68
2016-2017 Summary of School Health Services Elementary/Middle/High/Combined Level Schools 3,701 Pre-Kindergarten Through 12th Grade Students 2,801,978 Annual Average Number of Health Room Visits Per Student 4.11 Registered Nurse to Student Ratio 1: 2,382 % of Students Returning to Class After Health Room Visits 88.31% Registered Nurse to School Ratio 1: 3.15 Annual Average Number of Services Per Student 9.33 Registered Nurses 281.44 State General Revenue $16,725,074 Licensed Practical Nurses 85.04 $11,544,565 Health Aides/Techs 257.98 County Health Department Subtotal $28,269,638 County Health Department - Other Funding $7,550,212 $35,819,850 Registered Nurses 598.41 $122,696,917 Licensed Practical Nurses 654.00 $34,776,238 Health Aides/Techs 892.60 $193,293,005 Annual Per Student Expenditure for School Health: $68.98 Registered Nurses 296.70 Note: Per student expenditure based on funding from all of the above sources. Licensed Practical Nurses 114.00 Health Aides/Techs 58.00 Allergies: Life Threatening Allergies: Non-Life Threatening Asthma Registered Nurses 1,176.55 Attention Deficit / Hyperactivity Disorder Licensed Practical Nurses 853.04 Seizure Disorder Health Aides/Techs 1,208.58 Cardiac Mental/Behavioral Health Conditions Diabetes Nursing Assessment/Counseling 2,219,999 Kidney Disease Licensed Practical Nurse Encounter 3,003,466 Sickle Cell Disease Paraprofessional Evaluation/Treatment 4,019,177 Bleeding Disorder Staff/Parent Consultation 3,880,883 Cancer Individualized Health Care Plan Development 105,958 Cystic Fibrosis Complex Medical Procedures 1,367,454 All Other Exceptional Student Education Staffing 48,630 Total Health Record Reviews 1,195,538 Immunization Follow-up 447,215 Daily Annual First Aid Administration 3,038,421 Average Student Health Room Visits 85,590 15,406,164 Health Education Classes 53,875 Average Medication Doses Administered 26,177 4,711,824 All Other Services 6,774,161 Total Services 26,154,777 Procedures and Medication Doses Estimated Annual Services Carbohydrate Counting 6,572 648,468 504 Catheterization 384 79,344 387,578 Colostomy, Ileostomy, Jejunostomy 275 53,172 3,467 Electronic Monitoring 4,574 105,840 10,871 1,401 264,852 1,999 Glucose Monitoring 6,195 1,091,376 1,025 Insulin Administration 6,062 732,528 1,136 Intravenous Treatments 143 7,668 2,035 Medications (Inhaled) 33,006 624,744 274 Medications (Injection) 12,178 29,772 4.42 Medications (Nasal) 633 20,628 6.48 Medications (Oral) 67,285 3,105,144 10.69% Medications (Other Routes) 5,343 191,340 80.56% Oxygen Continuous or Intermittent 93 10,080 Specimen Collection or Testing 3,703 39,348 Tracheostomy Care 104 28,872 Ventilator Dependent Care 63 3,420 382 Other Procedures 2,785 1,097,136 319,465 Total 150,799 8,133,732 466,793 $15,064,613 Vision Hearing Scoliosis Target Populations (Mandated grade levels for each screening) KG, 1st, 3rd, 6th KG, 1st, 6th 6th 1st, 3rd, 6th Number of Students in Mandated Grades (minus opt-outs) 818,147 594,508 196,138 620,733 Number (#) of Students Screened in Mandated Grades 779,220 529,248 171,460 564,888 Percent (%) of Students Screened in Mandated Grades 95.24% 89.02% 87.42% 91.00% Number (#) of Students Referred for Abnormal Results 71,261 13,017 4,095 70,999 347,972 23,107 89,073 104,736 61.60% 4.09% 15.77% 18.54% Dental Health Education Percent of 1st, 3rd, 6th Grade Students by BMI Percentile Total Expenditures for School Health Services 724,573 1,600 570 68,686 3,384 108,588 19,955 14,098 21,436 199,088 Community Partners (Public and Private) Reported Student Health Conditions Type of Health Condition State of Florida Legislative authority for School Health Services provided in sections 381.0056, 381.0057, 402.3026, Florida Statutes. Note: This report uses a combination of data from local county Annual School Health Reports, the Department of Health - Health Management System, Vital Statistics and the Department of Education (DOE). This report represents school health services provided by county health departments, school districts and community partners. Public Schools and Students School Health Staff (excludes Exceptional Student Education Staff) Ratio of Registered Nurses (RN) to Schools and Students Note: The National Association of School Nurses (2017) and the American Academy of Pediatrics (2016) recommend a ratio of one full-time registered school nurse for every school. “To optimize student health, safety and learning, it is the position of the National Association of School Nurses that a professional registered school nurse be present in every school, all day, every day.” (NASN, 2017) Note: Based on DOE reports for Regular Elementary, Middle, Senior High, Combo Schools 2016-2017 and 2016-2017 Membership by District by School by Grade. 2016-2017 Expenditures for School Health Services County Health Department County Health Department Federal Title XXI School District School District Total Community Partners (Public and Private) Total County Health Department Total Number of Conditions Reported 35,327 Total Health Staff 236,633 Key School Health Services in Health Management System Estimated Health Room Visits and Medication Doses Administered Estimated Annual Medical Procedures and Medication Doses by Type Schools With Comprehensive School Health Services 3,091 7,889 4,228 Note: Based on 2017 FTE Week Counts and a 36 Week School Year. Note: Comprehensive school health services include basic school health services and additional prevention services and care management to promote retention in school. StudentsaaA Needing Services Number of Comprehensive Schools Number of Comprehensive Students Nutrition and Physical Activity Classes Tube Feeding (e.g., G, J, PEG, NG) Alcohol, Tobacco and Other Drug Abuse Prevention Classes Pregnancy Prevention Classes Sexually Transmitted Disease (including HIV) Prevention Violence Prevention/Conflict Resolution Classes Suicide Prevention Classes Comprehensive Birth Rate Per 1,000: 6th-12th Grade Females Countywide Birth Rate Per 1,000: All 11-18 Year-Old Females Low Weight Births (% of births less than 2,500 grams) Percent of Students Returning to School After Giving Birth Full Service Schools Note: Full Service Schools provide basic school health services and coordinate the provision of donated (in-kind) health and social services on school campuses. Number of Full Service Schools Number of Full Service School Students Obese (≥ 95th percentile) Body Mass Index Screening Results Number of In-Kind Hours from Health/Social Service Agencies Dollar Value of In-Kind Hours Donated by Local Agencies Students Screened in Grades Mandated by Florida Administrative Code Rule 64F-6.003 Note: The percent of students screened in mandated grades may be over 100% due to screening students enrolled after the DOE's October survey of student membership. Growth and Development with Body Mass Index Screenings and Referrals Number of 1st, 3rd and 6th Grade Students by BMI Percentile Healthy Weight (5th to < 85th Underweight (< 5th percentile) Overweight (85th to < 95th

State of Florida 2016-2017 Summary of School Health Services · a professional registered school nurse be present in every school, all day, every day.” (NASN, 2017) Note: Based

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Page 1: State of Florida 2016-2017 Summary of School Health Services · a professional registered school nurse be present in every school, all day, every day.” (NASN, 2017) Note: Based

2016-2017 Summary of School Health Services

Elementary/Middle/High/Combined Level Schools 3,701Pre-Kindergarten Through 12th Grade Students 2,801,978Annual Average Number of Health Room Visits Per Student 4.11 Registered Nurse to Student Ratio 1: 2,382% of Students Returning to Class After Health Room Visits 88.31% Registered Nurse to School Ratio 1: 3.15Annual Average Number of Services Per Student 9.33

Registered Nurses 281.44State General Revenue $16,725,074 Licensed Practical Nurses 85.04

$11,544,565 Health Aides/Techs 257.98County Health Department Subtotal $28,269,638County Health Department - Other Funding $7,550,212

$35,819,850 Registered Nurses 598.41$122,696,917 Licensed Practical Nurses 654.00

$34,776,238 Health Aides/Techs 892.60$193,293,005

Annual Per Student Expenditure for School Health: $68.98 Registered Nurses 296.70Note: Per student expenditure based on funding from all of the above sources. Licensed Practical Nurses 114.00

Health Aides/Techs 58.00

Allergies: Life ThreateningAllergies: Non-Life ThreateningAsthma Registered Nurses 1,176.55Attention Deficit / Hyperactivity Disorder Licensed Practical Nurses 853.04Seizure Disorder Health Aides/Techs 1,208.58Cardiac Mental/Behavioral Health ConditionsDiabetes Nursing Assessment/Counseling 2,219,999Kidney Disease Licensed Practical Nurse Encounter 3,003,466Sickle Cell Disease Paraprofessional Evaluation/Treatment 4,019,177Bleeding Disorder Staff/Parent Consultation 3,880,883Cancer Individualized Health Care Plan Development 105,958Cystic Fibrosis Complex Medical Procedures 1,367,454All Other Exceptional Student Education Staffing 48,630Total Health Record Reviews 1,195,538

Immunization Follow-up 447,215Daily Annual First Aid Administration 3,038,421

Average Student Health Room Visits 85,590 15,406,164 Health Education Classes 53,875Average Medication Doses Administered 26,177 4,711,824 All Other Services 6,774,161

Total Services 26,154,777

Procedures and

Medication Doses Estimated Annual

ServicesCarbohydrate Counting 6,572 648,468 504Catheterization 384 79,344 387,578Colostomy, Ileostomy, Jejunostomy 275 53,172 3,467Electronic Monitoring 4,574 105,840 10,871

1,401 264,852 1,999Glucose Monitoring 6,195 1,091,376 1,025Insulin Administration 6,062 732,528 1,136Intravenous Treatments 143 7,668 2,035Medications (Inhaled) 33,006 624,744 274Medications (Injection) 12,178 29,772 4.42Medications (Nasal) 633 20,628 6.48Medications (Oral) 67,285 3,105,144 10.69%Medications (Other Routes) 5,343 191,340 80.56%Oxygen Continuous or Intermittent 93 10,080Specimen Collection or Testing 3,703 39,348Tracheostomy Care 104 28,872Ventilator Dependent Care 63 3,420 382Other Procedures 2,785 1,097,136 319,465Total 150,799 8,133,732 466,793

$15,064,613

Vision Hearing ScoliosisTarget Populations (Mandated grade levels for each screening) KG, 1st, 3rd, 6th KG, 1st, 6th 6th 1st, 3rd, 6thNumber of Students in Mandated Grades (minus opt-outs) 818,147 594,508 196,138 620,733Number (#) of Students Screened in Mandated Grades 779,220 529,248 171,460 564,888Percent (%) of Students Screened in Mandated Grades 95.24% 89.02% 87.42% 91.00%Number (#) of Students Referred for Abnormal Results 71,261 13,017 4,095 70,999

347,972 23,107 89,073 104,73661.60% 4.09% 15.77% 18.54%

Dental Health Education

Percent of 1st, 3rd, 6th Grade Students by BMI Percentile

Total Expenditures for School Health Services

724,573

1,600570

68,686

3,384

108,58819,95514,09821,436

199,088

Community Partners (Public and Private)

Reported Student Health ConditionsType of Health Condition

State of FloridaLegislative authority for School Health Services provided in sections 381.0056, 381.0057, 402.3026, Florida Statutes.

Note: This report uses a combination of data from local county Annual School Health Reports, the Department of Health - Health Management System, Vital Statistics and the Department of Education (DOE). This report represents school health services provided by county health departments, school districts and community partners.

Public Schools and Students School Health Staff (excludes Exceptional Student Education Staff)

Ratio of Registered Nurses (RN) to Schools and Students

Note: The National Association of School Nurses (2017) and the American Academy of Pediatrics (2016) recommend a ratio of one full-time registered school nurse for every school. “To optimize student health, safety and learning, it is the position of the National Association of School Nurses that a professional registered school nurse be present in every school, all day, every day.” (NASN, 2017)

Note: Based on DOE reports for Regular Elementary, Middle, Senior High, Combo Schools 2016-2017 and 2016-2017 Membership by District by School by Grade.

2016-2017 Expenditures for School Health ServicesCounty Health Department

County Health Department

Federal Title XXI

School District

School District TotalCommunity Partners (Public and Private) Total

County Health Department Total

Number of Conditions Reported35,327 Total Health Staff

236,633

Key School Health Services in Health Management System

Estimated Health Room Visits and Medication Doses Administered

Estimated Annual Medical Procedures and Medication Doses by Type Schools With Comprehensive School Health Services

3,091

7,8894,228

Note: Based on 2017 FTE Week Counts and a 36 Week School Year.Note: Comprehensive school health services include basic school health services and additional prevention services and care management to promote retention in school.StudentsaaA

Needing ServicesNumber of Comprehensive SchoolsNumber of Comprehensive Students

Nutrition and Physical Activity ClassesTube Feeding (e.g., G, J, PEG, NG) Alcohol, Tobacco and Other Drug Abuse Prevention Classes

Pregnancy Prevention ClassesSexually Transmitted Disease (including HIV) PreventionViolence Prevention/Conflict Resolution ClassesSuicide Prevention ClassesComprehensive Birth Rate Per 1,000: 6th-12th Grade FemalesCountywide Birth Rate Per 1,000: All 11-18 Year-Old Females Low Weight Births (% of births less than 2,500 grams)Percent of Students Returning to School After Giving Birth

Full Service SchoolsNote: Full Service Schools provide basic school health services and coordinate the provision of donated (in-kind) health and social services on school campuses.Number of Full Service SchoolsNumber of Full Service School Students

Obese(≥ 95th percentile)Body Mass Index Screening Results

Number of In-Kind Hours from Health/Social Service AgenciesDollar Value of In-Kind Hours Donated by Local Agencies

Students Screened in Grades Mandated by Florida Administrative Code Rule 64F-6.003Note: The percent of students screened in mandated grades may be over 100% due to screening students enrolled after the DOE's October survey of student membership. Growth and

Development with Body Mass IndexScreenings and Referrals

Number of 1st, 3rd and 6th Grade Students by BMI Percentile

Healthy Weight (5th to < 85th

Underweight (< 5th percentile)

Overweight (85th to < 95th

Page 2: State of Florida 2016-2017 Summary of School Health Services · a professional registered school nurse be present in every school, all day, every day.” (NASN, 2017) Note: Based

2016-2017 Summary of School Health Services

Elementary/Middle/High/Combined Level Schools 57Pre-Kindergarten Through 12th Grade Students 29,475Annual Average Number of Health Room Visits Per Student 6.34 Registered Nurse to Student Ratio 1: 1,179% of Students Returning to Class After Health Room Visits 93.84% Registered Nurse to School Ratio 1: 2.28Annual Average Number of Services Per Student 3.93

Registered Nurses 10.50State General Revenue $261,795 Licensed Practical Nurses 2.00

$380,773 Health Aides/Techs 0.00County Health Department Subtotal $642,568County Health Department - Other Funding $0

$642,568 Registered Nurses 14.50$1,117,528 Licensed Practical Nurses 16.00

$0 Health Aides/Techs 0.00$1,760,096

Annual Per Student Expenditure for School Health: $59.71 Registered Nurses 0.00Note: Per student expenditure based on funding from all of the above sources. Licensed Practical Nurses 0.00

Health Aides/Techs 0.00

Allergies: Life ThreateningAllergies: Non-Life ThreateningAsthma Registered Nurses 25.00Attention Deficit / Hyperactivity Disorder Licensed Practical Nurses 18.00Seizure Disorder Health Aides/Techs 0.00Cardiac Mental/Behavioral Health ConditionsDiabetes Nursing Assessment/Counseling 14,485Kidney Disease Licensed Practical Nurse Encounter 3,962Sickle Cell Disease Paraprofessional Evaluation/Treatment 322Bleeding Disorder Staff/Parent Consultation 19,946Cancer Individualized Health Care Plan Development 194Cystic Fibrosis Complex Medical Procedures 3,775All Other Exceptional Student Education Staffing 67Total Health Record Reviews 3,068

Immunization Follow-up 645Daily Annual First Aid Administration 17,526

Average Student Health Room Visits 1,274 229,392 Health Education Classes 0Average Medication Doses Administered 530 95,364 All Other Services 51,742

Total Services 115,732

Procedures and

Medication Doses Estimated Annual

ServicesCarbohydrate Counting 42 6,696 12Catheterization 3 360 12,009Colostomy, Ileostomy, Jejunostomy 1 360 164Electronic Monitoring 9 864 1,838

9 3,636 6Glucose Monitoring 65 9,612 12Insulin Administration 52 9,216 19Intravenous Treatments 9 0 3Medications (Inhaled) 547 5,796 4Medications (Injection) 132 720 2.10Medications (Nasal) 11 324 4.56Medications (Oral) 1,659 71,496 30.00%Medications (Other Routes) 112 7,812 81.82%Oxygen Continuous or Intermittent 1 180Specimen Collection or Testing 2 0Tracheostomy Care 1 144Ventilator Dependent Care 0 0 3Other Procedures 86 6,624 1,706Total 2,741 123,840 7,510

$154,515

Vision Hearing ScoliosisTarget Populations (Mandated grade levels for each screening) KG, 1st, 3rd, 6th KG, 1st, 6th 6th 1st, 3rd, 6thNumber of Students in Mandated Grades (minus opt-outs) 9,231 6,756 2,147 6,926Number (#) of Students Screened in Mandated Grades 9,228 6,966 2,399 6,750Percent (%) of Students Screened in Mandated Grades 99.97% 103.11% 111.74% 97.46%Number (#) of Students Referred for Abnormal Results 625 456 42 0

4,445 321 1,047 93765.85% 4.76% 15.51% 13.88%Percent of 1st, 3rd, 6th Grade Students by BMI Percentile

Overweight (85th to < 95th

Obese (≥ 95th percentile)Body Mass Index Screening Results

Number of 1st, 3rd and 6th Grade Students by BMI Percentile

Healthy Weight (5th to < 85th

Underweight (< 5th percentile)

Screenings and Referrals

Dollar Value of In-Kind Hours Donated by Local Agencies

Students Screened in Grades Mandated by Florida Administrative Code Rule 64F-6.003Growth and

Development with Body Mass Index

Note: The percent of students screened in mandated grades may be over 100% due to screening students enrolled after the DOE's October survey of student membership.

Ratio of Registered Nurses (RN) to Schools and Students

Number of In-Kind Hours from Health/Social Service Agencies

Pregnancy Prevention ClassesSexually Transmitted Disease (including HIV) PreventionViolence Prevention/Conflict Resolution ClassesSuicide Prevention ClassesComprehensive Birth Rate Per 1,000: 6th-12th Grade FemalesCountywide Birth Rate Per 1,000: All 11-18 Year-Old Females Low Weight Births (% of births less than 2,500 grams)Percent of Students Returning to School After Giving Birth

Full Service SchoolsNote: Full Service Schools provide basic school health services and coordinate the provision of donated (in-kind) health and social services on school campuses.Number of Full Service SchoolsNumber of Full Service School Students

Alcohol, Tobacco and Other Drug Abuse Prevention Classes

Alachua CountyLegislative authority for School Health Services provided in sections 381.0056, 381.0057, 402.3026, Florida Statutes.

Public Schools and Students School Health Staff (excludes Exceptional Student Education Staff)

Note: This report uses a combination of data from local county Annual School Health Reports, the Department of Health - Health Management System, Vital Statistics and the Department of Education (DOE). This report represents school health services provided by county health departments, school districts and community partners.

Total Expenditures for School Health Services

Note: The National Association of School Nurses (2017) and the American Academy of Pediatrics (2016) recommend a ratio of one full-time registered school nurse for every school. “To optimize student health, safety and learning, it is the position of the National Association of School Nurses that a professional registered school nurse be present in every school, all day, every day.” (NASN, 2017)

Note: Based on DOE reports for Regular Elementary, Middle, Senior High, Combo Schools 2016-2017 and 2016-2017 Membership by District by School by Grade.

