FINDLAY CITY SCHOOLS PLANNING CONFERENCE AND REVIEW FOR SCHOOL NURSE School Nurse Conference Date Annual Review Date School Reviewer ANNUAL GOALS Personal Goal(s) GOAL STRATEGY HOW WILL ACHIEVEMENT BE MEASURED? TIMELINE SUPERVISOR ASSISTANCE (optional) REVIEWER: STATUS OF GOALS 1 2 3 Sign when planning conference is completed. School Nurse Signature Date Reviewer s Signature Date 1
SCHOOL NURSE EVALUATION Goal: HEALTH ASSESSMENT The nurse is aware of the health status of the pupils in his/her school(s). #1 1.1 Conducts appropriate health To complete health assessment screenings with appropriate health history, observation and consultation on: 1.2 Obtains and reviews the pupil s (a) pupils entering school health history and current health reports. for the first time; (b) pupils referred by 1.3 Consults with school staff and school staff; other professionals regarding their (c) pupils enrolled in observations of the pupil s health status. selected grade levels. 1.4 Informs appropriate staff about pupil s health concerns. #2. 2.1 Interprets the nature and To plan and implement significance of health problems to counseling, referral, and assist the pupil and parent to assume follow-up for pupils identified responsibility for obtaining care. as having health needs. 2.2 Maintains and interprets Information about the health care resources available and promotes appropriate contact with the agency or provider. 2.3 Follows up to determine that the pupil s health needs received professional care and school adjustments recommended by the health care provider are understood by the school staff 2
Goal: ILLNESS AND INJURY - (A) The nurse is a leader of the school health team concerned with communicable disease control. (B) The nurse is a leader of the health team concerned with care of illness and injury occurring at school. #1 1.1 Assesses each pupil s immunization To assist school personnel, pupils status and performs related activities to and parents to understand and obtain compliance with state laws. comply with communicable disease control, requirements, and 1.2 Screens pupils as needed for nuisance current practices. health problems. 1.3 Plans in-services as necessary for school faculty regarding control of communicable diseases. #2. 2.1 Maintains documentation of student To participate in the management visits and actions taken. of illness and injury occurring at school. 2.2 Provides in-services to faculty and auxiliary help regarding care of illness and injury. 2.3 Reviews current emergency medical authorization forms for each student. 2.4 Provides for safe and adequately supplied clinic. 2.5 Periodically reviews and recommends changes if needed in procedures related to medical and dental emergencies, including who is responsible for first aid when the nurse is not in the building. 3
Goal: HEALTH EDUCATION AND SCHOOL ENVIRONMENT - (A) The nurse is a member of the school health team contributing to health education. (B) The nurse is a member of the school health team contributing to a healthful school environment. #1 1.1 Provides sources for health related To assist in the development of information and resource materials. positive health attitudes and practices through formal and informal 1.2 Participates in classroom health instruction. instruction when knowledge and skills of a health professional are indicated. 1.3 Serves as a resource person to the classroom teacher. #2. To promote the physical environmental health and safety for pupils and personnel in the school. #3 To promote a school atmosphere conducive to attitudinal and behavioral changes which focus on the promotion of health. 1.4 Provides health related in-service programs for school staff. 2.1 Monitors accident reports to determine hazardous practices or locations of accident. 2.2 Makes appropriate recommendations to proper administrator(s) regarding existing specific hazards to health. 3.1 Identifies potential factors that interfere with the learning process. 3.2 Presents identified factors to the appropriate person. 3.3 Reviews alternatives for resolution of the problems. 4
Goal: PROFESSIONALISM - The nurse is the health professional on the educational support team. #1 1.1 Assumes personal responsibility for To assume tasks and responsibilities. professional growth and continuing education. 1.2 Evaluates and improves school health service programs. 1.3 Maintains the highest standards of nursing ethics and practices #2 2.1 Demonstrates personal initiative To demonstrate personal and requires minimal direction. motivation. 2.4 Exhibits punctuality and regularity of attendance to meetings and submits required reports on schedule. 2.5 Seeks and accepts ideas for improving his/her performance. 5
Goal: SPECIAL NEEDS -The nurse is a member of the educational team concerned with meeting the needs of students with special health problems. #1 1.1 Reports suspected cases of child To participate in the identification abuse or neglect. and management of pupils suspected of being abused/neglected. 1.2 Documents suspected abuse or neglect objectively. #2. 2.1 Identifies pupils with chronic illnesses To assist the chronically ill pupil, and determines their current health his/her parents and school staff status and school adjustment needs. in understanding the illness in relation to school and to make 2.2 Obtains appropriate health care appropriate adjustments to help instructions from the health care provider meet the pupil s special needs. and parents. 2.3 Communicates the nature of pupil s chronic illness, special needs and #3 recommendations for classroom and bus To assist the handicapped pupil, transportation management to school his/her parents and school staff in personnel. understanding the handicap in relation to school and to make 3.1 Furnishes relevant health information adjustments to help meet the pupil s special needs. to the initial assessment and the evaluation process to determine a pupil s need for special education and related services. 3.2 Provides health information and makes special recommendations related to the health problems of the pupils at IEP conferences. 6
#3 (CONTINUED) 3.3 Assists in the development of To assist the handicapped pupil, specialized Health Care Plans and his/her parents and school staff in supervises the implementation of such understanding the handicap in plans as deemed appropriate. relation to school and to make adjustments to help meet the 3.4 Provides parental instruction and pupil s special needs. counseling related to the needs of their child in the school setting. 1 2 3 4 5 General Comments: I have received a copy and agree with said evaluation. Evaluator s Signature Date I have received a copy and disagree with said evaluation. Nurse s Signature Date 7