John Allen King II

POLICIES & PROCEDURES:

Policy 4336–WV Bus Transportation Policy and Procedures Manual-incorporated school nurses throughout with language relating to health care plans, 6 hour initial and 1 hour training annually for transportation of students with specialized health care with continuation of all drivers and transportation aides required to have first aid and CPR.

Policy 6200-Planning for School Facilities(newly constructed schools)- continuation of the School Health Unit(Section 303.10) and added “optional” specifications for School-Based Health Center(Section 303.11).

School Aid Formula

SCHOOL NURSES MOVED FROM STEP #1(Professional Educators) to STEP

#5(administrative cost):↓

(5) An allowance for administrative costs in an amount appropriated by the Legislature

All certified school nurses funded under school aide in 2007/08 were fully funded in school aide formula.

Addition School Nurses Funding from SB 53 in 2006

The allocation for school nurses authorized under WVC 18-9A-10a is for the employment of additional nurses to meet the ratio of one nurse per each 1,500 students in grades Pre-kindergarten through 12, less existing nurses employed during the 2005-06 year, the base year for this purpose. These funds are to be used solely for the employment of additional nurses. 

The amount appropriated for this purpose for the 2008-09 year was $1,107,618, which is roughly 80% of the amount appropriated the previous year, and the amount appropriated will continue to decrease by 20% a year over the next four years.

High Acuity Health Care Needs

The allocation for high acuity health care needs authorized under WVC 18-5-22 is for distribution to county boards to support school health service needs that exceed the capacity of staff as mandated in this code.

The Legislature intends to keep appropriating the $1,000,000 per year for high acuity health care needs. This allocation will continue to be distributed in two separate installments based on the number of high acuity services provided each semester, as reported by each county board via the WVEIS – Web-based Electronic Health Care Plan.

SURVEYS/DATA:

Youth Risk Behavior Survey and Youth Tobacco Survey (YRBS/YTS) 2007 was finally released-poor outcomes.

Health Education Assessment Project (HEAP)-Posted per participating school on Office of Healthy Schools website.

RWJ survey on Healthy Lifestyles Act to be released this 2008/09 school year.

EDUCATION:

2007 WVASN Conference in Bridgeport 2007 Children’s Health Conference 2008 NASN HANDS training in Beckley

and Morgantown 2008 School Health Services Conference 2008 NASN Conference Marshall University School Health

Workshops throughout 2007/08. Take Action! Asthma and Diabetes Website

COLLABORATION/COMMUNICATION: WV State Board of Education

WV Association of School Nurses

WV Asthma Coalition

WV Immunization Network

CHIP

WVDHHR HealthCheck Program

WVDHHR Dental Program

Governor’s Work Group on KIDS FIRST

Bureau for Public Health Divisions of :

1. Abstinence

2. Adolescent Health Initiative3. Asthma4. Diabetes5. Epidemiology 6. HIV/AIDS7. Immunizations8. OMCFH9. Paternity

10. Pregnancy Prevention 11. STDs 12. TB Control 13. Healthy Lifestyles

COMMITTEES/GROUPS:

SBOE Wellness Committee

Policy 4336-WV School Transportation Regulations

Policy 6200-Planning for School Facilities

Health and Physical Education Academy

WVCOSN• Intervention Guides for Asthma, Seizures,

Anaphylactic Shock, Diabetes

• School Nurse Performance Evaluation Guide- optional (not in Policy 5310)

• Recommendations for Conjunctivitis

• Position Statement on Immunizations

Defining the role of the School Nurse Revise Policy 2422.7-Standards for Basic and

Specialized Health Care Procedures(BSHCP) Revise BSHCP manual Revise “Supplement Guidelines for School

Nurses”-Checklist as needed per manual changes.

WVCOSN Recommendations and Information Sheets in the Supplement Guidelines

WVCOSN revising hearing and vision screening recommendations

School Nurse Needs Assessment and collection of data

Online instructions for EHCP KIDS FIRST-staying with kindergarten WVEIS HealthCheck Screen with

statewide webinar WVEIS web-based application for health

screens with SN input

WVSBOE Position Statement on Coordinated School Health

Mountain State BCBS possibility for improving school health technology

World AIDS Day-Quilt on display at CAMC-Memorial(home of Ryan White Program)

Immunization Q&A Defining the role of LPN Quarterly conference calls

Funding for School Health Services Consultant

WV School Health Conference

on

June 9 and 10, 2009at the Charleston Civic Center

Q: Percentage of HS students who ever had sexual intercourse~53.4% = ↑ from 52.5 in 2005

Q: Percentage of HS students who ever had sexual intercourse with ONE or MORE people during the past three months~40.8% ↑ from 39.3 in 2005

Q: Among students who had sexual intercourse during the past three months, the percentage who drank alcohol or used drugs before last sexual intercourse~21.4% ↑ from 20.7 in 2005

WHY Sexual Health…. High rates of ATOD lead to ↑ sexual encounters, vice versa Risk behaviors are RELATED Can lead to school climate, mental and physiological health issue and possibly

tragedy

How can you assist your county? Review your statistics (YRBS, HEAP, PRIDE, etc) Work with county health educators, parents and community Assist with evidenced based programs/curriculum for schools and/or communities Know the resources(Local Health Dept., BPH-HIV/AIDS/STDS, BPH-Abstinence, BPH-

APPI, BPH-AHI, CBO, PTA, others…)

HIV 5-12 y.o.----0

cases 13-19 y.o.—44

cases (6%) 20-29 y.o.—262

cases (36%)

AIDS Under 5-----9

cases 5-12 y.o.----3

cases 13-19 y.o.—16

cases (1%) 20-29 y.o.---242

cases (16%)NOTE: 94% of Pediatric cases from HIV + mothers!White males lead in WV Behavior=MSM(50%) and Heterosexual(17%)

1 in 5—or roughly 21%—don’t know their status in US.

CDCestimates that 56,300 new HIV infections occurred in the United States in 2006. Prior to the availability of STARHS,

CDC previously estimated that approximately 40,000 new HIV infections occurred annually since the 1990s.

• Better health education • Supportive policies

• 59% required students to take two or more health education courses

• 31% taught 11 pregnancy, HIV, or STD prevention topics in a required health education course.

• 92% taught abstinence as the most effective method to avoid pregnancy, HIV, and STDs in a required health education course.

• 91% taught how HIV is transmitted in a required health education course.

• 34% taught how to correctly use a condom in a required health education course.

• 81% taught how to find valid information or services related to HIV or HIV testing in a required health education course.

• 24% had a lead health education teacher who received staff development during the two years before the survey on HIV prevention.

18% HPV4% Chlamydia2.5% Trichomoniasis2% Herpes simplex

CNN LIVE: http://www.cnn.com/video/?/video/health/2008/03/12/gupta.girls.and.stds.cnn

Statewide, the number of reported cases of early syphilis in West Virginia has increased 67% since 2003. Therefore, the Bureau for Public Health is encouraging all county health departments, especially those located in counties that border Ohio County or are located in the northern part of West Virginia, to screen and test for syphilis all individuals at risk for sexually transmitted diseases. The Office of Laboratory Services has been informed of this situation and will provide supplies to accommodate county health department needs.

Significant increase in syphilis infections recently reported in Ohio County(7 cases).

Have a WONDERFUL Thanksgiving!