2016-2017 Expenditures for School Health Services

County Health DepartmentCounty Health Department

Federal Title XXI

School DistrictCounty Health Department TotalSchool District TotalCommunity Partners (Public and Private) Total

448

Community Partners (Public and Private)

Reported Student Health ConditionsType of Health Condition Number of Conditions Reported

349 Total Health Staff3,0583,0401,905373324

Key School Health Services in Health Management System

Note: Based on 2017 FTE Week Counts and a 36 Week School Year.Note: Comprehensive school health services include basic school health services and additional prevention services and care management to promote retention in school.StudentsaaA

Needing ServicesNumber of Comprehensive Schools

Tube Feeding (e.g., G, J, PEG, NG)

Number of Comprehensive StudentsDental Health EducationNutrition and Physical Activity Classes

Estimated Annual Medical Procedures and Medication Doses by Type Schools With Comprehensive School Health Services

55245

7,412

868044

17,203Estimated Health Room Visits and Medication Doses Administered

Page 3: State of Florida 2016-2017 Summary of School Health Services · a professional registered school nurse be present in every school, all day, every day.” (NASN, 2017) Note: Based

2016-2017 Summary of School Health Services

Elementary/Middle/High/Combined Level Schools 6Pre-Kindergarten Through 12th Grade Students 5,004Annual Average Number of Health Room Visits Per Student 6.76 Registered Nurse to Student Ratio 1: 645% of Students Returning to Class After Health Room Visits 91.40% Registered Nurse to School Ratio 1: 0.77Annual Average Number of Services Per Student 23.77

Registered Nurses 0.80State General Revenue $88,243 Licensed Practical Nurses 0.00

$127,626 Health Aides/Techs 0.00County Health Department Subtotal $215,869County Health Department - Other Funding $0

$215,869 Registered Nurses 6.96$523,322 Licensed Practical Nurses 0.00

$0 Health Aides/Techs 0.00$739,191

Annual Per Student Expenditure for School Health: $147.72 Registered Nurses 0.00Note: Per student expenditure based on funding from all of the above sources. Licensed Practical Nurses 0.00

Health Aides/Techs 0.00

Allergies: Life ThreateningAllergies: Non-Life ThreateningAsthma Registered Nurses 7.76Attention Deficit / Hyperactivity Disorder Licensed Practical Nurses 0.00Seizure Disorder Health Aides/Techs 0.00Cardiac Mental/Behavioral Health ConditionsDiabetes Nursing Assessment/Counseling 31,169Kidney Disease Licensed Practical Nurse Encounter 38Sickle Cell Disease Paraprofessional Evaluation/Treatment 0Bleeding Disorder Staff/Parent Consultation 15,309Cancer Individualized Health Care Plan Development 600Cystic Fibrosis Complex Medical Procedures 6,227All Other Exceptional Student Education Staffing 46Total Health Record Reviews 4,646

Immunization Follow-up 1,952Daily Annual First Aid Administration 7,183

Average Student Health Room Visits 248 44,604 Health Education Classes 924Average Medication Doses Administered 67 12,132 All Other Services 50,870

Total Services 118,964

Procedures and

Medication Doses Estimated Annual

ServicesCarbohydrate Counting 13 1,908 4Catheterization 1 540 3,416Colostomy, Ileostomy, Jejunostomy 0 0 322Electronic Monitoring 17 396 1,865

1 0 35Glucose Monitoring 13 3,492 22Insulin Administration 12 2,124 20Intravenous Treatments 0 0 214Medications (Inhaled) 203 1,620 6Medications (Injection) 10 0 10.82Medications (Nasal) 2 0 14.87Medications (Oral) 208 8,388 0.00%Medications (Other Routes) 8 0 84.62%Oxygen Continuous or Intermittent 5 144Specimen Collection or Testing 4 0Tracheostomy Care 0 0Ventilator Dependent Care 0 0 1Other Procedures 0 396 769Total 497 19,008 205

$32,525

Vision Hearing ScoliosisTarget Populations (Mandated grade levels for each screening) KG, 1st, 3rd, 6th KG, 1st, 6th 6th 1st, 3rd, 6thNumber of Students in Mandated Grades (minus opt-outs) 1,516 1,124 406 1,159Number (#) of Students Screened in Mandated Grades 1,562 1,136 401 1,173Percent (%) of Students Screened in Mandated Grades 103.03% 101.07% 98.77% 101.21%Number (#) of Students Referred for Abnormal Results 142 23 6 247

681 68 177 24758.06% 5.80% 15.09% 21.06%

Estimated Health Room Visits and Medication Doses Administered

Estimated Annual Medical Procedures and Medication Doses by Type

Ratio of Registered Nurses (RN) to Schools and Students

Percent of 1st, 3rd, 6th Grade Students by BMI Percentile

Healthy Weight (5th to < 85th

Key School Health Services in Health Management System 2813

Note: The National Association of School Nurses (2017) and the American Academy of Pediatrics (2016) recommend a ratio of one full-time registered school nurse for every school. “To optimize student health, safety and learning, it is the position of the National Association of School Nurses that a professional registered school nurse be present in every school, all day, every day.” (NASN, 2017)

Note: Based on DOE reports for Regular Elementary, Middle, Senior High, Combo Schools 2016-2017 and 2016-2017 Membership by District by School by Grade.

2016-2017 Expenditures for School Health ServicesCounty Health Department

County Health Department

Federal Title XXI

510

Type of Health Condition Number of Conditions Reported70

379

4950

139531

Baker County Legislative authority for School Health Services provided in sections 381.0056, 381.0057, 402.3026, Florida Statutes.

Note: This report uses a combination of data from local county Annual School Health Reports, the Department of Health - Health Management System, Vital Statistics and the Department of Education (DOE). This report represents school health services provided by county health departments, school districts and community partners.

Public Schools and Students School Health Staff (excludes Exceptional Student Education Staff)

School District

School District TotalCommunity Partners (Public and Private) Total

Total Health Staff

Community Partners (Public and Private)

Reported Student Health Conditions

County Health Department Total

Total Expenditures for School Health Services

Alcohol, Tobacco and Other Drug Abuse Prevention Classes

Suicide Prevention Classes

Nutrition and Physical Activity ClassesTube Feeding (e.g., G, J, PEG, NG)

230

Note: Based on 2017 FTE Week Counts and a 36 Week School Year.Note: Comprehensive school health services include basic school health services and additional prevention services and care management to promote retention in school.StudentsaaA

Needing ServicesNumber of Comprehensive SchoolsNumber of Comprehensive Students

Schools With Comprehensive School Health Services

Dental Health Education

61,285

Comprehensive Birth Rate Per 1,000: 6th-12th Grade FemalesCountywide Birth Rate Per 1,000: All 11-18 Year-Old Females Low Weight Births (% of births less than 2,500 grams)

Pregnancy Prevention ClassesSexually Transmitted Disease (including HIV) PreventionViolence Prevention/Conflict Resolution Classes

Percent of Students Returning to School After Giving Birth

Dollar Value of In-Kind Hours Donated by Local Agencies

Students Screened in Grades Mandated by Florida Administrative Code Rule 64F-6.003Note: The percent of students screened in mandated grades may be over 100% due to screening students enrolled after the DOE's October survey of student membership. Growth and

Development with Body Mass IndexScreenings and Referrals

Full Service SchoolsNote: Full Service Schools provide basic school health services and coordinate the provision of donated (in-kind) health and social services on school campuses.Number of Full Service SchoolsNumber of Full Service School StudentsNumber of In-Kind Hours from Health/Social Service Agencies

Underweight (< 5th percentile)

Overweight (85th to < 95th

Obese (≥ 95th percentile)Body Mass Index Screening Results

Number of 1st, 3rd and 6th Grade Students by BMI Percentile

Page 4: State of Florida 2016-2017 Summary of School Health Services · a professional registered school nurse be present in every school, all day, every day.” (NASN, 2017) Note: Based

2016-2017 Summary of School Health Services

Elementary/Middle/High/Combined Level Schools 43Pre-Kindergarten Through 12th Grade Students 28,024Annual Average Number of Health Room Visits Per Student 7.88 Registered Nurse to Student Ratio 1: 3,737% of Students Returning to Class After Health Room Visits 87.42% Registered Nurse to School Ratio 1: 5.73Annual Average Number of Services Per Student 12.26

Registered Nurses 6.50State General Revenue $196,052 Licensed Practical Nurses 0.00

$323,813 Health Aides/Techs 35.95County Health Department Subtotal $519,865County Health Department - Other Funding $147,353

$667,218 Registered Nurses 0.00$315,003 Licensed Practical Nurses 0.00

$0 Health Aides/Techs 0.00$982,221

Annual Per Student Expenditure for School Health: $35.05 Registered Nurses 1.00Note: Per student expenditure based on funding from all of the above sources. Licensed Practical Nurses 0.00

Health Aides/Techs 3.00

Allergies: Life ThreateningAllergies: Non-Life ThreateningAsthma Registered Nurses 7.50Attention Deficit / Hyperactivity Disorder Licensed Practical Nurses 0.00Seizure Disorder Health Aides/Techs 38.95Cardiac Mental/Behavioral Health ConditionsDiabetes Nursing Assessment/Counseling 2,083Kidney Disease Licensed Practical Nurse Encounter 0Sickle Cell Disease Paraprofessional Evaluation/Treatment 80,241Bleeding Disorder Staff/Parent Consultation 80,700Cancer Individualized Health Care Plan Development 2,469Cystic Fibrosis Complex Medical Procedures 8,749All Other Exceptional Student Education Staffing 633Total Health Record Reviews 7,520

Immunization Follow-up 9,886Daily Annual First Aid Administration 45,500

Average Student Health Room Visits 1,144 205,920 Health Education Classes 1,752Average Medication Doses Administered 632 113,724 All Other Services 103,974

Total Services 343,507

Procedures and

Medication Doses Estimated Annual

ServicesCarbohydrate Counting 53 11,016 23Catheterization 3 504 19,215Colostomy, Ileostomy, Jejunostomy 11 0 6Electronic Monitoring 61 3,492 5

46 0 0Glucose Monitoring 65 17,532 0Insulin Administration 65 12,096 2Intravenous Treatments 30 0 0Medications (Inhaled) 444 10,044 0Medications (Injection) 135 432 3.69Medications (Nasal) 7 1,476 9.80Medications (Oral) 967 89,568 0.00%Medications (Other Routes) 73 108 64.00%Oxygen Continuous or Intermittent 1 180Specimen Collection or Testing 1 0Tracheostomy Care 2 0Ventilator Dependent Care 1 0 4Other Procedures 4 58,140 3,149Total 1,969 204,588 6,650

$165,450

Vision Hearing ScoliosisTarget Populations (Mandated grade levels for each screening) KG, 1st, 3rd, 6th KG, 1st, 6th 6th 1st, 3rd, 6thNumber of Students in Mandated Grades (minus opt-outs) 8,710 6,392 2,073 6,532Number (#) of Students Screened in Mandated Grades 8,472 6,258 2,080 6,122Percent (%) of Students Screened in Mandated Grades 97.27% 97.90% 100.34% 93.72%Number (#) of Students Referred for Abnormal Results 926 175 136 834

3,929 148 967 1,07864.18% 2.42% 15.80% 17.61%

Estimated Health Room Visits and Medication Doses Administered

Estimated Annual Medical Procedures and Medication Doses by Type

Ratio of Registered Nurses (RN) to Schools and Students

Percent of 1st, 3rd, 6th Grade Students by BMI Percentile

Healthy Weight (5th to < 85th

Key School Health Services in Health Management System 24396

Note: The National Association of School Nurses (2017) and the American Academy of Pediatrics (2016) recommend a ratio of one full-time registered school nurse for every school. “To optimize student health, safety and learning, it is the position of the National Association of School Nurses that a professional registered school nurse be present in every school, all day, every day.” (NASN, 2017)

Note: Based on DOE reports for Regular Elementary, Middle, Senior High, Combo Schools 2016-2017 and 2016-2017 Membership by District by School by Grade.

2016-2017 Expenditures for School Health ServicesCounty Health Department

County Health Department

Federal Title XXI

3871

Type of Health Condition Number of Conditions Reported616

3,408

269191

1,5551,841

Bay CountyLegislative authority for School Health Services provided in sections 381.0056, 381.0057, 402.3026, Florida Statutes.

Note: This report uses a combination of data from local county Annual School Health Reports, the Department of Health - Health Management System, Vital Statistics and the Department of Education (DOE). This report represents school health services provided by county health departments, school districts and community partners.

Public Schools and Students School Health Staff (excludes Exceptional Student Education Staff)

School District

School District TotalCommunity Partners (Public and Private) Total

Total Health Staff

Community Partners (Public and Private)

Reported Student Health Conditions

County Health Department Total

Total Expenditures for School Health Services

Alcohol, Tobacco and Other Drug Abuse Prevention Classes

Suicide Prevention Classes

Nutrition and Physical Activity ClassesTube Feeding (e.g., G, J, PEG, NG)

40184

Note: Based on 2017 FTE Week Counts and a 36 Week School Year.Note: Comprehensive school health services include basic school health services and additional prevention services and care management to promote retention in school.StudentsaaA

Needing ServicesNumber of Comprehensive SchoolsNumber of Comprehensive Students

Schools With Comprehensive School Health Services

Dental Health Education

2628,652

Comprehensive Birth Rate Per 1,000: 6th-12th Grade FemalesCountywide Birth Rate Per 1,000: All 11-18 Year-Old Females Low Weight Births (% of births less than 2,500 grams)

Pregnancy Prevention ClassesSexually Transmitted Disease (including HIV) PreventionViolence Prevention/Conflict Resolution Classes

Percent of Students Returning to School After Giving Birth

Dollar Value of In-Kind Hours Donated by Local Agencies

Students Screened in Grades Mandated by Florida Administrative Code Rule 64F-6.003Note: The percent of students screened in mandated grades may be over 100% due to screening students enrolled after the DOE's October survey of student membership. Growth and

Development with Body Mass IndexScreenings and Referrals

Full Service SchoolsNote: Full Service Schools provide basic school health services and coordinate the provision of donated (in-kind) health and social services on school campuses.Number of Full Service SchoolsNumber of Full Service School StudentsNumber of In-Kind Hours from Health/Social Service Agencies

Underweight (< 5th percentile)

Overweight (85th to < 95th

Obese (≥ 95th percentile)Body Mass Index Screening Results

Number of 1st, 3rd and 6th Grade Students by BMI Percentile

Page 5: State of Florida 2016-2017 Summary of School Health Services · a professional registered school nurse be present in every school, all day, every day.” (NASN, 2017) Note: Based

2016-2017 Summary of School Health Services

Elementary/Middle/High/Combined Level Schools 8Pre-Kindergarten Through 12th Grade Students 3,233Annual Average Number of Health Room Visits Per Student 6.33 Registered Nurse to Student Ratio 1: 1,293% of Students Returning to Class After Health Room Visits 88.08% Registered Nurse to School Ratio 1: 3.20Annual Average Number of Services Per Student 15.94

Registered Nurses 2.50State General Revenue $72,187 Licensed Practical Nurses 0.00

$175,625 Health Aides/Techs 2.00County Health Department Subtotal $247,812County Health Department - Other Funding $0

$247,812 Registered Nurses 0.00$0 Licensed Practical Nurses 0.00$0 Health Aides/Techs 0.00

$247,812

Annual Per Student Expenditure for School Health: $76.65 Registered Nurses 0.00Note: Per student expenditure based on funding from all of the above sources. Licensed Practical Nurses 0.00

Health Aides/Techs 0.00

Allergies: Life ThreateningAllergies: Non-Life ThreateningAsthma Registered Nurses 2.50Attention Deficit / Hyperactivity Disorder Licensed Practical Nurses 0.00Seizure Disorder Health Aides/Techs 2.00Cardiac Mental/Behavioral Health ConditionsDiabetes Nursing Assessment/Counseling 1,244Kidney Disease Licensed Practical Nurse Encounter 0Sickle Cell Disease Paraprofessional Evaluation/Treatment 18,838Bleeding Disorder Staff/Parent Consultation 8,121Cancer Individualized Health Care Plan Development 93Cystic Fibrosis Complex Medical Procedures 2,072All Other Exceptional Student Education Staffing 12Total Health Record Reviews 423

Immunization Follow-up 2,809Daily Annual First Aid Administration 5,258

Average Student Health Room Visits 150 26,964 Health Education Classes 238Average Medication Doses Administered 51 9,180 All Other Services 12,440

Total Services 51,548

Procedures and

Medication Doses Estimated Annual

ServicesCarbohydrate Counting 6 972 7Catheterization 1 180 2,312Colostomy, Ileostomy, Jejunostomy 0 0 47Electronic Monitoring 3 360 0

0 0 0Glucose Monitoring 11 2,016 56Insulin Administration 10 1,368 11Intravenous Treatments 0 0 0Medications (Inhaled) 35 828 0Medications (Injection) 0 0 6.82Medications (Nasal) 1 0 10.01Medications (Oral) 103 6,984 40.00%Medications (Other Routes) 8 0 80.00%Oxygen Continuous or Intermittent 0 0Specimen Collection or Testing 6 36Tracheostomy Care 0 0Ventilator Dependent Care 0 0 1Other Procedures 0 0 632Total 184 12,744 188

$2,952

Vision Hearing ScoliosisTarget Populations (Mandated grade levels for each screening) KG, 1st, 3rd, 6th KG, 1st, 6th 6th 1st, 3rd, 6thNumber of Students in Mandated Grades (minus opt-outs) 1,037 798 222 715Number (#) of Students Screened in Mandated Grades 1,106 791 232 741Percent (%) of Students Screened in Mandated Grades 106.65% 99.12% 104.50% 103.64%Number (#) of Students Referred for Abnormal Results 30 7 2 123

414 16 155 15655.87% 2.16% 20.92% 21.05%

Ratio of Registered Nurses (RN) to Schools and Students

Percent of 1st, 3rd, 6th Grade Students by BMI Percentile Number of 1st, 3rd and 6th Grade Students by BMI Percentile

Total Health Staff329

Key School Health Services in Health Management System

County Health Department Total

Total Expenditures for School Health Services

3922673549

Reported Student Health ConditionsType of Health Condition Number of Conditions Reported

29

57102147

Low Weight Births (% of births less than 2,500 grams)

6474

1,284

Number of In-Kind Hours from Health/Social Service AgenciesDollar Value of In-Kind Hours Donated by Local Agencies

Students Screened in Grades Mandated by Florida Administrative Code Rule 64F-6.003

Estimated Health Room Visits and Medication Doses Administered

Estimated Annual Medical Procedures and Medication Doses by Type Schools With Comprehensive School Health ServicesNote: Based on 2017 FTE Week Counts and a 36 Week School Year.

Note: Comprehensive school health services include basic school health services and additional prevention services and care management to promote retention in school.StudentsaaA

Needing ServicesNumber of Comprehensive SchoolsNumber of Comprehensive StudentsDental Health EducationNutrition and Physical Activity Classes

Suicide Prevention ClassesComprehensive Birth Rate Per 1,000: 6th-12th Grade FemalesCountywide Birth Rate Per 1,000: All 11-18 Year-Old Females

Percent of Students Returning to School After Giving BirthFull Service Schools

Note: Full Service Schools provide basic school health services and coordinate the provision of donated (in-kind) health and social services on school campuses.Number of Full Service SchoolsNumber of Full Service School Students

Bradford County Legislative authority for School Health Services provided in sections 381.0056, 381.0057, 402.3026, Florida Statutes.

Note: This report uses a combination of data from local county Annual School Health Reports, the Department of Health - Health Management System, Vital Statistics and the Department of Education (DOE). This report represents school health services provided by county health departments, school districts and community partners.

Public Schools and Students School Health Staff (excludes Exceptional Student Education Staff)

Note: The National Association of School Nurses (2017) and the American Academy of Pediatrics (2016) recommend a ratio of one full-time registered school nurse for every school. “To optimize student health, safety and learning, it is the position of the National Association of School Nurses that a professional registered school nurse be present in every school, all day, every day.” (NASN, 2017)

Note: Based on DOE reports for Regular Elementary, Middle, Senior High, Combo Schools 2016-2017 and 2016-2017 Membership by District by School by Grade.

