DPAS II, Component 5 for
School Nurses
Linda C. Wolfe, RN, MEd
Director, School Support Services
Facilitator, DPAS II Component 5, School Nurses
11/2012
Linda C. Wolfe, RN November 2012
Linda C. Wolfe, RN November 2012
Myth or Fact?
This will be the first year that school nurses
will be evaluated with DPAS II.
Linda C. Wolfe, RN November 2012
MYTH!
The real FACT is –
DPAS Evaluation began about 10 years ago.
The changes this year are to include
Component 5, which measures Student
Growth.
Linda C. Wolfe, RN November 2012
DPAS II –
School Year 2012 - 2012
will include Component 5 for ALL
educators, including specialists
Component 5
20%
Component 1V
20%
Component 1
20%
Component 1I
20%
Component III
20%
Linda C. Wolfe, RN November 2012
ALL certified staff in the public school
system is evaluated with DPAS II:
• Administrators
• Teachers
• Specialists
DPAS II, Components 1- 4 measure
nurse activities.
DPAS II, Component 5 measures student
growth/change
Linda C. Wolfe, RN November 2012
Components 1– 4 for Specialist
Component 1 – Planning & Preparation
1a. Designing Coherent Programs or Services
1b. Demonstrating Knowledge of Best Practice and/or Models of Delivery
1c. Demonstrating Knowledge of Students or Clients
1d. Demonstrating Knowledge of Resources
1e. Demonstrating Knowledge of How to Design or use Student Assessments
Component 2 – Professional Practice & Delivery of Service
2a. Creating an Environment to Support Student or Client Needs
2b. Demonstrating Flexibility and Responsiveness
2c. Communicating Clearly and Accurately
2d. Delivery of Services to Students or Clients
Component 3 – Professional Consultation & Collaboration
3a. Collaborating with Others
3b. Serving as a Consultant to the School Community
3c. Providing Resources and Access
3d. Maintaining Standards of Professional Practice
3e. Using Assessment Data in Planning and Delivery of Services
Component 4 – Professional Responsibilities
4a. Communicating with Families /Clients
4b. Recording Data in a Student Record System
4c. Growing and Developing Professionally
Linda C. Wolfe, RN
4e. Reflecting on Professional Practice
November 2012
Myth or Fact?
Component 5 expands the role of the school
of the school nurse and redefines what we
do.
Linda C. Wolfe, RN November 2012
MYTH!
The real FACT is –
The current role and responsibilities of the
school nurse remain the same. The School
Nurse Manual and NIC codes that we use
will not change because of DPAS.
DPAS II may help the nurse to consider new
approaches to “old” problems. Best practice
will result in better student outcomes.
Linda C. Wolfe, RN November 2012
Window of Opportunity
to show what we already do
and the difference we already believe we
make
Linda C. Wolfe, RN November 2012
Myth or Fact?
Delaware School Nurses developed DPAS II
and DPAS II Component 5.
Linda C. Wolfe, RN November 2012
FACT!
ABSOLUTELY! –
A team of Delaware School Nurses
developed DPAS, including the addition of
Component 5. It is built on an educational
model, but was built on NASN’s Scope &
Standards of School Nursing Practice and on
current Delaware practice for School
Health Services.
Linda C. Wolfe, RN November 2012
Development
Team for
Component 5
Janet Brown
Marilou Conlin
Lori Economos
Megan Fiorivanti
Sharon-Rose Gargula
Pat Guilday
Susan Hoffmann
Karen Kleinschmidt
Cheryl Layfield
Beth Light
Nancy Nadel
Sue B. Smith
Libby Thomas
Pam Wilson
Linda C. Wolfe
Summer
Review/Revision Team
Kimberly Cole
Marilou B. Conlin
Lisa Fitler
Pat Guilday
Susan Hoffmann
Loretta Newsom
Frances Russo-Avena
Susan Shank
Bonnie Shockley
Sue Smith
Lucy Sturmfelz
Libby Thomas
Pam Wilson
Linda C. Wolfe
Linda C. Wolfe, RN November 2012
Myth or Fact?
The Growth Measures document is exactly
like the ones for educators and other
specialists. The only difference is that
“school nurse” is inserted where the word
“specialist” or “educator” would be in the
other documents.
Linda C. Wolfe, RN November 2012
