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N o r t h C a r o l i n a
Annual School Health Services Report
2 0 1 0 - 2 0 1 1
North Carolina Department
of Health and Human Services
Division of Public Health
Women’s and Children’s
Children and Youth Branch
School Health Unit
i
N o r t h C a ro l i n a A n n u a l S c h o o l H e a l t h S e r v i c e s Re p o r t : 2 0 1 0 - 2 0 1 1 | N o r t h C a ro l i n a P u b l i c H e a l t h
Table of Contents
Executive Summary 1
Survey Population 7
Profile of Students Enrolled in N.C. Public Schools 7
Profile of Nurses Employed in Schools 8
Employment and Financing of School Health Services 12
School Health Services 15
Chronic Health Conditions 15
Diabetes – Compliance with State Law 17
Health Care Coordination and Case Management 18
Student Health Outcomes 19
Health Care Treatments and Procedures at School 20
Emergency Care 21
Medications at School 21
Health Counseling 26
Pregnancy 27
Tobacco Use by Students 28
Suicide/Homicide 29
Health Teaching 29
Health Screening, Referral, Follow-up and Securing Care 30
Health Policies 35
Community Involvement in School Health Services 37
School Health Advisory Councils 37
Cooperative Agreements with Local Health Departments 37
School – Located Influenza Clinics 37
School Based – School Linked Health Centers 38
Conclusion 38
Appendices 41
Appendix A: Chronic Health Conditions 41
Appendix B: Reported Injuries 43
Appendix C: School Nurse to Students Ratio by LEA 44
Appendix D: Map of School Nurse to Students Ratio 46
1
N o r t h C a ro l i n a A n n u a l S c h o o l H e a l t h S e r v i c e s Re p o r t : 2 0 1 0 - 2 0 1 1 | N o r t h C a ro l i n a P u b l i c H e a l t h
Executive Summary
state public school system in the country.1
More than 1.4 million children were enrolled
in North Carolina public schools during the
2010-2011 school year, an increase of 7,626
students from the previous school year. North
of health-related barriers to learning is crucial
to the academic success of every student. By
the beginning of school year 2005-2006, North
health services in every school district. This
goal became a priority of the N.C. Public Health
Task Force, and subsequently, the state’s
Division of Public Health, the American
Academy of Pediatrics, the Centers for Disease
goal that every public school student in North
not to exceed one nurse per 750 students.
Over the years, the state has made
comprehensive school health services a
priority through strategies such as the N.C.
Healthy Schools Coordinated School Health
program, the School Health Advisory
Leadership Assembly, and establishment of
a School Health Cabinet at the highest levels
of state government. Other strategies include
funding directed toward school health services
provided through the Department of Public
including the state and regional school health
nurse consultants and allied health consultant,
among others. During the 2010-2011 school
before from 1,183.36 to 1173.5 nurse
School nurses in North Carolina are employed
by a variety of agencies. Among the 115 LEAs
the school health programs are administered
by the school districts themselves. The
remaining quarter of the programs are
administered by local health departments,
from a variety of sources including local and
state funds, federal Title V block grant
dollars, categorical funds, and public and
management, supervision and
payment, regardless of funding
LEA 84 73%
Health Department 15 13%
Hospital 2 2%
Health Alliance 2 2%
12 10%
equivalents of school nurses this past year
and a slight increase in the number of students
in the state contributed to a worsening of the
_________________________________________________________________________________________________________________
1 4
On average, each school nurse in the state
year, from 1:1,185 in 2009-2010 to 1:1,201.44
In August 1998, about 556 school nurses
nurses carried caseloads of about 2,450
students each. Over the past dozen years, the
number of students in the average nurse’s
caseload has been cut by more than half,
enabling more students to access health
services from a school nurse.
principles of professional nursing remain
consistent, the school nurse also must
possess skills related to:
to visitors to residents.
growth and development.
unique health issues of children and
adolescents.
may be related to a health problem.
Ability to problem solve in order
and health needs into the challenges
of school.
