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Complete your Padlet assignment by clicking here (opens in a new window). SHIELD will post your response to Padlet.

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Directions

1. Scroll to the next section to complete any activities due.

2. SHIELD will submit your responses and/or questions in batches on Wednesday and Fridays

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Looking for ideas or have any CQI questions for other school nurse leaders?  Please share them here and SHIELD will post them to Padlet.

Do you have experience with a posted question? Please email your colleague in the corresponding post.

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West (Berkshire, Franklin)

West (Hampden, Hampshire)

Northeast

Metrowest

Boston

Central

Southeast

Regional Consultant Padlet

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Vision: Support the development of strong school nurses who can help all students maximize their potential.

Health Area Focus: Assuring our homeless/refugee population and ELL population have nursing support; improve screening referral rates.

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From: Patricia S. District: Hanover Public Schools

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From: Patricia S. District: Hanover Public Schools

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Vision: To facilitate an environment where students and staff have the opportunity to learn and thrive in a system that understands, celebrates, and supports our differences, strengths, learning styles, and challenges, in the context of school, family, and community.

Health Area Focus: Completion of referral after failed vision and hearing screening

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Vision: My purpose as a school nurse leader is to provide current information as well as support and guidance to the team of nurses in Stoneham Public Schools and to provide thorough and genuine care to the staff, students and families of Stoneham so as to help them access their best chance at a healthy lifestyle and at the same time promoting access to an optimal education for all students.

Health Area Focus: According to the National Association of School Nurses (NASN): "Vision impairments in children are common and uncorrected vision problems can impair child development, lead to behavior problems in the classroom, interfere with early literacy and learning, and lead to permanent vision loss."

"Early detection, treatment and ongoing care is critical."

"Visual functioning is a strong predictor of academic performance in school age children."

The team of SPS nurses will be focusing on vision screening referrals. In the past, completed referrals have been met with resistance from parents and guardians. The percentage of returned referrals from an eye specialist has not been optimal. We will be tracking at each school more closely and brainstorming ideas as a team to increase the number of completed referrals.

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Vision: My purpose as a school nurse manager is to keep our students healthy and safe emotionally and physically.

Health Area Focus: Health Screenings

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Vision: To lead and support Billerica nurses as we navigate a new school year with new challenges. I want to improve the relationship and collaboration between the nurses and other stakeholders to achieve the best outcomes for students.

Health Area Focus: Addressing food allergies, reducing risks, encouraging education and self-advocacy for students with food allergies and their families.

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Vision: Provide a safe learning environment for students with significant medical conditions.

Health Area Focus: Emergency Action Plans

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Vision: Advocating for students, families, and other school nurses. School nurses are the gap between education and healthcare that’s essential to breaking down barriers of inequitable systems to ensure students are safe and ready to learn.

Health Area Focus: Increase the percentage of IHCPs for students with specialized health care needs in a meaningful way, identifying areas of student-specific growth with purpose and establishing a regular review cycle.

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Vision: To facilitate communication and collaboration among various stakeholders throughout the district, including school nurses, to ensure sufficient resources to provide comprehensive quality care to ALL students and staff.

Health Area Focus: Chronic absenteeism, no matter the cause of the absence, students need to be in school to have academic and social success.

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Vision: My purpose as a lead school nurse is to develop a sense of unity among our nurses as we had been without a nurse leader for many years. I would like to support our nurses, provide guidance in best practices as a school nurse, and provide the best care to students and staff.

Health Area Focus: I would like all of our schools to focus in the area of chronic absenteeism as a result of the pandemic, we have seen a rise in the number of students with chronic absenteeism.

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From: Maureen P. District: Lowell Catholic

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From: Maureen P. District: Lowell Catholic

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Vision: Working in a small, private, Catholic school with just 2 nurses, we work together to promote both physical and emotional well being for our students and our families

Health Area Focus: Our goal this year is to cut down on Health Office visits by those students who frequent the Health Office on a regular basis. Our hope is that through collaboration and education with both the parents and students, that we will see a decline in visits from these students and that they will be in the classroom more

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From: Lea T. District: Hamilton Wenham Regional School District

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From: Lea T. District: Hamilton Wenham Regional School District

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Vision: As a School Nurse Leader for the district, I strive to promote wellness through education, advocacy, and assessment to all students in the district through collaboration with staff.

Health Area Focus: Our nursing team will focus on screening students early in vision, hearing, postural, BMI and SBIRT. Utilizing the new screening tools and initiating screening prior to February 2024, we will increase follow up with the percentage of students who fail screenings by 85%

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Vision: Using the National Association of School Nursing’s Framework for 21st Century School Nursing Practice as guidance, as nurse leader, I strive to advocate and support my school nurses to provide high quality, evidence -based health care for all students in the district.