2016-2017 Expenditures for School Health ServicesCounty Health Department

County Health Department

Federal Title XXI

School District

School District TotalCommunity Partners (Public and Private) Total

Community Partners (Public and Private)

Tube Feeding (e.g., G, J, PEG, NG) Alcohol, Tobacco and Other Drug Abuse Prevention ClassesPregnancy Prevention ClassesSexually Transmitted Disease (including HIV) PreventionViolence Prevention/Conflict Resolution Classes

Note: The percent of students screened in mandated grades may be over 100% due to screening students enrolled after the DOE's October survey of student membership. Growth and Development with Body Mass IndexScreenings and Referrals

Healthy Weight (5th to < 85th

Underweight (< 5th percentile)

Overweight (85th to < 95th

Obese (≥ 95th percentile)Body Mass Index Screening Results

Page 6: State of Florida 2016-2017 Summary of School Health Services · a professional registered school nurse be present in every school, all day, every day.” (NASN, 2017) Note: Based

2016-2017 Summary of School Health Services

Elementary/Middle/High/Combined Level Schools 100Pre-Kindergarten Through 12th Grade Students 73,444Annual Average Number of Health Room Visits Per Student 5.68 Registered Nurse to Student Ratio 1: 3,497% of Students Returning to Class After Health Room Visits 90.27% Registered Nurse to School Ratio 1: 4.76Annual Average Number of Services Per Student 11.61

Registered Nurses 21.00State General Revenue $475,772 Licensed Practical Nurses 32.00

$156,446 Health Aides/Techs 41.00County Health Department Subtotal $632,218County Health Department - Other Funding $0

$632,218 Registered Nurses 0.00$0 Licensed Practical Nurses 0.00

$2,726,160 Health Aides/Techs 0.00$3,358,378

Annual Per Student Expenditure for School Health: $45.73 Registered Nurses 0.00Note: Per student expenditure based on funding from all of the above sources. Licensed Practical Nurses 0.00

Health Aides/Techs 0.00

Allergies: Life ThreateningAllergies: Non-Life ThreateningAsthma Registered Nurses 21.00Attention Deficit / Hyperactivity Disorder Licensed Practical Nurses 32.00Seizure Disorder Health Aides/Techs 41.00Cardiac Mental/Behavioral Health ConditionsDiabetes Nursing Assessment/Counseling 30,212Kidney Disease Licensed Practical Nurse Encounter 116,906Sickle Cell Disease Paraprofessional Evaluation/Treatment 96,772Bleeding Disorder Staff/Parent Consultation 168,854Cancer Individualized Health Care Plan Development 6,574Cystic Fibrosis Complex Medical Procedures 33,955All Other Exceptional Student Education Staffing 515Total Health Record Reviews 28,962

Immunization Follow-up 37,333Daily Annual First Aid Administration 134,211

Average Student Health Room Visits 3,269 588,492 Health Education Classes 1,758Average Medication Doses Administered 1,037 186,660 All Other Services 196,666

Total Services 852,718

Procedures and

Medication Doses Estimated Annual

ServicesCarbohydrate Counting 178 23,652 24Catheterization 8 1,980 21,679Colostomy, Ileostomy, Jejunostomy 1 0 26Electronic Monitoring 10 6,012 110

25 3,096 1Glucose Monitoring 169 31,824 0Insulin Administration 162 5,184 0Intravenous Treatments 0 0 20Medications (Inhaled) 1,481 20,160 0Medications (Injection) 357 720 1.90Medications (Nasal) 3 828 4.89Medications (Oral) 1,759 113,040 30.00%Medications (Other Routes) 271 46,728 46.15%Oxygen Continuous or Intermittent 0 0Specimen Collection or Testing 11 3,132Tracheostomy Care 1 324Ventilator Dependent Care 0 0 58Other Procedures 38 36,108 45,000Total 4,474 292,788 918

$64,849

Vision Hearing ScoliosisTarget Populations (Mandated grade levels for each screening) KG, 1st, 3rd, 6th KG, 1st, 6th 6th 1st, 3rd, 6thNumber of Students in Mandated Grades (minus opt-outs) 20,298 15,230 4,804 13,978Number (#) of Students Screened in Mandated Grades 20,759 14,681 4,938 13,289Percent (%) of Students Screened in Mandated Grades 102.27% 96.40% 102.79% 95.07%Number (#) of Students Referred for Abnormal Results 1,661 424 135 2,113

8,515 907 1,754 2,11364.08% 6.83% 13.20% 15.90%

Estimated Health Room Visits and Medication Doses Administered

Estimated Annual Medical Procedures and Medication Doses by Type

Ratio of Registered Nurses (RN) to Schools and Students

Percent of 1st, 3rd, 6th Grade Students by BMI Percentile

Healthy Weight (5th to < 85th

Key School Health Services in Health Management System 695415

Note: The National Association of School Nurses (2017) and the American Academy of Pediatrics (2016) recommend a ratio of one full-time registered school nurse for every school. “To optimize student health, safety and learning, it is the position of the National Association of School Nurses that a professional registered school nurse be present in every school, all day, every day.” (NASN, 2017)

Note: Based on DOE reports for Regular Elementary, Middle, Senior High, Combo Schools 2016-2017 and 2016-2017 Membership by District by School by Grade.

2016-2017 Expenditures for School Health ServicesCounty Health Department

County Health Department

Federal Title XXI

139210

Type of Health Condition Number of Conditions Reported934

15,268

597548

8,4087,875

Brevard CountyLegislative authority for School Health Services provided in sections 381.0056, 381.0057, 402.3026, Florida Statutes.

Note: This report uses a combination of data from local county Annual School Health Reports, the Department of Health - Health Management System, Vital Statistics and the Department of Education (DOE). This report represents school health services provided by county health departments, school districts and community partners.

Public Schools and Students School Health Staff (excludes Exceptional Student Education Staff)

School District

School District TotalCommunity Partners (Public and Private) Total

Total Health Staff

Community Partners (Public and Private)

Reported Student Health Conditions

County Health Department Total

Total Expenditures for School Health Services

Alcohol, Tobacco and Other Drug Abuse Prevention Classes

Suicide Prevention Classes

Nutrition and Physical Activity ClassesTube Feeding (e.g., G, J, PEG, NG)

795737

Note: Based on 2017 FTE Week Counts and a 36 Week School Year.Note: Comprehensive school health services include basic school health services and additional prevention services and care management to promote retention in school.StudentsaaA

Needing ServicesNumber of Comprehensive SchoolsNumber of Comprehensive Students

Schools With Comprehensive School Health Services

Dental Health Education

72135,983

Comprehensive Birth Rate Per 1,000: 6th-12th Grade FemalesCountywide Birth Rate Per 1,000: All 11-18 Year-Old Females Low Weight Births (% of births less than 2,500 grams)

Pregnancy Prevention ClassesSexually Transmitted Disease (including HIV) PreventionViolence Prevention/Conflict Resolution Classes

Percent of Students Returning to School After Giving Birth

Dollar Value of In-Kind Hours Donated by Local Agencies

Students Screened in Grades Mandated by Florida Administrative Code Rule 64F-6.003Note: The percent of students screened in mandated grades may be over 100% due to screening students enrolled after the DOE's October survey of student membership. Growth and

Development with Body Mass IndexScreenings and Referrals

Full Service SchoolsNote: Full Service Schools provide basic school health services and coordinate the provision of donated (in-kind) health and social services on school campuses.Number of Full Service SchoolsNumber of Full Service School StudentsNumber of In-Kind Hours from Health/Social Service Agencies

Underweight (< 5th percentile)

Overweight (85th to < 95th

Obese (≥ 95th percentile)Body Mass Index Screening Results

Number of 1st, 3rd and 6th Grade Students by BMI Percentile

Page 7: State of Florida 2016-2017 Summary of School Health Services · a professional registered school nurse be present in every school, all day, every day.” (NASN, 2017) Note: Based

2016-2017 Summary of School Health Services

Elementary/Middle/High/Combined Level Schools 331Pre-Kindergarten Through 12th Grade Students 271,852Annual Average Number of Health Room Visits Per Student 2.46 Registered Nurse to Student Ratio 1: 3,884% of Students Returning to Class After Health Room Visits 83.90% Registered Nurse to School Ratio 1: 4.73Annual Average Number of Services Per Student 6.89

Registered Nurses 16.00State General Revenue $1,667,682 Licensed Practical Nurses 0.00

$345,741 Health Aides/Techs 40.00County Health Department Subtotal $2,013,423County Health Department - Other Funding $0

$2,013,423 Registered Nurses 45.00$9,659,299 Licensed Practical Nurses 80.00$1,289,322 Health Aides/Techs 0.00

$12,962,044

Annual Per Student Expenditure for School Health: $47.68 Registered Nurses 9.00Note: Per student expenditure based on funding from all of the above sources. Licensed Practical Nurses 0.00

Health Aides/Techs 45.00

Allergies: Life ThreateningAllergies: Non-Life ThreateningAsthma Registered Nurses 70.00Attention Deficit / Hyperactivity Disorder Licensed Practical Nurses 80.00Seizure Disorder Health Aides/Techs 85.00Cardiac Mental/Behavioral Health ConditionsDiabetes Nursing Assessment/Counseling 131,173Kidney Disease Licensed Practical Nurse Encounter 263,345Sickle Cell Disease Paraprofessional Evaluation/Treatment 314,016Bleeding Disorder Staff/Parent Consultation 335,989Cancer Individualized Health Care Plan Development 11,483Cystic Fibrosis Complex Medical Procedures 134,242All Other Exceptional Student Education Staffing 675Total Health Record Reviews 6,974

Immunization Follow-up 6,470Daily Annual First Aid Administration 233,286

Average Student Health Room Visits 5,562 1,001,088 Health Education Classes 2,308Average Medication Doses Administered 1,133 203,940 All Other Services 432,236

Total Services 1,872,197

Procedures and

Medication Doses Estimated Annual

ServicesCarbohydrate Counting 483 67,752 5Catheterization 17 7,056 7,330Colostomy, Ileostomy, Jejunostomy 6 8,676 30Electronic Monitoring 77 6,120 76

17 27,360 19Glucose Monitoring 492 89,100 19Insulin Administration 463 66,708 15Intravenous Treatments 0 0 53Medications (Inhaled) 740 37,008 7Medications (Injection) 95 1,116 2.28Medications (Nasal) 16 432 4.51Medications (Oral) 1,026 89,496 0.00%Medications (Other Routes) 73 9,180 100.00%Oxygen Continuous or Intermittent 3 2,016Specimen Collection or Testing 119 1,620Tracheostomy Care 2 7,092Ventilator Dependent Care 2 1,440 10Other Procedures 0 255,888 6,751Total 3,631 678,060 20,391

$997,264

Vision Hearing ScoliosisTarget Populations (Mandated grade levels for each screening) KG, 1st, 3rd, 6th KG, 1st, 6th 6th 1st, 3rd, 6thNumber of Students in Mandated Grades (minus opt-outs) 74,149 55,970 18,741 58,376Number (#) of Students Screened in Mandated Grades 72,190 53,829 17,552 52,464Percent (%) of Students Screened in Mandated Grades 97.36% 96.17% 93.66% 89.87%Number (#) of Students Referred for Abnormal Results 5,386 2,403 371 9,516

33,513 2,345 6,856 9,75063.88% 4.47% 13.07% 18.58%

Estimated Health Room Visits and Medication Doses Administered

Estimated Annual Medical Procedures and Medication Doses by Type

Ratio of Registered Nurses (RN) to Schools and Students

Percent of 1st, 3rd, 6th Grade Students by BMI Percentile

Healthy Weight (5th to < 85th

Key School Health Services in Health Management System 341530

Note: The National Association of School Nurses (2017) and the American Academy of Pediatrics (2016) recommend a ratio of one full-time registered school nurse for every school. “To optimize student health, safety and learning, it is the position of the National Association of School Nurses that a professional registered school nurse be present in every school, all day, every day.” (NASN, 2017)

Note: Based on DOE reports for Regular Elementary, Middle, Senior High, Combo Schools 2016-2017 and 2016-2017 Membership by District by School by Grade.

2016-2017 Expenditures for School Health ServicesCounty Health Department

County Health Department

Federal Title XXI

47877

Type of Health Condition Number of Conditions Reported872

22,282

1,580854

1,98918,550

Broward CountyLegislative authority for School Health Services provided in sections 381.0056, 381.0057, 402.3026, Florida Statutes.

Note: This report uses a combination of data from local county Annual School Health Reports, the Department of Health - Health Management System, Vital Statistics and the Department of Education (DOE). This report represents school health services provided by county health departments, school districts and community partners.

Public Schools and Students School Health Staff (excludes Exceptional Student Education Staff)

School District

School District TotalCommunity Partners (Public and Private) Total

Total Health Staff

Community Partners (Public and Private)

Reported Student Health Conditions

County Health Department Total

Total Expenditures for School Health Services

Alcohol, Tobacco and Other Drug Abuse Prevention Classes

Suicide Prevention Classes

Nutrition and Physical Activity ClassesTube Feeding (e.g., G, J, PEG, NG)

18410919

Note: Based on 2017 FTE Week Counts and a 36 Week School Year.Note: Comprehensive school health services include basic school health services and additional prevention services and care management to promote retention in school.StudentsaaA

Needing ServicesNumber of Comprehensive SchoolsNumber of Comprehensive Students

Schools With Comprehensive School Health Services

Dental Health Education

8,56156,426

Comprehensive Birth Rate Per 1,000: 6th-12th Grade FemalesCountywide Birth Rate Per 1,000: All 11-18 Year-Old Females Low Weight Births (% of births less than 2,500 grams)

Pregnancy Prevention ClassesSexually Transmitted Disease (including HIV) PreventionViolence Prevention/Conflict Resolution Classes

Percent of Students Returning to School After Giving Birth

Dollar Value of In-Kind Hours Donated by Local Agencies

Students Screened in Grades Mandated by Florida Administrative Code Rule 64F-6.003Note: The percent of students screened in mandated grades may be over 100% due to screening students enrolled after the DOE's October survey of student membership. Growth and

Development with Body Mass IndexScreenings and Referrals

Full Service SchoolsNote: Full Service Schools provide basic school health services and coordinate the provision of donated (in-kind) health and social services on school campuses.Number of Full Service SchoolsNumber of Full Service School StudentsNumber of In-Kind Hours from Health/Social Service Agencies

Underweight (< 5th percentile)

Overweight (85th to < 95th

Obese (≥ 95th percentile)Body Mass Index Screening Results

Number of 1st, 3rd and 6th Grade Students by BMI Percentile

Page 8: State of Florida 2016-2017 Summary of School Health Services · a professional registered school nurse be present in every school, all day, every day.” (NASN, 2017) Note: Based

2016-2017 Summary of School Health Services

Elementary/Middle/High/Combined Level Schools 5Pre-Kindergarten Through 12th Grade Students 2,183Annual Average Number of Health Room Visits Per Student 8.59 Registered Nurse to Student Ratio 1: 10,915% of Students Returning to Class After Health Room Visits 91.17% Registered Nurse to School Ratio 1: 25.00Annual Average Number of Services Per Student 18.58

Registered Nurses 0.20State General Revenue $87,751 Licensed Practical Nurses 1.00

$12,632 Health Aides/Techs 2.00County Health Department Subtotal $100,383County Health Department - Other Funding $11,182

$111,565 Registered Nurses 0.00$0 Licensed Practical Nurses 0.00$0 Health Aides/Techs 0.00

$111,565

Annual Per Student Expenditure for School Health: $51.11 Registered Nurses 0.00Note: Per student expenditure based on funding from all of the above sources. Licensed Practical Nurses 0.00

Health Aides/Techs 0.00

Allergies: Life ThreateningAllergies: Non-Life ThreateningAsthma Registered Nurses 0.20Attention Deficit / Hyperactivity Disorder Licensed Practical Nurses 1.00Seizure Disorder Health Aides/Techs 2.00Cardiac Mental/Behavioral Health ConditionsDiabetes Nursing Assessment/Counseling 219Kidney Disease Licensed Practical Nurse Encounter 9,217Sickle Cell Disease Paraprofessional Evaluation/Treatment 9,136Bleeding Disorder Staff/Parent Consultation 3,672Cancer Individualized Health Care Plan Development 146Cystic Fibrosis Complex Medical Procedures 214All Other Exceptional Student Education Staffing 273Total Health Record Reviews 1,309

Immunization Follow-up 263Daily Annual First Aid Administration 3,804

Average Student Health Room Visits 152 27,396 Health Education Classes 256Average Medication Doses Administered 87 15,732 All Other Services 12,060

Total Services 40,569

Procedures and

Medication Doses Estimated Annual

ServicesCarbohydrate Counting 2 108 0Catheterization 0 0 0Colostomy, Ileostomy, Jejunostomy 0 0 0Electronic Monitoring 0 180 0

2 180 0Glucose Monitoring 5 108 0Insulin Administration 5 0 0Intravenous Treatments 0 0 0Medications (Inhaled) 45 1,584 0Medications (Injection) 4 0 0.00Medications (Nasal) 0 0 17.42Medications (Oral) 193 14,148 0.00%Medications (Other Routes) 1 0 0.00%Oxygen Continuous or Intermittent 0 0Specimen Collection or Testing 0 0Tracheostomy Care 0 0Ventilator Dependent Care 0 0 5Other Procedures 0 0 2,180Total 257 16,308 122

$3,318

Vision Hearing ScoliosisTarget Populations (Mandated grade levels for each screening) KG, 1st, 3rd, 6th KG, 1st, 6th 6th 1st, 3rd, 6thNumber of Students in Mandated Grades (minus opt-outs) 670 488 170 508Number (#) of Students Screened in Mandated Grades 668 486 165 544Percent (%) of Students Screened in Mandated Grades 99.70% 99.59% 97.06% 107.09%Number (#) of Students Referred for Abnormal Results 47 14 13 104

285 43 88 12852.39% 7.90% 16.18% 23.53%

Estimated Health Room Visits and Medication Doses Administered

Estimated Annual Medical Procedures and Medication Doses by Type

Ratio of Registered Nurses (RN) to Schools and Students

Percent of 1st, 3rd, 6th Grade Students by BMI Percentile

Healthy Weight (5th to < 85th

Key School Health Services in Health Management System 96

Note: The National Association of School Nurses (2017) and the American Academy of Pediatrics (2016) recommend a ratio of one full-time registered school nurse for every school. “To optimize student health, safety and learning, it is the position of the National Association of School Nurses that a professional registered school nurse be present in every school, all day, every day.” (NASN, 2017)

Note: Based on DOE reports for Regular Elementary, Middle, Senior High, Combo Schools 2016-2017 and 2016-2017 Membership by District by School by Grade.

2016-2017 Expenditures for School Health ServicesCounty Health Department

County Health Department

Federal Title XXI

01

Type of Health Condition Number of Conditions Reported12

146

116

127107

Calhoun CountyLegislative authority for School Health Services provided in sections 381.0056, 381.0057, 402.3026, Florida Statutes.

Note: This report uses a combination of data from local county Annual School Health Reports, the Department of Health - Health Management System, Vital Statistics and the Department of Education (DOE). This report represents school health services provided by county health departments, school districts and community partners.

Public Schools and Students School Health Staff (excludes Exceptional Student Education Staff)

School District

School District TotalCommunity Partners (Public and Private) Total

Total Health Staff

Community Partners (Public and Private)

Reported Student Health Conditions

County Health Department Total

Total Expenditures for School Health Services

Alcohol, Tobacco and Other Drug Abuse Prevention Classes

Suicide Prevention Classes

Nutrition and Physical Activity ClassesTube Feeding (e.g., G, J, PEG, NG)

000

Note: Based on 2017 FTE Week Counts and a 36 Week School Year.Note: Comprehensive school health services include basic school health services and additional prevention services and care management to promote retention in school.StudentsaaA

Needing ServicesNumber of Comprehensive SchoolsNumber of Comprehensive Students

Schools With Comprehensive School Health Services

Dental Health Education

9434

Comprehensive Birth Rate Per 1,000: 6th-12th Grade FemalesCountywide Birth Rate Per 1,000: All 11-18 Year-Old Females Low Weight Births (% of births less than 2,500 grams)

Pregnancy Prevention ClassesSexually Transmitted Disease (including HIV) PreventionViolence Prevention/Conflict Resolution Classes

Percent of Students Returning to School After Giving Birth

Dollar Value of In-Kind Hours Donated by Local Agencies

Students Screened in Grades Mandated by Florida Administrative Code Rule 64F-6.003Note: The percent of students screened in mandated grades may be over 100% due to screening students enrolled after the DOE's October survey of student membership. Growth and

Development with Body Mass IndexScreenings and Referrals

Full Service SchoolsNote: Full Service Schools provide basic school health services and coordinate the provision of donated (in-kind) health and social services on school campuses.Number of Full Service SchoolsNumber of Full Service School StudentsNumber of In-Kind Hours from Health/Social Service Agencies

Underweight (< 5th percentile)

Overweight (85th to < 95th

Obese (≥ 95th percentile)Body Mass Index Screening Results

Number of 1st, 3rd and 6th Grade Students by BMI Percentile

Page 9: State of Florida 2016-2017 Summary of School Health Services · a professional registered school nurse be present in every school, all day, every day.” (NASN, 2017) Note: Based

2016-2017 Summary of School Health Services

Elementary/Middle/High/Combined Level Schools 20Pre-Kindergarten Through 12th Grade Students 15,923Annual Average Number of Health Room Visits Per Student 3.50 Registered Nurse to Student Ratio 1: 1,990% of Students Returning to Class After Health Room Visits 89.35% Registered Nurse to School Ratio 1: 2.50Annual Average Number of Services Per Student 21.09

Registered Nurses 0.00State General Revenue $130,496 Licensed Practical Nurses 0.00

$23,361 Health Aides/Techs 0.00County Health Department Subtotal $153,857County Health Department - Other Funding $0

$153,857 Registered Nurses 8.00$1,760,135 Licensed Practical Nurses 15.00

$0 Health Aides/Techs 0.00$1,913,992

Annual Per Student Expenditure for School Health: $120.20 Registered Nurses 0.00Note: Per student expenditure based on funding from all of the above sources. Licensed Practical Nurses 0.00

Health Aides/Techs 0.00

Allergies: Life ThreateningAllergies: Non-Life ThreateningAsthma Registered Nurses 8.00Attention Deficit / Hyperactivity Disorder Licensed Practical Nurses 15.00Seizure Disorder Health Aides/Techs 0.00Cardiac Mental/Behavioral Health ConditionsDiabetes Nursing Assessment/Counseling 72,152Kidney Disease Licensed Practical Nurse Encounter 129,835Sickle Cell Disease Paraprofessional Evaluation/Treatment 4,067Bleeding Disorder Staff/Parent Consultation 9,639Cancer Individualized Health Care Plan Development 32Cystic Fibrosis Complex Medical Procedures 2,143All Other Exceptional Student Education Staffing 78Total Health Record Reviews 7,278

Immunization Follow-up 1,268Daily Annual First Aid Administration 35,683

Average Student Health Room Visits 728 131,076 Health Education Classes 450Average Medication Doses Administered 224 40,284 All Other Services 73,194

Total Services 335,819

Procedures and

Medication Doses Estimated Annual

ServicesCarbohydrate Counting 29 5,292 0Catheterization 5 648 0Colostomy, Ileostomy, Jejunostomy 0 0 0Electronic Monitoring 0 180 0

7 1,260 0Glucose Monitoring 29 7,596 0Insulin Administration 42 4,428 0Intravenous Treatments 0 0 0Medications (Inhaled) 236 2,340 0Medications (Injection) 0 0 0.00Medications (Nasal) 0 252 6.38Medications (Oral) 349 31,680 0.00%Medications (Other Routes) 11 1,584 0.00%Oxygen Continuous or Intermittent 0 0Specimen Collection or Testing 0 0Tracheostomy Care 1 180Ventilator Dependent Care 0 0 2Other Procedures 0 0 1,401Total 709 55,440 3,104

$71,500

Vision Hearing ScoliosisTarget Populations (Mandated grade levels for each screening) KG, 1st, 3rd, 6th KG, 1st, 6th 6th 1st, 3rd, 6thNumber of Students in Mandated Grades (minus opt-outs) 3,988 2,738 929 2,942Number (#) of Students Screened in Mandated Grades 3,887 3,203 922 2,923Percent (%) of Students Screened in Mandated Grades 97.47% 116.98% 99.25% 99.35%Number (#) of Students Referred for Abnormal Results 181 47 2 44

1,777 162 425 55960.79% 5.54% 14.54% 19.12%

Estimated Health Room Visits and Medication Doses Administered

Estimated Annual Medical Procedures and Medication Doses by Type

Ratio of Registered Nurses (RN) to Schools and Students

Percent of 1st, 3rd, 6th Grade Students by BMI Percentile

Healthy Weight (5th to < 85th

Key School Health Services in Health Management System 20453

Note: The National Association of School Nurses (2017) and the American Academy of Pediatrics (2016) recommend a ratio of one full-time registered school nurse for every school. “To optimize student health, safety and learning, it is the position of the National Association of School Nurses that a professional registered school nurse be present in every school, all day, every day.” (NASN, 2017)

Note: Based on DOE reports for Regular Elementary, Middle, Senior High, Combo Schools 2016-2017 and 2016-2017 Membership by District by School by Grade.