Knowledge of and ability to implement
school nursing services in the federal and
state programs designed for students with
N o r t h C a ro l i n a A n n u a l S c h o o l H e a l t h S e r v i c e s Re p o r t : 2 0 1 0 - 2 0 1 1 | N o r t h C a ro l i n a P u b l i c H e a l t h
Ability to put epidemiological principles
clusters of symptoms that may indicate an
emerging health threat for students and
emerging issues, to educate the school
community and implement evidence-based
problems.
crisis.
health professional.
Ensures compliance with school
entry health requirements such as
Provides care and case management
for children with chronic health problems.
Assures the health and safety of the
Takes a lead role in managing disasters and
planning for emergencies.
programs.
Assures school compliance with state and
safety.
advocates for necessary resources.
2
3
N o r t h C a ro l i n a A n n u a l S c h o o l H e a l t h S e r v i c e s Re p o r t : 2 0 1 0 - 2 0 1 1 | N o r t h C a ro l i n a P u b l i c H e a l t h
standard by which school nurses are judged
to have the knowledge and skills necessary
to provide these health services. During
school nurses, as a percentage of the total
number of school nurses in North Carolina,
decreased slightly, by 1 percentage point
to 52 percent. North Carolina remains the
2
The skills and knowledge that the school nurse
to the dual goals of improving a student’s
health status and academic achievement.
During the 2010-2011 school year, the
following outcomes were a direct result of
school nurse-led management of students
Among students with allergies severe
to learn:
1,861 of those students stated that
they had reduced the number of
4,190 stated that with the school
nurse’s assistance, they had increased
their knowledge of their disease, its
causes and treatments, and how
Among students with asthma severe
to learn:
4,655 said their improved health
allowed them to increase their
Among students with diabetes severe
to learn:
their own blood sugar and 1,223
calculated and correctly drew their
own dose of insulin 100 percent
Among students with weight issues severe
to learn:
934 were able to increase their
about the same number demonstrated
outcomes are described further under the
heading “Student Health Outcomes” and
this report. School nurses also provide general
the 2010-2011 school year, the nurses reported
programs for students.
managing the care of students with chronic
During 2010-2011, the most common chronic
students in North Carolina, as reported
by the nurses who care for them, included
_________________________________________________________________________________________________________________
1
As part of care management, school nurses
develop individual health care plans and train
procedures delegated by the nurse to school
state’s school nurses developed more than
100,000 individual health plans for those
students. More than half of those plans,
51,000, were for students with asthma.
For each plan, the individual student’s
medical orders and individual needs were
assessed, goals for student-management were
the student’s health status following treatment
was evaluated.
and health maintenance were discussed.
During the 2010-2011 school year, school
nurses provided 193,136 health counseling
nurses facilitated health screenings conducted
in schools. Over a half-million school children
than 25,465 students were seen by physicians
or eye care professionals as a result of the
referrals from school health professionals
to obtain comprehensive eye exams.
Nurses received 114,404 physician orders
ordered to be given regularly during each
use, as well as drugs ordered to be on hand
should the student need them. Those drugs
ordered to be available included those
ordered for occasional headaches and other
ailments. The school nurse reviews the orders N o r t h C a ro l i n a A n n u a l S c h o o l H e a l t h S e r v i c e s Re p o r t : 2 0 1 0 - 2 0 1 1 | N o r t h C a ro l i n a P u b l i c H e a l t h
of the order by a Registered Nurse trained
for it to be given, can reduce the incidence
to students, the incidence of errors and risks
reduced quickly.
School nurses work with their local School
and implement local programs designed
to prevent illness and promote health. The
SHACs are mandated by the North Carolina
also assist with disaster/emergency planning
complexity of health needs of children
and, ideally, there is at least one school
nurse in every school in North Carolina.