Health Area Focus: Completion of failed hearing and vision screening referrals

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From: Jane M. District: Salem Public Schools

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From: Jane M. District: Salem Public Schools

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Vision: Consistency, transparency, and accountability...My objective is to establish operational and care systems that effectively address student needs with consistency and efficiency throughout the entire district. I aim to:

* leverage best practices in order to develop and implement strategies that enhance the overall support provided to students

* create a standardized approach to operations and care

* ensure that all students receive high-quality assistance and services in a uniform manner across the district.

Health Area Focus: We are currently investigating a hypothesis suggesting that students who are provided assistance through a multi-tiered system will demonstrate a higher likelihood of staying in class and dedicating more time to learning. Our nursing team has analyzed data from the previous school year to pinpoint students without chronic medical conditions but who consistently visit the health office more frequently than their peers. Each nurse has identified 10 students meeting these criteria and will collaborate with multi-disciplinary teams within the school to implement support strategies. The goal is to reduce the number of unnecessary health office visits for these students, ultimately contributing to an increase in classroom learning time.

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From: Elizabeth P. District: Malden Catholic High School

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From: Elizabeth P. District: Malden Catholic High School

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Vision: My vision as a school nurse leader is to encourage and develop young men and women who are life -long learners in all aspects of their lives and to lead healthy lives.

Health Area Focus: I would focus on absenteeism. Through creating partnerships with parents, I can improve attendance and educate families that a child must be in school to learn. A child with good attendance will meet with success academically and socially.

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From: Toni R. District: Lynnfield Public Schools

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From: Toni R. District: Lynnfield Public Schools

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Vision: To be the voice that advocates for the needs of our nursing staff and our students/families. To ensure that all students are safe and that their health and wellness needs are being met, so that they are ready and able to learn. To provide support to my school nurses, so that they can maximize their development within their practices and so that they are in a position to provide quality care to all students and staff.

Health Area Focus: Early vision and hearing screening, so that any issues can be addressed at the beginning of the school year.

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Complete your Padlet assignment by clicking here (opens in a new window). SHIELD will post your responses in batches.

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From: Cheryl B. District: North Andover public schools

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From: Cheryl B. District: North Andover public schools

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Vision: Advance and empower school nurses to remove all barriers preventing students from being in school and ready to learn.

Health Area Focus: Implement district wide attendance protocols that intervene early when students are missing school or arriving late. Educate parents/staff/students of the importance of school attendance.

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Vision: To provide leadership to our school nursing team, so that we can effectively collaborate with district and community resources in order to keep our students healthy safe and ready to learn. To have a proactive approach to physical and mental health so that we can support all students and families in our district. To identify barriers to health and education and improve access in our community.

Health Area Focus: I would like to focus on chronic absenteeism, using data to identify demographics of students most at risk of chronic absenteeism, and identify resources that would be most helpful in supporting attendance with these students and their families.

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From: Rita C. District: Andover Public Schools

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From: Rita C. District: Andover Public Schools

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Vision: The District vision is to improve time on learning for all students.

Health Area Focus: Identify students who spend a large amount of time in the clinic - either by frequency or length of visit.

Identify students who are absent more than 10% . Determine the reason for these visits/absences (diagnosis) and nursing interventions to that the nurse can implement to decrease clinic time/sick days and increase class time

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Vision: To work with the districts Attendance Committee to create additional coding options for Schoolbrains, our absence management system, to ensure that the districts attendance team is able to easily identify which stakeholder will follow up with the family without entering PHI into Schoolbrains.

For example, rather than entering "Absent Parent Call (APC) with a narrative stating that the student has COVID" I would like to create and implement new coding such as Absent Medical (AM) so the attendance team knows that the student is out for a medical reason and they can easily identify that the nurse will follow up with that family.

Health Area Focus: Helping stakeholders easily identify who will follow up with the family of chronically absent students through use of new coding with a focus on avoiding entering PHI into Schoolbrains.

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Team's vision: 100% Emergency Action Plans in place

District's Demographic Group: Hispanic, Black, White, Multi-race, ELL, Homeless

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From: Krista S. District: Billerica Public Schools

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From: Krista S. District: Billerica Public Schools

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Team's vision: We want to see children safer during lunch or snack at school, less incidents of anaphylaxis and the need for using an Epipen.

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Team's vision: Increase student access to tuberculosis screening

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From: Elizabeth P. District: Malden Catholic High School

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From: Elizabeth P. District: Malden Catholic High School

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Vision: My vision remains the same. I am in the business of education and our youth. My hope is to build and encourage life long learners who use their knowledge to lead healthy lives.

