Professional Standards of Practice for School Nurses. LEVEL OF PERFORMANCE Unsatisfactory Basic Proficient Distinguished

Transcription

1 DOMAIN 1: Planning and Preparation 1a: Demonstrating Knowledge of Nursing Standards and Practices Applies current nursing practices Relates nursing knowledge to students, parents and staff Serves as health resource person to students and staff Nurse displays little understanding of medical conditions and of the effect such medical conditions could have on classroom learning or behaviors. Professional Standards of Practice for School Nurses Nurse demonstrates an Nurse demonstrates solid understanding of medical understanding of medical conditions but does not problems and their effect on extend to connections of classroom learning and social classroom learning or behaviors. Nurse s treatment student s lack of is based on current practices understanding regarding reflect current pedagogical medical problem. knowledge. Nurse displays nursing Nurse displays nursing knowledge but does not knowledge and keeps up keep up with current with current practices. practices. Nurse makes errors in practices and does not correct them. Nurse displays little understanding of prerequisite nursing knowledge important for others to understand medical conditions. Nurse displays little understanding of how medical conditions impact student learning. Nurse indicates some awareness of prerequisite nursing knowledge, although such knowledge provided may be incomplete or inaccurate. Nurse displays basic nursing knowledge but does not anticipate the effect the condition has in the classroom. Nurse s plans and practices reflect understanding of prerequisite relationships among medical conditions and learning situations. Nurses are aware of student s medical conditions and the possible classroom behavior that could arise from medical condition. Nurse s treatment is based on current practices, reflects current and extensive nursing and pedagogical knowledge. Nurse actively builds on knowledge of prerequisites and misconceptions when describing effects medical conditions have on classroom learning and behaviors. Nurse displays extensive nursing knowledge with evidence of continuing pursuit of such knowledge. Nurse s activity builds on knowledge of prerequisite medical conditions when explaining symptoms and possible classroom accommodation(s). Nurse is aware of all students medical conditions and makes teachers aware of any classroom needs the student may have related to his/her medical condition. 1

2 DOMAIN 1: Planning and Preparation 1b: Demonstrating Knowledge of Students Nurse demonstrates partial Nurse demonstrates thorough knowledge of students knowledge of students backgrounds, medical backgrounds, medical conditions and interests. conditions and interests. Nurse makes little or no attempt to acquire knowledge of students backgrounds, medical conditions or interests. Nurse demonstrates thorough knowledge of student backgrounds, medical conditions and interests, and when necessary, seeks additional information in order to plan individual or age group activities. Shows knowledge about characteristics of age group Shows knowledge about health related issues for age group Nurse displays minimal Nurse displays generally knowledge of accurate knowledge of characteristics of age developmental group. characteristics of age group. Nurse is unfamiliar with health related issues for age group. Nurse displays general understanding of health related issues for age group. Nurse displays thorough understanding of typical developmental characteristics of age group as well as exceptions to general patterns. Nurse displays solid understanding of health related issues for age group. Nurse displays knowledge of typical developmental characteristics of age group, exceptions to the patterns and the extent to which the student follows patterns. Nurse uses, where appropriate, knowledge of health related issues to age group when teaching individual students. 2

3 DOMAIN 1: Planning and Preparation 1c: Demonstrating Knowledge of Resources Nurse displays limited knowledge of school and community resources available for students/staff. Nurse is unaware of school resources available to students in need. Nurse is fully aware of school, District-wide, and community resources and knows how to go about accessing resources for students who need them. Nurse seeks out resources in the community and is aware of resources available District-wide and/or in the school and/or community for students who need them. Shows knowledge of school resources and programs Shows knowledge of community resources Shows knowledge of current research Nurse displays limited awareness of school resources and programs. Nurse is unaware of resources available in the school and programs. Nurse is unaware of resources available in the community. Nurse is unaware of current research. Nurse has limited awareness of resources outside the district. Nurse has limited knowledge of current research. Nurse is fully aware of school resources and programs and how to access them. Nurse is fully aware of community resources and how to access them. Nurse is aware of current research and uses it. Nurse seeks out and becomes familiar with school and Districtwide resources/programs and accesses and uses them accordingly. Nurse effectively seeks out and becomes familiar with resources in the community. Nurse seeks out current evidence-based research practices and is aware of how to use it and share knowledge with others. 3