Methodology
and knowledge of health services provided
in their schools. Data specialists and school
nurse consultants in the N.C. Division of Public
Health’s Children and Youth Branch developed
the survey instrument. Each of the 115 LEAs —
survey instrument electronically. These data
address health services in North Carolina public
schools, not including public charter and state
4
5
N o r t h C a ro l i n a A n n u a l S c h o o l H e a l t h S e r v i c e s Re p o r t : 2 0 1 0 - 2 0 1 1 | N o r t h C a ro l i n a P u b l i c H e a l t h
for this 2010-2011 school year, but, except
for a required report from charter schools
for data on students with diabetes, an
data from federal schools, such as those
The data were collected and sorted by Children
Unit.3
from other sources, including:
North Carolina Department of Public
North Carolina Department of Health and
Human Services, Division of Public Health,
The National Society to Prevent Blindness
North Carolina Affiliate, Inc.; and
North Carolina Child and Family Support
Teams Initiative.
by request.
Contact:
Jessica Gerdes, State School Nurse Consultant,
Carol Tyson, School Health Unit Manager,
_________________________________________________________________________________________________________________
3 D ATA S O U R C E S
N.C. Annual School Health Nursing Survey: Summary Report of School Nursing Services 2009-2010
7
N o r t h C a ro l i n a A n n u a l S c h o o l H e a l t h S e r v i c e s Re p o r t : 2 0 1 0 - 2 0 1 1 | N o r t h C a ro l i n a P u b l i c H e a l t h
North Carolina Annual School Health Services
Report. For each school year since 1996-1997,
the North Carolina Division of Public Health has
collected school health data from each school
district. This report summarizes data for school
health services during school year 2010-2011
The survey of the school health service
programs also asks for comments regarding
outcomes and successes during the past school
year and goals for future years. This report
successful outcomes; they are labeled “local
Survey Population
in North Carolina Public Schools
school children are as diverse as the state’s
4 They come from all socio-economic
backgrounds and represent ethnic
backgrounds from around the globe. A slim
schools are: Black or African American, 26.4%;
Asian, 2.5%; Hispanic, 12.7%; American Indian,
99 North Carolina public charter schools
impact a student’s ability to learn. Nearly 12
percent of the state’s public school children
degree that they are eligible to receive
from ages 3 through 21. During the 2010-2011
school year, approximately 18,433 preschool
students and 166,674 students ages 6-21
in North Carolina grades kindergarten through
12th were enrolled in EC programs.5 The
incidence of EC enrollment peaks at around
age 10; among students receiving EC services,
one out of every 10, is 10 year olds.6
assistance of school nurses, as many of them
primary disability that require health care
assigned to work exclusively in the EC program.
All students eligible for EC services must meet
criteria for one primary disability from among
13 eligible categories, and may meet criteria
_________________________________________________________________________________________________________________
4 s
5 f
6
L o c a l O u t c o m e
We will continue to focus more closely
on attendance and address those concerns
early on, looking for health reasons that
students miss school. We want to identify
health barriers to school attendance and
academic success and eliminate them,
improving the student’s chances for
academic success.
_________________________________________________________________________________________________________________
7 f
8
programs in North Carolina, “other health
impairment” was the second most frequent
“hearing impaired,” “orthopedically impaired,”
the school nurse is involved in planning and
and overseeing nursing care provided by other
general supervision of other nurses in the
provided care to students who were medically
fragile and needed care on a one-on-one basis
under the supervision of a registered nurse, a
Nursing. LPNs may be hired by the school
system or by an agency to provide direct care
to an individual student who needs such a level
N o r t h C a ro l i n a A n n u a l S c h o o l H e a l t h S e r v i c e s Re p o r t : 2 0 1 0 - 2 0 1 1 | N o r t h C a ro l i n a P u b l i c H e a l t h
be provided by a teaching assistant.
The physical well-being of children when they
to success in school, according to the N.C.
government and the federal government
provide funding for students in pre-school
programs to promote future success in school.
