Manages school health services in assigned schools. Acts as a resource for coordinated school health programs. Adopts available technology appropriate to the work setting. Conducts assessments to identify program Implements needed health programs. Supervises health assistants, and unlicensed assistive personnel (UAPs) consistent with NC Board of Nursing requirements. Interprets the role of the school nurse and school health service needs to the school and community. Stays abreast of current health issues and trends that may affect healthcare and sources of funding. Implements strategies to address ongoing health issues. Leverages cooperation between schools and communities on public health issues. Communicates to school and district administrators, the district board of education, and other stakeholders: Findings of trend analyses. Findings of outcome evaluations. Impacts and potential impacts of health related policies and programs. Element d. School nurses practice ethically. The school nurse: Adheres to the Code of Ethics for North Carolina Educators Code of Professional Practice and Conduct for North Carolina Educators Code of Ethics with Interpretive Statements for the School Nurse (NASN 2010). Recognizes the centrality of student and family as core members of the healthcare team. Integrates caring, kindness, and respect into practice. . . .and The school nurse: Assists students and families in self-determination and informed decision-making. Maintains professional role boundaries. Questions healthcare practice to maintain safety and quality practice. . . .and The school nurse: Participates in interprofessional teams that address ethical risks, benefits, and outcomes. Promotes cooperation, respect, and trust by adhering to standards and applicable codes of conduct. . . .and The school nurse: Consults with others to resolve ethical issues. Contributes to the establishment and implementation of district and/or state school nursing ethics committees. Examples of artifacts that may be used to demonstrate performance: Annual review of the National Association of School Nursing Code of Ethics* Documentation of Ethics Committee participation Documentation of presentations to internal and external groups Adherence to standard operating procedures that ensure confidentiality of records Needs assessment findings (QA) Validation of formal/informal leadership roles Committee/workgroup minutes
Evaluator Comments: (Required for all “Not Demonstrated” ratings, recommended for all ratings.) Comments of Person Being Evaluated: (Optional) * This artifact must be reviewed annually by the school nurse being evaluated and the evaluator. Standard 2. School nurses establish a safe, respectful, and inclusive environment for diverse populations. School nurses promote an environment in which individual differences are valued. They effectively use communication skills that demonstrate sensitivity necessary to work with families, students, and staff from diverse cultures and backgrounds. These cultural and background factors are incorporated into care planned by school nurses. School nurses also collect and use school, local, state, and national data to assist in promoting health and safety in the school environment. School nurses model practice in an environmentally safe and healthy manner that is consistent with the law and accepted standards. Developing Proficient Accomplished Distinguished Not Demonstrated (Comment Required) Element a. School nurses practice with the requirements of the North Carolina Board of Nursing, recognized standards of nursing practice and North Carolina education goals. The school Understands requirements of nursing practice in the North Carolina educational environment. . . . and The school nurse: Uses standard nursing practice to help students reduce health related barriers in achieving academic success. . . . and The school Serves as a resource to staff and peers on: Principles of nursing practice. Health related student issues in the educational setting. . . . and The school nurse: Creates opportunities to advance school nursing practice through presentations, publications, and/or work groups. Element b. School nurses foster an environment that supports success of all students. The school nurse: Recognizes the unique challenges for students in the educational environment. . . . and The school nurse: Addresses the health related needs of assigned students in the educational environment. . . . and The school nurse: Collaborates as an active member of school teams that address the needs of students. . . . and The school nurse: Initiates system level activities that: Foster safe, respectful, and inclusive learning environments. Ensure equitable access to support services. Element c. School nurses communicate effectively in a variety of formats in all of nursing practice. The school nurse: Assesses communication preferences when working with others. Adheres to regulations to . . . and The school nurse: Conveys information to students, families, and staff in formats that promote understanding. Contributes own professional . . . and The school nurse: continuous improvement of own communication and skills. . . . and The school nurse: Collaborates with district colleagues to design and implement communication systems to meet student and nursing needs.