Health Area Focus: I began this journey looking at absenteeism as we have implemented some strategies that have some effect although not as much as I had hoped. In the process another issue came to light for me. Our International program is very large and while in the past, the student have been submitted immunizations and forms in English for applications and the acceptance process, with a standard month/date/year format, that has become increasingly more difficult. This includes absentee notes etc. Thus, my new improvement project will be to translate forms in their native language for both my International and domestic population. I have asked and have received translation services that will improve our communication with all of our students- One issue undercovers another.

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Team's vision: Increase the percentage of completed vision referrals.

District's Demographic Group: Asian, Hispanic, White/Non-Hispanic, African American, Black, Non-Hispanic, White, Non-Hispanic, Portuguese, Hispanic Latino

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Team's Vision: Committed to meeting the diverse and changing health needs of all students as a result of comprehensive nursing practice.

District's Demographic Groups: All students: 2776, AA:1.5% (41),Asian: 6.7%(186), NA:0.1% (3),Hisp: 5.4% (150),White: 81.8% (2271),Multi Race: 4.5% (125)

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From: Jane M. District: Salem Public Schools

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From: Jane M. District: Salem Public Schools

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Team's Vision: To increase time on learning by reducing number of unnecessary nursing visits among students identified as "frequent visitors"

District's Demographic Groups: We have all races and ethnicities, housing status, and educational status noted on the form.

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From: Lea T. District: Hamilton Wenham Regional School District

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From: Lea T. District: Hamilton Wenham Regional School District

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Team's Vision: Promote the health and safety of all students through screenings

District's Demographic Groups:

Race % of School % of District % of State

African American 0.7 0.5 9.6

Asian 4.5 4.1 7.4

Hispanic 4.1 5.7 25.1

Native American 0.

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Team's Vision: 100% Emergency Action Plans in place

District's Demographic Group: Hispanic, Black, White, Multi-race, ELL, Homeless

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From: Nancy T. District: Haverhill Public Schools

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From: Nancy T. District: Haverhill Public Schools

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Team's Vision: Increase student access to tuberculosis screening and subsequent treatment as needed

District's Demographic Groups: All categories

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From: Katie V.  District: Newburyport Public Schools

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From: Katie V.  District: Newburyport Public Schools

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Team's Vision: Develop exceptional school nurses who have the tools to maximize mitigation of health concerns for our students.

District's Demographic Groups: 3% of school population identified as MLL, 1% identified as MV.

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Team's Vision: Decrease Rate of Chronic Absenteeism

District's Demographic Groups: White, African American, Hispanic, Asian, and Multi Race

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Complete your Padlet assignment by clicking here (opens in a new window). SHIELD will post your responses in batches.

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Complete your Padlet assignment by clicking here (opens in a new window). SHIELD will post your responses in batches.

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Complete your Padlet assignment by clicking here (opens in a new window). SHIELD will post your responses in batches.

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Complete your Padlet assignment by clicking here (opens in a new window). SHIELD will post your responses in batches.

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Useful Resources and Tools: SNAP

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Team's vision: All students who have been referred for a vision or hearing follow-up be seen by a provider and receive treatment as needed.

District's Demographic Group: White, Black, Asian, Hispanic, Multi-Race, ELL, Homeless

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From: Brenda W. District: Peabody Health Department

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From: Brenda W. District: Peabody Health Department

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From: Brenda W. District: Peabody Health Department

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From: Brenda W. District: Peabody Health Department

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From: Brenda W. District: Peabody Health Department

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From: Brenda W. District: Peabody Health Department

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Team's vision: To increase the percentage of students with completed vision referrals

District's Demographic Group: White, Black, Asian, Hispanic, Multi-race

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Useful Resources and Tools: the Padlet was useful and connecting with other school districts to see how they structure their vision screening and follow-up care

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Katie's Stakeholder Analysis Worksheet (4)

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Useful Resources and Tools: SNAP, per diem nurse coverage, office supplies

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From: Nancy T. District: Haverhill Public Schools

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From: Nancy T. District: Haverhill Public Schools

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From: Nancy T. District: Haverhill Public Schools

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From: Nancy T. District: Haverhill Public Schools

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From: Nancy T. District: Haverhill Public Schools

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From: Nancy T. District: Haverhill Public Schools

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Useful Resources and Tools: DPH supplied training materials and video on PPD reading and placement. Collaboration with DPH and HPS Medical director

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From: Brenda W. District: Peabody Health Department

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From: Brenda W. District: Peabody Health Department

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Useful Resources and Tools: The most recent CSHS meeting held in February. Being able to collaborate with peers during that meeting. Collaborating with my school nursing staff - nurses and health office clerks.