In the public schools, those students enroll
in More at Four Pre-Kindergarten programs,
Preschool. The state’s school nurses serve
pre-k students to maximize their ability
to be “healthy and ready to learn” at
kindergarten entry, partnering with the
community to provide health screening and
health services to the children and their
families. During the 2010-2011 school year,
the school nurses reported serving 37,925
pre-k students. Nearly half of those students,
18,433, are enrolled in preschool as students
7 Although
enrolled due to speech impairments or
language delays and about 40 percent have
developmental delays, the remaining 12
student enrollment is not counted in this
survey for purposes of the formula that results
in N.C. Public Schools
L o c a l O u t c o m e
Our school nurses hosted 15 pediatric residents
(physicians) for up to one day each to help them
understand the need for care and advocacy
for health in the school community.
9
N o r t h C a ro l i n a A n n u a l S c h o o l H e a l t h S e r v i c e s Re p o r t : 2 0 1 0 - 2 0 1 1 | N o r t h C a ro l i n a P u b l i c H e a l t h
experiences, skills and knowledge than that
of nurses working in acute care or even other
has a crucial role in the seamless provision of
comprehensive health services to children and
youth.8
May 2008 states that increasing numbers of
students enter schools with chronic health
the school day. School nurses provide
outcomes. In North Carolina, the school nurse
as the coordinator of the local School Health
Advisory Council. School nurses are involved
in each of the eight components of a
Coordinated School Health Program: health
counseling and psychological services, healthy
school environment, and family/community
involvement.
of School Nurses
licensed by the North Carolina Board of
into registered nursing is through one of three
routes: a bachelor’s degree from a four-year
college or university; an associate degree
in nursing from a community college or
technical college, or a diploma conferred by a
9 and
and requirements of funding partners, the level
in North Carolina has increased steadily over
the years. It increased again this year, with 84
percent of school nurses holding bachelor’s
degrees or higher during the 2010-2011 school
year.
are new to the specialty of school nursing learn
Division of Public Health and its co-sponsors,
school district, health department or hospital
Unknown
3%
B.S.N.—Bachelor of Science in Nursing
A.D.N.—Associate Degree in Nursing
Diploma
2%
ADN
11% Master’s
6%
BS, BSN, BA
78%
_________________________________________________________________________________________________________________
9
L o c a l O u t c o m e
The nurses, together, certified or recertified
207 school personnel in CPR/First Aid.
N o r t h C a ro l i n a A n n u a l S c h o o l H e a l t h S e r v i c e s Re p o r t : 2 0 1 0 - 2 0 1 1 | N o r t h C a ro l i n a P u b l i c H e a l t h
of North Carolina nurses working in public
As a rule, school nurses in North Carolina have
Nurse in acute care and community health
specialty. During the 2010-2011 school year,
76 percent had more than three years’
needs; and 1:1 for some individual students
nursing services.10
would allow all students to have their health
11
Registered nurses working solely as
administrators, without caseloads of students,
10
_________________________________________________________________________________________________________________
10
People 2010
11
employers. The N.C. Board of Nursing requires
state’s registered nurses to renew licensure.
colleges of nursing, and through the Public
Health Nursing Professional Development
delivered through a network of state and
regional nurse consultants within the N.C.
Division of Public Health.
Since 1998, the N.C. Department of Public
of date of employment. School nurses not
employed by LEAs are encouraged, and
in some cases required, through their funding
of achieving this increasingly recognized
that encompasses the full realm of school
nursing, both from clinical and student
that school nurses experience a full year
L o c a l O u t c o m e
Our School Nursing Program was the first in the
nation to be designated as a Magnet Program
by American Nurses Credentialing Center,
and now we are the first to be redesignated!
11
N o r t h C a ro l i n a A n n u a l S c h o o l H e a l t h S e r v i c e s Re p o r t : 2 0 1 0 - 2 0 1 1 | N o r t h C a ro l i n a P u b l i c H e a l t h
during the 2010-2011 school year, about
10 fewer than 2009-2010.
Each school district in North Carolina must
have at least one registered nurse available
to provide for school health services, though
have only one. The number of schools assigned
to each school nurse varies from one-to-ten
with an average of two schools per nurse.
widely from LEA to LEA. At the end of the
2010-2011 school year, the statewide
1:1,201. Most LEAs showed improvement,
County to 1:3,117 in Davidson County Schools.