2016-2017 Expenditures for School Health ServicesCounty Health Department

County Health Department

Federal Title XXI

1848

Type of Health Condition Number of Conditions Reported284

2,576

171149

1,7231,528

Charlotte CountyLegislative authority for School Health Services provided in sections 381.0056, 381.0057, 402.3026, Florida Statutes.

Note: This report uses a combination of data from local county Annual School Health Reports, the Department of Health - Health Management System, Vital Statistics and the Department of Education (DOE). This report represents school health services provided by county health departments, school districts and community partners.

Public Schools and Students School Health Staff (excludes Exceptional Student Education Staff)

School District

School District TotalCommunity Partners (Public and Private) Total

Total Health Staff

Community Partners (Public and Private)

Reported Student Health Conditions

County Health Department Total

Total Expenditures for School Health Services

Alcohol, Tobacco and Other Drug Abuse Prevention Classes

Suicide Prevention Classes

Nutrition and Physical Activity ClassesTube Feeding (e.g., G, J, PEG, NG)

19254

Note: Based on 2017 FTE Week Counts and a 36 Week School Year.Note: Comprehensive school health services include basic school health services and additional prevention services and care management to promote retention in school.StudentsaaA

Needing ServicesNumber of Comprehensive SchoolsNumber of Comprehensive Students

Schools With Comprehensive School Health Services

Dental Health Education

06,802

Comprehensive Birth Rate Per 1,000: 6th-12th Grade FemalesCountywide Birth Rate Per 1,000: All 11-18 Year-Old Females Low Weight Births (% of births less than 2,500 grams)

Pregnancy Prevention ClassesSexually Transmitted Disease (including HIV) PreventionViolence Prevention/Conflict Resolution Classes

Percent of Students Returning to School After Giving Birth

Dollar Value of In-Kind Hours Donated by Local Agencies

Students Screened in Grades Mandated by Florida Administrative Code Rule 64F-6.003Note: The percent of students screened in mandated grades may be over 100% due to screening students enrolled after the DOE's October survey of student membership. Growth and

Development with Body Mass IndexScreenings and Referrals

Full Service SchoolsNote: Full Service Schools provide basic school health services and coordinate the provision of donated (in-kind) health and social services on school campuses.Number of Full Service SchoolsNumber of Full Service School StudentsNumber of In-Kind Hours from Health/Social Service Agencies

Underweight (< 5th percentile)

Overweight (85th to < 95th

Obese (≥ 95th percentile)Body Mass Index Screening Results

Number of 1st, 3rd and 6th Grade Students by BMI Percentile

Page 10: State of Florida 2016-2017 Summary of School Health Services · a professional registered school nurse be present in every school, all day, every day.” (NASN, 2017) Note: Based

2016-2017 Summary of School Health Services

Elementary/Middle/High/Combined Level Schools 21Pre-Kindergarten Through 12th Grade Students 15,338Annual Average Number of Health Room Visits Per Student 10.77 Registered Nurse to Student Ratio 1: 2,556% of Students Returning to Class After Health Room Visits 92.32% Registered Nurse to School Ratio 1: 3.50Annual Average Number of Services Per Student 27.59

Registered Nurses 0.00State General Revenue $140,536 Licensed Practical Nurses 0.00

$28,124 Health Aides/Techs 0.00County Health Department Subtotal $168,660County Health Department - Other Funding $0

$168,660 Registered Nurses 6.00$1,709,307 Licensed Practical Nurses 5.00

$0 Health Aides/Techs 21.00$1,877,967

Annual Per Student Expenditure for School Health: $122.44 Registered Nurses 0.00Note: Per student expenditure based on funding from all of the above sources. Licensed Practical Nurses 0.00

Health Aides/Techs 0.00

Allergies: Life ThreateningAllergies: Non-Life ThreateningAsthma Registered Nurses 6.00Attention Deficit / Hyperactivity Disorder Licensed Practical Nurses 5.00Seizure Disorder Health Aides/Techs 21.00Cardiac Mental/Behavioral Health ConditionsDiabetes Nursing Assessment/Counseling 6,011Kidney Disease Licensed Practical Nurse Encounter 9,370Sickle Cell Disease Paraprofessional Evaluation/Treatment 147,966Bleeding Disorder Staff/Parent Consultation 6,960Cancer Individualized Health Care Plan Development 2,139Cystic Fibrosis Complex Medical Procedures 9,472All Other Exceptional Student Education Staffing 834Total Health Record Reviews 29,531

Immunization Follow-up 11,253Daily Annual First Aid Administration 121,737

Average Student Health Room Visits 1,111 200,052 Health Education Classes 499Average Medication Doses Administered 390 70,200 All Other Services 77,460

Total Services 423,232

Procedures and

Medication Doses Estimated Annual

ServicesCarbohydrate Counting 22 2,988 0Catheterization 10 288 0Colostomy, Ileostomy, Jejunostomy 2 0 0Electronic Monitoring 6 36 0

15 1,008 0Glucose Monitoring 60 7,812 0Insulin Administration 31 4,392 0Intravenous Treatments 0 0 0Medications (Inhaled) 154 3,096 0Medications (Injection) 21 0 0.00Medications (Nasal) 1 180 7.90Medications (Oral) 1,237 60,804 0.00%Medications (Other Routes) 28 1,728 0.00%Oxygen Continuous or Intermittent 0 0Specimen Collection or Testing 23 216Tracheostomy Care 0 0Ventilator Dependent Care 0 0 19Other Procedures 0 0 14,935Total 1,610 82,548 2,459

$68,057

Vision Hearing ScoliosisTarget Populations (Mandated grade levels for each screening) KG, 1st, 3rd, 6th KG, 1st, 6th 6th 1st, 3rd, 6thNumber of Students in Mandated Grades (minus opt-outs) 4,375 3,231 1,093 3,350Number (#) of Students Screened in Mandated Grades 4,392 3,319 1,120 3,411Percent (%) of Students Screened in Mandated Grades 100.39% 102.72% 102.47% 101.82%Number (#) of Students Referred for Abnormal Results 207 22 5 657

2,074 96 581 66060.80% 2.81% 17.03% 19.35%

Estimated Health Room Visits and Medication Doses Administered

Estimated Annual Medical Procedures and Medication Doses by Type

Ratio of Registered Nurses (RN) to Schools and Students

Percent of 1st, 3rd, 6th Grade Students by BMI Percentile

Healthy Weight (5th to < 85th

Key School Health Services in Health Management System 26833

Note: The National Association of School Nurses (2017) and the American Academy of Pediatrics (2016) recommend a ratio of one full-time registered school nurse for every school. “To optimize student health, safety and learning, it is the position of the National Association of School Nurses that a professional registered school nurse be present in every school, all day, every day.” (NASN, 2017)

Note: Based on DOE reports for Regular Elementary, Middle, Senior High, Combo Schools 2016-2017 and 2016-2017 Membership by District by School by Grade.

2016-2017 Expenditures for School Health ServicesCounty Health Department

County Health Department

Federal Title XXI

1227

Type of Health Condition Number of Conditions Reported1,024206

7562

648445

Citrus CountyLegislative authority for School Health Services provided in sections 381.0056, 381.0057, 402.3026, Florida Statutes.

Note: This report uses a combination of data from local county Annual School Health Reports, the Department of Health - Health Management System, Vital Statistics and the Department of Education (DOE). This report represents school health services provided by county health departments, school districts and community partners.

Public Schools and Students School Health Staff (excludes Exceptional Student Education Staff)

School District

School District TotalCommunity Partners (Public and Private) Total

Total Health Staff

Community Partners (Public and Private)

Reported Student Health Conditions

County Health Department Total

Total Expenditures for School Health Services

Alcohol, Tobacco and Other Drug Abuse Prevention Classes

Suicide Prevention Classes

Nutrition and Physical Activity ClassesTube Feeding (e.g., G, J, PEG, NG)

713

Note: Based on 2017 FTE Week Counts and a 36 Week School Year.Note: Comprehensive school health services include basic school health services and additional prevention services and care management to promote retention in school.StudentsaaA

Needing ServicesNumber of Comprehensive SchoolsNumber of Comprehensive Students

Schools With Comprehensive School Health Services

Dental Health Education

3773,188

Comprehensive Birth Rate Per 1,000: 6th-12th Grade FemalesCountywide Birth Rate Per 1,000: All 11-18 Year-Old Females Low Weight Births (% of births less than 2,500 grams)

Pregnancy Prevention ClassesSexually Transmitted Disease (including HIV) PreventionViolence Prevention/Conflict Resolution Classes

Percent of Students Returning to School After Giving Birth

Dollar Value of In-Kind Hours Donated by Local Agencies

Students Screened in Grades Mandated by Florida Administrative Code Rule 64F-6.003Note: The percent of students screened in mandated grades may be over 100% due to screening students enrolled after the DOE's October survey of student membership. Growth and

Development with Body Mass IndexScreenings and Referrals

Full Service SchoolsNote: Full Service Schools provide basic school health services and coordinate the provision of donated (in-kind) health and social services on school campuses.Number of Full Service SchoolsNumber of Full Service School StudentsNumber of In-Kind Hours from Health/Social Service Agencies

Underweight (< 5th percentile)

Overweight (85th to < 95th

Obese (≥ 95th percentile)Body Mass Index Screening Results

Number of 1st, 3rd and 6th Grade Students by BMI Percentile

Page 11: State of Florida 2016-2017 Summary of School Health Services · a professional registered school nurse be present in every school, all day, every day.” (NASN, 2017) Note: Based

2016-2017 Summary of School Health Services

Elementary/Middle/High/Combined Level Schools 46Pre-Kindergarten Through 12th Grade Students 37,051Annual Average Number of Health Room Visits Per Student 7.10 Registered Nurse to Student Ratio 1: 1,319% of Students Returning to Class After Health Room Visits 90.12% Registered Nurse to School Ratio 1: 1.64Annual Average Number of Services Per Student 18.03

Registered Nurses 3.10State General Revenue $174,617 Licensed Practical Nurses 0.00

$116,318 Health Aides/Techs 0.00County Health Department Subtotal $290,935County Health Department - Other Funding $0

$290,935 Registered Nurses 25.00$7,390,797 Licensed Practical Nurses 21.00

$0 Health Aides/Techs 4.00$7,681,732

Annual Per Student Expenditure for School Health: $207.33 Registered Nurses 0.00Note: Per student expenditure based on funding from all of the above sources. Licensed Practical Nurses 0.00

Health Aides/Techs 0.00

Allergies: Life ThreateningAllergies: Non-Life ThreateningAsthma Registered Nurses 28.10Attention Deficit / Hyperactivity Disorder Licensed Practical Nurses 21.00Seizure Disorder Health Aides/Techs 4.00Cardiac Mental/Behavioral Health ConditionsDiabetes Nursing Assessment/Counseling 142,810Kidney Disease Licensed Practical Nurse Encounter 91,653Sickle Cell Disease Paraprofessional Evaluation/Treatment 34,366Bleeding Disorder Staff/Parent Consultation 87,161Cancer Individualized Health Care Plan Development 1,673Cystic Fibrosis Complex Medical Procedures 35,864All Other Exceptional Student Education Staffing 3,378Total Health Record Reviews 30,207

Immunization Follow-up 2,275Daily Annual First Aid Administration 91,724

Average Student Health Room Visits 1,863 335,340 Health Education Classes 32Average Medication Doses Administered 571 102,816 All Other Services 146,727

Total Services 667,870

Procedures and

Medication Doses Estimated Annual

ServicesCarbohydrate Counting 81 10,872 8Catheterization 8 1,836 8,729Colostomy, Ileostomy, Jejunostomy 7 504 1,114Electronic Monitoring 5 936 221

16 4,320 285Glucose Monitoring 85 18,108 9Insulin Administration 84 11,988 493Intravenous Treatments 0 180 29Medications (Inhaled) 770 15,840 115Medications (Injection) 163 396 2.76Medications (Nasal) 15 0 5.96Medications (Oral) 1,879 73,008 0.00%Medications (Other Routes) 131 1,404 75.00%Oxygen Continuous or Intermittent 0 0Specimen Collection or Testing 47 252Tracheostomy Care 3 0Ventilator Dependent Care 0 0 9Other Procedures 200 61,740 5,620Total 3,494 201,384 63,451

$1,616,345

Vision Hearing ScoliosisTarget Populations (Mandated grade levels for each screening) KG, 1st, 3rd, 6th KG, 1st, 6th 6th 1st, 3rd, 6thNumber of Students in Mandated Grades (minus opt-outs) 10,235 7,375 2,657 7,811Number (#) of Students Screened in Mandated Grades 10,533 7,924 2,626 7,748Percent (%) of Students Screened in Mandated Grades 102.91% 107.44% 98.83% 99.19%Number (#) of Students Referred for Abnormal Results 876 118 45 1,142

4,975 268 1,207 1,29864.21% 3.46% 15.58% 16.75%

Estimated Health Room Visits and Medication Doses Administered

Estimated Annual Medical Procedures and Medication Doses by Type

Ratio of Registered Nurses (RN) to Schools and Students

Percent of 1st, 3rd, 6th Grade Students by BMI Percentile

Healthy Weight (5th to < 85th

Key School Health Services in Health Management System 59791

Note: The National Association of School Nurses (2017) and the American Academy of Pediatrics (2016) recommend a ratio of one full-time registered school nurse for every school. “To optimize student health, safety and learning, it is the position of the National Association of School Nurses that a professional registered school nurse be present in every school, all day, every day.” (NASN, 2017)

Note: Based on DOE reports for Regular Elementary, Middle, Senior High, Combo Schools 2016-2017 and 2016-2017 Membership by District by School by Grade.

2016-2017 Expenditures for School Health ServicesCounty Health Department

County Health Department

Federal Title XXI

1431

Type of Health Condition Number of Conditions Reported445

2,323

236199

1,6922,737

Clay CountyLegislative authority for School Health Services provided in sections 381.0056, 381.0057, 402.3026, Florida Statutes.

Note: This report uses a combination of data from local county Annual School Health Reports, the Department of Health - Health Management System, Vital Statistics and the Department of Education (DOE). This report represents school health services provided by county health departments, school districts and community partners.

Public Schools and Students School Health Staff (excludes Exceptional Student Education Staff)

School District

School District TotalCommunity Partners (Public and Private) Total

Total Health Staff

Community Partners (Public and Private)

Reported Student Health Conditions

County Health Department Total

Total Expenditures for School Health Services

Alcohol, Tobacco and Other Drug Abuse Prevention Classes

Suicide Prevention Classes

Nutrition and Physical Activity ClassesTube Feeding (e.g., G, J, PEG, NG)

201712

Note: Based on 2017 FTE Week Counts and a 36 Week School Year.Note: Comprehensive school health services include basic school health services and additional prevention services and care management to promote retention in school.StudentsaaA

Needing ServicesNumber of Comprehensive SchoolsNumber of Comprehensive Students

Schools With Comprehensive School Health Services

Dental Health Education

1,2129,626

Comprehensive Birth Rate Per 1,000: 6th-12th Grade FemalesCountywide Birth Rate Per 1,000: All 11-18 Year-Old Females Low Weight Births (% of births less than 2,500 grams)

Pregnancy Prevention ClassesSexually Transmitted Disease (including HIV) PreventionViolence Prevention/Conflict Resolution Classes

Percent of Students Returning to School After Giving Birth

Dollar Value of In-Kind Hours Donated by Local Agencies

Students Screened in Grades Mandated by Florida Administrative Code Rule 64F-6.003Note: The percent of students screened in mandated grades may be over 100% due to screening students enrolled after the DOE's October survey of student membership. Growth and

Development with Body Mass IndexScreenings and Referrals

Full Service SchoolsNote: Full Service Schools provide basic school health services and coordinate the provision of donated (in-kind) health and social services on school campuses.Number of Full Service SchoolsNumber of Full Service School StudentsNumber of In-Kind Hours from Health/Social Service Agencies

Underweight (< 5th percentile)

Overweight (85th to < 95th

Obese (≥ 95th percentile)Body Mass Index Screening Results

Number of 1st, 3rd and 6th Grade Students by BMI Percentile

Page 12: State of Florida 2016-2017 Summary of School Health Services · a professional registered school nurse be present in every school, all day, every day.” (NASN, 2017) Note: Based

2016-2017 Summary of School Health Services

Elementary/Middle/High/Combined Level Schools 62Pre-Kindergarten Through 12th Grade Students 46,416Annual Average Number of Health Room Visits Per Student 3.81 Registered Nurse to Student Ratio 1: 2,063% of Students Returning to Class After Health Room Visits 87.12% Registered Nurse to School Ratio 1: 2.76Annual Average Number of Services Per Student 7.37

Registered Nurses 0.50State General Revenue $209,483 Licensed Practical Nurses 0.00

$33,690 Health Aides/Techs 2.00County Health Department Subtotal $243,173County Health Department - Other Funding $0

$243,173 Registered Nurses 22.00$2,419,484 Licensed Practical Nurses 12.00

$0 Health Aides/Techs 11.80$2,662,657

Annual Per Student Expenditure for School Health: $57.37 Registered Nurses 0.00Note: Per student expenditure based on funding from all of the above sources. Licensed Practical Nurses 0.00

Health Aides/Techs 0.00

Allergies: Life ThreateningAllergies: Non-Life ThreateningAsthma Registered Nurses 22.50Attention Deficit / Hyperactivity Disorder Licensed Practical Nurses 12.00Seizure Disorder Health Aides/Techs 13.80Cardiac Mental/Behavioral Health ConditionsDiabetes Nursing Assessment/Counseling 51,383Kidney Disease Licensed Practical Nurse Encounter 29,192Sickle Cell Disease Paraprofessional Evaluation/Treatment 39,338Bleeding Disorder Staff/Parent Consultation 30Cancer Individualized Health Care Plan Development 2,033Cystic Fibrosis Complex Medical Procedures 33,047All Other Exceptional Student Education Staffing 78Total Health Record Reviews 36,738

Immunization Follow-up 797Daily Annual First Aid Administration 55,258

Average Student Health Room Visits 1,789 322,056 Health Education Classes 0Average Medication Doses Administered 367 65,988 All Other Services 94,326

Total Services 342,220

Procedures and

Medication Doses Estimated Annual

ServicesCarbohydrate Counting 90 15,444 0Catheterization 7 1,980 0Colostomy, Ileostomy, Jejunostomy 3 720 0Electronic Monitoring 8 1,800 0

9 2,880 0Glucose Monitoring 97 24,912 0Insulin Administration 89 14,364 0Intravenous Treatments 0 0 0Medications (Inhaled) 724 11,880 0Medications (Injection) 453 0 0.00Medications (Nasal) 29 180 6.51Medications (Oral) 1,151 38,628 0.00%Medications (Other Routes) 115 936 0.00%Oxygen Continuous or Intermittent 3 216Specimen Collection or Testing 0 0Tracheostomy Care 4 720Ventilator Dependent Care 1 180 7Other Procedures 600 6,516 6,717Total 3,383 121,356 10,922

$717,178

Vision Hearing ScoliosisTarget Populations (Mandated grade levels for each screening) KG, 1st, 3rd, 6th KG, 1st, 6th 6th 1st, 3rd, 6thNumber of Students in Mandated Grades (minus opt-outs) 13,873 9,908 3,476 10,601Number (#) of Students Screened in Mandated Grades 13,737 9,693 3,260 10,327Percent (%) of Students Screened in Mandated Grades 99.02% 97.83% 93.79% 97.42%Number (#) of Students Referred for Abnormal Results 1,847 128 53 0

5,966 255 1,818 2,28857.77% 2.47% 17.60% 22.16%

Underweight (< 5th percentile)

Overweight (85th to < 95th

Obese (≥ 95th percentile)Body Mass Index Screening Results

Number of 1st, 3rd and 6th Grade Students by BMI Percentile

Dollar Value of In-Kind Hours Donated by Local Agencies

Students Screened in Grades Mandated by Florida Administrative Code Rule 64F-6.003Note: The percent of students screened in mandated grades may be over 100% due to screening students enrolled after the DOE's October survey of student membership. Growth and

Development with Body Mass IndexScreenings and Referrals

Total Health Staff2,598

Estimated Health Room Visits and Medication Doses Administered

Estimated Annual Medical Procedures and Medication Doses by Type Schools With Comprehensive School Health Services

Key School Health Services in Health Management System

1,3469,362

13

Collier County Legislative authority for School Health Services provided in sections 381.0056, 381.0057, 402.3026, Florida Statutes.

