1. 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

2. Linda C. Wolfe, RN November 2012

4. Myth or Fact? This will be the first year that school nurses will be evaluated with DPAS II. Linda C. Wolfe, RN November 2012

5. 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

6. DPAS II – School Year 2012 - 2012 will include Component 5 for ALL educators, including specialists Component 1 20% Component 1I 20% Component 5 20% Component III 20% Component 1V 20% Linda C. Wolfe, RN November 2012

7. 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

8. Components 1– 4 for Specialists 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 4e. Reflecting on Professional Practice Linda C. Wolfe, RN November 2012

9. 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

10. 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

11. Window of Opportunity to show what we already do and the difference we already believe we make Linda C. Wolfe, RN November 2012

12. Myth or Fact? Delaware School Nurses developed DPAS II and DPAS II Component 5. Linda C. Wolfe, RN November 2012

13. 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

14. 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 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 Summer Review/Revision Team Linda C. Wolfe, RN November 2012

15. 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

16. 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

17. 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

18. 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

19. 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

20. 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

21. 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

22. MYTH OR FACT Did you get them all right? Linda C. Wolfe, RN November 2012

23. Student Growth Measures 1. Absences Due to Illness 2. Visits to the Nurse Office 3. Vision Screening Referral Completion 4. Hearing Screening Referral Completion 5. 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

24. Student Growth Measures (cont.) 6. In-School Injury 7. Access to Health Resources 8. Health Behavior: Student 9. Health Education: Student 10. Infection 11. Delaware Student Asthma Test 12. IHP Goals 13. IEP Goals 14. IHP Activities 15. IEP Activities 16. Health Behavior: Staff 17. Health Education: Staff Linda C. Wolfe, RN November 2012

25. Student Growth Measures: Unique to School Nursing! Student Growth Measures: Unique to School Nursing! Focus: helping the child enter the classroom ready to learn Traditional: Decreasing Absences due to Illness Decreasing Visits to the Nurses Office Expanded Look at Outcomes: Vision/Hearing Screening Referral COMPLETION Return to Class More targeted approaches: Decreasing In-School Injury Decreasing Infection Recognizing impact of resources: Access to Health Resources Behavior is the application of knowledge: Health Behavior: Student Health Behavior: Staff School nurse role in education: (9) Health Education: Student (11)Delaware Student Asthma Test (17) Health Behavior: Staff Recognizing the work & value of IHPs & IEPs: IHP Goals IEP Goals IHP Activities IEP Activities The influence of staff: Health Behavior: Staff Health Education: Staff Linda C. Wolfe, RN November 2012

26. 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 can be negotiated. Linda C. Wolfe, RN November 2012

27. 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

28. Leading the Nation again... Linda C. Wolfe, RN November 2012