies. • Performing a needs assessment to determine policy scope Managing Asthma Triggers III Survey of MAT participants

  14. 56% stated they had educated staff and students • 60% of schools took some kind of action to improve IAQ post-MATIII training. • Other areas included the health office, food service, and pest management Managing Asthma Triggers III Survey of MAT participants

  15. After MAT training there were fewer asthma episodes. It went from 27% with 1-2 episodes a month to 40%. Telling Your Story: It’s what advocacy is all about. Real Life Stories

  16. Changing maintenance procedures, such as not mowing while students are at recess • Implementing no idle rules for school drop off and pick up • Removing artificial air fresheners • Conducting walkthroughs and identifying facilities improvements, such as removal of moldy carpet and leaking roofs • After the training for teachers and staff and a walk through evaluation, we determined that we needed a new cleaning staff and major repairs were made - removing moldy carpet, etc. School Nurse first person stories

  17. “We have been able to instruct school staff on importance of disinfecting with wipes instead of spraying Lysol while students are in school. We have also stressed use of a weak, 1:10 bleach product solution - we were able to stress that bleach product did not have to be stronger to be effective.” • “Revising cleaning processes such as proper ratios of bleach product to water, abandoning use of aerosols.” School Nurse first person stories

  18. Knowledge of Best Practices

  19. “[I] had a student who started with asthma episodes at school daily when she would go up the stairs to her classroom. After this class I further investigated upstairs and found air fresheners in the hall wry she had to pass. Once removed and after the weekend she did not have asthma episode.” School Nurse first person stories

  20. Removing artificial air fresheners • Conducting walkthroughs and identifying facilities improvements, such as removal of moldy carpet and leaking roofs School Nurse first person stories

  21. Knowledge of Best Practices

  22. “We had perfumed bathroom deodorizers in all the bathrooms. Because of one very sensitive staff member the scents and sprays were removed from the bathroom they used. All of the student bathrooms had all scents removed. Everyone is healthier.” School Nurse first person stories

  23. National EPA Resources • Asthma Community Network.org: www.acn.org • IAQ Tools for Schools Guidance: www.epa.gov/iaq/schools • IAQ Tools for Schools Connector E-Newsletters and Emails: IAQTfSConnector@cadmusgroup.com • IAQ Tools for Schools Webinar Resources • www.epa.gov/iaq/schools/webconferences.htm http://www.epa.gov/iaq/schools/shields.html

  24. http://www.asthmacommunitynetwork.org/

  25. Every parent, student and teacher deserves a School Nurse

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