Note: This report uses a combination of data from local county Annual School Health Reports, the Department of Health - Health Management System, Vital Statistics and the Department of Education (DOE). This report represents school health services provided by county health departments, school districts and community partners.

Public Schools and Students School Health Staff (excludes Exceptional Student Education Staff)

Percent of 1st, 3rd, 6th Grade Students by BMI Percentile

Healthy Weight (5th to < 85th

Ratio of Registered Nurses (RN) to Schools and Students

County Health Department Total

Total Expenditures for School Health Services

264

50

102108

Note: The National Association of School Nurses (2017) and the American Academy of Pediatrics (2016) recommend a ratio of one full-time registered school nurse for every school. “To optimize student health, safety and learning, it is the position of the National Association of School Nurses that a professional registered school nurse be present in every school, all day, every day.” (NASN, 2017)

Note: Based on DOE reports for Regular Elementary, Middle, Senior High, Combo Schools 2016-2017 and 2016-2017 Membership by District by School by Grade.

2016-2017 Expenditures for School Health ServicesCounty Health Department

County Health Department

Federal Title XXI

School District

School District TotalCommunity Partners (Public and Private) Total

Community Partners (Public and Private)

Reported Student Health Conditions

34

3,240775255264

Type of Health Condition Number of Conditions Reported547

Pregnancy Prevention Classes

Note: Based on 2017 FTE Week Counts and a 36 Week School Year.Note: Comprehensive school health services include basic school health services and additional prevention services and care management to promote retention in school.StudentsaaA

Needing ServicesNumber of Comprehensive SchoolsNumber of Comprehensive StudentsDental Health EducationNutrition and Physical Activity Classes

Tube Feeding (e.g., G, J, PEG, NG) Alcohol, Tobacco and Other Drug Abuse Prevention Classes

Number of Full Service School StudentsNumber of In-Kind Hours from Health/Social Service Agencies

Sexually Transmitted Disease (including HIV) PreventionViolence Prevention/Conflict Resolution Classes

Full Service SchoolsNote: Full Service Schools provide basic school health services and coordinate the provision of donated (in-kind) health and social services on school campuses.Number of Full Service Schools

Suicide Prevention ClassesComprehensive Birth Rate Per 1,000: 6th-12th Grade FemalesCountywide Birth Rate Per 1,000: All 11-18 Year-Old Females Low Weight Births (% of births less than 2,500 grams)Percent of Students Returning to School After Giving Birth

Page 13: State of Florida 2016-2017 Summary of School Health Services · a professional registered school nurse be present in every school, all day, every day.” (NASN, 2017) Note: Based

2016-2017 Summary of School Health Services

Elementary/Middle/High/Combined Level Schools 14Pre-Kindergarten Through 12th Grade Students 10,066Annual Average Number of Health Room Visits Per Student 8.60 Registered Nurse to Student Ratio 1: 1,258% of Students Returning to Class After Health Room Visits 91.28% Registered Nurse to School Ratio 1: 1.75Annual Average Number of Services Per Student 18.96

Registered Nurses 0.00State General Revenue $98,711 Licensed Practical Nurses 0.00

$18,123 Health Aides/Techs 0.00County Health Department Subtotal $116,834County Health Department - Other Funding $0

$116,834 Registered Nurses 8.00$690,332 Licensed Practical Nurses 7.00

$0 Health Aides/Techs 1.00$807,166

Annual Per Student Expenditure for School Health: $80.19 Registered Nurses 0.00Note: Per student expenditure based on funding from all of the above sources. Licensed Practical Nurses 0.00

Health Aides/Techs 0.00

Allergies: Life ThreateningAllergies: Non-Life ThreateningAsthma Registered Nurses 8.00Attention Deficit / Hyperactivity Disorder Licensed Practical Nurses 7.00Seizure Disorder Health Aides/Techs 1.00Cardiac Mental/Behavioral Health ConditionsDiabetes Nursing Assessment/Counseling 39,937Kidney Disease Licensed Practical Nurse Encounter 34,861Sickle Cell Disease Paraprofessional Evaluation/Treatment 11,132Bleeding Disorder Staff/Parent Consultation 13,447Cancer Individualized Health Care Plan Development 596Cystic Fibrosis Complex Medical Procedures 4,904All Other Exceptional Student Education Staffing 104Total Health Record Reviews 12,165

Immunization Follow-up 2,383Daily Annual First Aid Administration 26,033

Average Student Health Room Visits 648 116,604 Health Education Classes 303Average Medication Doses Administered 186 33,444 All Other Services 45,025

Total Services 190,890

Procedures and

Medication Doses Estimated Annual

ServicesCarbohydrate Counting 11 972 0Catheterization 4 792 0Colostomy, Ileostomy, Jejunostomy 0 0 0Electronic Monitoring 115 1,980 0

6 936 0Glucose Monitoring 19 2,376 0Insulin Administration 17 1,620 0Intravenous Treatments 0 0 0Medications (Inhaled) 161 3,060 0Medications (Injection) 31 0 0.00Medications (Nasal) 0 0 10.02Medications (Oral) 309 25,668 0.00%Medications (Other Routes) 13 3,096 0.00%Oxygen Continuous or Intermittent 0 0Specimen Collection or Testing 4 108Tracheostomy Care 0 0Ventilator Dependent Care 0 0 2Other Procedures 0 43,812 1,069Total 690 84,420 10,140

$286,094

Vision Hearing ScoliosisTarget Populations (Mandated grade levels for each screening) KG, 1st, 3rd, 6th KG, 1st, 6th 6th 1st, 3rd, 6thNumber of Students in Mandated Grades (minus opt-outs) 3,106 2,293 643 2,340Number (#) of Students Screened in Mandated Grades 3,177 2,196 598 2,287Percent (%) of Students Screened in Mandated Grades 102.29% 95.77% 93.00% 97.74%Number (#) of Students Referred for Abnormal Results 460 32 29 397

1,296 74 416 50156.67% 3.24% 18.19% 21.91%

Underweight (< 5th percentile)

Overweight (85th to < 95th

Obese (≥ 95th percentile)Body Mass Index Screening Results

Number of 1st, 3rd and 6th Grade Students by BMI Percentile

Dollar Value of In-Kind Hours Donated by Local Agencies

Students Screened in Grades Mandated by Florida Administrative Code Rule 64F-6.003Note: The percent of students screened in mandated grades may be over 100% due to screening students enrolled after the DOE's October survey of student membership. Growth and

Development with Body Mass IndexScreenings and Referrals

Total Health Staff882

Estimated Health Room Visits and Medication Doses Administered

Estimated Annual Medical Procedures and Medication Doses by Type Schools With Comprehensive School Health Services

Key School Health Services in Health Management System

2153,973

5

Columbia County Legislative authority for School Health Services provided in sections 381.0056, 381.0057, 402.3026, Florida Statutes.

Note: This report uses a combination of data from local county Annual School Health Reports, the Department of Health - Health Management System, Vital Statistics and the Department of Education (DOE). This report represents school health services provided by county health departments, school districts and community partners.

Public Schools and Students School Health Staff (excludes Exceptional Student Education Staff)

Percent of 1st, 3rd, 6th Grade Students by BMI Percentile

Healthy Weight (5th to < 85th

Ratio of Registered Nurses (RN) to Schools and Students

County Health Department Total

Total Expenditures for School Health Services

65

11

12636

Note: The National Association of School Nurses (2017) and the American Academy of Pediatrics (2016) recommend a ratio of one full-time registered school nurse for every school. “To optimize student health, safety and learning, it is the position of the National Association of School Nurses that a professional registered school nurse be present in every school, all day, every day.” (NASN, 2017)

Note: Based on DOE reports for Regular Elementary, Middle, Senior High, Combo Schools 2016-2017 and 2016-2017 Membership by District by School by Grade.

2016-2017 Expenditures for School Health ServicesCounty Health Department

County Health Department

Federal Title XXI

School District

School District TotalCommunity Partners (Public and Private) Total

Community Partners (Public and Private)

Reported Student Health Conditions

9

1,0781,290

97103

Type of Health Condition Number of Conditions Reported110

Pregnancy Prevention Classes

Note: Based on 2017 FTE Week Counts and a 36 Week School Year.Note: Comprehensive school health services include basic school health services and additional prevention services and care management to promote retention in school.StudentsaaA

Needing ServicesNumber of Comprehensive SchoolsNumber of Comprehensive StudentsDental Health EducationNutrition and Physical Activity Classes

Tube Feeding (e.g., G, J, PEG, NG) Alcohol, Tobacco and Other Drug Abuse Prevention Classes

Number of Full Service School StudentsNumber of In-Kind Hours from Health/Social Service Agencies

Sexually Transmitted Disease (including HIV) PreventionViolence Prevention/Conflict Resolution Classes

Full Service SchoolsNote: Full Service Schools provide basic school health services and coordinate the provision of donated (in-kind) health and social services on school campuses.Number of Full Service Schools

Suicide Prevention ClassesComprehensive Birth Rate Per 1,000: 6th-12th Grade FemalesCountywide Birth Rate Per 1,000: All 11-18 Year-Old Females Low Weight Births (% of births less than 2,500 grams)Percent of Students Returning to School After Giving Birth

Page 14: State of Florida 2016-2017 Summary of School Health Services · a professional registered school nurse be present in every school, all day, every day.” (NASN, 2017) Note: Based

2016-2017 Summary of School Health Services

Elementary/Middle/High/Combined Level Schools 476Pre-Kindergarten Through 12th Grade Students 357,249Annual Average Number of Health Room Visits Per Student 0.56 Registered Nurse to Student Ratio 1: 4,304% of Students Returning to Class After Health Room Visits 82.25% Registered Nurse to School Ratio 1: 5.73Annual Average Number of Services Per Student 1.30

Registered Nurses 11.00State General Revenue $1,986,359 Licensed Practical Nurses 0.00

$740,783 Health Aides/Techs 5.00County Health Department Subtotal $2,727,142County Health Department - Other Funding $3,622

$2,730,764 Registered Nurses 2.00$0 Licensed Practical Nurses 0.00

$12,800,000 Health Aides/Techs 17.00$15,530,764

Annual Per Student Expenditure for School Health: $43.47 Registered Nurses 70.00Note: Per student expenditure based on funding from all of the above sources. Licensed Practical Nurses 112.00

Health Aides/Techs 0.00

Allergies: Life ThreateningAllergies: Non-Life ThreateningAsthma Registered Nurses 83.00Attention Deficit / Hyperactivity Disorder Licensed Practical Nurses 112.00Seizure Disorder Health Aides/Techs 22.00Cardiac Mental/Behavioral Health ConditionsDiabetes Nursing Assessment/Counseling 52,696Kidney Disease Licensed Practical Nurse Encounter 100,766Sickle Cell Disease Paraprofessional Evaluation/Treatment 10,101Bleeding Disorder Staff/Parent Consultation 30,226Cancer Individualized Health Care Plan Development 621Cystic Fibrosis Complex Medical Procedures 3,985All Other Exceptional Student Education Staffing 149Total Health Record Reviews 14,826

Immunization Follow-up 4,892Daily Annual First Aid Administration 20,535

Average Student Health Room Visits 2,437 438,696 Health Education Classes 1,518Average Medication Doses Administered 376 67,644 All Other Services 222,882

Total Services 463,197

Procedures and

Medication Doses Estimated Annual

ServicesCarbohydrate Counting 30 29,448 19Catheterization 37 2,844 13,170Colostomy, Ileostomy, Jejunostomy 3 324 0Electronic Monitoring 0 11,880 0

83 5,544 0Glucose Monitoring 343 45,360 0Insulin Administration 377 35,028 0Intravenous Treatments 0 72 0Medications (Inhaled) 33 6,444 0Medications (Injection) 39 1,188 0.00Medications (Nasal) 0 720 4.87Medications (Oral) 35 19,476 0.00%Medications (Other Routes) 142 4,716 0.00%Oxygen Continuous or Intermittent 5 396Specimen Collection or Testing 0 576Tracheostomy Care 8 540Ventilator Dependent Care 1 216 19Other Procedures 8 38,772 13,781Total 1,144 203,544 630

$22,044

Vision Hearing ScoliosisTarget Populations (Mandated grade levels for each screening) KG, 1st, 3rd, 6th KG, 1st, 6th 6th 1st, 3rd, 6thNumber of Students in Mandated Grades (minus opt-outs) 104,237 75,337 25,996 80,085Number (#) of Students Screened in Mandated Grades 70,166 12,919 5,381 42,816Percent (%) of Students Screened in Mandated Grades 67.31% 17.15% 20.70% 53.46%Number (#) of Students Referred for Abnormal Results 12,340 501 86 6,342

24,257 1,173 8,253 9,13356.65% 2.74% 19.28% 21.33%

Underweight (< 5th percentile)

Overweight (85th to < 95th

Obese (≥ 95th percentile)Body Mass Index Screening Results

Number of 1st, 3rd and 6th Grade Students by BMI Percentile

Dollar Value of In-Kind Hours Donated by Local Agencies

Students Screened in Grades Mandated by Florida Administrative Code Rule 64F-6.003Note: The percent of students screened in mandated grades may be over 100% due to screening students enrolled after the DOE's October survey of student membership. Growth and

Development with Body Mass IndexScreenings and Referrals

Total Health Staff4,089

Estimated Health Room Visits and Medication Doses Administered

Estimated Annual Medical Procedures and Medication Doses by Type Schools With Comprehensive School Health Services

Key School Health Services in Health Management System

48913,060

124

Dade County Legislative authority for School Health Services provided in sections 381.0056, 381.0057, 402.3026, Florida Statutes.

Note: This report uses a combination of data from local county Annual School Health Reports, the Department of Health - Health Management System, Vital Statistics and the Department of Education (DOE). This report represents school health services provided by county health departments, school districts and community partners.

Public Schools and Students School Health Staff (excludes Exceptional Student Education Staff)

Percent of 1st, 3rd, 6th Grade Students by BMI Percentile

Healthy Weight (5th to < 85th

Ratio of Registered Nurses (RN) to Schools and Students

County Health Department Total

Total Expenditures for School Health Services

418

70

82253

Note: The National Association of School Nurses (2017) and the American Academy of Pediatrics (2016) recommend a ratio of one full-time registered school nurse for every school. “To optimize student health, safety and learning, it is the position of the National Association of School Nurses that a professional registered school nurse be present in every school, all day, every day.” (NASN, 2017)

Note: Based on DOE reports for Regular Elementary, Middle, Senior High, Combo Schools 2016-2017 and 2016-2017 Membership by District by School by Grade.

2016-2017 Expenditures for School Health ServicesCounty Health Department

County Health Department

Federal Title XXI

School District

School District TotalCommunity Partners (Public and Private) Total

Community Partners (Public and Private)

Reported Student Health Conditions

81

4,760953265241

Type of Health Condition Number of Conditions Reported1,604

Pregnancy Prevention Classes

Note: Based on 2017 FTE Week Counts and a 36 Week School Year.Note: Comprehensive school health services include basic school health services and additional prevention services and care management to promote retention in school.StudentsaaA

Needing ServicesNumber of Comprehensive SchoolsNumber of Comprehensive StudentsDental Health EducationNutrition and Physical Activity Classes

Tube Feeding (e.g., G, J, PEG, NG) Alcohol, Tobacco and Other Drug Abuse Prevention Classes

Number of Full Service School StudentsNumber of In-Kind Hours from Health/Social Service Agencies

Sexually Transmitted Disease (including HIV) PreventionViolence Prevention/Conflict Resolution Classes

Full Service SchoolsNote: Full Service Schools provide basic school health services and coordinate the provision of donated (in-kind) health and social services on school campuses.Number of Full Service Schools

Suicide Prevention ClassesComprehensive Birth Rate Per 1,000: 6th-12th Grade FemalesCountywide Birth Rate Per 1,000: All 11-18 Year-Old Females Low Weight Births (% of births less than 2,500 grams)Percent of Students Returning to School After Giving Birth

Page 15: State of Florida 2016-2017 Summary of School Health Services · a professional registered school nurse be present in every school, all day, every day.” (NASN, 2017) Note: Based

2016-2017 Summary of School Health Services

Elementary/Middle/High/Combined Level Schools 6Pre-Kindergarten Through 12th Grade Students 4,912Annual Average Number of Health Room Visits Per Student 9.94 Registered Nurse to Student Ratio 1: 9,824% of Students Returning to Class After Health Room Visits 90.57% Registered Nurse to School Ratio 1: 12.00Annual Average Number of Services Per Student 22.31

Registered Nurses 0.50State General Revenue $67,652 Licensed Practical Nurses 5.00

$148,132 Health Aides/Techs 0.00County Health Department Subtotal $215,784County Health Department - Other Funding $79,000

$294,784 Registered Nurses 0.00$0 Licensed Practical Nurses 0.00$0 Health Aides/Techs 0.00

$294,784

Annual Per Student Expenditure for School Health: $60.01 Registered Nurses 0.00Note: Per student expenditure based on funding from all of the above sources. Licensed Practical Nurses 0.00

Health Aides/Techs 0.00

Allergies: Life ThreateningAllergies: Non-Life ThreateningAsthma Registered Nurses 0.50Attention Deficit / Hyperactivity Disorder Licensed Practical Nurses 5.00Seizure Disorder Health Aides/Techs 0.00Cardiac Mental/Behavioral Health ConditionsDiabetes Nursing Assessment/Counseling 5,289Kidney Disease Licensed Practical Nurse Encounter 26,247Sickle Cell Disease Paraprofessional Evaluation/Treatment 0Bleeding Disorder Staff/Parent Consultation 37,534Cancer Individualized Health Care Plan Development 80Cystic Fibrosis Complex Medical Procedures 1,786All Other Exceptional Student Education Staffing 1Total Health Record Reviews 10,510

Immunization Follow-up 3,695Daily Annual First Aid Administration 4,458

Average Student Health Room Visits 194 34,848 Health Education Classes 1,666Average Medication Doses Administered 33 5,976 All Other Services 18,313

Total Services 109,579

Procedures and

Medication Doses Estimated Annual

ServicesCarbohydrate Counting 4 720 4Catheterization 2 360 3,582Colostomy, Ileostomy, Jejunostomy 0 0 15Electronic Monitoring 300 648 4

2 108 70Glucose Monitoring 4 720 70Insulin Administration 4 720 70Intravenous Treatments 0 0 0Medications (Inhaled) 54 1,440 70Medications (Injection) 0 0 13.32Medications (Nasal) 0 0 9.97Medications (Oral) 88 3,816 0.00%Medications (Other Routes) 4 0 37.50%Oxygen Continuous or Intermittent 0 0Specimen Collection or Testing 0 0Tracheostomy Care 0 0Ventilator Dependent Care 0 0 1Other Procedures 10 720 1,170Total 472 9,252 0

$0

Vision Hearing ScoliosisTarget Populations (Mandated grade levels for each screening) KG, 1st, 3rd, 6th KG, 1st, 6th 6th 1st, 3rd, 6thNumber of Students in Mandated Grades (minus opt-outs) 1,655 1,198 352 1,247Number (#) of Students Screened in Mandated Grades 1,703 1,211 353 1,307Percent (%) of Students Screened in Mandated Grades 102.90% 101.09% 100.28% 104.81%Number (#) of Students Referred for Abnormal Results 112 33 0 221

641 89 263 31449.04% 6.81% 20.12% 24.02%

Underweight (< 5th percentile)

Overweight (85th to < 95th

Obese (≥ 95th percentile)Body Mass Index Screening Results

Number of 1st, 3rd and 6th Grade Students by BMI Percentile

Dollar Value of In-Kind Hours Donated by Local Agencies

Students Screened in Grades Mandated by Florida Administrative Code Rule 64F-6.003Note: The percent of students screened in mandated grades may be over 100% due to screening students enrolled after the DOE's October survey of student membership. Growth and

Development with Body Mass IndexScreenings and Referrals

Total Health Staff175

Estimated Health Room Visits and Medication Doses Administered

Estimated Annual Medical Procedures and Medication Doses by Type Schools With Comprehensive School Health Services

Key School Health Services in Health Management System

82820

10

DeSoto County Legislative authority for School Health Services provided in sections 381.0056, 381.0057, 402.3026, Florida Statutes.