4 DOMAIN 1: Planning and Preparation 1d: Designing Appropriate Health Services Basic health services are offered to students. The various services offered do not meet the needs of students and staff. Not only basic health services are offered but educational opportunities are planned and executed. Health services are offered, educational opportunities/activities are planned and input into what other services/clubs/activities is sought for students/staff. Demonstrates ongoing program planning Collaborates with the school administration, Department of Health and Department of Education Program planning consists of meeting state health requirements. No planning is demonstrated. No collaboration of health services is done. Collaboration of health services is planned with the building administrator. Program planning includes state health requirements, the District planned course of study, and screenings and classroom activities/discussions, as is appropriate. Collaboration of health services is planned with the District administrator, in accordance with the District planned course of study, and based upon PA Department of Health mandates. Program planning is comprehensive, including meeting state health mandates, the District planned course of study, curricular opportunities, and after-school health clubs/activities. Collaboration of health services is planned taking into consideration District needs and in accordance with the District planned course of study, PA Department of Health mandates and PA Department of Education guidelines. 4

5 DOMAIN 2: The Health Room Environment 2a: Creating an Environment of Respect and Rapport Between the Nurse and Students, their Families, and School Staff. Interactions are negative or in Interactions are generally Interactions reflect general Interactions are highly appropriate and characterized appropriate and free from warmth and caring and are respectfully, reflecting by sarcasm, put down, or conflict, but may be respectful of the cultural and genuine warmth and caring conflict. characterized by occasional developmental differences toward all individuals. displays of insensitivity. among all individuals. Promotes an environment of trust and dignity. Establishes rapport with students, their families and school staff. Demonstrates empathy. Nurse does not respect the Nurse is generally Nurse respects students Nurse is highly student s trust and dignity. respectful of some trust and dignity. sensitive to all student s trust and individual s needs in a dignity. trustful, dignified Nurse exhibits disrespect for students. Nurse interaction with some students is negative, demeaning, sarcastic or inappropriate remarks. Nurse exhibits minimal respect for students. Nurse and student interactions are generally appropriate. May reflect occasional inconsistencies, favoritism or disregard for student s culture. Nurse exhibits respect for students. Nurse and student interactions are friendly and demonstrate general warmth, caring and concern. manner. Nurse exhibits respect for all individuals. Nurse demonstrates friendliness as well as genuine warmth, caring and concern toward all individuals. 5

6 DOMAIN 2: The Health Room Environment 2b: Maintaining Required Health Documents. Documents are adequate, but Documents are accurately require monitoring to avoid maintained. error. Documents may be missing or are in disarray, resulting in errors and confusion. Documents are effectively and accurately maintained, demonstrating excellent organizational skills. Maintains health records. The nurse maintains health records in a secure location and demonstrates knowledge of applicable law. The nurse does not maintain the health records in a secure location. The nurse maintains the health records in a secure and accessible location and demonstrates knowledge of applicable law. The nurse maintains health records in consistently and accurately, stores them in a secure and accessible location, and demonstrates adequate knowledge of applicable law. 6