School Year
2006-2007
School Year
2007-2008
School Year
2008-2009
School Year
2009-2010
School Year
2010-2011
Schools*
Agencies
2,
Object Description
Description
| Title | North Carolina annual school health services report for public schools : summary report of school nursing services |
| Other Title | Summary report of school nursing services |
| Date | 2012-01 |
| Description | 2010-2011 |
| Digital Characteristics-A | 2.57 MB; 52 p. |
| Digital Format | application/pdf |
| Pres File Name-M | pubs_serial_ncsannualschool20102011.pdf |
| Full Text | N o r t h C a r o l i n a Annual School Health Services Report 2 0 1 0 - 2 0 1 1 North Carolina Department of Health and Human Services Division of Public Health Women’s and Children’s Children and Youth Branch School Health Unit i N o r t h C a ro l i n a A n n u a l S c h o o l H e a l t h S e r v i c e s Re p o r t : 2 0 1 0 - 2 0 1 1 | N o r t h C a ro l i n a P u b l i c H e a l t h Table of Contents Executive Summary 1 Survey Population 7 Profile of Students Enrolled in N.C. Public Schools 7 Profile of Nurses Employed in Schools 8 Employment and Financing of School Health Services 12 School Health Services 15 Chronic Health Conditions 15 Diabetes – Compliance with State Law 17 Health Care Coordination and Case Management 18 Student Health Outcomes 19 Health Care Treatments and Procedures at School 20 Emergency Care 21 Medications at School 21 Health Counseling 26 Pregnancy 27 Tobacco Use by Students 28 Suicide/Homicide 29 Health Teaching 29 Health Screening, Referral, Follow-up and Securing Care 30 Health Policies 35 Community Involvement in School Health Services 37 School Health Advisory Councils 37 Cooperative Agreements with Local Health Departments 37 School – Located Influenza Clinics 37 School Based – School Linked Health Centers 38 Conclusion 38 Appendices 41 Appendix A: Chronic Health Conditions 41 Appendix B: Reported Injuries 43 Appendix C: School Nurse to Students Ratio by LEA 44 Appendix D: Map of School Nurse to Students Ratio 46 1 N o r t h C a ro l i n a A n n u a l S c h o o l H e a l t h S e r v i c e s Re p o r t : 2 0 1 0 - 2 0 1 1 | N o r t h C a ro l i n a P u b l i c H e a l t h Executive Summary state public school system in the country.1 More than 1.4 million children were enrolled in North Carolina public schools during the 2010-2011 school year, an increase of 7,626 students from the previous school year. North of health-related barriers to learning is crucial to the academic success of every student. By the beginning of school year 2005-2006, North health services in every school district. This goal became a priority of the N.C. Public Health Task Force, and subsequently, the state’s Division of Public Health, the American Academy of Pediatrics, the Centers for Disease goal that every public school student in North not to exceed one nurse per 750 students. Over the years, the state has made comprehensive school health services a priority through strategies such as the N.C. Healthy Schools Coordinated School Health program, the School Health Advisory Leadership Assembly, and establishment of a School Health Cabinet at the highest levels of state government. Other strategies include funding directed toward school health services provided through the Department of Public including the state and regional school health nurse consultants and allied health consultant, among others. During the 2010-2011 school before from 1,183.36 to 1173.5 nurse School nurses in North Carolina are employed by a variety of agencies. Among the 115 LEAs the school health programs are administered by the school districts themselves. The remaining quarter of the programs are administered by local health departments, from a variety of sources including local and state funds, federal Title V block grant dollars, categorical funds, and public and management, supervision and payment, regardless of funding LEA 84 73% Health Department 15 13% Hospital 2 2% Health Alliance 2 2% 12 10% equivalents of school nurses this past year and a slight increase in the number of students in the state contributed to a worsening of the _________________________________________________________________________________________________________________ 1 4 On average, each school nurse in the state year, from 1:1,185 in 2009-2010 to 1:1,201.44 In August 1998, about 556 school nurses nurses carried caseloads of about 2,450 students each. Over the past dozen years, the number of students in the average nurse’s caseload has been cut by more than half, enabling more students to access health services from a school nurse. principles of professional nursing remain consistent, the school nurse also must possess skills related to: to visitors to residents. growth and development. unique health issues of children and