Licensed Schl Nurse (LSN) Licensed by the Ohi Department f Educatin (ODE). ODE licensure requirements are: a Registered Nurse (RN), a Baccalaureate degree, and cmpletin f an ODE apprved pst- baccalaureate curse f study in schl nursing. Psitive Attributes Detracting Attributes Ohi Revised Cde 4723.01 defines the RN scpe f practice that is regulated by the Ohi Bard f Nursing. Ohi Revised Cde 3319.221 defines Schl Nursing. Requires nursing cntinuing educatin fr renewal f license. The LSN is an Independent practitiner nt requiring directin by anther health prfessinal. Educated in critical thinking and judgment skills t develp a plan f care apprpriate and effective fr the schl setting LSN licensure requires specific educatin f the practice f nursing in the schl setting, including: Advanced physical assessment Advanced mental health assessment Develpment f individual health plans Develpment f emergency actin plans Crdinated schl health prgram Advanced educatin in emergency preparedness Schl nurse standards and scpe f practice Schl law and impact n health care Special Educatin regulatins Therefre, the LSN is educatinally prepared t: Write educatinal gals, Cntribute t Individual Assessment Team (IAT), 504 Plan, and Evaluatin Team Reprt (ETR), Multi- factred Evaluatin (MFE) r Individual Educatin Plan (IEP) prcess. Act as a liaisn between health and academic success Cntribute twards recmmendatins f hme tutring needs Bridge frm health plan t educatinal prcess/learning/plan Teach independently in the classrm aligning with educatin standards Participate effectively in schl wellness and emergency preparedness Recgnize Epidemilgical patterns f symptms, the implicatins and develp a plan f interventin fr the schl cmmunity. Assess and manage student health t supprt the educatin prcess and enhance academic success Keep students in schl and learning Can independently assess the health and health care needs f students. Can plan, implement, evaluate and mdify a plan f care based n student assessment. Can delegate nursing tasks t LPN and UAP. Can analyze, rganize and interpret data and make health referrals. Cllabrate and cmmunicate with the client, family and thers n the health care team. Can bill Medicaid fr services prvided and ETR s. Can evaluate the practice f anther nurse
Registered Nurse (RN) Varius levels f educatin include diplma prepared nurse (3 years, n degree), Assciate Degree Nurse (usually 2 years f educatin), BSN degree (4 r mre years f cllege educatin) Psitive Attributes Ohi Revised Cde 4723.01 defines the RN scpe f practice that is regulated by the Ohi Bard f Nursing. Requires nursing cntinuing educatin fr renewal f license. The RN is an Independent practitiner nt requiring directin by anther health prfessinal. Educated in critical thinking and judgment skills t develp the plan f care. Can Independently assess the health and health care needs f patients. Can plan, implement, evaluate and mdify a plan f care based n patient assessment. Can delegate nursing tasks t LPN and UAP. Can rganize and interpret data, make referrals. Cllabrate and cmmunicate with the client, family and thers n the health care team. Can bill Medicaid fr services prvided and ETR s. Incnsistent levels f educatin and preparatin fr the rle in the schl setting. Cannt hld the jb title f Schl Nurse per ORC 3319.221 Educatin des nt include specific educatin in the practice f nursing in the schl setting. Such as: Advanced physical assessment Advanced mental health assessment Crdinated schl health prgram Advanced educatin in emergency preparedness Schl nurse standards and scpe f practice Schl law and impact n health care Special Educatin regulatins Therefre they are nt educatinally prepared t: Write educatinal gals, Cntribute t Individual Assessment Team (IAT), 504 Plan, and Evaluatin Team Reprt (ETR), Multi- factred Evaluatin (MFE) r Individual Educatin Plan (IEP) prcess. Act as a liaisn between health and academic success Cntribute twards recmmendatins f hme tutring needs Bridge frm health plan t educatinal prcess/learning/plan Teach independently in the classrm aligning with educatin standards Participate effectively in schl wellness and emergency preparedness Can teach abut health. Can evaluate the practice f anther nurse
