Confidential Health Lists

  1. I began working in a new school district that has still been handing out typed Confidential Health Concerns lists to all teachers. My previous district had parents sign a permission form at registration to cover this. While I understand the need to know certain info, I'm reluctant to make up these lists and start passing them out. Any ideas, input??? Thanks much!
  2. Visit kilbylake profile page

    About kilbylake

    Joined: Feb '04; Posts: 10
    School Nurse


  3. by   bergren
    You are doing th right thing by not putting multiple studnet names on a lsit to be distributed, but ensure that persons who are in a position to assist a student with serious health issues are aware of:
    1. How to recognize a problem
    2. What to do about it.

    I provided all teachers with an individual "care plan " for those symptoms and responses in the classroom. I ran that plan by the parent before sharing and asked who else should receive it. Parents inevitably wanted more people to have a copy than I would ahve thought of, very appropriately.

    JOSN articles are online at for members. See the following publications:

    Schwab, N. C., Rubin, M., Maire, J. A., Gelfman, M. H. B, Bergren, M. D., Mazyck, D. & Hine, B. (2005). Protecting and disclosing student health information: Guidelines for developing school district policies and procedures. Kent, OH: ASHA.

    Schwab, N. (2003). School nurses role in education privacy standards for student health records. National Association of School Nurses, (free)

    Bergren, M. D. (2005). Confidentiality and individual health care plans. In C. Silkworth, M. Arnold, J. Harrigan, & D. Zaiger (Eds.). Individualized healthcare plans and the school nurse. North Branch, MN: Sunrise River Press.

    Bergren, M. D. (2004). Privacy questions from practicing school nurses: Answers from an expert. Journal of School Nursing, 20, 296 - 301

    Bergren, M. D. (2004). HIPAA - FERPA revisited. Journal of School Nursing, 20(2), 107 - 112.

    Bergren, M. D. (2001). HIPAA hoopla? Journal of School Nursing, 17, 336 - 340.

    Cheung, O., Clements, B. & Pechman, E. (1997). Protecting the privacy of student records: Guidelines for educational agencies. NCES. (free)

    National Forum on Education Statistics. (2004). Forum Guide to Protecting the Privacy of Student Information: State and Local Education Agencies, NCES 2004-330. Washington, DC: National Center for Education Statistics (free)

    Schwab, N. & Pohlman, K. J. (2004). Records: The Achilles heel of school nurses. Answers to some bothersome questions. Journal of School Nursing, 20, 236 - 241.

    Schwab N. & Gelfman, M. H. B. (2001). Legal issues in school health services: A resource for school nurses, administrators and attorneys. North Branch, MN: Sunrise River Press. available on for $51
  4. by   abrenrn
    Bergren - Thanks for all the information you provided. I will be starting as a school nurse next week - this wiill help a lot. I did school nursing several years ago in Florida (now in NYC) and we were expected to make up "Health needs awareness lists" - which always made me a bit uncomfortable but saw the need. BTW, in Florida I was the nurse for ten schools so didn't have too much time for some of what you recommended. Here I'll be assigned to one school.

    Off topic, I hear the "no nit policiy" is no longer recommended by NASN (read it on their web site). Is that what they do in your school?