Note: This report uses a combination of data from local county Annual School Health Reports, the Department of Health - Health Management System, Vital Statistics and the Department of Education (DOE). This report represents school health services provided by county health departments, school districts and community partners.

Public Schools and Students School Health Staff (excludes Exceptional Student Education Staff)

Percent of 1st, 3rd, 6th Grade Students by BMI Percentile

Healthy Weight (5th to < 85th

Ratio of Registered Nurses (RN) to Schools and Students

County Health Department Total

Total Expenditures for School Health Services

21

9

5211

Note: The National Association of School Nurses (2017) and the American Academy of Pediatrics (2016) recommend a ratio of one full-time registered school nurse for every school. “To optimize student health, safety and learning, it is the position of the National Association of School Nurses that a professional registered school nurse be present in every school, all day, every day.” (NASN, 2017)

Note: Based on DOE reports for Regular Elementary, Middle, Senior High, Combo Schools 2016-2017 and 2016-2017 Membership by District by School by Grade.

2016-2017 Expenditures for School Health ServicesCounty Health Department

County Health Department

Federal Title XXI

School District

School District TotalCommunity Partners (Public and Private) Total

Community Partners (Public and Private)

Reported Student Health Conditions

6

2811062721

Type of Health Condition Number of Conditions Reported37

Pregnancy Prevention Classes

Note: Based on 2017 FTE Week Counts and a 36 Week School Year.Note: Comprehensive school health services include basic school health services and additional prevention services and care management to promote retention in school.StudentsaaA

Needing ServicesNumber of Comprehensive SchoolsNumber of Comprehensive StudentsDental Health EducationNutrition and Physical Activity Classes

Tube Feeding (e.g., G, J, PEG, NG) Alcohol, Tobacco and Other Drug Abuse Prevention Classes

Number of Full Service School StudentsNumber of In-Kind Hours from Health/Social Service Agencies

Sexually Transmitted Disease (including HIV) PreventionViolence Prevention/Conflict Resolution Classes

Full Service SchoolsNote: Full Service Schools provide basic school health services and coordinate the provision of donated (in-kind) health and social services on school campuses.Number of Full Service Schools

Suicide Prevention ClassesComprehensive Birth Rate Per 1,000: 6th-12th Grade FemalesCountywide Birth Rate Per 1,000: All 11-18 Year-Old Females Low Weight Births (% of births less than 2,500 grams)Percent of Students Returning to School After Giving Birth

Page 16: State of Florida 2016-2017 Summary of School Health Services · a professional registered school nurse be present in every school, all day, every day.” (NASN, 2017) Note: Based

2016-2017 Summary of School Health Services

Elementary/Middle/High/Combined Level Schools 5Pre-Kindergarten Through 12th Grade Students 2,152Annual Average Number of Health Room Visits Per Student 9.63 Registered Nurse to Student Ratio 1: 4,782% of Students Returning to Class After Health Room Visits 95.69% Registered Nurse to School Ratio 1: 11.11Annual Average Number of Services Per Student 22.27

Registered Nurses 0.45State General Revenue $57,487 Licensed Practical Nurses 0.00

$158,271 Health Aides/Techs 3.08County Health Department Subtotal $215,758County Health Department - Other Funding $0

$215,758 Registered Nurses 0.00$5,000 Licensed Practical Nurses 0.00

$0 Health Aides/Techs 0.00$220,758

Annual Per Student Expenditure for School Health: $102.58 Registered Nurses 0.00Note: Per student expenditure based on funding from all of the above sources. Licensed Practical Nurses 0.00

Health Aides/Techs 0.00

Allergies: Life ThreateningAllergies: Non-Life ThreateningAsthma Registered Nurses 0.45Attention Deficit / Hyperactivity Disorder Licensed Practical Nurses 0.00Seizure Disorder Health Aides/Techs 3.08Cardiac Mental/Behavioral Health ConditionsDiabetes Nursing Assessment/Counseling 956Kidney Disease Licensed Practical Nurse Encounter 0Sickle Cell Disease Paraprofessional Evaluation/Treatment 18,712Bleeding Disorder Staff/Parent Consultation 10,264Cancer Individualized Health Care Plan Development 255Cystic Fibrosis Complex Medical Procedures 1,072All Other Exceptional Student Education Staffing 30Total Health Record Reviews 1,880

Immunization Follow-up 1,425Daily Annual First Aid Administration 3,785

Average Student Health Room Visits 99 17,820 Health Education Classes 43Average Medication Doses Administered 27 4,896 All Other Services 9,513

Total Services 47,935

Procedures and

Medication Doses Estimated Annual

ServicesCarbohydrate Counting 5 216 2Catheterization 0 0 949Colostomy, Ileostomy, Jejunostomy 1 72 3Electronic Monitoring 79 0 72

1 72 9Glucose Monitoring 5 216 8Insulin Administration 5 216 8Intravenous Treatments 0 0 0Medications (Inhaled) 13 36 0Medications (Injection) 0 0 2.10Medications (Nasal) 0 0 10.53Medications (Oral) 58 4,644 0.00%Medications (Other Routes) 0 0 100.00%Oxygen Continuous or Intermittent 0 0Specimen Collection or Testing 0 0Tracheostomy Care 0 0Ventilator Dependent Care 0 0 2Other Procedures 0 0 1,121Total 167 5,472 2,900

$43,400

Vision Hearing ScoliosisTarget Populations (Mandated grade levels for each screening) KG, 1st, 3rd, 6th KG, 1st, 6th 6th 1st, 3rd, 6thNumber of Students in Mandated Grades (minus opt-outs) 663 500 135 465Number (#) of Students Screened in Mandated Grades 663 500 138 460Percent (%) of Students Screened in Mandated Grades 100.00% 100.00% 102.22% 98.92%Number (#) of Students Referred for Abnormal Results 58 7 0 100

278 15 56 11160.43% 3.26% 12.17% 24.13%

Underweight (< 5th percentile)

Overweight (85th to < 95th

Obese (≥ 95th percentile)Body Mass Index Screening Results

Number of 1st, 3rd and 6th Grade Students by BMI Percentile

Dollar Value of In-Kind Hours Donated by Local Agencies

Students Screened in Grades Mandated by Florida Administrative Code Rule 64F-6.003Note: The percent of students screened in mandated grades may be over 100% due to screening students enrolled after the DOE's October survey of student membership. Growth and

Development with Body Mass IndexScreenings and Referrals

Total Health Staff222

Estimated Health Room Visits and Medication Doses Administered

Estimated Annual Medical Procedures and Medication Doses by Type Schools With Comprehensive School Health Services

Key School Health Services in Health Management System

5788

1

Dixie County Legislative authority for School Health Services provided in sections 381.0056, 381.0057, 402.3026, Florida Statutes.

Note: This report uses a combination of data from local county Annual School Health Reports, the Department of Health - Health Management System, Vital Statistics and the Department of Education (DOE). This report represents school health services provided by county health departments, school districts and community partners.

Public Schools and Students School Health Staff (excludes Exceptional Student Education Staff)

Percent of 1st, 3rd, 6th Grade Students by BMI Percentile

Healthy Weight (5th to < 85th

Ratio of Registered Nurses (RN) to Schools and Students

County Health Department Total

Total Expenditures for School Health Services

40

5

235

Note: The National Association of School Nurses (2017) and the American Academy of Pediatrics (2016) recommend a ratio of one full-time registered school nurse for every school. “To optimize student health, safety and learning, it is the position of the National Association of School Nurses that a professional registered school nurse be present in every school, all day, every day.” (NASN, 2017)

Note: Based on DOE reports for Regular Elementary, Middle, Senior High, Combo Schools 2016-2017 and 2016-2017 Membership by District by School by Grade.

2016-2017 Expenditures for School Health ServicesCounty Health Department

County Health Department

Federal Title XXI

School District

School District TotalCommunity Partners (Public and Private) Total

Community Partners (Public and Private)

Reported Student Health Conditions

0

294177148

Type of Health Condition Number of Conditions Reported30

Pregnancy Prevention Classes

Note: Based on 2017 FTE Week Counts and a 36 Week School Year.Note: Comprehensive school health services include basic school health services and additional prevention services and care management to promote retention in school.StudentsaaA

Needing ServicesNumber of Comprehensive SchoolsNumber of Comprehensive StudentsDental Health EducationNutrition and Physical Activity Classes

Tube Feeding (e.g., G, J, PEG, NG) Alcohol, Tobacco and Other Drug Abuse Prevention Classes

Number of Full Service School StudentsNumber of In-Kind Hours from Health/Social Service Agencies

Sexually Transmitted Disease (including HIV) PreventionViolence Prevention/Conflict Resolution Classes

Full Service SchoolsNote: Full Service Schools provide basic school health services and coordinate the provision of donated (in-kind) health and social services on school campuses.Number of Full Service Schools

Suicide Prevention ClassesComprehensive Birth Rate Per 1,000: 6th-12th Grade FemalesCountywide Birth Rate Per 1,000: All 11-18 Year-Old Females Low Weight Births (% of births less than 2,500 grams)Percent of Students Returning to School After Giving Birth

Page 17: State of Florida 2016-2017 Summary of School Health Services · a professional registered school nurse be present in every school, all day, every day.” (NASN, 2017) Note: Based

2016-2017 Summary of School Health Services

Elementary/Middle/High/Combined Level Schools 202Pre-Kindergarten Through 12th Grade Students 129,479Annual Average Number of Health Room Visits Per Student 2.35 Registered Nurse to Student Ratio 1: 2,328% of Students Returning to Class After Health Room Visits 87.66% Registered Nurse to School Ratio 1: 3.63Annual Average Number of Services Per Student 3.07

Registered Nurses 19.98State General Revenue $841,658 Licensed Practical Nurses 0.00

$429,860 Health Aides/Techs 5.80County Health Department Subtotal $1,271,518County Health Department - Other Funding $0

$1,271,518 Registered Nurses 35.65$2,636,497 Licensed Practical Nurses 18.00

$148,983 Health Aides/Techs 9.00$4,056,998

Annual Per Student Expenditure for School Health: $31.33 Registered Nurses 0.00Note: Per student expenditure based on funding from all of the above sources. Licensed Practical Nurses 0.00

Health Aides/Techs 0.00

Allergies: Life ThreateningAllergies: Non-Life ThreateningAsthma Registered Nurses 55.63Attention Deficit / Hyperactivity Disorder Licensed Practical Nurses 18.00Seizure Disorder Health Aides/Techs 14.80Cardiac Mental/Behavioral Health ConditionsDiabetes Nursing Assessment/Counseling 17,214Kidney Disease Licensed Practical Nurse Encounter 0Sickle Cell Disease Paraprofessional Evaluation/Treatment 14,854Bleeding Disorder Staff/Parent Consultation 44,164Cancer Individualized Health Care Plan Development 2,834Cystic Fibrosis Complex Medical Procedures 107All Other Exceptional Student Education Staffing 92Total Health Record Reviews 114,182

Immunization Follow-up 30,399Daily Annual First Aid Administration 1,718

Average Student Health Room Visits 2,879 518,256 Health Education Classes 4,669Average Medication Doses Administered 1,045 188,136 All Other Services 166,955

Total Services 397,188

Procedures and

Medication Doses Estimated Annual

ServicesCarbohydrate Counting 308 27,144 8Catheterization 10 1,620 4,866Colostomy, Ileostomy, Jejunostomy 4 1,296 18Electronic Monitoring 3 0 17

162 21,132 19Glucose Monitoring 308 42,228 0Insulin Administration 283 27,216 0Intravenous Treatments 1 0 0Medications (Inhaled) 2,585 26,244 0Medications (Injection) 981 1,296 3.46Medications (Nasal) 55 2,124 9.05Medications (Oral) 4,758 120,564 0.00%Medications (Other Routes) 354 10,692 100.00%Oxygen Continuous or Intermittent 3 216Specimen Collection or Testing 67 396Tracheostomy Care 11 1,800Ventilator Dependent Care 1 0 28Other Procedures 572 52,308 26,727Total 10,466 336,276 30,343

$1,651,242

Vision Hearing ScoliosisTarget Populations (Mandated grade levels for each screening) KG, 1st, 3rd, 6th KG, 1st, 6th 6th 1st, 3rd, 6thNumber of Students in Mandated Grades (minus opt-outs) 37,500 27,985 8,232 28,529Number (#) of Students Screened in Mandated Grades 36,086 30,100 8,372 27,130Percent (%) of Students Screened in Mandated Grades 96.23% 107.56% 101.70% 95.10%Number (#) of Students Referred for Abnormal Results 3,304 337 95 391

17,054 1,164 4,183 4,72962.86% 4.29% 15.42% 17.43%

Underweight (< 5th percentile)

Overweight (85th to < 95th

Obese (≥ 95th percentile)Body Mass Index Screening Results

Number of 1st, 3rd and 6th Grade Students by BMI Percentile

Dollar Value of In-Kind Hours Donated by Local Agencies

Students Screened in Grades Mandated by Florida Administrative Code Rule 64F-6.003Note: The percent of students screened in mandated grades may be over 100% due to screening students enrolled after the DOE's October survey of student membership. Growth and

Development with Body Mass IndexScreenings and Referrals

Total Health Staff16

Estimated Health Room Visits and Medication Doses Administered

Estimated Annual Medical Procedures and Medication Doses by Type Schools With Comprehensive School Health Services

Key School Health Services in Health Management System

1,29712,218

135

Duval County Legislative authority for School Health Services provided in sections 381.0056, 381.0057, 402.3026, Florida Statutes.

Note: This report uses a combination of data from local county Annual School Health Reports, the Department of Health - Health Management System, Vital Statistics and the Department of Education (DOE). This report represents school health services provided by county health departments, school districts and community partners.

Public Schools and Students School Health Staff (excludes Exceptional Student Education Staff)

Percent of 1st, 3rd, 6th Grade Students by BMI Percentile

Healthy Weight (5th to < 85th

Ratio of Registered Nurses (RN) to Schools and Students

County Health Department Total

Total Expenditures for School Health Services

5420

121

37308

Note: The National Association of School Nurses (2017) and the American Academy of Pediatrics (2016) recommend a ratio of one full-time registered school nurse for every school. “To optimize student health, safety and learning, it is the position of the National Association of School Nurses that a professional registered school nurse be present in every school, all day, every day.” (NASN, 2017)

Note: Based on DOE reports for Regular Elementary, Middle, Senior High, Combo Schools 2016-2017 and 2016-2017 Membership by District by School by Grade.

2016-2017 Expenditures for School Health ServicesCounty Health Department

County Health Department

Federal Title XXI

School District

School District TotalCommunity Partners (Public and Private) Total

Community Partners (Public and Private)

Reported Student Health Conditions

166

6,109452559237

Type of Health Condition Number of Conditions Reported2,707

Pregnancy Prevention Classes

Note: Based on 2017 FTE Week Counts and a 36 Week School Year.Note: Comprehensive school health services include basic school health services and additional prevention services and care management to promote retention in school.StudentsaaA

Needing ServicesNumber of Comprehensive SchoolsNumber of Comprehensive StudentsDental Health EducationNutrition and Physical Activity Classes

Tube Feeding (e.g., G, J, PEG, NG) Alcohol, Tobacco and Other Drug Abuse Prevention Classes

Number of Full Service School StudentsNumber of In-Kind Hours from Health/Social Service Agencies

Sexually Transmitted Disease (including HIV) PreventionViolence Prevention/Conflict Resolution Classes

Full Service SchoolsNote: Full Service Schools provide basic school health services and coordinate the provision of donated (in-kind) health and social services on school campuses.Number of Full Service Schools

Suicide Prevention ClassesComprehensive Birth Rate Per 1,000: 6th-12th Grade FemalesCountywide Birth Rate Per 1,000: All 11-18 Year-Old Females Low Weight Births (% of births less than 2,500 grams)Percent of Students Returning to School After Giving Birth

Page 18: State of Florida 2016-2017 Summary of School Health Services · a professional registered school nurse be present in every school, all day, every day.” (NASN, 2017) Note: Based

2016-2017 Summary of School Health Services

Elementary/Middle/High/Combined Level Schools 63Pre-Kindergarten Through 12th Grade Students 40,386Annual Average Number of Health Room Visits Per Student 7.90 Registered Nurse to Student Ratio 1: 1,648% of Students Returning to Class After Health Room Visits 96.11% Registered Nurse to School Ratio 1: 2.57Annual Average Number of Services Per Student 15.45

Registered Nurses 7.00State General Revenue $363,061 Licensed Practical Nurses 0.00

$498,023 Health Aides/Techs 0.00County Health Department Subtotal $861,084County Health Department - Other Funding $305,184

$1,166,268 Registered Nurses 17.50$1,762,036 Licensed Practical Nurses 1.00

$0 Health Aides/Techs 56.50$2,928,304

Annual Per Student Expenditure for School Health: $72.51 Registered Nurses 0.00Note: Per student expenditure based on funding from all of the above sources. Licensed Practical Nurses 0.00

Health Aides/Techs 0.00

Allergies: Life ThreateningAllergies: Non-Life ThreateningAsthma Registered Nurses 24.50Attention Deficit / Hyperactivity Disorder Licensed Practical Nurses 1.00Seizure Disorder Health Aides/Techs 56.50Cardiac Mental/Behavioral Health ConditionsDiabetes Nursing Assessment/Counseling 18,129Kidney Disease Licensed Practical Nurse Encounter 4,183Sickle Cell Disease Paraprofessional Evaluation/Treatment 95,801Bleeding Disorder Staff/Parent Consultation 145,407Cancer Individualized Health Care Plan Development 2,438Cystic Fibrosis Complex Medical Procedures 48,631All Other Exceptional Student Education Staffing 4,592Total Health Record Reviews 43,021

Immunization Follow-up 4,798Daily Annual First Aid Administration 40,966

Average Student Health Room Visits 2,016 362,844 Health Education Classes 1,911Average Medication Doses Administered 997 179,424 All Other Services 214,248

Total Services 624,125

Procedures and

Medication Doses Estimated Annual

ServicesCarbohydrate Counting 80 14,292 24Catheterization 2 864 21,126Colostomy, Ileostomy, Jejunostomy 3 0 58Electronic Monitoring 9 0 621

29 8,460 13Glucose Monitoring 89 19,188 29Insulin Administration 89 13,824 61Intravenous Treatments 3 0 0Medications (Inhaled) 857 11,304 0Medications (Injection) 341 0 1.97Medications (Nasal) 13 0 8.59Medications (Oral) 5,475 150,264 12.50%Medications (Other Routes) 299 4,032 75.00%Oxygen Continuous or Intermittent 1 0Specimen Collection or Testing 731 1,332Tracheostomy Care 6 1,908Ventilator Dependent Care 0 0 7Other Procedures 30 5,796 3,593Total 8,057 231,264 20,573

$474,621

Vision Hearing ScoliosisTarget Populations (Mandated grade levels for each screening) KG, 1st, 3rd, 6th KG, 1st, 6th 6th 1st, 3rd, 6thNumber of Students in Mandated Grades (minus opt-outs) 11,850 8,641 2,507 8,603Number (#) of Students Screened in Mandated Grades 11,569 9,078 2,527 8,293Percent (%) of Students Screened in Mandated Grades 97.63% 105.06% 100.80% 96.40%Number (#) of Students Referred for Abnormal Results 506 100 17 1,411

5,366 249 1,239 1,43964.71% 3.00% 14.94% 17.35%

Underweight (< 5th percentile)

Overweight (85th to < 95th

Obese (≥ 95th percentile)Body Mass Index Screening Results

Number of 1st, 3rd and 6th Grade Students by BMI Percentile

Dollar Value of In-Kind Hours Donated by Local Agencies

Students Screened in Grades Mandated by Florida Administrative Code Rule 64F-6.003Note: The percent of students screened in mandated grades may be over 100% due to screening students enrolled after the DOE's October survey of student membership. Growth and

Development with Body Mass IndexScreenings and Referrals

Total Health Staff2,517

Estimated Health Room Visits and Medication Doses Administered

Estimated Annual Medical Procedures and Medication Doses by Type Schools With Comprehensive School Health Services

Key School Health Services in Health Management System

72110,309

30

Escambia CountyLegislative authority for School Health Services provided in sections 381.0056, 381.0057, 402.3026, Florida Statutes.