adolescents. may be related to a health problem. Ability to problem solve in order and health needs into the challenges of school. Knowledge of and ability to implement school nursing services in the federal and state programs designed for students with N o r t h C a ro l i n a A n n u a l S c h o o l H e a l t h S e r v i c e s Re p o r t : 2 0 1 0 - 2 0 1 1 | N o r t h C a ro l i n a P u b l i c H e a l t h Ability to put epidemiological principles clusters of symptoms that may indicate an emerging health threat for students and emerging issues, to educate the school community and implement evidence-based problems. crisis. health professional. Ensures compliance with school entry health requirements such as Provides care and case management for children with chronic health problems. Assures the health and safety of the Takes a lead role in managing disasters and planning for emergencies. programs. Assures school compliance with state and safety. advocates for necessary resources. 2 3 N o r t h C a ro l i n a A n n u a l S c h o o l H e a l t h S e r v i c e s Re p o r t : 2 0 1 0 - 2 0 1 1 | N o r t h C a ro l i n a P u b l i c H e a l t h standard by which school nurses are judged to have the knowledge and skills necessary to provide these health services. During school nurses, as a percentage of the total number of school nurses in North Carolina, decreased slightly, by 1 percentage point to 52 percent. North Carolina remains the 2 The skills and knowledge that the school nurse to the dual goals of improving a student’s health status and academic achievement. During the 2010-2011 school year, the following outcomes were a direct result of school nurse-led management of students Among students with allergies severe to learn: 1,861 of those students stated that they had reduced the number of 4,190 stated that with the school nurse’s assistance, they had increased their knowledge of their disease, its causes and treatments, and how Among students with asthma severe to learn: 4,655 said their improved health allowed them to increase their Among students with diabetes severe to learn: their own blood sugar and 1,223 calculated and correctly drew their own dose of insulin 100 percent Among students with weight issues severe to learn: 934 were able to increase their about the same number demonstrated outcomes are described further under the heading “Student Health Outcomes” and this report. School nurses also provide general the 2010-2011 school year, the nurses reported programs for students. managing the care of students with chronic During 2010-2011, the most common chronic students in North Carolina, as reported by the nurses who care for them, included _________________________________________________________________________________________________________________ 1 As part of care management, school nurses develop individual health care plans and train procedures delegated by the nurse to school state’s school nurses developed more than 100,000 individual health plans for those students. More than half of those plans, 51,000, were for students with asthma. For each plan, the individual student’s medical orders and individual needs were assessed, goals for student-management were the student’s health status following treatment was evaluated. and health maintenance were discussed. During the 2010-2011 school year, school nurses provided 193,136 health counseling nurses facilitated health screenings conducted in schools. Over a half-million school children than 25,465 students were seen by physicians or eye care professionals as a result of the referrals from school health professionals to obtain comprehensive eye exams. Nurses received 114,404 physician orders ordered to be given regularly during each use, as well as drugs ordered to be on hand should the student need them. Those drugs ordered to be available included those ordered for occasional headaches and other ailments. The school nurse reviews the orders N o r t h C a ro l i n a A n n u a l S c h o o l H e a l t h S e r v i c e s Re p o r t : 2 0 1 0 - 2 0 1 1 | N o r t h C a ro l i n a P u b l i c H e a l t h of the order by a Registered Nurse trained for it to be given, can reduce the incidence to students, the incidence of errors and risks reduced quickly. School nurses work with their local School and implement local programs designed to prevent illness and promote health. The SHACs are mandated by the North Carolina also assist with disaster/emergency planning complexity of health needs of children and, ideally, there is at least one school nurse in every school in North Carolina. Methodology and knowledge of health services provided in their schools. Data specialists and school nurse consultants in the N.C. Division of Public Health’s Children and Youth Branch developed