7 DOMAIN 2: The Health Room Environment 2c: Managing Health Room Routines and Procedures. Health room routines and Health room routines and Health room routines and Health Room routines and procedures are either nonexistent procedures have been procedures are established procedures are wellresulting or inefficient, established, but function and function evenly and established, consistent and in loss of much unevenly or inconsistently consistently with minimal efficient. time. with some loss of time. loss of time. Manages materials and supplies Manages student visits Directs volunteers/associate nurses Demonstrates knowledge of health room policies and procedures Supplies used efficiently. Supplies are maintained and monitored. Supplies are wasted or disappear. No procedures for student visits. Volunteers/associate nurses have no clearly defined duties or do nothing most of the time and have no knowledge of how to protect confidentiality. Nurse does not possess understanding of health room policies and procedures. Guidelines for student visits have been established. Volunteers/associate nurses are productively engaged during portions of the time and have some knowledge of how to protect confidentiality. Nurse implements health room policies and procedures. 7 Student visits are appropriately conducted. Volunteers/associate nurses are productive and function independently and display knowledge of how to protect confidentiality. Nurse implements health room policies and procedures and communicates to persons the importance of these policies and procedures. Supplies are maintained, monitored and re-ordered when needed. Student visits are effectively and appropriately conducted. The suite is well run. Volunteers/associate nurses make a substantive contribution to the health suite and always protect confidentiality. Nurse implements health room policies and procedures and communicates to persons the importance of these policies and procedures and makes recommendation for changes.

8 DOMAIN 2: The Health Room Environment 2d: Managing Risk Reduction and Infection Control The nurse demonstrates a basic understanding of risk reduction and infection control. The nurse does not demonstrate knowledge of or ignores opportunities for risk reduction and infection control. The nurse identifies and provides information to students, parents, and staff to correct deficient patterns of risk reduction and infection control. The nurse communicates to students, parents and staff and collaborates with appropriate agencies. The nurse demonstrates an understanding of primary, secondary, and tertiary prevention. Provides Health and safety education Demonstrates knowledge of community health needs and resources Participates in crisis intervention activities Monitors and controls Disease and Infection The nurse does not The nurse demonstrates The nurse provides The nurse consistently demonstrate knowledge a basic knowledge of health and safety provides health and of health and safety health and safety education information safety education education. education. to students, parents information and and staff. encourages students to develop patterns of The nurse does not have an awareness of community health needs and resources. The nurse does not demonstrate a basic knowledge of and/or does not participate in crisis intervention activities. The nurse does not demonstrate knowledge of disease and infection control. The nurse demonstrates a basic knowledge of community health needs and resources. The nurse demonstrates a basic knowledge of crisis intervention activities. The nurse demonstrates minimal knowledge of disease and infection control. 8 The nurse demonstrates thorough knowledge of community health needs and resources. The nurse effectively participates in crisis intervention activities. The nurse demonstrates knowledge of and adequately controls disease and infection. healthful living. The nurse is effective in appropriately identifying community health needs, resources and services and serves as a resource for others. The nurse demonstrates appropriate assessment skills by administering, instructing or delegating in a crisis activity. The nurse monitors, controls and effectively communicates regarding disease and infection.

9 DOMAIN 2: The Health Room Environment 2e: Organizing Physical Space Nurse s suite is safe and Nurse s suite is safe and accessible, but the accessible and the arrangement of furniture and arrangement of furniture and equipment only partially equipment supports the flow supports the flow of services. of all health services. Nurse makes poor use of the physical environment resulting in unsafe or inaccessible conditions and/or impeding the flow of services. Nurse s suite is safe and accessible, uses physical resources well, and ensures that the arrangement of furniture and equipment optimally supports the provision of all health services. Organizes safety and arrangement of health room for accessibility and safety Maintains health room supplies Nurse s suite is unsafe Nurse s suite is safe but Nurse s suite is safe Nurse s suite is safe and and not suited for health arrangement is with and arranged to services are provided in services. limited effectiveness. provide effective an effective and efficient Nurse wastes health supplies. Nurse maintains health supplies adequately. services. Nurse maintains health supplies in an orderly, organized manner. manner. Nurse maintains and utilizes supplies optimally. 9