Note: This report uses a combination of data from local county Annual School Health Reports, the Department of Health - Health Management System, Vital Statistics and the Department of Education (DOE). This report represents school health services provided by county health departments, school districts and community partners.

Public Schools and Students School Health Staff (excludes Exceptional Student Education Staff)

Percent of 1st, 3rd, 6th Grade Students by BMI Percentile

Healthy Weight (5th to < 85th

Ratio of Registered Nurses (RN) to Schools and Students

County Health Department Total

Total Expenditures for School Health Services

1310

21

35099

Note: The National Association of School Nurses (2017) and the American Academy of Pediatrics (2016) recommend a ratio of one full-time registered school nurse for every school. “To optimize student health, safety and learning, it is the position of the National Association of School Nurses that a professional registered school nurse be present in every school, all day, every day.” (NASN, 2017)

Note: Based on DOE reports for Regular Elementary, Middle, Senior High, Combo Schools 2016-2017 and 2016-2017 Membership by District by School by Grade.

2016-2017 Expenditures for School Health ServicesCounty Health Department

County Health Department

Federal Title XXI

School District

School District TotalCommunity Partners (Public and Private) Total

Community Partners (Public and Private)

Reported Student Health Conditions

33

2,5853,063318102

Type of Health Condition Number of Conditions Reported447

Pregnancy Prevention Classes

Note: Based on 2017 FTE Week Counts and a 36 Week School Year.Note: Comprehensive school health services include basic school health services and additional prevention services and care management to promote retention in school.StudentsaaA

Needing ServicesNumber of Comprehensive SchoolsNumber of Comprehensive StudentsDental Health EducationNutrition and Physical Activity Classes

Tube Feeding (e.g., G, J, PEG, NG) Alcohol, Tobacco and Other Drug Abuse Prevention Classes

Number of Full Service School StudentsNumber of In-Kind Hours from Health/Social Service Agencies

Sexually Transmitted Disease (including HIV) PreventionViolence Prevention/Conflict Resolution Classes

Full Service SchoolsNote: Full Service Schools provide basic school health services and coordinate the provision of donated (in-kind) health and social services on school campuses.Number of Full Service Schools

Suicide Prevention ClassesComprehensive Birth Rate Per 1,000: 6th-12th Grade FemalesCountywide Birth Rate Per 1,000: All 11-18 Year-Old Females Low Weight Births (% of births less than 2,500 grams)Percent of Students Returning to School After Giving Birth

Page 19: State of Florida 2016-2017 Summary of School Health Services · a professional registered school nurse be present in every school, all day, every day.” (NASN, 2017) Note: Based

2016-2017 Summary of School Health Services

Elementary/Middle/High/Combined Level Schools 11Pre-Kindergarten Through 12th Grade Students 12,931Annual Average Number of Health Room Visits Per Student 4.65 Registered Nurse to Student Ratio 1: 1,293% of Students Returning to Class After Health Room Visits 84.26% Registered Nurse to School Ratio 1: 1.10Annual Average Number of Services Per Student 12.64

Registered Nurses 0.00State General Revenue $92,197 Licensed Practical Nurses 0.00

$15,409 Health Aides/Techs 0.00County Health Department Subtotal $107,606County Health Department - Other Funding $0

$107,606 Registered Nurses 10.00$1,209,554 Licensed Practical Nurses 7.00

$0 Health Aides/Techs 9.00$1,317,160

Annual Per Student Expenditure for School Health: $101.86 Registered Nurses 0.00Note: Per student expenditure based on funding from all of the above sources. Licensed Practical Nurses 0.00

Health Aides/Techs 0.00

Allergies: Life ThreateningAllergies: Non-Life ThreateningAsthma Registered Nurses 10.00Attention Deficit / Hyperactivity Disorder Licensed Practical Nurses 7.00Seizure Disorder Health Aides/Techs 9.00Cardiac Mental/Behavioral Health ConditionsDiabetes Nursing Assessment/Counseling 10,669Kidney Disease Licensed Practical Nurse Encounter 20,974Sickle Cell Disease Paraprofessional Evaluation/Treatment 5,704Bleeding Disorder Staff/Parent Consultation 6,191Cancer Individualized Health Care Plan Development 585Cystic Fibrosis Complex Medical Procedures 16,325All Other Exceptional Student Education Staffing 601Total Health Record Reviews 16,347

Immunization Follow-up 6,861Daily Annual First Aid Administration 32,457

Average Student Health Room Visits 590 106,128 Health Education Classes 0Average Medication Doses Administered 168 30,168 All Other Services 46,709

Total Services 163,423

Procedures and

Medication Doses Estimated Annual

ServicesCarbohydrate Counting 37 6,552 0Catheterization 1 180 0Colostomy, Ileostomy, Jejunostomy 6 180 0Electronic Monitoring 871 3,636 0

10 2,736 0Glucose Monitoring 37 10,980 0Insulin Administration 37 8,460 0Intravenous Treatments 0 0 0Medications (Inhaled) 111 3,276 0Medications (Injection) 33 540 0.00Medications (Nasal) 3 36 5.39Medications (Oral) 276 15,552 0.00%Medications (Other Routes) 757 2,304 0.00%Oxygen Continuous or Intermittent 0 0Specimen Collection or Testing 5 216Tracheostomy Care 0 0Ventilator Dependent Care 0 0 9Other Procedures 368 11,520 12,429Total 2,552 66,168 11,306

$422,950

Vision Hearing ScoliosisTarget Populations (Mandated grade levels for each screening) KG, 1st, 3rd, 6th KG, 1st, 6th 6th 1st, 3rd, 6thNumber of Students in Mandated Grades (minus opt-outs) 3,687 2,699 1,002 2,845Number (#) of Students Screened in Mandated Grades 3,716 2,724 1,003 2,871Percent (%) of Students Screened in Mandated Grades 100.79% 100.93% 100.10% 100.91%Number (#) of Students Referred for Abnormal Results 196 70 31 382

2,033 124 332 38270.81% 4.32% 11.56% 13.31%

Underweight (< 5th percentile)

Overweight (85th to < 95th

Obese (≥ 95th percentile)Body Mass Index Screening Results

Number of 1st, 3rd and 6th Grade Students by BMI Percentile

Dollar Value of In-Kind Hours Donated by Local Agencies

Students Screened in Grades Mandated by Florida Administrative Code Rule 64F-6.003Note: The percent of students screened in mandated grades may be over 100% due to screening students enrolled after the DOE's October survey of student membership. Growth and

Development with Body Mass IndexScreenings and Referrals

Total Health Staff873

Estimated Health Room Visits and Medication Doses Administered

Estimated Annual Medical Procedures and Medication Doses by Type Schools With Comprehensive School Health Services

Key School Health Services in Health Management System

2112,379

8

Flagler County Legislative authority for School Health Services provided in sections 381.0056, 381.0057, 402.3026, Florida Statutes.

Note: This report uses a combination of data from local county Annual School Health Reports, the Department of Health - Health Management System, Vital Statistics and the Department of Education (DOE). This report represents school health services provided by county health departments, school districts and community partners.

Public Schools and Students School Health Staff (excludes Exceptional Student Education Staff)

Percent of 1st, 3rd, 6th Grade Students by BMI Percentile

Healthy Weight (5th to < 85th

Ratio of Registered Nurses (RN) to Schools and Students

County Health Department Total

Total Expenditures for School Health Services

133

17

9437

Note: The National Association of School Nurses (2017) and the American Academy of Pediatrics (2016) recommend a ratio of one full-time registered school nurse for every school. “To optimize student health, safety and learning, it is the position of the National Association of School Nurses that a professional registered school nurse be present in every school, all day, every day.” (NASN, 2017)

Note: Based on DOE reports for Regular Elementary, Middle, Senior High, Combo Schools 2016-2017 and 2016-2017 Membership by District by School by Grade.

2016-2017 Expenditures for School Health ServicesCounty Health Department

County Health Department

Federal Title XXI

School District

School District TotalCommunity Partners (Public and Private) Total

Community Partners (Public and Private)

Reported Student Health Conditions

11

6122877034

Type of Health Condition Number of Conditions Reported109

Pregnancy Prevention Classes

Note: Based on 2017 FTE Week Counts and a 36 Week School Year.Note: Comprehensive school health services include basic school health services and additional prevention services and care management to promote retention in school.StudentsaaA

Needing ServicesNumber of Comprehensive SchoolsNumber of Comprehensive StudentsDental Health EducationNutrition and Physical Activity Classes

Tube Feeding (e.g., G, J, PEG, NG) Alcohol, Tobacco and Other Drug Abuse Prevention Classes

Number of Full Service School StudentsNumber of In-Kind Hours from Health/Social Service Agencies

Sexually Transmitted Disease (including HIV) PreventionViolence Prevention/Conflict Resolution Classes

Full Service SchoolsNote: Full Service Schools provide basic school health services and coordinate the provision of donated (in-kind) health and social services on school campuses.Number of Full Service Schools

Suicide Prevention ClassesComprehensive Birth Rate Per 1,000: 6th-12th Grade FemalesCountywide Birth Rate Per 1,000: All 11-18 Year-Old Females Low Weight Births (% of births less than 2,500 grams)Percent of Students Returning to School After Giving Birth

Page 20: State of Florida 2016-2017 Summary of School Health Services · a professional registered school nurse be present in every school, all day, every day.” (NASN, 2017) Note: Based

2016-2017 Summary of School Health Services

Elementary/Middle/High/Combined Level Schools 4Pre-Kindergarten Through 12th Grade Students 1,320Annual Average Number of Health Room Visits Per Student 8.06 Registered Nurse to Student Ratio 1: 2,640% of Students Returning to Class After Health Room Visits 89.90% Registered Nurse to School Ratio 1: 8.00Annual Average Number of Services Per Student 20.15

Registered Nurses 0.50State General Revenue $70,786 Licensed Practical Nurses 3.00

$143,629 Health Aides/Techs 0.00County Health Department Subtotal $214,415County Health Department - Other Funding $0

$214,415 Registered Nurses 0.00$15,000 Licensed Practical Nurses 0.00

$0 Health Aides/Techs 0.00$229,415

Annual Per Student Expenditure for School Health: $173.80 Registered Nurses 0.00Note: Per student expenditure based on funding from all of the above sources. Licensed Practical Nurses 0.00

Health Aides/Techs 0.00

Allergies: Life ThreateningAllergies: Non-Life ThreateningAsthma Registered Nurses 0.50Attention Deficit / Hyperactivity Disorder Licensed Practical Nurses 3.00Seizure Disorder Health Aides/Techs 0.00Cardiac Mental/Behavioral Health ConditionsDiabetes Nursing Assessment/Counseling 1,158Kidney Disease Licensed Practical Nurse Encounter 10,671Sickle Cell Disease Paraprofessional Evaluation/Treatment 0Bleeding Disorder Staff/Parent Consultation 3,696Cancer Individualized Health Care Plan Development 62Cystic Fibrosis Complex Medical Procedures 2All Other Exceptional Student Education Staffing 1Total Health Record Reviews 1,392

Immunization Follow-up 4Daily Annual First Aid Administration 3,644

Average Student Health Room Visits 69 12,348 Health Education Classes 86Average Medication Doses Administered 19 3,456 All Other Services 5,886

Total Services 26,602

Procedures and

Medication Doses Estimated Annual

ServicesCarbohydrate Counting 0 0 4Catheterization 0 0 1,462Colostomy, Ileostomy, Jejunostomy 0 0 17Electronic Monitoring 0 108 18

0 0 6Glucose Monitoring 0 0 114Insulin Administration 0 0 0Intravenous Treatments 0 0 0Medications (Inhaled) 10 396 0Medications (Injection) 0 0 3.34Medications (Nasal) 0 0 14.42Medications (Oral) 51 3,060 0.00%Medications (Other Routes) 1 0 0.00%Oxygen Continuous or Intermittent 0 0Specimen Collection or Testing 0 0Tracheostomy Care 0 0Ventilator Dependent Care 0 0 0Other Procedures 0 0 0Total 62 3,564 4,763

$170,477

Vision Hearing ScoliosisTarget Populations (Mandated grade levels for each screening) KG, 1st, 3rd, 6th KG, 1st, 6th 6th 1st, 3rd, 6thNumber of Students in Mandated Grades (minus opt-outs) 429 323 96 315Number (#) of Students Screened in Mandated Grades 446 346 100 335Percent (%) of Students Screened in Mandated Grades 103.96% 107.12% 104.17% 106.35%Number (#) of Students Referred for Abnormal Results 17 7 4 62

208 8 54 6562.09% 2.39% 16.12% 19.40%

Underweight (< 5th percentile)

Overweight (85th to < 95th

Obese (≥ 95th percentile)Body Mass Index Screening Results

Number of 1st, 3rd and 6th Grade Students by BMI Percentile

Dollar Value of In-Kind Hours Donated by Local Agencies

Students Screened in Grades Mandated by Florida Administrative Code Rule 64F-6.003Note: The percent of students screened in mandated grades may be over 100% due to screening students enrolled after the DOE's October survey of student membership. Growth and

Development with Body Mass IndexScreenings and Referrals

Total Health Staff39

Estimated Health Room Visits and Medication Doses Administered

Estimated Annual Medical Procedures and Medication Doses by Type Schools With Comprehensive School Health Services

Key School Health Services in Health Management System

9269

0

Franklin CountyLegislative authority for School Health Services provided in sections 381.0056, 381.0057, 402.3026, Florida Statutes.

Note: This report uses a combination of data from local county Annual School Health Reports, the Department of Health - Health Management System, Vital Statistics and the Department of Education (DOE). This report represents school health services provided by county health departments, school districts and community partners.

Public Schools and Students School Health Staff (excludes Exceptional Student Education Staff)

Percent of 1st, 3rd, 6th Grade Students by BMI Percentile

Healthy Weight (5th to < 85th

Ratio of Registered Nurses (RN) to Schools and Students

County Health Department Total

Total Expenditures for School Health Services

00

0

20

Note: The National Association of School Nurses (2017) and the American Academy of Pediatrics (2016) recommend a ratio of one full-time registered school nurse for every school. “To optimize student health, safety and learning, it is the position of the National Association of School Nurses that a professional registered school nurse be present in every school, all day, every day.” (NASN, 2017)

Note: Based on DOE reports for Regular Elementary, Middle, Senior High, Combo Schools 2016-2017 and 2016-2017 Membership by District by School by Grade.

2016-2017 Expenditures for School Health ServicesCounty Health Department

County Health Department

Federal Title XXI

School District

School District TotalCommunity Partners (Public and Private) Total

Community Partners (Public and Private)

Reported Student Health Conditions

0

85111

60

Type of Health Condition Number of Conditions Reported17

Pregnancy Prevention Classes

Note: Based on 2017 FTE Week Counts and a 36 Week School Year.Note: Comprehensive school health services include basic school health services and additional prevention services and care management to promote retention in school.StudentsaaA

Needing ServicesNumber of Comprehensive SchoolsNumber of Comprehensive StudentsDental Health EducationNutrition and Physical Activity Classes

Tube Feeding (e.g., G, J, PEG, NG) Alcohol, Tobacco and Other Drug Abuse Prevention Classes

Number of Full Service School StudentsNumber of In-Kind Hours from Health/Social Service Agencies

Sexually Transmitted Disease (including HIV) PreventionViolence Prevention/Conflict Resolution Classes

Full Service SchoolsNote: Full Service Schools provide basic school health services and coordinate the provision of donated (in-kind) health and social services on school campuses.Number of Full Service Schools

Suicide Prevention ClassesComprehensive Birth Rate Per 1,000: 6th-12th Grade FemalesCountywide Birth Rate Per 1,000: All 11-18 Year-Old Females Low Weight Births (% of births less than 2,500 grams)Percent of Students Returning to School After Giving Birth

Page 21: State of Florida 2016-2017 Summary of School Health Services · a professional registered school nurse be present in every school, all day, every day.” (NASN, 2017) Note: Based

2016-2017 Summary of School Health Services

Elementary/Middle/High/Combined Level Schools 16Pre-Kindergarten Through 12th Grade Students 5,620Annual Average Number of Health Room Visits Per Student 2.86 Registered Nurse to Student Ratio 1: 2,810% of Students Returning to Class After Health Room Visits 96.98% Registered Nurse to School Ratio 1: 8.00Annual Average Number of Services Per Student 6.77

Registered Nurses 2.00State General Revenue $107,445 Licensed Practical Nurses 2.00

$258,846 Health Aides/Techs 6.00County Health Department Subtotal $366,291County Health Department - Other Funding $61,772

$428,063 Registered Nurses 0.00$100,100 Licensed Practical Nurses 0.00

$0 Health Aides/Techs 0.00$528,163

Annual Per Student Expenditure for School Health: $93.98 Registered Nurses 0.00Note: Per student expenditure based on funding from all of the above sources. Licensed Practical Nurses 0.00

Health Aides/Techs 0.00

Allergies: Life ThreateningAllergies: Non-Life ThreateningAsthma Registered Nurses 2.00Attention Deficit / Hyperactivity Disorder Licensed Practical Nurses 2.00Seizure Disorder Health Aides/Techs 6.00Cardiac Mental/Behavioral Health ConditionsDiabetes Nursing Assessment/Counseling 850Kidney Disease Licensed Practical Nurse Encounter 1,978Sickle Cell Disease Paraprofessional Evaluation/Treatment 5,798Bleeding Disorder Staff/Parent Consultation 2,408Cancer Individualized Health Care Plan Development 553Cystic Fibrosis Complex Medical Procedures 1,466All Other Exceptional Student Education Staffing 1Total Health Record Reviews 6,108

Immunization Follow-up 1,025Daily Annual First Aid Administration 2,239

Average Student Health Room Visits 120 21,564 Health Education Classes 1,107Average Medication Doses Administered 45 8,064 All Other Services 14,496

Total Services 38,029

Procedures and

Medication Doses Estimated Annual

ServicesCarbohydrate Counting 8 180 9Catheterization 2 612 3,719Colostomy, Ileostomy, Jejunostomy 0 0 3Electronic Monitoring 0 0 16

0 0 1Glucose Monitoring 8 612 9Insulin Administration 8 288 9Intravenous Treatments 0 0 3Medications (Inhaled) 48 1,404 0Medications (Injection) 8 72 2.12Medications (Nasal) 0 0 12.24Medications (Oral) 54 6,300 50.00%Medications (Other Routes) 1 0 100.00%Oxygen Continuous or Intermittent 1 0Specimen Collection or Testing 26 72Tracheostomy Care 0 0Ventilator Dependent Care 0 0 1Other Procedures 0 0 766Total 164 9,540 1,642

$36,950

Vision Hearing ScoliosisTarget Populations (Mandated grade levels for each screening) KG, 1st, 3rd, 6th KG, 1st, 6th 6th 1st, 3rd, 6thNumber of Students in Mandated Grades (minus opt-outs) 1,751 1,226 385 1,262Number (#) of Students Screened in Mandated Grades 2,009 1,438 450 1,243Percent (%) of Students Screened in Mandated Grades 114.73% 117.29% 116.88% 98.49%Number (#) of Students Referred for Abnormal Results 181 4 0 311

678 12 235 31854.55% 0.97% 18.91% 25.58%

Underweight (< 5th percentile)

Overweight (85th to < 95th

Obese (≥ 95th percentile)Body Mass Index Screening Results

Number of 1st, 3rd and 6th Grade Students by BMI Percentile

Dollar Value of In-Kind Hours Donated by Local Agencies

Students Screened in Grades Mandated by Florida Administrative Code Rule 64F-6.003Note: The percent of students screened in mandated grades may be over 100% due to screening students enrolled after the DOE's October survey of student membership. Growth and

Development with Body Mass IndexScreenings and Referrals

Total Health Staff196

Estimated Health Room Visits and Medication Doses Administered

Estimated Annual Medical Procedures and Medication Doses by Type Schools With Comprehensive School Health Services

Key School Health Services in Health Management System

231,394

106

Gadsden County Legislative authority for School Health Services provided in sections 381.0056, 381.0057, 402.3026, Florida Statutes.

