HEALTHY SCHOOL IMPROVEMENT PLAN FORM

Characteristic IX: School Health Services

Objective (9.1a): Establish and maintain staffing levels consistent with the recommended nurse to student ratios.

Priority time (check):

Short Term _______ Long Term ____X___

Priority level (check):

High __________ Medium __X_____ Low ________
Activities	Resources	Individual or Group Responsible	Completion Date	Evidence of

Completion
Recommended 1 full time nurse to every 750 students. Investigate and write grants for financial assistance.	Indiana Dept of Education,

Internet, State and local health dept. Consult with other school corporation administration and health services	Superintendent, administrators,

Coordinator of Student Health Services	Ongoing	Hired Nurses
When surplus of state monies or other sources of money becomes available use it on hiring full time nurses or medical assistants	Indiana Dept of ed,

Internet, State and local health dept. Consult with other school corporation administration and health services	Superintendent, administrators,

Coordinator of Student Health Services	Ongoing	Hired Nurses or Medical Assistants

HEALTHY SCHOOL IMPROVEMENT PLAN FORM

Characteristic IX: School Health Services

Objective (9.1b): Involve health services personnel in routinely promoting and reinforcing healthy and safe behaviors.

Priority time (check):

Short Term _____X_ Long Term _______

Priority level (check):

High ____X_____ Medium _______ Low ________
Activities	Resources	Individual or Group Responsible	Completion Date	Evidence of

Completion
Post signs and bulletin boards regarding wash your hands, health dietary habits, sleep, verbal education and reinforcement.	Administration, School staff	School Staff.

Administration, teachers	Ongoing

Decrease of health issues attendance improvement

Include germs and hygiene daily in the classroom and communicable diseases	Teachers	Teachers, school staff.

nurses	Ongoing	Decrease in absenteeism

Attendance records

Invite Community speakers, Path, abstinence, pregnancy, AIDS/HIV, STD’s, to promote healthy and safe behaviors, drugs and alcohol abuse	Lake County Health Department, PATH,

Robert Crown	Teachers,

Administration	Ongoing	Community Programs

HEALTHY SCHOOL IMPROVEMENT PLAN FORM

Characteristic IX: School Health Services

Objective (9.1c): All key school staff members maintain current certification in first aid and CPR.

Priority time (check):

Short Term ______X Long Term _______

Priority level (check):

High _____X____ Medium _______ Low ________
Activities	Resources	Individual or Group Responsible	Completion Date	Evidence of

Completion
Make available first aid certification classes for appropriate staff members, secretaries, coaches administration, gym teachers, recess aides	American Red Cross, Hobart Fire, AHA department, Student Health Services	Student Health Services,

Teachers	Winter 2012	Attendance records, decrease in severe injuries
Continue to instruct select staff and students in Heartsaver AED and Family & Friends	American Heart Association, School City of Hobart certified instructors	Student Health Services	Ongoing

Certification cards and Participation Cards

HEALTHY SCHOOL IMPROVEMENT PLAN FORM

Characteristic IX: School Health Services

Objective (9.1d): Monitor a mandate that only licensed health professionals administer medications and medical procedures.

Priority time (check):

Short Term _______ Long Term _X______

Priority level (check):

High __________ Medium __X_____ Low ________
Activities	Resources	Individual or Group Responsible	Completion Date	Evidence of

Completion
Hire additional full time RN or LPN, qualified medication assistant	Indiana Dept. of Education,

Internet, State and local health dept. Consult with other school corporation administration and health services	Superintendent	When funds become available

Hiring of additional qualified health professional staff

HEALTHY SCHOOL IMPROVEMENT PLAN FORM

Characteristic IX: School Health Services

Objective (9.2a): Routinely screen all students for vision, hearing, dental, and other health problems.