10 DOMAIN 3: Delivery of Health Services 3a: Conducts Nursing Assessments of Each Student, Including Those Students with Special Health Care Needs. Screenings are completed regularly, but are not used to implement treatment plans. Screenings are not completed and individual health assessments do not focus on individual needs. School nurse completes mandated screening and collects individual health information to plan appropriate responses and report results. School nurse completes screenings early in year so individual health information can be collected and applied to treatment plans. Conducts health screening activities Provides comprehensive student health assessments Reports results effectively School nurse does not School nurse schedules School nurse completes School nurse conducts complete mandated and completes mandated all mandated screenings mandated screenings screenings by the end of screenings late in the in a timely manner and early in school year so the school year. year. follows up with referrals. results can be applied to treatment plans and used to improve student health to support optimal academic Data collection lacks a systematic, organized approach focused on immediate student needs. Data collection is of poor quality and not easily understood. Data collection involves the student, family, school staff, and other providers, as needed. Data are documented and in a retrievable form. 10 Pertinent individual and aggregate data are collected, using appropriate assessment techniques, reviewed in light of relevant supporting information, and reflected in IHPs and other pertinent documents. Data are comprehensive and is documented in a retrievable form. achievement. Data collection process is systematic, organized and ongoing and focuses on students immediate needs and reflected in IHPs and other pertinent documents. Relevant data are based on measurable and observable information, is comprehensive and is documented in a retrievable form.

11 DOMAIN 3: Delivery of Health Services (Continuation) Professional Standards of Practice for School Nurses Analyzes data School nurse does not School nurse partially School nurse analyzes Nursing health data adequately analyze data analyzes data and does data in determining are documented and to make a nursing not consult with all nursing assessment in written in a manner assessment. pertinent parties. collaboration with that outlines expected appropriate personnel. outcomes and the plan of care/action. 11

12 DOMAIN 3: Delivery of Health Services 3b: Planning and Intervention School nurse develops plan of School nurse develops a plan care with specific of care/action that specifies interventions and expected interventions to attain outcomes and meets minimal expected outcomes and requirements for implements them effectively. implementation. School nurse writes IHPs that are not specific and/or implementation of plan is inadequate. School nurse collaboratively develops a plan of care/action with specific interventions to attain within a set time-line and implements them in an effective manner. Develops IHP s Provides individual health counseling Reports case finding and makes referrals School nurse writes IHPs and does not share them with school team. School nurse does not follow through on writing IHPs as necessary. School nurse does not provide health counseling on a regular basis. School nurse inconsistently informs parents and suggests referrals without providing resources or ensuring follow-up. School nurse assists students, families, and school staff in identifying and obtaining appropriate services to address health-related needs. School nurse periodically informs parents about student health issues and gives referral information to parents. School nurse plans and establishes IHP s for student with special health care needs, shares information with team and evaluates the outcomes. School nurse provides scheduled and on-call counseling sessions to help students, families and staff members identify and obtain appropriate services. School nurse keeps parents informed about student health developments and refers parents/guardians to medical providers or community agencies. School nurse involves a team of people for writing health care plans for students and inservices staff about their implementation. School nurse identifies students in need of health counseling and provides services on a regular basis, including referral to appropriate services and follow-up sessions. School nurse informs parent about student health developments and collaboratively refers parents/guardians to medical providers or community agencies and ensures follow-up. 12

13 DOMAIN 3: Delivery of Health Services (Continuation) Professional Standards of Practice for School Nurses Monitors health maintenance and selfcare support Provides specialized health-care treatments School nurse does not monitor student health maintenance and/or does not provide information about self-care support. School nurse provides specialized health-care treatments in an inconsistent manner or does not keep adequate documentation. School nurse monitors student health maintenance and provides information to student and family about healthy choices and selfcare. School nurse provides specialized health-care treatment or medication administration according to written orders from a medical provider nursing standards, and school policy. School nurse monitors health maintenance, works with students and families to help them make healthy choices, and provides information about self-care. School nurse provides or oversees specialized health-care treatment, medication administration, and/or health-related training prescribed by the student s licensed medical provider and according to nursing standards and school policy. School nurse extends services to students in ways that build on individual strengths, offer maximum opportunities to make healthy choices, and allows them to participate in the planning and direction of their own health care and learning. School nurse provides or oversees specialized health-care treatment, medication administration, and/or health-related training prescribed by the student s medical provider and according to nursing standards and school policy, and communicates regularly with school staff about the treatment plan. 13

