School wide medical lists

schooldistrictnurse · Sep 14, 2011

We used to send out paper copies. Now a "medical alert" is imbedded in our computer program that manages everything from attendance to grades, PowerSchool. For those things that are CRITICAL, I send a reminder email to teachers involved. We ask the teachers to print out their class medical alerts and place that in their sub folder.

safarirn · Sep 14, 2011

We do the same as schooldistrictnurse, except a different program.

Supernrse01, BSN · Sep 14, 2011

I send them out to all with the disclaimer that the information only includes what has been provided on the student's emergency card and that they are to be considered confidential. It is information they all have access to but I just put it all into one place.

Purple_Scrubs, BSN, RN · Sep 14, 2011

I maintain a master list for myself and any sub or backup for my office. I create it in excel so I can sort it by homeroom, by student name, and/or by the specific medical condition. I give each teacher a synopsis of the kids in their class, and I give the PE teacher a list of the kids with asthma or heart conditions, or anything else that exercise might impact.

We have a new computer system that is supposed to eventually do this, but it is not fully online yet.

allnurses Guide · Sep 20, 2011

that's funny - just got this from my nasn rep.

subject: [schlrn-l] health concerns list with multiple student names

violates ferpa

listen to nasn radio show on this topic:

http://www.jackstreet.com/jackstreet/wnasn.bergren.cfm

all nasn radio shows: http://www.nasn.org/home/nasnradio

"distributing a health concerns list or a health alert list with

multiple student names with personally identifiable health information

violates student privacy rights protected by ferpa and it does not meet

best practices or standards of school nursing care."

http://nas.sagepub.com/content/24/1/30.full.pdf+html

if the teachers need to know, they need more than a diagnosis anyway.

if they do not need to respond to symptoms or provide care, they do not

need to know.

teachers can make their own lists from the written instructions or care

plans you provide for them.

bergren, m. d. (2004). privacy questions from practicing nurses.

journal of school nursing, 20, 296-301.

bergren, m. d. (2005). hipaa, ferpa, and the privacy of student health

informa-tion in individual healthcare plans. in c. silkworth, m. arnold,

j. harrigan, & d. zaiger (eds), individualized healthcare plans for the

school nurse (pp. 37-44). north branch, mn: sunrise river.

family education rights privacy act (ferpa). 20 usc 1232g et. seq; 34

cfr part 99. available

fromhttp://www.access.gpo.gov/nara/cfr/waisidx_04/34cfr00_04.html and

http://www.ed.gov/policy/gen/guid/fpco/ferpa/index.html

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. available from

http://nces.ed.gov/pubsearch/pubsinfo.asp?pubid=2004330

national task force on confidential student health information. (2000).

guidelines for protecting confidential student health information. kent,

oh: american school health association. available from

http://www.nasn.org/store

schwab, n. c., & gelfman, m. (eds.). (2001). legal issues in school

health services: a resource for school nurses, administrators and

attorneys. lincoln, ne: authors choice.

schwab, n. c., ruben, m., maire, j. a., gelfman, m. h. b, bergren, m.

d., mazyck, d., et al. (2005). protecting and sharing student health

information: guidelines for developing school district policies and

procedures. kent, oh: american school health association.

Purple_Scrubs, BSN, RN · Sep 21, 2011

Hmmm. Never thought of that. That is going to mean a lot of care plans on students who have "asthma" on their health cards who are not taking meds and have not had s/s for years. I guess I can do a generic asthma careplan and just handwrite names. This is going to take some thinking :) But I'm glad you posted it...always good to use best practices.

Purple_Scrubs, BSN, RN · Sep 22, 2011

I've been working on this....I made a "generic" IHP for asthma with symptoms and what the teacher should do if they are noted. Of course, my asthmatics with current symptoms or meds have individualized plans, but this is more for the kiddos with "asthma" checked on their health histories, but no current meds and no recent symptoms or attacks.

I also made a generic care plan for "allergies" that covers everything from seasonal allergies to anaphylaxis and what the teachers should do if the symptoms are noted. I will be using that for the students with allergies noted on their health histories, but no severe issues with them.

I figure this will probably only serve to cause panic with the teachers, or will be systematically ignored, but at least it is a CYA thing for me.

Any thoughts?