School Nurse Name Building(s) Evaluator Name School Year Annual Goals and Professional Growth Plan (completed by Evaluator) Not Achieved Partially Achieved Fully Achieved Professional growth for this past year: Other special achievements: It is recommended that the evaluator meet face-to face with the building administrator to review the entire Summative Evaluation Comments by Evaluator: Comments by Building Administrator: Over, please →
Assigns appropriate nursing diagnoses for individual students after analysis of assessment data during routine office visits and emergency situations. Consults frequently with mentor and school nurse colleagues regarding the choice of nursing diagnoses in the routine and competent care of students. For individual students and staff, documents nursing diagnoses according to district procedures in order to facilitate expected outcomes and a plan of care. Derives appropriate nursing diagnoses for individual students through analysis of a broad range of assessment data, including data from the students, family, school and staff and health care providers. Derives a variety of nursing diagnoses for individual students through a holistic assessment of the students within the educational environment. Derives and validates appropriate nursing diagnoses for groups of students and for the school community. Conceptualizes and explores implementation of new nursing diagnoses relevant to the care of the students and community n the educational environment. Proposes to accredited bodies, new diagnoses relevant to the care of students and communities. Uses trends in student diagnoses to guide district planning for future programs. STANDARD 3: OUTCOMES IDENTIFICATION The school identifies expected outcomes for a plan that is individualized to the student or the situation. BASIC DEVELOPING SKILLED ACCOMPLISHED The basic school nurse: Identifies expected short-term student health outcomes based on the nursing diagnoses that are developmentally appropriate. Possesses beginning of the educational implications of health concerns or problems. The developing nurse: Identifies expected short-term student health and educational outcomes based on the nursing diagnoses. With consultation, identifies outcomes that are culturally appropriate and realistic in relation to the student’s present and potential capabilities. Determines outcomes with consideration of resources that are needed and available. The skilled nurse: Identifies short- and long-term outcomes that are mutually formulated with the student, family, school staff, community and other providers, as appropriate. Independently identifies outcomes that are culturally appropriate and realistic in relation to the student’s present and potential capabilities. Considers risks, costs, benefits and scientific evidence in the development of outcomes. The accomplished nurse: Mentors proficient school nurses in the role of case manager for students with health needs. Identifies and uses trends in student outcomes to district planning for future school programs.
district policy (such as IHP, nursing 504 plan, etc. and services as identified in the health care plan. students’ extracurricular and community activities. STANDARD 5B: HEALTH TEACHING AND HEALTH PROMOTION The school nurse provides health education and employs strategies to promote health and a safe environment. BASIC DEVELOPING SKILLED ACCOMPLISHED The basic school nurse: Provides basic health information and counseling to individual students related to identified concerns within a health office visit. Gives consideration to developmental differences among student in their school when providing health information. Acts as a health resource to classroom teachers when approached. With guidance as needed provides basic staff wellness education (such as universal precautions, flu prevention, etc.) The developing school nurse: Incorporates evidence-based, developmentally appropriate health education and counseling to individual students during the health office visits. Provides evidence-based health education and counseling to families based on students’ needs as identified in the health office visit. Gives consideration to cultural and linguistic differences among students in their school when providing health information. Serves as a professional health resource in classroom instruction to enhance the curriculum and promote health literacy. Begins to identify areas of need for health education and health instruction based o health office data. Promotes wellness among school staff members, based on staff concerns. The skilled school nurse: Integrates evidence-based health promotion concepts into teaching and counseling with individual and groups of students, such as healthy lifestyles, reducing risky behaviors, bullying and violence prevention, and other health promotion activities based on the perceived needs. Seeks opportunities to provide education and counseling to individual families and parent groups. Seeks opportunities and provides continual health education to students by co-teaching or serving as classroom resource. Identifies areas of need for health education and health instruction based on student health data, community needs. Ensures that health and safety are incorporated into all of the school environment. Provides staff wellness and health information as needed. The accomplished school nurse: Designs and evaluates health education strategies and programs to improve the effectiveness of health teaching and counseling with individuals and groups of students to meet developmental, cultural, linguistic and learning needs. Develops partnerships with families and communities to enhance the design and delivery of health education. Conducts research to support and direct evidence-based practice in health education and counseling. Initiates assessments and surveys to determine the for individual teaching and curriculum development in health education and health instruction, collaborating with health educators and curriculum leaders. Participates in the design of district-wide wellness programs as necessary.
Revises the plan as needed. STANDARD 7: QUALITY OF PRACTICE The school nurse systematically evaluates the quality and effectiveness of nursing practice. BASIC DEVELOPING SKILLED ACCOMPLISHED The basic school nurse: Collaborates with the mentor assess the quality of student care in the health office. Adheres to the district’s system for the collection of data which will be used to monitor the quality and effectiveness of nursing care. Adheres to district policies, procedures and practice guidelines/protocols to promote quality of care. With assistance of mentor, implements activities to enhance the quality of nursing practice. Appropriately documents all essential communications. The developing nurse: Implements activities to enhance the quality of nursing practice in collaboration with the nursing team. Participates in evaluation and research to test the quality and effectiveness of nursing care. The skilled Contributes to the development of research to determine the quality and effectiveness of nursing care. Formulates recommendations to improve school nursing practice and/or student outcomes in collaboration with school administrators, boards of education and boards of health. Initiates changes in nursing practice at the building level based on the results of quality assurance activities. Contributes to the development of policies, procedures and practice guidelines to improve the quality of care. The accomplished nurse: Develops policy, procedure and practice guidelines to improve the quality of care. Initiates changes in nursing practice at the district level based on the results of quality activities. Designs, implements and evaluates research to test the quality and effectiveness of school nursing practice. STANDARD 8: EDUCATION The school nurse attains the knowledge, skills and competencies require for quality practice in schools BASIC DEVELOPING SKILLED ACCOMPLISHED The new school nurse: Demonstrates basic knowledge and skills appropriate to the specialty practice of school nursing, including but not limited to: Knowledge of growth and development; The developing school nurse: Applies knowledge and skills appropriate to the specialty practice of school nursing. The skilled school nurse: Pursues an advanced degree in nursing or a related field. advanced knowledge and skills appropriate to the specialty practices of a The accomplished school nurse: Has an advanced degree in nursing or a related field at the master’s level or beyond.
Maintains an organizational health room in an efficient manner. Uses technology (assistive, informational and medical) to effectively manage school health programs. Demonstrates knowledge of existing school health programs and current pediatric and adolescent health trends that may impact client care. Implements needed health programs using program planning processes. Trains faculty and staff and evaluates as needed. Participates on school to manage environmental health and safety issues in the school building as needed. Conducts school health program assessments to identify current health problems and the need for revising or developing new programs as appropriate. Initiates changes in the school health program based on the results of a school health needs assessment, data analysis and quality care activities as appropriate. Evaluates ongoing school health programs for effectiveness and efficiency and communicates findings to administrators, boards of education and boards of health, as appropriate. Secures resources, such as staffing and technology, to efficiently provide district school health services. Develops systemwide strategies in response to problem analysis.