2013
SCHOOL
NURSE
NEEDS
Assessment Data
West Virginia Board of Education
2014-2015
Gayle C. Manchin, President
Michael I. Green, Vice President
Tina H. Combs, Secretary
Thomas W. Campbell, Member
Robert W. Dunlevy, Member
Lloyd G. Jackson II, Member
L. Wade Linger Jr., Member
William M. White, Member
Paul L. Hill, Ex Officio
Chancellor
West Virginia Higher Education Policy Commission
James L. Skidmore, 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 268 NURSES FOR COUNTY - STATEWIDE FOR YEAR 2013
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
16,323
159,440
97,487
2. Highest Degree Held
a. Diploma
0
b. Associate Degree
7
c. Bachelor’s Degree in Nursing
157
d. Bachelor’s Degree in field other than nursing
3
e. Master’s Degree in Nursing
21
f. Master’s Degree in field other than nursing
48
g. Doctorate
0
h. School Nurse Practitioner
0
i. Family Nurse Practitioner
3
3. Credentials Held
a. WV Certified School Nurse/Professional Service Certificate
202
b. Permanent Authorization
59
c. First Class Permit
24
d. Substitute Permit
1
e. ANA Certification
3
f. NASN Certification
48
g. None of the Above
3
h. Other
13
4. Please provide information regarding your employment status:
Employer:
Board of Education: 237
County Health Department: 1
Status:
Part-Time: 7
Full-Time: 231
5. Please indicate your years of experience in SCHOOL NURSING ONLY.
a. 0-2 years
24
b. 3-5 years
47
c. 6-10 years
73
d. 11-13 years
35
e. 14+ years
62
1
6.a.Immediate supervisor(s) for school nurses for your area (check all letters that apply).
a. Medical Director
16
b. Superintendent
56
c. Principal
82
d. Special Education Director
58
e. Director/Coordinator of Health Services
95
f. Director of Pupil Services
60
g. Other
43
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
44
b. LPN/AIDE employed by the county Board of Education
120
c. Contracted LPN
29
d. RN on a School Nurse Authorization
29
e. Contracted RN
30
f. None of the above
95
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
57
c. Administering one-on-one specialized health care procedure(s)
71
d. Administering basic and specialized health care procedures to all students
89
within the school building
e. Administering basic and specialized health care procedures to all students
36
within the county
f. Providing classroom aide services to the teacher and health care services
83
under the supervision of the certified school nurse in a school
g. Other
29
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.)
70
b. Behavioral/Mental Health Services
70
c. Dental Services
110
d. Family Planning Services
19
2
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
80
b. Behavioral/Mental Health
121
c. Dental Services
85
d. Family Planning Services
46
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
20,100
967
Oral Health
15,800
2,497
Height/Weight
26,213
1,009
BMI Body Mass Index
19,693
1,358
Hearing
14,152
984
Scoliosis
Mass screenings no longer recommended
Vision
45,180
4,701
Cholesterol
No longer assessed
Lice
45,615
7,716
Immunizations
109,496
21,769
Well Child Screens
11,660
1,785
(EPSDT/Healthcheck)
WVU CARDIAC Program
11,506
1,464
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
169,306
19,627
Health Counseling (Individual)
57,314
8,001
Health Counseling (Group)
14,091
510
Acute Care Health Problems (i.e. URI,
ear infection, conjunctivitis, scabies,
195,289
48,700
impetigo, ringworm, rashes)
CPR/AED
715
1
9. Average number of miles traveled weekly by you.
Average Weekly Miles for ( 14,592 Summed Average Miles / 1 Nurses)
14,592.00
10. Number of schools you serve.
Schools Served
782
11. Number of health care plans written and/or revised by you.
Health Care Plans
17,468
3
12. Number of consultations with staff, parents, physicians regarding health issues.
Consultations
111,905
13. Total number of TB skin tests given by you.
TB Skin Tests
No longer administered by
school nurses
14. Meetings attended by you.
a. Individualized Education Plan (IEP)
2,000
b. Student Assistance Plan (SAP)
181
c. Student Assistance Team (SAT)
1,639
d. 504 Meetings
1,370
e. Chronic Medical Team for Attendance Policy
232
f. Other Meetings
2,460
15. Total number of students per year for whom Medicaid is billed for specialized health care
procedures performed by you.