. . . and The school Involves the student, family, healthcare providers, and others in formulating plan. Develops expected outcomes that facilitate continuity of care. Uses the plan to provide direction to other members of the healthcare team. . . . and The school Derives culturally appropriate, developmentally suitable outcomes from the diagnoses. Modifies the plan based on the ongoing assessment of the student’s response and other outcome indicators. . . . and The school nurse: Integrates current scientific evidence, trends, and research into planning. Designs strategies to meet the multifaceted needs of students with complex healthcare needs . . . and The school Recognizes interventions that require system-level involvement. Considers associated risks, benefits, costs, and expected outcomes in planning care. Element c. School nurses implement the plan of care, coordinate care delivery, and evaluate the effectiveness of the plan. . . . and The school nurse: Collaborates with school staff and family members to incorporate the healthcare plan into the education setting in a safe, realistic, and timely manner. Documents all aspects of the nursing process. Provides indicated individual and group health teaching and health counseling. Conducts a systematic, ongoing, and evaluation. . . . and The school Assumes responsibility for the safe/efficient implementation of the plan. Provides holistic care that addresses diverse needs. Manages care to maximize independence and quality of life and access to education in the least restrictive environment. Assesses and assures that interventions minimize unwarranted or unwanted side effects. Serves as a primary resource to school staff (and others) regarding health education. . . . and The school Applies available healthcare technologies to maximize optimal outcomes. Provides anticipatory guidance to promote health. Disseminates the results of evaluation to student/family, healthcare provider, and others. . . . and The school nurse: Partners with businesses and community organizations to leverage resources to implement sound healthcare programs. Evaluates health information resources to help students, families and staff to access quality information. Provides consultative services that build on evidence-based practice and theoretical frameworks. Standard 4. School nurses facilitate student learning by providing individualized care the nursing process. Developing Proficient Accomplished Distinguished Not Demonstrated (Comment Required) Element d. School nurses utilize appropriate resources to plan and provide school health services that are safe, effective, and financially responsible. . . . and . . . and . . . and
The school nurse: Delegates care to others adhering to the NC Board of Nursing guidelines Assists the student and family in securing available services. Documents all aspects of resource utilization, including delegation and staff training. The school into account the complexity of the task, and desired outcomes when considering resource allocation. Advocates for resources, including technology, that enhance school nursing practice. Uses a multidisciplinary approach to formulate plans of care. The school nurse: Evaluates safety, effectiveness, availability, and costs of resources when choosing among practice options. The school nurse: Identifies resources needed to provide quality care for all students. Develops innovative solutions to provide quality nursing initiatives. Leverages available school and district resources to obtain additional resources for quality care and nursing initiatives. Examples of artifacts that may be used to demonstrate performance: Individualized health care plans Emergency health care plans Nursing care plans Delegated teaching/monitoring records Nursing documentation records- all aspects of nursing process Meeting minutes, i.e. family meetings, collaborative etc. Medication audits Evaluator Comments: (Required for all “Not Demonstrated” ratings, recommended for all ratings.) Comments of Person Being Evaluated: (Optional) Standard 5. School nurses reflect on practice. School nurses demonstrate accountability for managing and delivering comprehensive school health services. School nurses analyze formal and informal data to evaluate the effectiveness of service delivery. School nurses adapt their practice based on current and relevant research findings and data to best meet the needs of students, families, schools, and communities. School nurses utilize collaborative relationships with colleagues, families, and communities to reflect upon and improve their practice. Developing Proficient Accomplished Distinguished Not Demonstrated (Comment Required) Element a. Quality of practice: School nurses continually strive to improve practice. The school nurse: Thinks systematically and critically about the impact of comprehensive . . . and The school nurse: Collects and analyzes data needed to evaluate the effectiveness of service delivery. . . . and The school nurse: Uses knowledge of research and program evaluation to impact practice . . . and The school nurse: Promotes the adaptation of professional practices to meet the needs of