2015
SCHOOL
NURSE
NEEDS
Assessment Data
West Virginia Board of Education
2015-2016
Michael I. Green, President
Lloyd G. Jackson II, Vice President
Tina H. Combs, Secretary
Thomas W. Campbell, Member
Beverly E. Kingery, Member
Gayle C. Manchin, Member
William M. White, Member
James S. Wilson, Member
Paul L. Hill, Ex Officio
Chancellor
West Virginia Higher Education Policy Commission
Sarah Armstrong Tucker, Ex Officio
Chancellor
West Virginia Council for Community and Technical College Education
Michael J. Martirano, Ex Officio
State Superintendent of Schools
West Virginia Department of Education
TALLIES FOR 289 NURSES FOR COUNTY - STATEWIDE FOR YEAR 2015
Nurses represented Section I
This section seeks to obtain information regarding professional preparation, years of service and provision
of school health services. Please complete the questions as indicated, using every means available to collect
accurate, complete information.
1. Population served (number of students):
Pre-K
Grades K-7
Grades 8-12
15,707
157,494
92,908
2. Highest Degree Held
a. Diploma
0
b. Associate Degree
4
c. Bachelor’s Degree in Nursing
192
d. Bachelor’s Degree in field other than nursing
4
e. Master’s Degree in Nursing
26
f. Master’s Degree in field other than nursing
49
g. Doctorate
0
h. School Nurse Practitioner
0
i. Family Nurse Practitioner
1
3. Credentials Held
a. WV Certified School Nurse/Professional Service Certificate
242
b. Permanent Authorization
74
c. First Class Permit
16
d. Substitute Permit
4
e. ANA Certification
4
f. NASN Certification
61
g. None of the Above
3
h. Other
13
4. Please provide information regarding your employment status:
Employer:
Board of Education: 273
County Health Department: 1
Status:
Part-Time: 13
Full-Time: 259
5. Please indicate your years of experience in SCHOOL NURSING ONLY.
a. 0-2 years
39
b. 3-5 years
49
c. 6-10 years
78
d. 11-13 years
33
e. 14+ years
76
1
6.a.Immediate supervisor(s) for school nurses for your area (check all letters that apply).
a. Medical Director
10
b. Superintendent
53
c. Principal
90
d. Special Education Director
59
e. Director/Coordinator of Health Services
118
f. Director of Pupil Services
49
g. Other
34
6.b.In your current position as a certified school nurse, do you assign or delegate health care
procedures to the following nursing staff? More than one answer is acceptable.
a. Licensed Practical Nurse (LPN) employed by the county Board of Education
34
b. LPN/AIDE employed by the county Board of Education
114
c. Contracted LPN
23
d. RN on a School Nurse Authorization
34
e. Contracted RN
16
f. None of the above
110
6.c.What is the main role(s) of the nursing staff who were identified above as providing health care
procedures in schools under your supervision? More than one answer is acceptable.
a. Administering basic procedures only
57
b. Administering insulin only
43
c. Administering one-on-one specialized health care procedure(s)
64
d. Administering basic and specialized health care procedures to all students
96
within the school building
e. Administering basic and specialized health care procedures to all students
33
within the county
f. Providing classroom aide services to the teacher and health care services
70
under the supervision of the certified school nurse in a school
g. Other
30
6.d.Other than School-Based Health Center services provided to your school(s), do you have
community medical services being offered to students through an agreement or understanding
between an agency or private provider and your school(s)? If yes, what are these services? More
than one answer is acceptable.
a. Medical services (EPSDT/HealthCheck, Immunizations, screenings, etc.)
52
b. Behavioral/Mental Health Services
68
c. Dental Services
135
d. Family Planning Services
12
6.e.Do you currently have a need or interest in any of the following medical services being offered to
the students in your school?
a. School-Based Health Center
77
b. Behavioral/Mental Health
124
c. Dental Services
89
d. Family Planning Services
53
2
7. Student screening data totals where you are responsible for supervision/coordination or
performance of procedure (complete each column).