a. Number of Students
1,148
b. Hours Spent on Medicaid Billing
975
16. Total number of classroom instructional programs conducted by you.
Number of Classroom Instructional Programs
2,329
17. Total number of health fairs conducted by you.
a. Number of Health Fairs - Students
235
b. Number of Health Fairs - Staff
109
18. Total number of community programs presented by you.
Number of Community Programs
129
19. Total number of home visits regarding student health concerns conducted by you.
Number of Home Visits
563
20. County-wide Education or School Intervention Teams on which you participate (check all that
apply).
a. Alcohol/Drugs/Substance Abuse
42
b. Crisis Intervention
80
c. Crisis Response
80
d. School Improvement Council
23
e. LSIC or UCIP
37
f. S.B.H. Center
38
g. Disaster Preparedness
77
h. School Wellness
156
i. County Wellness
85
j. Regional Wellness
31
k. Other
53
4
21. Community Based Committees on which you participate (check all that apply).
a. Family Resource Network (FRN)
24
b. Red Cross
36
c. Disaster Preparedness
50
d. WV DHHR (local health department, Adolescent Health, Adolescent
38
Pregnancy Prevention, etc.)
e. Oral Health
35
f. Other
45
22. Is your health data entered on WVEIS (check appropriate letter)?
Yes: 231
No: 5
No Answer: 28
23. Who enters health data on WVEIS (check all that apply)?
Self: 233
Other Staff: 72
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
11,265
26. Counts of programs or services in which actively participating:
a. WVDHHR Fluoride Rinse Program
61
b. Community Schools Program
15
c. American Dairy Fuel Up to Play 60
59
d. WVU CARDIAC Program
167
e. Mobile Dentist
68
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
9,037
1,164
PEIA or Staff Wellness
5,389
351
First Aid
3,850
915
Health Counseling
7,041
1,499
Flu Shots
6,709
38
Immunizations
7,031
509
28. Number of staff development trainings and/or programs presented by you.
Number of trainings/programs
1,531
29. Epinephrine Administration
a. Anaphylactic Reaction (diagnosed)
231
b. Anaphylactic Reaction (undiagnosed)
collection starts July 8, 2013
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
59
4
1
3
9
9
Pre-K
50
116
10
16
2
21
Kindergarten 5th Grade to
to 4th Grade
8th Grade
465
399
62
51
9
7
90
152
68
86
108
93
Kindergarten 5th Grade to
to 4th Grade
8th Grade
145
115
689
550
51
43
59
43
458
914
79
3. Dermatological
Severe Burns
Burns
Other Dermatological Disorders
Pre-K
0
2
44
4. Endocrine
Diabetes - Type I
Diabetes - Type II
Hypoglycemia not diagnosed as
diabetic
Adrenal Insufficiency
Other Endocrine Disorders
Pre-K
16
1
5. Eye, Ear, Nose, Throat
Artificial Eye
Other Eye, Ear, Nose, Throat
Pre-K
1
95
4
Kindergarten 5th Grade to
to 4th Grade
8th Grade
8
8
18
46
869
322
Kindergarten 5th Grade to
to 4th Grade
8th Grade
200
342
31
69
54
5
4
6
103
129
23
21
65
95
Kindergarten 5th Grade to
to 4th Grade
8th Grade
15
15
580
371
9th Grade to
12th Grade
434
80
3
377
56
101
9th Grade to
12th Grade
152
512
97
54
1,106
95
9th Grade to
12th Grade
9
68
141
9th Grade to
12th Grade
377
135
198
26
164
9th Grade to
12th Grade
6
286
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
0
11
42
4
231
35
7. Genetic
Autism
Down’s Syndrome
Tourette’s Syndrome
Other Genetic Disorders
Pre-K
144
24
0
80
8. Musculoskeletal
Juvenile Rheumatoid Arthritis
Congenital Hip
Lordosis, Kyphosis, Scoliosis
Muscular Dystrophy
Osteogenesis Imperfecta
Spina Bifida
Other Musculoskeletal Disorders