14 DOMAIN 3: Delivery of Health Services 3c: Promotes student achievement School nurse promotes School nurse collaborates to student achievement by design and deliver sharing, with team members, development appropriate knowledge of learning experience to developmentally appropriate promote student achievement. programs, health issues and wellness activities. School nurse shows little or no evidence of relating health service to student achievement. School nurse actively researches information, programs, and resources to promote student achievement. Removes health related barriers to learning Consults with staff on curriculum issues Participates on pertinent building teams, ( e.g., IST, MDE, SAP, Crisis, RTI, 504) School nurse makes no School nurse promotes School nurse Using evidence-based effort to promote well activities and collaborates with other practice, collaborates positive health awareness of health building staff to with other building staff behaviors. issues. promote positive in delivering activities health behaviors in and programs that reduce School nurse shows no evidence of participating in development of health related curriculum. School nurse makes no attempt to participate on building level teams. School nurse consults with staff on various curriculum issues, such as CPR, HIV, and dental hygiene. School nurse participates on pertinent building level teams. learning environment. School nurse participates directly in the development of curriculum such as HIV, dental hygiene, substance abuse, CPR, etc. School nurse is an active, contributing participant on pertinent building level teams. barriers to learning. School nurse consults and participates in formal instruction based on sound pedagogical theory and appropriate to the student s developmental levels. School nurse is an active contributing participant on pertinent building level teams and designs and implements appropriate interventions. 14

15 DOMAIN 3: Delivery of Health Services 3d: Evaluating School nurse does not collect adequate data to evaluate student progress and/or makes inaccurate evaluations of the data. School nurse evaluates progress and/or fails to make decisions about the results in a timely fashion. School nurse provides timely evaluation of student progress toward attainment of outcomes that is systematic, criterion-based, and ongoing. School nurse provides continuous evaluation that is systematic, ongoing, and outcome-based and collaboratively reviews the results. Uses systematic, continuous, and outcomebased assessments Determines effectiveness of interventions Data are collected Data regarding expected inconsistently and/or are outcomes are not provided in systematically collected retrievable form. at periodic intervals and documented. Assessment data are not adequately reviewed to determine effectiveness of the care plan. Assessment data are reviewed and used to determine if outcomes have been achieved. Data regarding expected outcomes are systematically collected in an ongoing manner, are outcome-based and carefully documented. Ongoing assessment data about achieving expected outcomes are used to determine the appropriateness of the diagnosis, outcomes, and/or care plan. Data collection is ongoing, outcome-based, and includes data about incremental goal attainment as well as input from student, family, school staff, and other providers. Ongoing assessment data, including incremental goal attainment, are used to collaboratively review diagnosis, outcomes and/or care plan. 15