the survey instrument. Each of the 115 LEAs — survey instrument electronically. These data address health services in North Carolina public schools, not including public charter and state 4 5 N o r t h C a ro l i n a A n n u a l S c h o o l H e a l t h S e r v i c e s Re p o r t : 2 0 1 0 - 2 0 1 1 | N o r t h C a ro l i n a P u b l i c H e a l t h for this 2010-2011 school year, but, except for a required report from charter schools for data on students with diabetes, an data from federal schools, such as those The data were collected and sorted by Children Unit.3 from other sources, including: North Carolina Department of Public North Carolina Department of Health and Human Services, Division of Public Health, The National Society to Prevent Blindness North Carolina Affiliate, Inc.; and North Carolina Child and Family Support Teams Initiative. by request. Contact: Jessica Gerdes, State School Nurse Consultant, Carol Tyson, School Health Unit Manager, _________________________________________________________________________________________________________________ 3 D ATA S O U R C E S N.C. Annual School Health Nursing Survey: Summary Report of School Nursing Services 2009-2010 7 N o r t h C a ro l i n a A n n u a l S c h o o l H e a l t h S e r v i c e s Re p o r t : 2 0 1 0 - 2 0 1 1 | N o r t h C a ro l i n a P u b l i c H e a l t h North Carolina Annual School Health Services Report. For each school year since 1996-1997, the North Carolina Division of Public Health has collected school health data from each school district. This report summarizes data for school health services during school year 2010-2011 The survey of the school health service programs also asks for comments regarding outcomes and successes during the past school year and goals for future years. This report successful outcomes; they are labeled “local Survey Population in North Carolina Public Schools school children are as diverse as the state’s 4 They come from all socio-economic backgrounds and represent ethnic backgrounds from around the globe. A slim schools are: Black or African American, 26.4%; Asian, 2.5%; Hispanic, 12.7%; American Indian, 99 North Carolina public charter schools impact a student’s ability to learn. Nearly 12 percent of the state’s public school children degree that they are eligible to receive from ages 3 through 21. During the 2010-2011 school year, approximately 18,433 preschool students and 166,674 students ages 6-21 in North Carolina grades kindergarten through 12th were enrolled in EC programs.5 The incidence of EC enrollment peaks at around age 10; among students receiving EC services, one out of every 10, is 10 year olds.6 assistance of school nurses, as many of them primary disability that require health care assigned to work exclusively in the EC program. All students eligible for EC services must meet criteria for one primary disability from among 13 eligible categories, and may meet criteria _________________________________________________________________________________________________________________ 4 s 5 f 6 L o c a l O u t c o m e We will continue to focus more closely on attendance and address those concerns early on, looking for health reasons that students miss school. We want to identify health barriers to school attendance and academic success and eliminate them, improving the student’s chances for academic success. _________________________________________________________________________________________________________________ 7 f 8 programs in North Carolina, “other health impairment” was the second most frequent “hearing impaired,” “orthopedically impaired,” the school nurse is involved in planning and and overseeing nursing care provided by other general supervision of other nurses in the provided care to students who were medically fragile and needed care on a one-on-one basis under the supervision of a registered nurse, a Nursing. LPNs may be hired by the school system or by an agency to provide direct care to an individual student who needs such a level N o r t h C a ro l i n a A n n u a l S c h o o l H e a l t h S e r v i c e s Re p o r t : 2 0 1 0 - 2 0 1 1 | N o r t h C a ro l i n a P u b l i c H e a l t h be provided by a teaching assistant. The physical well-being of children when they to success in school, according to the N.C. government and the federal government provide funding for students in pre-school programs to promote future success in school. In the public schools, those students enroll in More at Four Pre-Kindergarten programs, Preschool. The state’s school nurses serve pre-k students to maximize their ability to be “healthy and ready to learn” at kindergarten entry, partnering with the community to provide health screening and health services to the children and their families. During the 2010-2011 school year, the school nurses reported serving 37,925 pre-k students. Nearly half of those students, 18,433, are enrolled in preschool as students 7 Although enrolled due to speech impairments or language delays and about 40 percent have developmental delays, the remaining 12 student enrollment is not counted in this survey for purposes of the formula that results in N.C. Public Schools L o c a l O u t c o m e Our school nurses hosted 15 pediatric residents (physicians) for up to one day each to help them understand the need for care and advocacy for health in the school community. 