Pre-K
1
1
9
4
2
12
21
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
7
48
987
50
1,189
1,119
Kindergarten
to 4th Grade
686
70
57
88
Kindergarten
to 4th Grade
50
11
41
20
9
37
92
Kindergarten
to 4th Grade
13
357
782
1,087
140
4,364
4,315
2,737
10. Reproductive
Pregnancies
Other Reproductive Disorders
Pre-K
0
1
50
7
5th Grade to
8th Grade
67
28
905
60
657
328
5th Grade to
8th Grade
499
53
107
75
5th Grade to
8th Grade
43
15
154
15
20
27
124
5th Grade to
8th Grade
183
204
Kindergarten 5th Grade to
to 4th Grade
8th Grade
0
28
4
16
9th Grade to
12th Grade
82
22
2,066
96
491
339
9th Grade to
12th Grade
398
69
73
65
9th Grade to
12th Grade
82
8
262
20
14
32
134
9th Grade to
12th Grade
140
9th Grade to
12th Grade
536
49
11. Respiratory
Asthma
Bronchitis (Chronic)
Anaphylactic Reaction
(actual/potential for)
Cystic Fibrosis
Other Respiratory Disorders
Pre-K
312
11
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
202
Kindergarten 5th Grade to
to 4th Grade
8th Grade
4,775
4,593
104
84
1,719
4
20
4
36
29
313
240
Kindergarten 5th Grade to
to 4th Grade
8th Grade
50
10
7
1,196
44
31
25
135
92
Kindergarten 5th Grade to
to 4th Grade
8th Grade
9th Grade to
12th Grade
3,680
100
835
21
99
9th Grade to
12th Grade
44
32
105
9th Grade to
12th Grade
1
19
25
16
1
7
11
7
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
1
3
1
5
31
2
Gastrostomy Tube Slow Drip
and/or Continuous Feeding
2
1
3
2
18
0
Gastrostomy Button Bolus
Feeding
7
485
7
7
57
13
Gastrostomy Button Slow
Drip and/or Continuous
Feeding
1
6
2
4
35
8
Nasogastric Tube Bolus
Feeding
0
1
0
1
8
0
Nasogastric Tube Slow Drip
and/or Continuous Feeding
0
0
0
0
1
0
Inserting a Nasogastric Tube
0
0
0
0
1
0
Ostomy Care: Emptying/
Changing of Ostomy Pouch
0
3
1
1
20
5
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
17
764
1,385
394
2,132
95
Measurement of Blood Sugar
with a Glucometer
17
1,389
1,361
418
1,147
98
Insulin by Injection
11
424
613
234
186
92
Insulin Pump/Bolus
3
473
625
175
190
55
Glucagon
17
138
291
292
1,303
113
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
4
18
10
8
63
26
176
7,717
5,092
440
1,712
106
3.
Long-Term Medication
Administration
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
197
2,360
1,470
962
2,323
129
Administration of Rectal
Diazepam
41
219
120
67
1,238
93
4.
Phrenic Nerve Stimulator
0
0
0
0
7
0
Seizure Management
82
520
368
338
2,659
88
9th Grade to
12th Grade
School
Personnel
Trained
5.
Respiratory
Pre-K
Kindergarten
to 4th Grade
5th Grade to
8th Grade
Contracted
Licensed
Provider
Trained
Vagus Nerve Stimulator
1
6
9
10
176
11
Anaphylactic Reaction
160
1,262
928
654
3,438
96
Epinephrine Auto-Injector
(EPI-PEN)
131
1,162
778
574
3,129
94
Inhalation Therapy by
Machine
48
165
60
19
619
62
Manual Resuscitator
1
3
0
1
71
5
Mechanical Ventilator
1
0
0
1
41
2
Metered Dose Inhaler (MDI)
Therapy
90
2,527
2,213
1,355
2,415
85
Oral Suctioning
1
2
1
42
31
5
Oxygen Administration
2
3
2
4
57
9
Peak Flow Meter
0
20
8
17
34
2
Postural Drainage and
Percussion
1
2
1
3
41
1
Emergency Care and
Cleaning of Tracheostomy
Tube and Stoma
1
2
1
4
6
5
Emergency Replacement of
Tracheostomy Tube
2
2
1
5
10
5
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
2
3
2
8
11
7
Clean Catheterization
6
30
11
8
79
15
Self Catheterization
0
263
539
16
54
10
Sterile Catheterization
1
5
6
0
16
7
Credés Method
1
0
2
1
17
1
6.
Urinary
10
NOTES
11
NOTES
12
NOTES
13
Michael J. Martirano, Ed.D.
State Superintendent of Schools