Number of Students
Number of Students
Screen Procedure
Referred for Evaluation/
Screened per Year
Follow-up
Blood Pressure
17,616
961
Oral Health
21,051
3,734
Height/Weight
29,145
757
BMI Body Mass Index
23,400
943
Hearing
16,192
923
Scoliosis
Mass screenings no longer recommended
Vision
48,434
4,949
Cholesterol
No longer assessed
Lice
37,507
7,870
Immunizations
122,492
23,543
Well Child Screens
17,941
1,350
(EPSDT/Healthcheck)
WVU CARDIAC Program
15,692
1,163
8. Other student health services performed by you (complete each column).
Number of Students
Number of Students
Health Service Provided
Referred for Evaluation/
Provided Service per Year
Follow-up
First Aid/Injuries
213,940
24,531
Health Counseling (Individual)
61,772
9,596
Health Counseling (Group)
12,886
277
Acute Care Health Problems (i.e. URI,
ear infection, conjunctivitis, scabies,
212,046
49,258
impetigo, ringworm, rashes)
CPR/AED
525
53
9. Average number of miles traveled weekly by you.
Average Weekly Miles for ( 14,592 Summed Average Miles / 1 Nurses)
62,572.00
10. Number of schools you serve.
Schools Served
793
11. Number of health care plans written and/or revised by you.
Health Care Plans
24,308
12. Number of consultations with staff, parents, physicians regarding health issues.
Consultations
93,715
13. Total number of TB skin tests given by you.
TB Skin Tests
No longer administered by
school nurses
3
14. Meetings attended by you.
a. Individualized Education Plan (IEP)
2,466
b. Student Assistance Plan (SAP)
150
c. Student Assistance Team (SAT)
1,873
d. 504 Meetings
1,838
e. Chronic Medical Team for Attendance Policy
0
f. Other Meetings
2,210
15. Total number of students per year for whom Medicaid is billed for specialized health care
procedures performed by you.
a. Number of Students
1,041
b. Hours Spent on Medicaid Billing
1,242
16. Total number of classroom instructional programs conducted by you.
Number of Classroom Instructional Programs
2,277
17. Total number of health fairs conducted by you.
a. Number of Health Fairs - Students
355
b. Number of Health Fairs - Staff
67
18. Total number of community programs presented by you.
Number of Community Programs
160
19. Total number of home visits regarding student health concerns conducted by you.
Number of Home Visits
629
20. County-wide Education or School Intervention Teams on which you participate (check all that
apply).
a. Alcohol/Drugs/Substance Abuse
30
b. Crisis Intervention
71
c. Crisis Response
82
d. School Improvement Council
15
e. LSIC or UCIP
21
f. S.B.H. Center
21
g. Disaster Preparedness
68
h. School Wellness
172
i. County Wellness
89
j. Regional Wellness
12
k. Other
40
21. Community Based Committees on which you participate (check all that apply).
a. Family Resource Network (FRN)
7
b. Red Cross
22
c. Disaster Preparedness
55
d. WV DHHR (local health department, Adolescent Health, Adolescent
25
Pregnancy Prevention, etc.)
e. Oral Health
24
f. Other
44
4
22. Is your health data entered on WVEIS (check appropriate letter)?
Yes: 272
No: 3
No Answer: 19
23. Who enters health data on WVEIS (check all that apply)?
Self: 268
Other Staff: 58
24. Number of immunization records checked by you. Please complete in table for Section I,
question 7.
25. Number of hours spent training and supervising personnel who perform delegated student
health care procedures.
Number of hours spent training and supervising
13,646
26. Counts of programs or services in which actively participating:
a. WVDHHR Fluoride Rinse Program
96
b. Community Schools Program
35
c. American Dairy Fuel Up to Play 60
74
d. WVU CARDIAC Program
215
e. Mobile Dentist
95
27. School Personnel Screening - Staff Wellness - where you are responsible for supervision/
coordination or performance of procedures.
Number Referred for
Services Provided
Number Screened
Evaluation/Follow-up
Blood Pressure
7,156
926
PEIA or Staff Wellness
2,455
111
First Aid
6,221
812
Health Counseling
9,426
2,320
Flu Shots
6,983
182
Immunizations
585,324
581
28. Number of staff development trainings and/or programs presented by you.
Number of trainings/programs
1,565
29. Epinephrine Administration
a. Anaphylactic Reaction (diagnosed)
325
b. Anaphylactic Reaction (undiagnosed)
collection runs August - June
30. Number of student encounters/health office visits to RN resulting in the
477,025
student returning to class or staying in school during the 2014-15 school year.
31. Number of student encounters/health office visits to the RN resulting in 911
3,815
being called or regionally appropriate equivalent during the 2014-15 school
year.
32. Number of student encounters/health office visits to RN resulting in the
82,202
student being sent home during the 2014-15 school year.