9 N o r t h C a ro l i n a A n n u a l S c h o o l H e a l t h S e r v i c e s Re p o r t : 2 0 1 0 - 2 0 1 1 | N o r t h C a ro l i n a P u b l i c H e a l t h experiences, skills and knowledge than that of nurses working in acute care or even other has a crucial role in the seamless provision of comprehensive health services to children and youth.8 May 2008 states that increasing numbers of students enter schools with chronic health the school day. School nurses provide outcomes. In North Carolina, the school nurse as the coordinator of the local School Health Advisory Council. School nurses are involved in each of the eight components of a Coordinated School Health Program: health counseling and psychological services, healthy school environment, and family/community involvement. of School Nurses licensed by the North Carolina Board of into registered nursing is through one of three routes: a bachelor’s degree from a four-year college or university; an associate degree in nursing from a community college or technical college, or a diploma conferred by a 9 and and requirements of funding partners, the level in North Carolina has increased steadily over the years. It increased again this year, with 84 percent of school nurses holding bachelor’s degrees or higher during the 2010-2011 school year. are new to the specialty of school nursing learn Division of Public Health and its co-sponsors, school district, health department or hospital Unknown 3% B.S.N.—Bachelor of Science in Nursing A.D.N.—Associate Degree in Nursing Diploma 2% ADN 11% Master’s 6% BS, BSN, BA 78% _________________________________________________________________________________________________________________ 9 L o c a l O u t c o m e The nurses, together, certified or recertified 207 school personnel in CPR/First Aid. N o r t h C a ro l i n a A n n u a l S c h o o l H e a l t h S e r v i c e s Re p o r t : 2 0 1 0 - 2 0 1 1 | N o r t h C a ro l i n a P u b l i c H e a l t h of North Carolina nurses working in public As a rule, school nurses in North Carolina have Nurse in acute care and community health specialty. During the 2010-2011 school year, 76 percent had more than three years’ needs; and 1:1 for some individual students nursing services.10 would allow all students to have their health 11 Registered nurses working solely as administrators, without caseloads of students, 10 _________________________________________________________________________________________________________________ 10 People 2010 11 employers. The N.C. Board of Nursing requires state’s registered nurses to renew licensure. colleges of nursing, and through the Public Health Nursing Professional Development delivered through a network of state and regional nurse consultants within the N.C. Division of Public Health. Since 1998, the N.C. Department of Public of date of employment. School nurses not employed by LEAs are encouraged, and in some cases required, through their funding of achieving this increasingly recognized that encompasses the full realm of school nursing, both from clinical and student that school nurses experience a full year L o c a l O u t c o m e Our School Nursing Program was the first in the nation to be designated as a Magnet Program by American Nurses Credentialing Center, and now we are the first to be redesignated! 11 N o r t h C a ro l i n a A n n u a l S c h o o l H e a l t h S e r v i c e s Re p o r t : 2 0 1 0 - 2 0 1 1 | N o r t h C a ro l i n a P u b l i c H e a l t h during the 2010-2011 school year, about 10 fewer than 2009-2010. Each school district in North Carolina must have at least one registered nurse available to provide for school health services, though have only one. The number of schools assigned to each school nurse varies from one-to-ten with an average of two schools per nurse. widely from LEA to LEA. At the end of the 2010-2011 school year, the statewide 1:1,201. Most LEAs showed improvement, County to 1:3,117 in Davidson County Schools. School Year 2006-2007 School Year 2007-2008 School Year 2008-2009 School Year 2009-2010 School Year 2010-2011 Schools* Agencies 2, |
| OCLC number | 821948212 |
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