16 DOMAIN 3: Delivery of Health Services 3e: Demonstrating Flexibility and Responsiveness School reviews results of data School nurse responds to collection and revised care evaluation of data; revises plan, as needed, then diagnoses, expected continues monitoring outcomes, and/or IHPs; and progress toward outcomes. continues collecting data to monitor student progress. School nurse inadequately reviews data and/or does not revise IHPs in a timely fashion. School nurse collaborates with parents and school-based team(s) to respond to data review and revise diagnoses, outcomes, and/or IHPs; and continues collecting data toward incremental goals. Revises plan of care/action Monitors student response School nurse reviews results of data and revises interventions, as needed. School nurse inadequately reviews data and/or does not revise care plan in a timely fashion. School nurse does not adequately revise IHPs and/or does not continue monitoring progress after revisions. School nurse monitors student progress to determine outcomes of direct and indirect interventions. School nurse responds to results of evaluation of data and revises diagnosis, outcomes, and/or care plan, as needed. School nurse continues collecting data and monitoring student progress toward outcomes. School nurse collaborates with parents and school-based team(s) to respond to date review and revise diagnoses, outcomes, and/or IHPs, as needed. School nurse continues the systematic, ongoing, and outcome-based assessment of progress toward incremental goals and regularly giving feedback to parents and the school team. 16

17 DOMAIN 4: Professional Responsibilities 4a: Reflecting on Nursing Practices The school nurse s reflection on nursing practices is generally accurate and nurse makes global suggestions as to how it might be improved. The school nurse does not reflect accurately on nursing practices or respond appropriately to constructive criticism. The school nurse reflects accurately on nursing practices citing general characteristics and makes some specific suggestions about how it might be improved. The school nurse s reflection on nursing practices is highly accurate and perceptive citing specific examples. The nurse draws on an extensive repertoire to suggest alternative strategies. Evaluates accuracy of skill application. Evaluates effectiveness of skill application. The nurse does not know The nurse has a The nurse makes The nurse makes a if an application of a generally accurate accurate assessment of thoughtful and accurate specific nursing skill was impression of the the choice of skills, assessment of the accurate or achieved its outcome of a specific and the extent to effectiveness of a choice goals or profoundly choice of skills and the which it resulted in the of skills and the extent to misjudged the accuracy extent to which it desired outcome and which it resulted in the of a skill application. resulted in the desired can site general desired outcome, citing outcome. references to support many specific examples the outcome. and weighing the relative The nurse does not know how to evaluate the effectiveness of a skill application or profoundly misjudges the effectiveness. The nurse has a generally accurate impression of the effectiveness of a skill application in reaching a desired outcome. The nurse makes an accurate assessment of the effectiveness of a skill application and can cite general references to support the judgment. strength of each. The nurse makes a thoughtful and accurate assessment of the effectiveness of a skill application based on factors including whether it resulted in the desired outcome, cost, time, etc. citing specific examples and weighing the relative strength of each. 17

18 DOMAIN 4: Professional Responsibilities 4b: Maintaining Accurate Records utilizing technology when required by the District The nurse s system for The nurse s system for maintaining accurate records maintaining accurate records is rudimentary and only is efficient and effective. partially effective. The nurse has a poor system for maintaining accurate records, resulting in errors and confusion. The nurse s system for maintaining accurate records is efficient and effective and can serve as a model of good professional practice. Maintains individual health records utilizing technology when required by the District. Completes state mandated reports utilizing technology when required by the District. Keeps accurate health room activity documentation utilizing technology when required by the District. The nurse s system for The nurse maintains The nurse s system for The nurse s system for maintaining individual individual health records maintaining individual maintaining individual health records is in by including health records is health records is disarray and records are rudimentary information effective resulting in effective, accurate, and incomplete. Nurse does needed for compliance the accurate recording timely and can serve as a not possess with law regarding of necessary model of good understanding of laws records. information in a professional practice regarding maintenance timely fashion. which complies with of records. state law. The nurse s records are in such disarray as to not assist in the completion of the mandated state health report. The nurse s system for maintaining health room documentation is inaccurate and/or in disarray. The nurse s records contain the basic information necessary to contribute to the completion of the mandated state health report. The nurse follows a system for recording rudimentary information regarding health room procedures and activities. The nurse s records are complete and accurate and are applied to the independent completion of the mandated state health report. The nurse develops and maintains a system of accurately documenting health room activities and procedures. The nurse is able to independently complete the mandated state health report and instruct others in this process. The nurse develops and maintains a system of accurately documenting health room activities and procedures and makes improvements when necessary. 18

