West Virginia
COUNCIL
o f Sc ho o l Nurse s
April 20, 2012
9:00 am-2:00pm
Stonewall Jackson Resort
Agenda
I.
Call to Order at 9:13am by Acting Chair Shelly Kerere of RESA 7
II.
Introductions and Welcome
Attendees: Amanda Meadows of RESA I, Shelly Kerere of RESA 7, Kristi
Scaggs of RESA 2, Delberta Riffe of RESA 3, Mary Jane Rinard of RESA 8
(Substituting for Debbie Stine), Paula McCoy of RESA 4 and Rebecca King
of WVDE
III.
Review and approval of minutes from February 20, 2012 minutes.
Minutes were reviewed and motion to approve minutes was made by Delberta
Riffe and seconded by Kristi Scaggs.
IV. Old Business
 Status on setting two face-to-face RESA meetings with call-in options
o RESA 3, RESA 4, RESA 5 and RESA 7 had face-to-face
meetings. Please contact Linda Payne if you would like a
conference call or webinar set-up. Continue to use Thinkfinity
as a communication line to school nurses in the RESA. Kristi
Scaggs discussed the difficulty of school nurses being able to
leave their assignments to attend a RESA Council of School
Nurse meeting.
 Stock Medications (First Aid, Epinephrine, Fluoride Rinse, etc.)
o A letter will be drafted by Becky to go to the WV Board of
Nursing regarding this issue. The WV Council decided not to
request stock medication for First Aid use in the school system.
The group felt current recommendations from CDC to clean
with soap and water, rinse, pat dry and bandage was prudent
practice not apply an antibacterial ointment/cream. A request
for stock Epinephrine for undiagnosed anaphylaxis for school
nurse use only at their present location will be made to the WV
RN Board. WV Board of Education Medication Policy would
have to reflect the protocol for care of undiagnosed
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anaphylactic shock in schools without a school nurse present.
Fluoride rinse should be a targeted approach through the oral
health educators and local dentists, dental clinics and
community health centers including SBHCs. If provided in the
school setting an order should be obtained and active consent
and proper documentation on each student whom is
administered fluoride. In conclusion, Becky will make a
request to the WV RN Board for school nurses to administer
stock Epinephrine under a standing order to students who have
not been diagnosed with anaphylaxis and standing orders for
the WVDHHR-Fluoride Rinse Program.
 Follow-up on additions to WVEIS- Immunization Codes
o Continue to use "XX" for now meaning additional
immunizations required for those who are OK to start pre-K.
Use the code also for 7th grades student who have one
menactra and will need a second for 12th grade. "NB"
meaning “needs booster(s)” will be created.
o Discussion pursued regarding WVEIS Sick Bay codes.
Upgrades are in progress and Cindy Feeser, RN of Jefferson
county is working with Richard Pulliam of WVEIS regarding
the Sick Bay screens. Direct any ideas for additions or changes
to Cindy Feeser (cfeeser@access.k12.wv.us). Soon all nurses
will be able to pull up their care plans and intervention guides
on the WOW health screens through the newly developed
reports from WVDE Programmer, Jim Gilbert.
 Response to Karen Northup, Wellness Program Director/Researcher,
of Wood County Schools
o Response is being developed regarding BMI.
V.
New Business
 Review of Immunization Flow Chart per request to WV Immunization
Network specific to 7th and 12th grade immunizations.
o The 7th and 12th grade Flow Charts were accepted for
distribution to public schools without changes.
o Becky will ask that one be developed for new enterers also.
o Thanks to Shelly Kerere for bringing this idea and sample to
Council and WIN.
 Comment period for revisions to WVBE Policy 2423-Communicable
Disease Control.
o The policy aims to make immunization records into public
health records to be entered into WVSIIS by the child’s
medical provider or the local and/or the state health
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department. WVSIIS is the repository for immunization
records. This will remove the requirement to enter
immunization records into WVEIS. There are no further plans
for WVSIIS to feed into WVEIS as had earlier discussed.
o The management of immunization records will be a local
decision with county schools and public health.
 Revising WVBE Policy 2422.8-Medication Administration (2004)
o If you have suggestions or ideas regarding clarifying or
cleaning up the medication administration policy, please let
Becky or your Council Representative know. The current
policy is from 2004.
VI. Updates from WVDE
 WV School-Based Health Assembly (WVSBHA) Formal Response to
Public Works Audit Report was distributed and discussed. WVASN is
also drafting a response to Governor Tomblin.
 A future request to WV RN Board regarding fluoride rinse and stock
medications will be made by WVDE-Healthy Schools.
 The Mobile SMILES Program from Michigan has meet with WVDE
and WVDHHR. Using a service like this is a local decision, but the
Program has demonstrated that they have qualified staff and OSHA
policies in place and can be of assistance to underserved children.
The key is coordination with your local dental providers and the
Mobile SMILES Program.
 Legislative Study Resolutions are school health related issues being
studied throughout this year for possible future legislation. These are
studies only, not actually bills yet. The Study Resolutions are SCR 33,
81, 84 and 95 along with HCR 107, 128 and 132.
 2012 KidStrong Conference is June 13 & 14 in Charleston, WV.
VII.
Closing remarks
Respectfully Submitted by Paula McCoy (RESA 4), WVCOSN Secretary.
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