MYTH!
The real FACT is –
The Growth Measures document uses the
same framework (chapters, grids, etc.) as all
the others, but there are some important
differences!
Linda C. Wolfe, RN November 2012
Delaware School Nurse Team
Important additions to the Manual:
 Suggested activities for each measure
 Examples of calculations and cohorts
 Considerations for nurses practicing in
different settings.
Linda C. Wolfe, RN November 2012
Myth or Fact?
The Measures are ones that Delaware School
Nurses identified based on current
research. They did not come from a national
study or an evaluation from another state.
Linda C. Wolfe, RN November 2012
FACT!
FACT –
Delaware school nurses reviewed current
literature and research to identify known
areas where school nursing can impact a
child’s ability to learn.
Linda C. Wolfe, RN November 2012
Myth or Fact?
There are no restrictions on what baseline
data the nurse can use or how long there
can be between pre and post data.
Linda C. Wolfe, RN November 2012
MYTH!
The real FACT is –
There is a minimum and maximum length of
time for showing student growth.
1. The growth must be seen during the
current school year.
2. Some baselines may need to be taken
from last year’s data, attendance.
3. There must be a minimum of 4 weeks
between the baseline and final data.
Linda C. Wolfe, RN November 2012
MYTH OR FACT
Did you get them all right?
Linda C. Wolfe, RN November 2012
Student Growth Measures
1.
2.
3.
4.
5.
Absences Due to Illness
Visits to the Nurse Office
Vision Screening Referral Completion
Hearing Screening Referral
Completion
Return to Class
These were the state selected items, which were
believed to be applicable to all school nurses.
They are marked in Performance Plus with R.
Linda C. Wolfe, RN November 2012
Student Growth Measures
(cont.)
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
In-School Injury
Access to Health Resources
Health Behavior: Student
Health Education: Student
Infection
Delaware Student Asthma Test
IHP Goals
IEP Goals
IHP Activities
IEP Activities
Health Behavior: Staff
Health Education: Staff
Linda C. Wolfe, RN November 2012
Student Growth Measures:
Unique to School Nursing!
Focus: helping the child enter the
classroom ready to learn Expanded Look at Outcomes:
Vision/Hearing Screening
Referral COMPLETION
Return to Class
Traditional:
Decreasing Absences due to Illness
Decreasing Visits to the Nurses Office
More targeted approaches:
Decreasing In-School Injury
Decreasing Infection
Behavior is the
application of
knowledge:
Health Behavior:
Student
Health Behavior:
Staff
The influence of staff:
Health Behavior: Staff
Health Education: Staff
Recognizing the work & value
of IHPs & IEPs:
IHP Goals
IEP Goals
IHP Activities
IEP Activities
Recognizing impact of resources:
Access to Health Resources
School nurse role in education:
(9) Health Education: Student
(11)Delaware Student Asthma Test
(17) Health Behavior: Staff
Linda C. Wolfe, RN November 2012
Selecting Items







District will provide guidelines
Selection should occur early in the school year
◦ Each nurse must have FOUR (4) measures
◦ Suggest - Don’t choose more than required for the first
year.
Selection of the measures and student cohort will be made
in consultation and agreement with administrator, who will
evaluate the school nurse
◦ The administrator has final decision-making authority.
One activity could relate to 4 different measures
One activity can be used for 4 different cohorts.
The same cohort could be used for all measures.
The measures must be followed as presented, but the rates
Linda C. Wolfe, RN November 2012
can be negotiated.
Highlighting 4 Measures

Delaware Student Asthma Test
◦ Libby Thomas

Infection Rates
◦ Lori Economos

Vision/Hearing Referral Completion Rates
◦ Susan Hoffmann

Visits to Nurses Office
◦ Nancy Nadel
◦ Sharon-Rose Gargula
Linda C. Wolfe, RN November 2012
Leading the Nation again . . .
Linda C. Wolfe, RN November 2012