19 DOMAIN 4: Professional Responsibilities 4c: Communicating with Families The nurse complies with The nurse communicates school procedures for frequently with families and communicating with families successfully engages them in and makes an effort to engage the program of health them in the program of health services. services. The nurse provides little or no information to families and makes no attempt to engage them in the program of health services. The nurse communicates frequently and empathetically with families and successfully engages them in the program of health services; students participate in communicating with families. Provides information about health services programs. Provides information about individual students. The nurse provides little The nurse participates in The nurse provides The nurse provides information about the the school s activities for frequent information frequent information to health services programs parent communication to parents about the parents, as appropriate, to families. but offers little health services about the health services additional information program. programs and engages The nurse provides minimal information to parents and does not respond or responds insensitively to parent concerns about students. about health services. Although the nurse adheres to the school s required procedures for communicating with parents, responses to parent concerns are minimal. The nurse communicates with parents about the student s health on a regular basis and is available as needed to respond to parent concerns. students in the process. The nurse provides information to parents frequently on all pertinent aspects of student s health. Response to parent concerns is handled with sensitivity. 19

20 DOMAIN 4: Professional Responsibilities (Continuation) Professional Standards of Practice for School Nurses Encourages engagement in the health services process. Communicates effectively verbally and in writing. The nurse makes seldom The nurse s attempts to and/or inconsistent engage families in health and/or ineffectual services programs are attempts to engage frequent and successful. families in the health services programs. The nurse makes no attempt to engage families in the health services program, or such attempts are inappropriate. The nurse does not demonstrate the verbal or written skills necessary for communicating with families. The nurse demonstrates basic verbal or written skills which result in minimally effective communication with families. The nurse demonstrates verbal and written communication skills which result in consistently understood communication with families. The nurse s efforts to engage families in the health services programs are frequent and successful and continues to update health services programming. The nurse interacts sensitively in both verbal and written communication with families. 20

21 DOMAIN 4: Professional Responsibilities 4d: Contributes to the School and District The nurse s relationships with The nurse participates colleagues are cordial and actively in school and district nurse participates in school projects and maintains and district events and positive relationships with projects when specifically colleagues. requested. The nurse s relationship with colleagues are negative or self-serving and the nurse avoids being involved in school and district projects. The nurse makes a substantial contribution to school and district events and projects assuming leadership with colleagues. Establishes relationships with colleagues Provides service to the school. Participates in school and district projects promoting wellness. The nurse s relationships The nurse maintains The nurse maintains The nurse maintains with colleagues are cordial relationships supportive and supportive and negative or self-serving. with colleagues to fulfill cooperative cooperative relationships The nurse does not the basic duties that are relationships with with colleagues. The communicate with required. colleagues. nurse takes initiative in colleagues. assuming leadership The nurse avoids becoming involved in school events. The nurse avoids becoming involved in school and district projects promoting wellness. The nurse participates in school events when specifically asked. The nurse participates in school and district projects promoting wellness when specifically asked. The nurse volunteers to participate in school events, making a substantial contribution. The nurse volunteers to participate in school and district projects promoting wellness and makes a substantial contribution. among the staff. The nurse volunteers to participate in school events making a substantial contribution and assumes a leadership role in at least some aspect of school life. The nurse volunteers to participate, makes a substantial contribution and assumes a leadership role in a school or district project promoting wellness. 21

