1. Healthy Environments + Healthy Children = Success - How School Nurses Help the Cause Shirley Schantz, EdD, ARNP, RN Director of Nursing Education sschantz@n asn. org

2.  I disclose the absence of personal financial relationships with commercial interests relevant to this educational activity within the past 12 months.

3. Mission: Advance School Nursing Practice to keep students healthy, safe and ready to learn. Values: Child Well-being Diversity EthicsExcellence InnovationIntegrity LeadershipScholarship Every child deserves a school nurse all day, every day

4. Providing Member Services  Over 16,000 members – and growing!  Evidence Based Professional Development Annual Conference Live Educational Programs Online Continuing Education  Publications Journal of School Nursing NASN School Nurse Books – Clinical, Practice & Inspirational

5. NASN Media Reach  NASN Radio  Position Papers and Reports  Press Releases RSS Feeds on NASN.org www.nasn.org NASN's 46 th Annual Conference June 28 – July 1, 2014 San Antonio, TX

6. School Nurse Role – Care Coordination  Chronic Disease Care Asthma, Life-Threatening Allergies Diabetes Obesity Related Diseases  First Aid and Injury Care /Disaster Preparedness  Communicable Disease Care and Control  Preventive Services Immunizations Health Screenings  Vision/Hearing

7.  School nursing is a specialized practice of professional nursing that advances the well-being, academic success and lifelong achievement and health of students. 98% (50 million) children spend their days in school 75.1% of schools have a school nurse School Nurse Role

8. 1. Respond to individual student needs - Identify resources/tools and referrals for children and parents/guardians 1. On a population level 1.Provide education and resources/promote a culture of health in schools 2.Promote / advocate for healthy lifestyles for all students 3.Promote policies that increase access to healthful foods and daily physical activity School nurses reach a large number of diverse youth

9. The Case For School Nursing http://www.nasn.org/PolicyAdvocacy Supporting Education, Advancing Student Health "School nurses play a vital role in making sure children are healthy and ready to learn." ~ Arne Duncan, Secretary, U.S. Department of Education

10.  Asthma Online Tool Kit - provides resources for school nurses caring for students with asthma at school http://www.nasn.org/ToolsResources/Asthma http://www.nasn.org/ToolsResources/Asthma  Managing Asthma Triggers - Managing Asthma Triggers promotes the school nurse role in promoting a healthy learning environment.  Online continuing education  Live program  Position Statement - Environmental Health in the School Setting: The Role of the School Nurse http://www.nasn.org/Portals/0/positions/2014psenvironmental.pdf http://www.nasn.org/Portals/0/positions/2014psenvironmental.pdf NASN Asthma Resources

11. This program discusses the school nurse role in promoting a healthy learning environment through improving Indoor Air Quality and increasing awareness of potential asthma triggers within the school environment to reduce asthma episodes (Online and live)  Modules that discuss asthma triggers information for:  administration  parents  students  other school staff  resources [EPA Tools for Schools] Managing Asthma Triggers ( MAT )

12. Action Learning-- MAT Training connects The Frameworks for Effective School IAQ Management and The System for Delivering Asthma Care http://www.nasn.org/Po rtals/0/education/flyerm at.pdf

13. Over 1200 nurses trained in Years 1-3 Over 5900 school nurses trained in 10 years 75% nurses applied some part of the MAT III curriculum after training  Nurses reported increased involvement in a number of areas, with the most frequent being implementing and enforcing existing policies.  Performing a needs assessment to determine policy scope Managing Asthma Triggers III Survey of MAT participants

14. 56% stated they had educated staff and students 60% of schools took some kind of action to improve IAQ post-MATIII training. Other areas included the health office, food service, and pest management Managing Asthma Triggers III Survey of MAT participants

15. Real Life Stories  After MAT training there were fewer asthma episodes. It went from 27% with 1-2 episodes a month to 40%. Telling Your Story : It ’ s what advocacy is all about.

16. Changing maintenance procedures, such as not mowing while students are at recess Implementing no idle rules for school drop off and pick up Removing artificial air fresheners Conducting walkthroughs and identifying facilities improvements, such as removal of moldy carpet and leaking roofs After the training for teachers and staff and a walk through evaluation, we determined that we needed a new cleaning staff and major repairs were made - removing moldy carpet, etc. School Nurse first person stories

17.  “We have been able to instruct school staff on importance of disinfecting with wipes instead of spraying Lysol while students are in school. We have also stressed use of a weak, 1:10 bleach product solution - we were able to stress that bleach product did not have to be stronger to be effective.”  “Revising cleaning processes such as proper ratios of bleach product to water, abandoning use of aerosols.” School Nurse first person stories

18. Knowledge of Best Practices

19.  “[I] had a student who started with asthma episodes at school daily when she would go up the stairs to her classroom. After this class I further investigated upstairs and found air fresheners in the hall wry she had to pass. Once removed and after the weekend she did not have asthma episode.” School Nurse first person stories

20. Removing artificial air fresheners Conducting walkthroughs and identifying facilities improvements, such as removal of moldy carpet and leaking roofs School Nurse first person stories

21. Knowledge of Best Practices

22. “We had perfumed bathroom deodorizers in all the bathrooms. Because of one very sensitive staff member the scents and sprays were removed from the bathroom they used. All of the student bathrooms had all scents removed. Everyone is healthier.” School Nurse first person stories

23. Asthma Community Network.org: www.acn.orgwww.acn.org IAQ Tools for Schools Guidance: www.epa.gov/iaq/schools www.epa.gov/iaq/schools IAQ Tools for Schools Connector E-Newsletters and Emails: IAQTfSConnector@cadmusgroup.com IAQTfSConnector@cadmusgroup.com IAQ Tools for Schools Webinar Resources www.epa.gov/iaq/schools/webconferences.htm National EPA Resources http://www.epa.gov/iaq/schools/shields.html

24. http://www.asthmacommunitynetwork.org/

25. Every parent, student and teacher deserves a School Nurse