The school nurse may also coordinate with school counselors in developing suicide prevention plans. The school nurse also participates in implementation of a plan for prevention and management of school violence, bullying, disasters, and terrorism events. In some schools, a pediatric or family nurse practitioner functions as the school nurse and may provide additional services. IEP teams identify the special education needs of students; 504 teams plan for reasonable accommodations for students' special needs that impact their educational programs.18 As the case manager for students with health problems, the school nurse ensures that there is adequate communication and collaboration among the family, physicians, and providers of community resources. Thank you for your interest in spreading the word on American Academy of Pediatrics. However, the reality is that school nurse staffing patterns vary widely across the United States.14 When a school nurse is not available at all times, the American Academy of Pediatrics, the National Association of School Nurses, and the American Nurses Association recommend that delegated, unlicensed assistive personnel be trained and supervised in the knowledge, skills, and composure to deliver specific school health services under the guidance of a registered nurse. Pediatricians can advocate for a minimum of 1 full-time professional school nurse in every school with medical oversight from a school physician in every school district as the optimal staffing to ensure the health and safety of students during the school day. The school nurse has a crucial role in the seamless provision of comprehensive health services to children and youth. Her early success in reducing absenteeism led to the hiring of 12 more nurses. One in ten children and adolescents has a mental illness severe enough to cause some level of impairment; yet, in any given year, only about 12% of children in need of mental health services actually receive them.33 Pediatricians, both community- and school-based, and school nurses need to collaborate to advocate for professional resources addressing this burgeoning problem that affects both their practices.9, Health care reform, including how health care is financed and delivered, is a significant societal change. The school nurse is responsible for management of this plan and communication about the plan to all appropriate school personnel. In addition, the school nurse provides for the safety of the environment by participating in environmental safety monitoring (playgrounds, indoor air quality, and potential hazards). The Privacy, Security, and Breach Notification Rules of the Health Insurance Portability and Accountability Act of 1996 (Pub L No. Social attitudes that promote inclusion, as well as state and federal laws such as the Individuals With Disabilities Act (Pub L No. The school nurse functions as a leader and the coordinator of the school health services team. The National Association of School Nurses defines school nursing as: The school nurse serves in a leadership role for health policies and programs. However, myths and misunderstanding among parents, pediatricians, and school nurses about these laws can inadvertently hinder efficient, efficacious, and cost-effective case management of student health care needs. Increasing rates of obesity over the past several decades represent alarming risks for the current and future health of children and adolescents. The school nurse has a unique role in the provision of school health services for children with special health needs, including children with chronic illnesses and disabilities of various degrees of severity. There should be a process by which additional certification or licensure for the school nurse is established by the appropriate state board. These policies include health promotion and protection, chronic disease management, coordinated school health programs, school wellness policies, crisis/disaster management, emergency medical condition management, mental health protection and intervention, acute illness management, and infectious disease prevention and management.16. 104-191) and Family Educational Rights and Privacy Act (Pub L No. We do not capture any email address. School health nursing services role in health care: Role of school nurse… American Academy of Pediatrics’ policy has previously supported ratios of 1 school nurse to 750 students in the healthy student population and 1:225 for student populations requiring daily professional nursing services. Families face multiple barriers to adequate health care, including accessibility, availability, and affordability. Provides Leadership for Promotes Healthy School Environment Provision of Health Services Monitors immunizations Plans for responding to emergencies and disasters Implements precautions for blood borne pathogens Assesses, trains, supervises, and evaluates staff and infectious diseases Responsibilities include assessment and treatment within the scope of professional nursing practice, communication with parents, referral to physicians, and provision or supervision of prescribed nursing care. To that end, school nurses understand and educate about normal development; promote health and safety, including a healthy environment; intervene with actual and potential health problems; provide case-management services; and actively collaborate with physicians who work in schools, such as medical advisors and team physicians, families, community service providers, and health care providers, to build student and family capacity for adaptation, self-management, self-advocacy, and learning.4,5, School nurses and pediatricians, both community- and school-based, working together can be a great example of team-based care, defined as the provision of comprehensive health services to individuals, families, and/or their communities by at least 2 health professionals who work collaboratively along with patients, family caregivers, and community service providers on shared goals within and across settings to achieve care that is safe, effective, patient-centered, timely, efficient, and equitable. Increasing numbers of students enter schools with chronic health conditions that require management during the school day. Rescue medicine for epilepsy in education settings. The school nurse has a crucial role in the seamless provision of comprehensive health services to children and youth.