22 DOMAIN 4: Professional Responsibilities (Continuation) Professional Standards of Practice for School Nurses Demonstrates knowledge of building policies and procedures Recommends policy and establishes guidelines Participates in the evaluation of programs, services and curriculum materials Nurse implements building policies and procedures. Nurse does not possess understanding of building policies and procedures. Is not familiar with state and national standards, best practices or local need and does not recommend policies and guidelines for nursing services in schools. Does not participate in the evaluation of program, services, and curricular materials when requested. Is aware of state and national standards, best practices and local need and can accurately judge if current school policies and guidelines for nursing services are adequate. Participates in the evaluation of program, services and curricular materials when requested following directions of others in leadership position. Nurse implements building policies and procedures and communicates the importance of these policies and procedures. Using state and national standards, best practices and local need as a guide, recommends policies and guidelines for nursing services in schools. Assists in developing and/or analyzing needs assessment information; evaluation of quality of materials; and analyzing programs/practices based on safety, effectiveness, availability and cost; and communicates these findings to appropriate school personnel. Nurse implements, communicates and makes recommendations for policies and procedure changes. Using state and national standards, best practices, and local need as a guide, recommends policies and establishes guidelines for nursing services in schools and provides inservicing of staff as needed. Using results of needs assessment; evaluation of quality of materials; analysis of program/practices based on safety, effectiveness, availability and cost; communicates findings and initiates recommendations to promote improvement in programs, services, materials, curriculum and technology. 22

23 DOMAIN 4: Professional Responsibilities 4e: Growing and Developing Professionally The nurse s participation in The nurse actively professional development participates in professional activities is limited to those development activities and which are required. contributes to the profession. The nurse does not participate in professional development activities, even when such activities are clearly needed for the development of school nursing skills. The nurse makes a substantial contribution to the professional through such activities as research, mentoring new school nurses, and actively pursues professional development. Enhances knowledge about current nursing standards and practices Provides service to the profession The nurse engages in no The nurse s participation The nurse seeks out The nurse seeks out professional in professional activities opportunities for opportunities for development activities to is limited to when they professional professional enhance knowledge or are required. development to development, makes an skills. enhance knowledge attempt to apply research and nursing skills. to school nursing practices, and/or serves as a mentor to new The nurse makes no effort to share knowledge with others or to assume professional responsibilities. The nurse finds limited ways to contribute to the profession. The nurse participates actively in assisting other nurses and educators. nurses. The nurse initiates important activities to contribute to the profession such as mentoring new colleagues, writing articles for publication, and making presentations. 23

24 DOMAIN 4: Professional Responsibilities 4f: Showing Professionalism The nurse s attempts to The nurse makes a genuine, operate in a professional consistent effort to operate in manner are genuine, but a professional manner. inconsistent. The nurse s display of professionalism is poor and the nurse contributes to practices that are self-serving and/or harmful to others. The nurse assumes a leadership position, always dispensing nursing practices and procedures in a professional manner while ensuring that all students, particularly those who are traditionally underserved, are well cared for in school. Ensures that all students are well-served Acts as an advocate for students Uses good professional judgment in decision making The nurse is not alert to student needs. The nurse contributes to school practices that result in some students being ill-served. The nurse makes decisions based on selfserving interests. The nurse s attempts to serve students are inconsistent. Although unintentional, the nurse, through action or inaction, contributes to some students being ill-served. The nurse s decisions are based on limited thought, subsequently undermining appropriateness and effectiveness. The nurse is moderately effective in serving students. The nurse works within the context of a particular team or department to ensure that all students receive needed services. The nurse maintains an open mind and effectively participates in team and/or department decision making. The nurse is highly proactive in serving students, seeking out resources as necessary. The nurse makes a particular effort to overcome barriers, helping to ensure that all students, particularly those traditionally underserved, are wellserved at school. The nurse takes a leadership role in team or departmental decision-making and helps ensure that such decisions are based on the highest professional standards. 24

25 DOMAIN 4: Professional Responsibilities (Continuation) Professional Standards of Practice for School Nurses Maintains confidentiality The nurse breeches confidentiality regarding students or staff. The nurse is aware of expectations of confidentiality and seeks assistance to determine what information can be shared. The nurse models good practices regarding confidentiality. The nurse models good practices regarding confidentiality and serves as a resource regarding the propriety of sharing individuals information under applicable law. 25