Baltimore City Schools Baltimore City Health Department 20 y l Ju 13 Implement ation of the School Health Services Pr ogram
Principals Are Important Partners The support of the principal/ school administration is vital to the success of the multi- disciplinary school health services program.
School Health Services Program Collaborative Effort between City Schools and Health Department (BCHD) 0 Memorandum of Understanding BCHD is provider of record for health services 0 Baltimore City School Health Council 0 Two Models of Service Delivery o Traditional School Health Suite o School- Based Health Center 0 Sources of Funds o Federal Funds o State Funds o Baltimore City General Funds o Baltimore City Schools o Private Grants (Foundations, etc.)
Education and Health are Inextricably Linked Many studies have shown that: 0 Healthy young people are more likely to learn more effectively 0 Health- related problems play a major role in limiting the motivation and ability of urban youth to learn 0 Interventions to address those health- related problems can improve educational as well as health outcomes 0 Healthier students are better learners
Health Conditions That Impact Educational Attainment 0 Asthma 0 Diabetes 0 Other Acute and Chronic Health Conditions 0 ADHD 0 Poor Nutrition 0 Mental Health/Substance Abuse 0 Poor Hearing and Vision 0 Teen Pregnancy and Parenting
How School Health Staff Can Assist in the Achievement of Educational Objectives 0 Provide on- site availability of health care professional to address routine and emergency health care 0 Help to reduce absenteeism related to chronic health conditions 0 Reduce the spread of communicable disease 0 Provide hearing and vision screening 0 Improve parent engagement 0 Assist with insurance coverage and access to medical care 0 Provide nutrition counseling 0 Provide referrals and case management for mental health and substance abuse 0 Provide appropriate support and resources for pregnant and parenting students
Bureau of School Health Traditional School Health Suite 0 Located in most schools 0 Provides basic school health services 0 StafTing Model: o School Health Aide (5 days a week) o School Health Nurse (1 to 5 days a week) School- Based Health Center 0 Located in 16 schools 0 Provides comprehensive primary care services as well as basic school health services 0 StafTing model o Nurse Practitioner (1 to 5 days) o Medical OfTice Assistant (1 to 5 days) o School Health Nurse (5 days) o Mental Health Provider (3 to 5) o Substance Abuse Counselor (3 to 5) o Physician (0.5 to 1)
Services Provided Traditional Health Suite o First Aid and CPR o Assistance with Immunization Compliance o Medication Administration o Health Screenings o Health Education o Reproductive Health Education (Middle/High Schools) o Case Management o Participation in IEP/Child Study Team Processes School- Based Health Center o Traditional Health Suite Services o Primary and Preventive Health Care o Care of Acute Illnesses and Injuries o Mental Health Services o Substance Abuse Services o Basic Laboratory Tests o Case Management o Reproductive Health Services
School- Based Health Centers Elementary/Middle Schools 0 Carter G. Woodson 0 City Springs 0 Collington Square * 0 Harford Heights* 0 KIPP Ujima/KIPP Harmony 0 Tench Tilghman * Middle/High Schools 0 Baltimore Talent Development/ Augusta Fells Savage 0 Maritime Academy/Vanguard * 0 Friendship Academy * 0 High Schools 0 Paul Lawrence Dunbar/NAF 0 REACH/Heritage 0 Northwestern * 0 Patterson 0 Digital Harbor 0 New Era 0 Specialty Schools 0 William S. Baer * Operated by Provider Other Than Baltimore City Health Department
How Principals Can Partner with School Health Enforce implementation and compliance with state guidelines regarding school health standards. (COMAR 13a.05.05.05 -.15)
Emergency Medical Plan Develop/share the school's Emergency Medical Plan, i.e., how staff will respond to medical emergencies. o Health suite and principal to be notitied of need to call 911 health professional will make Tinal decision o School must provide adult to accompany child to Emergency Room o Staff must be aware of location(s) or Automated External DeTibrillators (AEDs) o Assure emergency cards are on Tile and accessible to health suite staff o Assure at least two school staff, other than health suite are certitied in First Aid, CPR and use of the AED
Emergency Exit Plan Develop/share the school s Emergency Exit Plan o Plan for students with mobility limitations, including technology dependent and medically fragile students o Identify wheelchair accessible exits o Plan for between periods, lunchtime, special events
MSDE K- 12 Health Education Curriculum Assure the implementation of the health education curriculum o The school nurse can provide and/or recommend speakers for classroom presentations
Early Dismissal Due to Illness While on school premises, students are in the custody of the school and cannot be dismissed by health suite staff 0 Health suite staff will make every effort to contact parents to discuss the child s health condition 0 Health suite staff will make recommendations to principal or principal designee regarding early dismissal 0 Principal or principal designee will make the Tinal decision regarding early dismissal of students due to illness