5
Section II
Total Number of Cases Requiring School Nurse Involvement, Intervention, or Follow-Up
1. Cardiovascular/Blood Disorders
Heart Problems
Hemophilia/Coagulation Disorders
Hepatitis
Hypertension
Immunosuppressed
Other Cardiovascular/Blood Disorders
2. Central Nervous System/
Neurological
Cerebral Palsy
Epilepsy/Seizures
Brain/Spinal Cord Trauma/Infection
Hydrocephalic/Microcephalic
Migraine/Severe Headache
Other Central Nervous System/
Neurological Disorders
Pre-K
86
4
5
5
11
18
Pre-K
54
141
9
23
3
50
Kindergarten 5th Grade to
to 4th Grade
8th Grade
449
417
65
57
8
5
53
160
56
69
103
78
Kindergarten 5th Grade to
to 4th Grade
8th Grade
159
130
755
557
30
36
57
37
468
823
101
3. Dermatological
Severe Burns
Burns
Other Dermatological Disorders
Pre-K
0
10
60
4. Endocrine
Diabetes - Type I
Diabetes - Type II
Hypoglycemia not diagnosed as
diabetic
Adrenal Insufficiency
Other Endocrine Disorders
Pre-K
12
1
5. Eye, Ear, Nose, Throat
Artificial Eye
Other Eye, Ear, Nose, Throat
Pre-K
2
104
2
Kindergarten 5th Grade to
to 4th Grade
8th Grade
5
6
22
38
538
226
Kindergarten 5th Grade to
to 4th Grade
8th Grade
183
343
23
81
64
3
7
6
79
92
20
28
87
102
Kindergarten 5th Grade to
to 4th Grade
8th Grade
14
19
725
674
9th Grade to
12th Grade
416
72
4
301
54
127
9th Grade to
12th Grade
131
547
86
35
1,021
98
9th Grade to
12th Grade
14
70
231
9th Grade to
12th Grade
400
149
173
35
190
9th Grade to
12th Grade
6
898
6. Gastrointestinal
Eating Disorders (Anorexia/Bulimia)
Cleft Lip/Palate
Obesity (nurse or M.D. diagnosed)
Ulcerative Colitis
Special diets (Medically Indicated)
Other Gastrointenstinal Disorders
Pre-K
4
9
111
2
315
80
7. Genetic
Autism
Down’s Syndrome
Tourette’s Syndrome
Other Genetic Disorders
Pre-K
238
25
3
51
8. Musculoskeletal
Juvenile Rheumatoid Arthritis
Congenital Hip
Lordosis, Kyphosis, Scoliosis
Muscular Dystrophy
Osteogenesis Imperfecta
Spina Bifida
Other Musculoskeletal Disorders
Pre-K
1
3
5
5
3
12
30
9. Behavior Medicine
Mental Disorders
(Diagnosed Depression, Bipolar,
Schizophrenia, Suicidal)
Behavioral Disorders (ADD/ADHDphysician treated, Anxiety, OCD/ODD)
Other Behavioral Disorders
Pre-K
Kindergarten
to 4th Grade
10
50
1,017
25
1,793
420
Kindergarten
to 4th Grade
863
106
43
129
Kindergarten
to 4th Grade
58
10
169
17
9
41
131
Kindergarten
to 4th Grade
20
523
739
1,075
282
4,797
4,465
2,974
10. Reproductive
Pregnancies
Other Reproductive Disorders
Pre-K
0
0
32
7
5th Grade to
8th Grade
70
31
1,073
52
851
349
5th Grade to
8th Grade
633
72
67
102
5th Grade to
8th Grade
43
10
148
18
12
33
121
5th Grade to
8th Grade
201
261
Kindergarten 5th Grade to
to 4th Grade
8th Grade
0
20
6
32
9th Grade to
12th Grade
62
26
1,015
56
741
391
9th Grade to
12th Grade
540
97
54
75
9th Grade to
12th Grade
57
13
212
24
6
34
136
9th Grade to
12th Grade
167
9th Grade to
12th Grade
432
49
11. Respiratory
Asthma
Bronchitis (Chronic)
Anaphylactic Reaction
(actual/potential for)
Cystic Fibrosis
Other Respiratory Disorders
Pre-K
430
28
12. Urological
Renal Disease including Nephritis or
Nephrotic Syndrome
Neurogenic Bladder
Other Urological Disorders
Pre-K
13. Cancer
Cancer-Malignant (Current Diagnosis/
Need School Health Services)
Cancer-Nonmalignant
(Current Diagnosis/Need for School
Health Services)
Pre-K
253
Kindergarten 5th Grade to
to 4th Grade
8th Grade
4,670
4,406
80
147
2,046
