Why are you here? Role of the School Nurse in PreK Programs. March 29, Hello Neighbor!

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1 Role of the School Nurse in PreK Programs C R I T I C A L I S S U E S I N S C H O O L H E A L T H C R O W N E P L A Z A H O T E L, C R O M W E L L, C T S T E P H A N I E G. K N U T S O N, M S N, R N K I M B E R L Y S A N D O R, M S N, F N P Why are you here? Hello Neighbor! 1

2 Little Kids -- Big Kids Let s think about Early Childhood What comes to mind when you think about the Early Childhood Years? Relationships with families Growth and Development Early Childhood HAR/ Immunization Requirements 2

3 How families choose child care Based on: Age of the child(ren) Family s income Parent s Work Schedule Cultural Considerations Location of the Child Care Center Openings in the Child Care Center Early Childhood Systems Federal: Head Start State: CT State Department of Education Department of Public Health Department of Social Services Private Schools Community Programs School Districts 3

4 Regulations: Laws State Department of Education Department of Public Health These are the minimum standards for health and safety. CSDE: Health Medical Advisor School Nurse Supervisor/ Nurse Leader School Nurse DPH Programs : Health Child Care Health Consultant Provide professional guidance and expertise on health and safety Visitation Schedule: Infant and Toddler: weekly/monthly Preschool: quarterly Before and After School: quarterly 4

5 Additional Standards Head Start Early Head Start School Readiness National Association for the Education of Young Children (NAEYC) Two Overarching Regulatory Systems State Department of Education Local and Regional Board of Educations Department of Public Health DPH regulations School Readiness NAEYC Head Start/Early Head Start Head Start/Early Head Start: Health Head Start: Performance Standards Health and Nutrition Managers dex.cfm Early Childhood Development and Health Child health and development Child health and safety Child nutrition Child mental health 5

6 NAEYC Requirement for School Readiness programs NAEYC: Health National Association for the Education of Young Children (NAEYC) Health Standard (5) Physical Environment (9) Leadership and Management (10) Policies and procedures NAEYC : Health 5.A.02 Health Consultation A. The health consultant visits at least two times a year and as needed. B. The health consultant observes program practices and reviews and makes recommendations about the program s practices and written health policies to ensure health promotion and prevention of infection and injury. The consultation addresses physical, social emotional, nutritional and oral health including the care and exclusion of ill children. 6

7 Federal: Head Start (3-5 years old and Early Head Start (0-3 years old) National program Promotes school readiness by enhancing the social and cognitive development of children Provides educational, health, nutritional, social and other services Head Start: Program Description..provide comprehensive child development services to economically disadvantaged children and families, with a special focus on helping preschoolers develop the early reading and math skills they need to be successful in school. the Early Head Start program was established to serve children from birth to three years of age in recognition of the mounting evidence that the earliest years matter a great deal to children's growth and development. Head Start programs promote school readiness by enhancing the social and cognitive development of children through the provision of educational, health, nutritional, social and other services to enrolled children and families They engage parents in their children's learning and help them in making progress toward their educational, literacy and employment goals. NAEYC STANDARD HEAD START NEASC PUBLIC # of matches A B C* A B C* % of matchin g Comparable to NAEYC # of matches % of matching Relationships 32/32 100% Y 4/32 13% N Curriculum 70/70 100% Y 10/70 14% N Teaching 51/55 93% Y 23/55 42% N Assessment of child progress 24/25 96% Y 8/25 32% N Health 24/27 89% Y 0/27 0% N Teachers 12/14 86% Y 9/14 65% N Families 25/27 93% Y 8/27 30% N Community relationships Physical environment Leadership and management 18/ Y 2/18 11% N 42/44 95% Y 0/44 0% N 51/51 100% Y 25/51 49% N Comparable to NAEYC 7

8 Clarity in your Role! Two Overarching Regulatory Systems State Department of Education Local and Regional Board of Educations Department of Public Health DPH regulations School Readiness NAEYC Head Start/Early Head Start Community Based Child Care Program Regulated by the DPH Requires a contract with a Health Consultant Maybe NAEYC Maybe Head Start May only be licensed by the DPH May have children who are receiving school readiness funding to attend 8

9 Early Childhood Program within a School CT State Department of Education Regulations School with preschool classroom(s) District Board of Education specific policies Early Childhood Program in a School that has School Readiness Children State Department of Education + State Department of Education School Readiness School with preschool classroom(s) with School Readiness children District Board of Education policies and procedures + District Board of Education/ School Readiness Council policies and procedures + NAEYC (are accredited or in the process of getting accredited) Community based program run by a YMCA that is in a school Early Childhood Program run by a local school district Role of the nurse? Role of the nurse? 9

10 CSDE Preschool Requirements Health Assessments Immunizations Hearing, Vision and Scoliosis CSDE Best Practice NAEYC Caring for Our Children Infection Control Measures Children With Special Needs Nutrition Physical Activity Oral Health Injury Prevention Next Steps. Determine primary regulatory system Work with your Nurse Supervisor/Leader Consider the needs of the children in your school 10

11 Resources Model Health Care Child Policies - Appendix Q al.pdf Caring For Our Children, 3 rd Edition CSDE Circular Letter TA/SR #02-01 DPH Childcare Regulations &dphNav=%7C Resources NAEYC CSDE Early Childhood Education Q= Contact Information Kimberly Sandor, Child Care Health Consultant Coordinator, Connecticut Nurses Association K.sandor@comcast.net Stephanie Knutson, School Health Consultant Stephanie.knutson@ct.gov 11

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