Priority time (check):

Short Term ____X___ Long Term _______

Priority level (check):

High ___X_______ Medium _______ Low ________
Activities	Resources	Individual or Group Responsible	Completion Date	Evidence of

Completion
State compliance for Vision & hearing screenings	State law, Volunteers, additional nursing staff	Nursing staff

Ongoing

Screening record

Provide state Compliance Vision exams	Local eye doctor	Coordinator of Student Health Services	Yearly	Exam totals

Dental exams	Mobile dentist

Local dentist	Coordinator of Student Health Services	Yearly	Exam totals

Totals of procedures provided
BMI, Height & Weights of selected students
Physical education staff & Teachers	Yearly	Participation Totals

Drug screenings at Middle School & High School	Nursing services, outside contactor	Nursing staff administration outside contractor	Ongoing

Participation Totals

HEALTHY SCHOOL IMPROVEMENT PLAN FORM

Characteristic IX: School Health Services

Objective (9.2b): Hire additional staff or train current staff to enable them to provide immunizations, physical assessments, other medical treatments, case management, and follow-up treatments.

Priority time (check):

Short Term _______ Long Term __X_____

Priority level (check):

High __________ Medium ___X____ Low ________
Activities	Resources	Individual or Group Responsible	Completion Date	Evidence of

Completion
Train appropriate staff in glucometer, inhalers nebulizers, epi pen, tube feelings, catheterization, & other health care	Nursing Staff, Parents, Students health care provider	Nursing staff, NISEC, Secretaries, other staf	Ongoing	Records of medications and treatments administered
Provide athletic physicals	Community physician

Community clinic

Board of health

May yearly

Total of completed physicals

Provide Immunizations, flu shots, volunteer blood screening	Community physician, community clinic, family physician	Coordinator of Student Health Care	Fall yearly	Participation and administration totals

HEALTHY SCHOOL IMPROVEMENT PLAN FORM

Characteristic IX: School Health Services

Objective (9.2c): On a confidential, case-by-case, need-to-know basis only, health services personnel communicate with teachers regarding the health needs of individual students.

Priority time (check):

Short Term ___X____ Long Term _______

Priority level (check):

High ___X_______ Medium _______ Low ________
Activities	Resources	Individual or Group Responsible	Completion Date	Evidence of

Completion
Case conferences,

Phone calls, health problem lists	Administration, School Nurses, NISEC, appropriate staff members	School health services, NISEC, Principals, Teachers	Ongoing	Log of sign in

Needs of students met

Staff aware of

Care plans and health issues

HEALTHY SCHOOL IMPROVEMENT PLAN FORM

Characteristic IX: School Health Services

Objective (9.2d): Involve health services personnel as a resource to the health education curriculum.

Priority time (check):

Short Term _______ Long Term ___X____

Priority level (check):

High _____X_____ Medium _______ Low ________
Activities	Resources	Individual or Group Responsible	Completion Date	Evidence of

Completion
Glow germ hand washing	School health services	School Nurse

Teachers	Yearly	Attendance Records

Self breast exams	American cancer society	School Nurse

Teachers	Yearly

Attendance records

Testicular exams	American Cancer society	Teacher	Yearly

Attendance records
Hygiene film and talk
School Nurse, Teacher	Yearly

Attendance records

Girls growing up

Develop Curriculum for boy’s growing up

Develop Curriculum for puberty & reproduction

Develop curriculum on sex & pregnancy

Developed curriculum, Robert Crown, other resources	School Nurse

Administration, teachers

Yearly

Yearly

Attendance record

Curriculum in place

HEALTHY SCHOOL IMPROVEMENT PLAN FORM

Characteristic IX: School Health Services

Objective (9.2e): Maintain a current, complete, and confidential computerized health record on every enrolled student.