5
11
6
37
30
396
148
Kindergarten 5th Grade to
to 4th Grade
8th Grade
53
8
24
1,368
41
34
20
157
101
Kindergarten 5th Grade to
to 4th Grade
8th Grade
9th Grade to
12th Grade
3,560
155
1,176
33
96
9th Grade to
12th Grade
46
35
123
9th Grade to
12th Grade
0
36
13
12
2
11
7
4
8
Section III
Total Number of Students Needing Specialized Care/People Trained to Perform Delegated Procedures
Contracted
Licensed
Provider
Trained
Pre-K
Kindergarten
to 4th Grade
5th Grade to
8th Grade
9th Grade to
12th Grade
School
Personnel
Trained
Gastrostomy Tube Bolus
Feeding
23
29
26
25
66
26
Gastrostomy Tube Slow Drip
and/or Continuous Feeding
23
23
22
21
30
22
Gastrostomy Button Bolus
Feeding
229
35
28
31
117
30
Gastrostomy Button Slow
Drip and/or Continuous
Feeding
24
27
228
20
55
23
Nasogastric Tube Bolus
Feeding
20
21
21
20
28
22
Nasogastric Tube Slow Drip
and/or Continuous Feeding
20
20
20
20
23
22
Inserting a Nasogastric Tube
20
20
20
20
23
22
Ostomy Care: Emptying/
Changing of Ostomy Pouch
21
23
22
22
37
23
1.
Digestive
Contracted
Licensed
Provider
Trained
Endocrine
Pre-K
Kindergarten
to 4th Grade
5th Grade to
8th Grade
9th Grade to
12th Grade
School
Personnel
Trained
Diabetic Management
33
209
380
640
1,590
160
Measurement of Blood Sugar
with a Glucometer
34
409
562
447
1,333
153
Insulin by Injection
28
139
401
245
232
128
Insulin Pump/Bolus
24
84
175
189
248
131
Glucagon
32
185
342
371
1,372
351
2.
Contracted
Licensed
Provider
Trained
Medications
Pre-K
Kindergarten
to 4th Grade
5th Grade to
8th Grade
9th Grade to
12th Grade
School
Personnel
Trained
Adrenal Insufficiency
Management
20
38
44
36
159
38
Long-Term Medication
Administration
218
2,523
1,265
610
2,197
113
3.
9
Contracted
Licensed
Provider
Trained
Neurological
Pre-K
Kindergarten
to 4th Grade
5th Grade to
8th Grade
9th Grade to
12th Grade
School
Personnel
Trained
Emergency Medication
Administration
259
3,670
2,322
1,235
3,521
144
Administration of Rectal
Diazepam
79
306
203
105
1,640
148
Phrenic Nerve Stimulator
220
0
24
24
35
22
Seizure Management
123
574
386
408
2,474
140
9th Grade to
12th Grade
School
Personnel
Trained
4.
5.
Respiratory
Pre-K
Kindergarten
to 4th Grade
5th Grade to
8th Grade
Contracted
Licensed
Provider
Trained
Vagus Nerve Stimulator
22
10
20
33
256
15
Anaphylactic Reaction
396
1,632
1,005
865
3,390
156
Epinephrine Auto-Injector
(EPI-PEN)
180
1,653
920
680
3,171
164
Inhalation Therapy by
Machine
65
191
285
253
601
74
Manual Resuscitator
21
223
21
21
298
28
Mechanical Ventilator
22
21
20
20
3
225
Metered Dose Inhaler (MDI)
Therapy
344
3,156
2,320
1,739
2,986
165
Oral Suctioning
3
26
42
225
72
5
Oxygen Administration
23
224
27
4
257
237
Peak Flow Meter
20
44
37
29
48
24
Postural Drainage and
Percussion
20
24
23
221
32
6
Emergency Care and
Cleaning of Tracheostomy
Tube and Stoma
224
26
22
20
31
231
Emergency Replacement of
Tracheostomy Tube
23
26
22
20
31
26
Contracted
Licensed
Provider
Trained
Pre-K
Kindergarten
to 4th Grade
5th Grade to
8th Grade
9th Grade to
12th Grade
School
Personnel
Trained
Tracheostomy Suctioning Sterile Technique
23
24
44
21
30
34
Clean Catheterization
24
395
26
34
97
30
Self Catheterization
20
28
32
38
61
28
Sterile Catheterization
220
224
225
21
35
24
Credés Method
221
21
20
20
26
221
6.
Urinary
10
NOTES
11
NOTES
12
NOTES
13
Michael J. Martirano, Ed.D.
State Superintendent of Schools