Field Trips Communicate with health suite staff in advance about Vield trips 0 Inform health suite staff at least one week in advance about planned Tield trips 0 This will allow planning for students who require medication or treatments during the school day
Liaison to Health Department Personnel in the School Serve as liaison between health suite and school staff 0 Meet with health suite staff and assigned supervisor at least once during each school year 0 By October 1 st of each school year provide an opportunity for health suite staff to speak with school faculty and staff about school health services 0 Allow health suite staff to make periodic health presentations throughout the year 0 Invite health suite staff to participate in Back to School Night, PTA/PTO and SST meetings
Liaison to Health Department Personnel in the School (cont d) 0 Invite health staff to IEP meetings, especially if there are health issues involved 0 Assure health suite staff have access to attendance information 0 Assure that health suite staff are not assigned to tasks health unrelated to health services, e.g., answering school telephone lines, making copies, assisting with dismissal or monitoring lunch periods 0 Health suite staff must be available to address health emergencies at all times
Provide Appropriate Facilities Requirements for Effective Health Services: Adequate unshared space that allows for two health suite staff persons and privacy/convidentiality for students requiring health services, and storage of health suite equipment and health records 0 Health suite requirements include: o 1-2 Desk and three to four chairs o Telephone o Sink o Bathroom (or bathroom designated for health suite use) o Water cooler o Access to copier and fax machine
Provide Appropriate Facilities (cont d) 0 Quiet space free of distraction for mass hearing and vision screening to reduce false positives and repeat screening 0 The Health Department provides: o Locked Tile cabinets o Scale and height measuring device o Locked storage cabinet o Exam table or cot and privacy screen o Wheelchair
Safe Environment Assure the safety of the school environment especially for students who are sick or have chronic health conditions 0 Appropriate temperature and ventilation for sick students 0 Monitor school environment or any conditions likely to result in accidents, poisoning, or the spread of communicable diseases 0 Develop with assistance from health suite, procedures for limiting the spread of communicable diseases 0 Designate space and supervision of sick students waiting for pick up (Students who do not require monitoring should not wait in the health suite due to privacy concerns. This is also true for children who have soiled their clothing.)
Assure Compliance With Immunizations The principal of each school is responsible for obtaining certivied records of immunization for each student and enforcing the immunization requirements. Compliance is monitored by the State. 0 The health suite will assist with the review of records as appropriate. 0 Health suite staff will assist with case management of students who are out of compliance 0 The School Health Medical Director will contact physicians and assist with medical exemptions as needed
Assure Compliance With Mandated School Physicals State law requires each child entering school for the Virst time to have a physical 0 Health records, including physical exam forms are to be maintained in the health suite 0 Health suite staff review physical forms to develop health plans, to address identitied health problems, and to report number of students in compliance to MSDE, as required
Forms for Medication and Medical Treatment In order for students to receive medication and/or medical treatments while they are in school: o o o o o The appropriate form must be completed and signed by the student's medical provider and the parent/guardian. New forms need to be completed every school year. The parent/guardian must bring the medication and treatment supplies to school Medication and treatment administration will be performed according to standard nursing practice. Forms are available from the health suite or at: http://www.baltimorehealth.org/schoolhealth.html
Checklist for School Health Services ü Health Suite/Facilities ü ConTidential/Private ü Well Ventilated ü Restrooms ü Sink ü Telephone ü Fax and Copier Access ü Secure File Storage ü Communication ü Emergency Medical/Exit Plans ü Emergency Cards ü Staff First Aid CPR CertiTication ü Policy for Early Dismissal ü Field Trip Policy ü Access to Cumulative Files ü Access to Attendance Data ü IEP, SST, PTA/PTO Meetings ü Staff Meetings HEALTH DECISIONS ARE TO BE MADE BY SCHOOL HEALTH PROFESSIONALS
Checklist for School Health Services ü The Health Department is the Provider of Record for School Health Services ü Inform health suite of sick students/communicable disease concerns ü Inform health suite of requests by outside health professionals to provide health services including health education - the school nurse can provide and/or recommend speakers for classroom presentations ü Share healthcare provider documents with health suite, e.g., doctor s notes for absences ü Advise parents to communicate directly with health suite about child s health condition, illnesses, etc.
THANK YOU We appreciate your support and assistance in the full implementation of the School Health Services Program at your school!
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