Priority time (check):

Short Term _______ Long Term ___X____

Priority level (check):

High __________ Medium ___X____ Low ________
Activities	Resources	Individual or Group Responsible	Completion Date	Evidence of

Completion
Immunizations are kept confidential in Harmony computer program	Technology	School Nurse, Secretaries	Ongoing	Accessibility of records

Hire part time clerical person to enter immunizations into Harmony and CHIRP	Superintendent	School Nurse	When Funds Become Available	Hiring additional Staff

Health concerns, medical notes, nurse visits, allergies, medications are entered into Harmony	Harmony computer program	School Staff and school health services	Ongoing

Accessibility of records

HEALTHY SCHOOL IMPROVEMENT PLAN FORM

Characteristic IX: School Health Services

Objective (9.2f): Maintain a current emergency card on file for every currently enrolled student.

Priority time (check):

Short Term ___X____ Long Term _______

Priority level (check):

High ____X______ Medium _______ Low ________
Activities	Resources	Individual or Group Responsible	Completion Date	Evidence of

Completion
Parents fill out a new emergency card at participating schools on their children when registering for school or when information has changed	Yearly Emergency Form	Administration school staff,

parent	Ongoing	Number of office emergency check off

Harmony program being used is requesting this information	Yearly	Technology, school staff, parents	Ongoing	Number of completion

HEALTHY SCHOOL IMPROVEMENT PLAN FORM

Characteristic IX: School Health Services

Objective (9.2g): Routinely monitor the health status of all students known to have a chronic illness.

Priority time (check):

Short Term _____X__ Long Term _______

Priority level (check):

High ___X_______ Medium _______ Low ________
Activities	Resources	Individual or Group Responsible	Completion Date	Evidence of

Completion
Schedule School health conferences	Phone calls, parent, teacher, nurse conferences	Parent, Teacher, Nurse, Principal	Ongoing

Participation records

Write Health Care plans	Phone calls, parent, teacher, nurse conferences	Parent, Teacher, Nurse, Principal, NWISEC	Ongoing

Completed written plan

Continue observation of student health issues	Phone calls, parent, teacher, nurse conferences, physicians	School secretaries

School nurse	Ongoing

Log records, half sheets, doctor exams, doctor notes

HEALTHY SCHOOL IMPROVEMENT PLAN FORM

Characteristic IX: School Health Services

Objective (9.2h): Provide on-site health services for students with special needs.

Priority time (check):

Short Term ___X____ Long Term _______

Priority level (check):

High ____X______ Medium _______ Low ________
Activities	Resources	Individual or Group Responsible	Completion Date	Evidence of

Completion
Provide physical care and treatments of students catheterizations, tracheotomy care, medication administration, dressing changes, diabetes, tube feedings	NISEC, school health services and school staff	Teachers. Student health services, school staff, NISEC	Ongoing

Medication log

Daily log of completion

Documentation into Harmony program
Assistive devices available to students such as wheelchairs, couches, crutches, dressings, wood boards	School medical supplies, St. Mary Medical Center	Administration, School staff, school nurses,	Ongoing	Use of equipment

HEALTHY SCHOOL IMPROVEMENT PLAN FORM

Characteristic IX: School Health Services

Objective (9.2i): Regularly monitor attendance records to identify health-related causes of absences.

Priority time (check):

Short Term ____X___ Long Term _______

Priority level (check):

High __________ Medium __X_____ Low ________
Activities	Resources	Individual or Group Responsible	Completion Date	Evidence of

Completion
Continue entering attendance into Harmony	Harmony	School Secretaries	Ongoing	Attendance Records from Harmony

Communication between family, school staff, administration, nursing staff on information of illnesses, CDC, physician office, board of health	Parent call offs phone calls, school staff, harmony records, dr. notes	School administration, secretaries, school nurses	Ongoing

Documentation

Attendance letters for 5 & 10 day absences	Harmony	School secretaries	Ongoing	Documentation

Tardy letters every week for 5 or more days tardy	Harmony	School secretaries	Ongoing	Documentation

HEALTHY SCHOOL IMPROVEMENT PLAN FORM

Characteristic IX: School Health Services

Objective (9.2j): Store and administer prescription and over-the-counter medications in accordance with state law.

