Eight Components of a Coordinated School Health Program
Our department’s mission focuses on improving the health of students and staff by providing
coordination and resources in eight component areas of school health. The components are:
- Health Education
- Safe Environment
- Health Services
- Mental and Social Health
- Physical Education
- Staff Wellness
- Nutrition Services
- Family/Community Involvement
With all the components in place and working together, students will be healthier, in school, in class, and ready to learn.
Purpose of School Health Program
The purpose of the Rowan-Salisbury Schools’ school health program is to maximize student learning by the modification or removal of health related barriers to learning and by promotion of an optimal level of wellness. The program will promote cooperation between school health program personnel, students, parents/guardians, educators, staff members, and other community resources in an effort to help students reach their full potential. The school health program is designed to assure procedures are in place for those who become ill or injured while at school.
The school health program is not a substitute for the health care that parents/guardians should provide for children. Parents/guardians should be encouraged to use the services of private physicians, dentists, optometrists and other community health agencies whenever needed.
The goal of the Rowan-Salisbury Schools’ school health program is to help each child achieve
and maintain optimum health to assure physical, emotional, and intellectual growth.
- To identify health problems which may interfere with the child’s performance in school using the following methods.
- Teachers shall observe for signs or symptoms of illness, injury, nuisance disease (such as lice, scabies), or deviation from normal behavior, which might need some type of health intervention. (The teacher who sees the student daily and knows how he/she looks and acts, readily recognizes when he/she is not well.) Parents/guardians will be notified when the teacher has a concern.
- The school will distribute Kindergarten Health Assessment forms to parents at kindergarten registration.
- Emergency information sheet completed annually by parent.
- To assist in the prevention of communicable disease using the following methods.
- The school will inform parents of requirements and request immunization records.
- School staff will screen students for lice on the first day of the school year, on the first day after Christmas Break, and as indicated.
- To provide a comprehensive health education program to all school-age children using the following methods.
- School staff will formulate and implement a comprehensive health curriculum and contact resource people for assistance in health education activities. Any speakers in the area of family life education will be given a copy of the Family Life Policy and Regulations.
- To assure that the physical facilities and food handling practices do not endanger the health of students, teachers, other school staff, or others using the premises. To these ends we employ the following methods.
- Health Department Environmental Specialists will inspect wells and septic systems in each school according to state criteria.
- Health Department Environmental Specialists will inspect lunchrooms in every school according to state criteria.
Confidentiality of Health Information in Schools
Student health information, both written and oral, is confidential. The information should only be shared with those individuals who could enhance the educational process of the student by understanding an underlying health problem.
Traditionally, most school children have been healthy and have needed school health services primarily for basic screening procedures or communicable disease control. In addition to this focus on physical health, the health of school children now addresses psychosocial concerns such as behavioral disturbances, child abuse, stress, and substance abuse. Similarly, passage of PL 94-142 and PL 99-457 has meant that children with complex medical problems who formerly were served in acute care institutions are now being educated in classrooms across the nation. In order to provide for the safety and well being of these students during the school day, an understanding of existing health problems needs to be communicated to appropriate personnel.
It is essential to treat all information confidentially. There may be a need to know of an existing health condition in order to modify an education plan to meet health and safety needs of a student. In accordance with law, local policies, and professional standards, the registered school nurse has the specialized skill, judgment, and knowledge to determine which health information is educationally relevant and which school personnel would need the information. Sharing of confidential information for any other purpose would be inappropriate and unethical. Breach of confidentially could result in financial or civil liability.
16 NCAC 06D .0402 SPECIAL HEALTH CARE SERVICES
(a) Each LEA shall make available a registered nurse for assessment, care planning, and on-going evaluation of students with special health care service needs in the school setting. Special health care services include procedures that are invasive, carry reasonable risk of harm if not performed correctly, may not have a predictable outcome, or may require additional action based on results of testing or monitoring.
(b) Care planning includes but is not limited to:
- identification of appropriate person(s) to perform the procedure;
- teaching those persons to perform the procedure; and
- identification of a mechanism for registered nurses or other persons qualified by state law to plan and implement such health to provide ongoing supervision to ensure the procedure is performed appropriately and monitoring the student's response to care provided in the school setting.
(c) To assure that these services are provided, LEAs shall have the flexibility to hire registered nurses, to contract with individual registered nurses, to contract for nursing services through local health departments, home care organizations, hospitals and other providers, or to negotiate coverage for planning and implementing these services with the licensed physician, nurse practitioner, or physician assistant prescribing the health care procedure.
(d) LEAs shall implement this Rule in compliance with the provisions of G.S. 115C-307(c).
History Note: Authority G.S. 115C-12(9)c.; 115C-81; 115C-307(c);
Eff. July 1, 1995.
Students with Special Health Care Needs
Consistent with the State Board of Education Policy #04A107 and 16 NCAC 06D.0402, the local LEA will make available a registered nurse for assessment care planning, and ongoing evaluation of students with special health care service needs in the school setting. The school nurse shall determine the level of personnel (licensed or unlicensed) needed to perform the care at school and, with the school administrator(s), will identify appropriate persons to provide care.
- Students with special health care needs, including those who are technology dependent, shall be referred to the school nurse. Parents, teachers, and administrators are responsible for notifying the school nurse when students with special health care needs enroll in school. At this time the school nurse shall obtain information to determine health needs that may occur at school.
- The school nurse, as the school staff member with the knowledge and expertise in health care management at school, shall develop a plan of care. This plan of care will describe the care that is needed to safely care for the student at school and will be based upon consultation with the student’s medical care provider(s), parents/guardians, and the student when applicable.
- The school nurse will be responsible for teaching and monitoring procedures performed and for evaluating the student’s response to care. The nurse will develop a system of documentation validating training, performance, and ongoing supervision of designated personnel. Designated school personnel shall keep a daily log documenting care given and student’s response to care.
- Students shall be instructed in self-care when appropriate to do so.