1. SCHOOL HEALTH SERVICES IMPROVEMENT PLAN Linda M. Kauffman RN District School Nurse Supervisor October 20, 2009

2. 2008-2009 Challenges and Accomplishments Two new school nurses joined our team and needed to be oriented. One at the high school level and one at the elementary level. Two new school nurses joined our team and needed to be oriented. One at the high school level and one at the elementary level. 1. Facilitated a one on one orientation program, during the first two weeks of school, that was tailored to meet the needs of the individual nurses. 2. Provided mentor support throughout the remainder of the school year.

3. Five different schools with 5 similar but not exactly consistent approaches to health service delivery. Five different schools with 5 similar but not exactly consistent approaches to health service delivery. 1. Established regular nursing department meetings with a set agenda and follow up meeting minutes to align delivery of consistent health services in our district schools. 2. Reviewed and established procedures for consistent delivery of health services.

4. Determined that there was an inconsistent approach involving communication of students with interscholastic sports injuries. Very often, parents were unclear about the procedure for reporting a student injury. Determined that there was an inconsistent approach involving communication of students with interscholastic sports injuries. Very often, parents were unclear about the procedure for reporting a student injury. 1. Health services worked with the athletic director to establish a procedure for sports related injuries that would be used by all coaches at the middle school and high school. 2. All parent handbooks were updated to provide consistent information to parents.

5. The H1N1 virus surfaced in the spring and the impact on the educational process was unknown. The H1N1 virus surfaced in the spring and the impact on the educational process was unknown. 1. Worked with information provided by the CDC and State of Connecticut Department of Public Health to establish guidelines for illness monitoring and prevention. 2. Communicated information to parents on a regular basis. 3. Provided hand hygiene and respiratory etiquette instruction at all levels.

6. Participated in the Connecticut River Area Health District’s First Meds Exercise on May 19, 2009. Participated in the Connecticut River Area Health District’s First Meds Exercise on May 19, 2009.

7. Supported the learning process by supervising the internship of a district high school student who is now pursuing an education in the healthcare field. Supported the learning process by supervising the internship of a district high school student who is now pursuing an education in the healthcare field.

8. Ensured that health office supplies were being ordered through the consortium bids whenever possible. Ensured that health office supplies were being ordered through the consortium bids whenever possible.

9. 2009-2010 Health Services Goals Update the district’s health service website so that it will become a tool that parents will utilize to access information about the district’s health offices. Update the district’s health service website so that it will become a tool that parents will utilize to access information about the district’s health offices. Note: This goal has been achieved.

10. Work to implement the district’s compliance with recently passed legislation that requires an AED machine in each of our schools, effective July 1, 2010. Work to implement the district’s compliance with recently passed legislation that requires an AED machine in each of our schools, effective July 1, 2010. 1. AEDs were ordered for each elementary school and Central Office. (Installation of those machines will be complete by the end of this week.) 2. The district nursing supervisor will become a CPR/AED trainer so that we can facilitate the in-house training of teams in each building. (The ultimate goal will be for all staff to be trained.) Note: The nursing supervisor became certified to teach in September.

11. Collaborate with the Director of Pupil Services, building administrators and nurses to ensure that the district is identifying, evaluating, and providing a F.A.P.E. for those students who qualify for a 504 designation. Collaborate with the Director of Pupil Services, building administrators and nurses to ensure that the district is identifying, evaluating, and providing a F.A.P.E. for those students who qualify for a 504 designation.

12. Establish a consistent Blood Born Pathogen/Epipen Administration/Mandated Reporting training program for all staff members that will be implemented at the building level. Establish a consistent Blood Born Pathogen/Epipen Administration/Mandated Reporting training program for all staff members that will be implemented at the building level.

13. Develop a health based handbook for teachers to have on hand in the classroom as a reference. Develop a health based handbook for teachers to have on hand in the classroom as a reference.

14. Establish a district wide health newsletter to keep parents up to date with consistent health office information/practices and share health education/wellness information. Establish a district wide health newsletter to keep parents up to date with consistent health office information/practices and share health education/wellness information.