Priority time (check):

Short Term ____X___ Long Term _______

Priority level (check):

High __________ Medium __X_____ Low ________
Activities	Resources	Individual or Group Responsible	Completion Date	Evidence of

Completion
Medications are stored in a lockable cabinet and refrigerator	Cabinet and Refrigerator	School Nurses and Staff	Ongoing	Supplies available in each school

Medications are administered per written order of parent and/or physician	Completed medication form	School nurses, school staff	Ongoing

Documentation of medication administration

HEALTHY SCHOOL IMPROVEMENT PLAN FORM

Characteristic IX: School Health Services

Objective (9.2k): Maintain a separate, private, and well-equipped health facility in the school.

Priority time (check):

Short Term _______ Long Term _X______

Priority level (check):

High __________ Medium _______ Low ___X_____
Activities	Resources	Individual or Group Responsible	Completion Date	Evidence of

Completion
Private health rooms with restroom facilities are available at all schools
Administration	Ongoing	Presence of appropriate facilities

HEALTHY SCHOOL IMPROVEMENT PLAN FORM

Characteristic IX: School Health Services

Objective (9.2l): Refer all students with need to community-based medical and dental facilities.

Priority time (check):

Short Term ___X____ Long Term _______

Priority level (check):

High __________ Medium _______ Low ___X_____
Activities	Resources	Individual or Group Responsible	Completion Date	Evidence of

Completion
Write medical referrals for follow-up communicable conditions, health concerns, vision, dental, immunizations	Community Dental and Medical facilities	School nurses administrators, and staff	Ongoing	Written Referrals

HEALTHY SCHOOL IMPROVEMENT PLAN FORM

Characteristic IX: School Health Services

Objective (9.2m): Facilitate enrollment of student in child health insurance programs.

Priority time (check):

Short Term ____X___ Long Term _______

Priority level (check):

High __________ Medium _X______ Low ________
Activities	Resources	Individual or Group Responsible	Completion Date	Evidence of

Completion
Provide facility, scheduled times and North Shore Clinic for enrollment of child health insurance programs.

Application forms are available at all schools	North Shore Clinics,

School nurses,

Medicaid providers	Coordinator of Student Health Services, Principals, school secretaries	Ongoing	Scheduled dates at all schools

Numbers in enrollment for insurance

HEALTHY SCHOOL IMPROVEMENT PLAN FORM

Characteristic IX: School Health Services

Objective (9.3a): Install or create a linkage to a fully staffed medical clinic at school sites or in close proximity to schools where students can go for primary medical care (e.g., immunizations, physicals, examinations, treatment, follow-up) and case management.

Priority time (check):

Short Term _______ Long Term __X_____

Priority level (check):

High __________ Medium ___X____ Low ________
Activities	Resources	Individual or Group Responsible	Completion Date	Evidence of

Completion
Establish a working relationship with North Shore Clinic, St. Mary medical center for medical services for students	School Website, newsletters	Administration

School nurses	Ongoing	Feedback from families

HEALTHY SCHOOL IMPROVEMENT PLAN FORM

Characteristic IX: School Health Services

Objective (9.3b): Provide student access to a physician, physician’s assistant and/or nurse practitioner at school.

Priority time (check):

Short Term _______ Long Term ___X____

Priority level (check):

High __________ Medium __X_____ Low ________
Activities	Resources	Individual or Group Responsible	Completion Date	Evidence of

Completion
Look for grants to pay for medical access	State of Indiana	Administration	Ongoing	Established clinic with medical staff

HEALTHY SCHOOL IMPROVEMENT PLAN FORM

Characteristic IX: School Health Services

Objective (9.3c): Provide student access to dental services at school.

Priority time (check):

Short Term ___X____ Long Term _______

Priority level (check):

High __________ Medium _______ Low ___X_____
Activities	Resources	Individual or Group Responsible	Completion Date	Evidence of

Completion

HEALTHY SCHOOL IMPROVEMENT PLAN FORM

Pamela S. Cunningham

2011-10-17

Jon Mock

School City of Hobart