Licensed Practical Nurse (LPN) LPN s are licensed by the Ohi Bard f Nursing after cmpletin f an 18 mnth accredited LPN prgram and d nt hld a cllege degree in nursing. Psitive Attributes Ohi Revised Cde 4723.01 defines the LPN scpe f practice, regulated by the Ohi Bard f Nursing. Requires nursing cntinuing educatin fr renewal f license. Trained t perfrm nursing tasks. Can perfrm CPR and First Aid if trained. Can administer prescriptin medicatins if designated by the Bard f Educatin and directed by an RN. Can cllect and reprt subjective and bjective data. Can cllect and recrd data that cntributes t an individual health plan f care created by an RN. Can delegate nursing care if directed by an RN. The LPN is NOT an independent practitiner and must be supervised by an RN r Physician. Emplyer must prvide training abut wrking in a schl setting and prviding health care services fr schl age children. Cmmunity/Schl Nursing is nt a standard f LPN educatin. Des nt receive Epidemilgical educatin t recgnize schl ppulatin patterns f symptms, implicatins r develp a plan f interventin. Any nursing task perfrmed, must be directed by an RN, including medicatin administratin. Dependent n cnsultatin with a RN fr any alteratin in the individual health plan f care: cannt deviate frm rders r RN plan f care. Cannt interpret symptms that may need an interventin. Cannt analyze, rganize r interpret health data. Cannt make decisins abut dispsitin (sending student hme verses sending student back t class) based n student symptms withut RN directin. Cannt write r create individual health plans r plans f care. Cannt write r create emergency actin plans. Cannt cntribute t the Individual Assessment Team (IAT), 504 Plan, and Evaluatin Team Reprt (ETR), Multi- factred Evaluatin (MFE) r Individual Educatin Plan (IEP) prcess. Cannt bill fr ETR, perfrm initial assessment r evaluate impact n educatin in the MFE prcess. Cannt delegate nursing care unless directed by an RN. Cannt make referrals unless directed by an RN Can bill Medicaid fr services prvided.
Unlicensed Assistive Persnnel There is n standard jb descriptin, training r title. The jb descriptin, training and title may be defined by the district. Peple wh fill this psitin may include: Cmmn Jb Titles STNA (State Tested Nurse Assistant) Medical Assistant UAP - Unlicensed Assistive Persnnel Health Aide Instructinal Assistant Paraprfessinal Other (as defined by district) Any unlicensed persn wh is hired t prvide schl health care services. Training Individuals are certified t wrk in lng term care facilities, hspitals, dctr s ffices, clinics and hmes as a nursing assistant. 79-83 hurs f training including medical terminlgy, First Aid, CPR, Baths, Bed making, assisting with ral feedings Vital signs (BP, Temp, Pulse), assist dressing, grming, tileting, ambulating, transfers frm bed t chair, t tilet and back. N training r credentialing recgnized by the Ohi Bard f Nursing. N mandatry health care training required, unless, N mandatry, standardized health care training required, unless N mandatry, standardized health care training required, unless N mandatry, standardized health care training required, unless N mandatry, standardized health care training required, unless N mandatry, standardized health care training required, unless *In sme districts, an RN r LPN is hired fr an unlicensed emplyment psitin. This creates a cnflict between licensure requirements and limitatins f the jb descriptin. Psitive Attributes Can administer prescribed medicatins if designated by the Bard f Educatin and trained by licensed health prfessinal. ORC 3313.713 requires medicatin training by a licensed health prfessinal in rder t administer medicatins. Can perfrm CPR and First Aid if trained. Can screen fr visin if trained. Can screen fr hearing nly if under directin f RN N scpe f practice in Ohi law. N minimum training ther than district requirements. Emplyer must prvide training abut wrking in a schl setting and prviding health care services fr schl age children. Any health care task perfrmed must be delegated by an RN, with the exceptin f medicatin administratin and visin screening thugh ODH prefers RN supervisin. Dependent n cnsultatin with a licensed health care prfessinal fr any alteratin in the plan f care: cannt deviate frm rders r RN plan f care. Cannt interpret symptms that may need an interventin. Cannt make decisins abut dispsitin (e.g. hme, back t class r squad) based n student symptms. Cannt write, create, r change individual health care plans r actin plans f care. Cannt write, create r change emergency actin plans. Cannt cntribute t the Individual Assessment Team (IAT), 504 Plan, and Evaluatin Team Reprt (ETR), Multi- factred Evaluatin (MFE) r Individual Educatin Plan (IEP) prcess. In the MFE prcess cannt bill fr ETR, perfrm initial assessment r evaluate impact n educatin. RN r LPN as an Aide Cnflict f licensure and jb descriptin. Legally held t licensure standards. RNs r LPNs in this rle cannt perate under BOTH the jb descriptin f an Aide and the respnsibilities f the prfessinal license.