Note: This report uses a combination of data from local county Annual School Health Reports, the Department of Health - Health Management System, Vital Statistics and the Department of Education (DOE). This report represents school health services provided by county health departments, school districts and community partners.

Public Schools and Students School Health Staff (excludes Exceptional Student Education Staff)

Percent of 1st, 3rd, 6th Grade Students by BMI Percentile

Healthy Weight (5th to < 85th

Ratio of Registered Nurses (RN) to Schools and Students

County Health Department Total

Total Expenditures for School Health Services

10

4

1312

Note: The National Association of School Nurses (2017) and the American Academy of Pediatrics (2016) recommend a ratio of one full-time registered school nurse for every school. “To optimize student health, safety and learning, it is the position of the National Association of School Nurses that a professional registered school nurse be present in every school, all day, every day.” (NASN, 2017)

Note: Based on DOE reports for Regular Elementary, Middle, Senior High, Combo Schools 2016-2017 and 2016-2017 Membership by District by School by Grade.

2016-2017 Expenditures for School Health ServicesCounty Health Department

County Health Department

Federal Title XXI

School District

School District TotalCommunity Partners (Public and Private) Total

Community Partners (Public and Private)

Reported Student Health Conditions

9

6252801645

Type of Health Condition Number of Conditions Reported64

Pregnancy Prevention Classes

Note: Based on 2017 FTE Week Counts and a 36 Week School Year.Note: Comprehensive school health services include basic school health services and additional prevention services and care management to promote retention in school.StudentsaaA

Needing ServicesNumber of Comprehensive SchoolsNumber of Comprehensive StudentsDental Health EducationNutrition and Physical Activity Classes

Tube Feeding (e.g., G, J, PEG, NG) Alcohol, Tobacco and Other Drug Abuse Prevention Classes

Number of Full Service School StudentsNumber of In-Kind Hours from Health/Social Service Agencies

Sexually Transmitted Disease (including HIV) PreventionViolence Prevention/Conflict Resolution Classes

Full Service SchoolsNote: Full Service Schools provide basic school health services and coordinate the provision of donated (in-kind) health and social services on school campuses.Number of Full Service Schools

Suicide Prevention ClassesComprehensive Birth Rate Per 1,000: 6th-12th Grade FemalesCountywide Birth Rate Per 1,000: All 11-18 Year-Old Females Low Weight Births (% of births less than 2,500 grams)Percent of Students Returning to School After Giving Birth

Page 22: State of Florida 2016-2017 Summary of School Health Services · a professional registered school nurse be present in every school, all day, every day.” (NASN, 2017) Note: Based

2016-2017 Summary of School Health Services

Elementary/Middle/High/Combined Level Schools 4Pre-Kindergarten Through 12th Grade Students 2,751Annual Average Number of Health Room Visits Per Student 10.83 Registered Nurse to Student Ratio 1: 5,614% of Students Returning to Class After Health Room Visits 92.42% Registered Nurse to School Ratio 1: 8.16Annual Average Number of Services Per Student 26.69

Registered Nurses 0.49State General Revenue $60,920 Licensed Practical Nurses 0.04

$107,140 Health Aides/Techs 2.99County Health Department Subtotal $168,060County Health Department - Other Funding $0

$168,060 Registered Nurses 0.00$21,465 Licensed Practical Nurses 0.00

$0 Health Aides/Techs 0.00$189,525

Annual Per Student Expenditure for School Health: $68.89 Registered Nurses 0.00Note: Per student expenditure based on funding from all of the above sources. Licensed Practical Nurses 0.00

Health Aides/Techs 0.00

Allergies: Life ThreateningAllergies: Non-Life ThreateningAsthma Registered Nurses 0.49Attention Deficit / Hyperactivity Disorder Licensed Practical Nurses 0.04Seizure Disorder Health Aides/Techs 2.99Cardiac Mental/Behavioral Health ConditionsDiabetes Nursing Assessment/Counseling 1,768Kidney Disease Licensed Practical Nurse Encounter 0Sickle Cell Disease Paraprofessional Evaluation/Treatment 24,787Bleeding Disorder Staff/Parent Consultation 17,041Cancer Individualized Health Care Plan Development 99Cystic Fibrosis Complex Medical Procedures 1,384All Other Exceptional Student Education Staffing 37Total Health Record Reviews 2,485

Immunization Follow-up 736Daily Annual First Aid Administration 12,262

Average Student Health Room Visits 182 32,688 Health Education Classes 170Average Medication Doses Administered 61 10,944 All Other Services 12,651

Total Services 73,420

Procedures and

Medication Doses Estimated Annual

ServicesCarbohydrate Counting 6 1,152 4Catheterization 2 324 2,741Colostomy, Ileostomy, Jejunostomy 1 360 1Electronic Monitoring 0 1,656 1

2 180 12Glucose Monitoring 9 1,584 0Insulin Administration 11 1,620 0Intravenous Treatments 0 0 36Medications (Inhaled) 86 1,224 1Medications (Injection) 0 0 0.00Medications (Nasal) 0 0 13.51Medications (Oral) 109 7,020 0.00%Medications (Other Routes) 111 1,080 0.00%Oxygen Continuous or Intermittent 0 0Specimen Collection or Testing 4 72Tracheostomy Care 0 0Ventilator Dependent Care 0 0 0Other Procedures 6 1,440 0Total 347 17,712 4,220

$70,400

Vision Hearing ScoliosisTarget Populations (Mandated grade levels for each screening) KG, 1st, 3rd, 6th KG, 1st, 6th 6th 1st, 3rd, 6thNumber of Students in Mandated Grades (minus opt-outs) 778 587 171 571Number (#) of Students Screened in Mandated Grades 853 632 186 603Percent (%) of Students Screened in Mandated Grades 109.64% 107.67% 108.77% 105.60%Number (#) of Students Referred for Abnormal Results 52 13 3 112

335 35 104 12955.56% 5.80% 17.25% 21.39%

Underweight (< 5th percentile)

Overweight (85th to < 95th

Obese (≥ 95th percentile)Body Mass Index Screening Results

Number of 1st, 3rd and 6th Grade Students by BMI Percentile

Dollar Value of In-Kind Hours Donated by Local Agencies

Students Screened in Grades Mandated by Florida Administrative Code Rule 64F-6.003Note: The percent of students screened in mandated grades may be over 100% due to screening students enrolled after the DOE's October survey of student membership. Growth and

Development with Body Mass IndexScreenings and Referrals

Total Health Staff313

Estimated Health Room Visits and Medication Doses Administered

Estimated Annual Medical Procedures and Medication Doses by Type Schools With Comprehensive School Health Services

Key School Health Services in Health Management System

61969

6

Gilchrist County Legislative authority for School Health Services provided in sections 381.0056, 381.0057, 402.3026, Florida Statutes.

Note: This report uses a combination of data from local county Annual School Health Reports, the Department of Health - Health Management System, Vital Statistics and the Department of Education (DOE). This report represents school health services provided by county health departments, school districts and community partners.

Public Schools and Students School Health Staff (excludes Exceptional Student Education Staff)

Percent of 1st, 3rd, 6th Grade Students by BMI Percentile

Healthy Weight (5th to < 85th

Ratio of Registered Nurses (RN) to Schools and Students

County Health Department Total

Total Expenditures for School Health Services

33

1

1411

Note: The National Association of School Nurses (2017) and the American Academy of Pediatrics (2016) recommend a ratio of one full-time registered school nurse for every school. “To optimize student health, safety and learning, it is the position of the National Association of School Nurses that a professional registered school nurse be present in every school, all day, every day.” (NASN, 2017)

Note: Based on DOE reports for Regular Elementary, Middle, Senior High, Combo Schools 2016-2017 and 2016-2017 Membership by District by School by Grade.

2016-2017 Expenditures for School Health ServicesCounty Health Department

County Health Department

Federal Title XXI

School District

School District TotalCommunity Partners (Public and Private) Total

Community Partners (Public and Private)

Reported Student Health Conditions

1

275170178

Type of Health Condition Number of Conditions Reported86

Pregnancy Prevention Classes

Note: Based on 2017 FTE Week Counts and a 36 Week School Year.Note: Comprehensive school health services include basic school health services and additional prevention services and care management to promote retention in school.StudentsaaA

Needing ServicesNumber of Comprehensive SchoolsNumber of Comprehensive StudentsDental Health EducationNutrition and Physical Activity Classes

Tube Feeding (e.g., G, J, PEG, NG) Alcohol, Tobacco and Other Drug Abuse Prevention Classes

Number of Full Service School StudentsNumber of In-Kind Hours from Health/Social Service Agencies

Sexually Transmitted Disease (including HIV) PreventionViolence Prevention/Conflict Resolution Classes

Full Service SchoolsNote: Full Service Schools provide basic school health services and coordinate the provision of donated (in-kind) health and social services on school campuses.Number of Full Service Schools

Suicide Prevention ClassesComprehensive Birth Rate Per 1,000: 6th-12th Grade FemalesCountywide Birth Rate Per 1,000: All 11-18 Year-Old Females Low Weight Births (% of births less than 2,500 grams)Percent of Students Returning to School After Giving Birth

Page 23: State of Florida 2016-2017 Summary of School Health Services · a professional registered school nurse be present in every school, all day, every day.” (NASN, 2017) Note: Based

2016-2017 Summary of School Health Services

Elementary/Middle/High/Combined Level Schools 4Pre-Kindergarten Through 12th Grade Students 1,689Annual Average Number of Health Room Visits Per Student 5.84 Registered Nurse to Student Ratio 1: 845% of Students Returning to Class After Health Room Visits 92.25% Registered Nurse to School Ratio 1: 2.00Annual Average Number of Services Per Student 15.93

Registered Nurses 2.00State General Revenue $118,337 Licensed Practical Nurses 0.00

$0 Health Aides/Techs 0.00County Health Department Subtotal $118,337County Health Department - Other Funding $0

$118,337 Registered Nurses 0.00$0 Licensed Practical Nurses 0.00$0 Health Aides/Techs 0.00

$118,337

Annual Per Student Expenditure for School Health: $70.06 Registered Nurses 0.00Note: Per student expenditure based on funding from all of the above sources. Licensed Practical Nurses 0.00

Health Aides/Techs 0.00

Allergies: Life ThreateningAllergies: Non-Life ThreateningAsthma Registered Nurses 2.00Attention Deficit / Hyperactivity Disorder Licensed Practical Nurses 0.00Seizure Disorder Health Aides/Techs 0.00Cardiac Mental/Behavioral Health ConditionsDiabetes Nursing Assessment/Counseling 6,215Kidney Disease Licensed Practical Nurse Encounter 0Sickle Cell Disease Paraprofessional Evaluation/Treatment 1,956Bleeding Disorder Staff/Parent Consultation 3,366Cancer Individualized Health Care Plan Development 46Cystic Fibrosis Complex Medical Procedures 2,621All Other Exceptional Student Education Staffing 30Total Health Record Reviews 1,359

Immunization Follow-up 58Daily Annual First Aid Administration 4,159

Average Student Health Room Visits 101 18,180 Health Education Classes 43Average Medication Doses Administered 28 5,112 All Other Services 7,054

Total Services 26,907

Procedures and

Medication Doses Estimated Annual

ServicesCarbohydrate Counting 1 1,080 0Catheterization 0 0 0Colostomy, Ileostomy, Jejunostomy 0 0 0Electronic Monitoring 0 0 0

1 0 0Glucose Monitoring 1 1,188 0Insulin Administration 5 1,080 0Intravenous Treatments 0 0 0Medications (Inhaled) 43 648 0Medications (Injection) 10 0 0.00Medications (Nasal) 0 0 9.58Medications (Oral) 154 3,384 0.00%Medications (Other Routes) 4 0 0.00%Oxygen Continuous or Intermittent 0 0Specimen Collection or Testing 0 0Tracheostomy Care 0 0Ventilator Dependent Care 0 0 3Other Procedures 0 0 1,476Total 219 7,380 495

$15,795

Vision Hearing ScoliosisTarget Populations (Mandated grade levels for each screening) KG, 1st, 3rd, 6th KG, 1st, 6th 6th 1st, 3rd, 6thNumber of Students in Mandated Grades (minus opt-outs) 630 464 142 446Number (#) of Students Screened in Mandated Grades 618 457 138 430Percent (%) of Students Screened in Mandated Grades 98.10% 98.49% 97.18% 96.41%Number (#) of Students Referred for Abnormal Results 54 18 1 0

239 7 52 13255.58% 1.63% 12.09% 30.70%

Underweight (< 5th percentile)

Overweight (85th to < 95th

Obese (≥ 95th percentile)Body Mass Index Screening Results

Number of 1st, 3rd and 6th Grade Students by BMI Percentile

Dollar Value of In-Kind Hours Donated by Local Agencies

Students Screened in Grades Mandated by Florida Administrative Code Rule 64F-6.003Note: The percent of students screened in mandated grades may be over 100% due to screening students enrolled after the DOE's October survey of student membership. Growth and

Development with Body Mass IndexScreenings and Referrals

Total Health Staff88

Estimated Health Room Visits and Medication Doses Administered

Estimated Annual Medical Procedures and Medication Doses by Type Schools With Comprehensive School Health Services

Key School Health Services in Health Management System

19390

0

Glades CountyLegislative authority for School Health Services provided in sections 381.0056, 381.0057, 402.3026, Florida Statutes.

Note: This report uses a combination of data from local county Annual School Health Reports, the Department of Health - Health Management System, Vital Statistics and the Department of Education (DOE). This report represents school health services provided by county health departments, school districts and community partners.

Public Schools and Students School Health Staff (excludes Exceptional Student Education Staff)

Percent of 1st, 3rd, 6th Grade Students by BMI Percentile

Healthy Weight (5th to < 85th

Ratio of Registered Nurses (RN) to Schools and Students

County Health Department Total

Total Expenditures for School Health Services

01

4

166

Note: The National Association of School Nurses (2017) and the American Academy of Pediatrics (2016) recommend a ratio of one full-time registered school nurse for every school. “To optimize student health, safety and learning, it is the position of the National Association of School Nurses that a professional registered school nurse be present in every school, all day, every day.” (NASN, 2017)

Note: Based on DOE reports for Regular Elementary, Middle, Senior High, Combo Schools 2016-2017 and 2016-2017 Membership by District by School by Grade.

2016-2017 Expenditures for School Health ServicesCounty Health Department

County Health Department

Federal Title XXI

School District

School District TotalCommunity Partners (Public and Private) Total

Community Partners (Public and Private)

Reported Student Health Conditions

0

11881122

Type of Health Condition Number of Conditions Reported43

Pregnancy Prevention Classes

Note: Based on 2017 FTE Week Counts and a 36 Week School Year.Note: Comprehensive school health services include basic school health services and additional prevention services and care management to promote retention in school.StudentsaaA

Needing ServicesNumber of Comprehensive SchoolsNumber of Comprehensive StudentsDental Health EducationNutrition and Physical Activity Classes

Tube Feeding (e.g., G, J, PEG, NG) Alcohol, Tobacco and Other Drug Abuse Prevention Classes

Number of Full Service School StudentsNumber of In-Kind Hours from Health/Social Service Agencies

Sexually Transmitted Disease (including HIV) PreventionViolence Prevention/Conflict Resolution Classes

Full Service SchoolsNote: Full Service Schools provide basic school health services and coordinate the provision of donated (in-kind) health and social services on school campuses.Number of Full Service Schools

Suicide Prevention ClassesComprehensive Birth Rate Per 1,000: 6th-12th Grade FemalesCountywide Birth Rate Per 1,000: All 11-18 Year-Old Females Low Weight Births (% of births less than 2,500 grams)Percent of Students Returning to School After Giving Birth

Page 24: State of Florida 2016-2017 Summary of School Health Services · a professional registered school nurse be present in every school, all day, every day.” (NASN, 2017) Note: Based

2016-2017 Summary of School Health Services

Elementary/Middle/High/Combined Level Schools 4Pre-Kindergarten Through 12th Grade Students 1,960Annual Average Number of Health Room Visits Per Student 14.65 Registered Nurse to Student Ratio 1: 980% of Students Returning to Class After Health Room Visits 96.31% Registered Nurse to School Ratio 1: 2.00Annual Average Number of Services Per Student 33.86

Registered Nurses 2.00State General Revenue $69,040 Licensed Practical Nurses 0.00

$233,000 Health Aides/Techs 3.70County Health Department Subtotal $302,040County Health Department - Other Funding $0

$302,040 Registered Nurses 0.00$40,000 Licensed Practical Nurses 0.00

$0 Health Aides/Techs 0.00$342,040

Annual Per Student Expenditure for School Health: $174.51 Registered Nurses 0.00Note: Per student expenditure based on funding from all of the above sources. Licensed Practical Nurses 0.00

Health Aides/Techs 0.00

Allergies: Life ThreateningAllergies: Non-Life ThreateningAsthma Registered Nurses 2.00Attention Deficit / Hyperactivity Disorder Licensed Practical Nurses 0.00Seizure Disorder Health Aides/Techs 3.70Cardiac Mental/Behavioral Health ConditionsDiabetes Nursing Assessment/Counseling 9,196Kidney Disease Licensed Practical Nurse Encounter 0Sickle Cell Disease Paraprofessional Evaluation/Treatment 9,205Bleeding Disorder Staff/Parent Consultation 16,178Cancer Individualized Health Care Plan Development 1,068Cystic Fibrosis Complex Medical Procedures 2,318All Other Exceptional Student Education Staffing 55Total Health Record Reviews 4,749

Immunization Follow-up 912Daily Annual First Aid Administration 6,528

Average Student Health Room Visits 223 40,068 Health Education Classes 1,541Average Medication Doses Administered 66 11,880 All Other Services 14,625

Total Services 66,375

Procedures and

Medication Doses Estimated Annual

ServicesCarbohydrate Counting 4 432 2Catheterization 0 0 859Colostomy, Ileostomy, Jejunostomy 0 0 29Electronic Monitoring 0 0 10

1 0 38Glucose Monitoring 4 1,188 29Insulin Administration 4 144 34Intravenous Treatments 0 0 0Medications (Inhaled) 39 936 0Medications (Injection) 24 0 3.74Medications (Nasal) 0 0 15.31Medications (Oral) 61 10,800 0.00%Medications (Other Routes) 2 0 0.00%Oxygen Continuous or Intermittent 0 0Specimen Collection or Testing 0 0Tracheostomy Care 0 0Ventilator Dependent Care 0 0 2Other Procedures 4 36 1,061Total 143 13,536 644

$13,566

Vision Hearing ScoliosisTarget Populations (Mandated grade levels for each screening) KG, 1st, 3rd, 6th KG, 1st, 6th 6th 1st, 3rd, 6thNumber of Students in Mandated Grades (minus opt-outs) 583 432 130 427Number (#) of Students Screened in Mandated Grades 629 458 141 439Percent (%) of Students Screened in Mandated Grades 107.89% 106.02% 108.46% 102.81%Number (#) of Students Referred for Abnormal Results 6 2 0 43

273 7 71 8862.19% 1.59% 16.17% 20.05%

Underweight (< 5th percentile)

Overweight (85th to < 95th

Obese (≥ 95th percentile)Body Mass Index Screening Results

Number of 1st, 3rd and 6th Grade Students by BMI Percentile

Dollar Value of In-Kind Hours Donated by Local Agencies

Students Screened in Grades Mandated by Florida Administrative Code Rule 64F-6.003Note: The percent of students screened in mandated grades may be over 100% due to screening students enrolled after the DOE's October survey of student membership. Growth and

Development with Body Mass IndexScreenings and Referrals

Total Health Staff393

Estimated Health Room Visits and Medication Doses Administered

Estimated Annual Medical Procedures and Medication Doses by Type Schools With Comprehensive School Health Services

Key School Health Services in Health Management System

0950

11

Gulf CountyLegislative authority for School Health Services provided in sections 381.0056, 381.0057, 402.3026, Florida Statutes.

Note: This report uses a combination of data from local county Annual School Health Reports, the Department of Health - Health Management System, Vital Statistics and the Department of Education (DOE). This report represents school health services provided by county health departments, school districts and community partners.

Public Schools and Students School Health Staff (excludes Exceptional Student Education Staff)

Percent of 1st, 3rd, 6th Grade Students by BMI Percentile

Healthy Weight (5th to < 85th

Ratio of Registered Nurses (RN) to Schools and Students

County Health Department Total

Total Expenditures for School Health Services

40

7

179

Note: The National Association of School Nurses (2017) and the American Academy of Pediatrics (2016) recommend a ratio of one full-time registered school nurse for every school. “To optimize student health, safety and learning, it is the position of the National Association of School Nurses that a professional registered school nurse be present in every school, all day, every day.” (NASN, 2017)

Note: Based on DOE reports for Regular Elementary, Middle, Senior High, Combo Schools 2016-2017 and 2016-2017 Membership by District by School by Grade.

2016-2017 Expenditures for School Health ServicesCounty Health Department

County Health Department

Federal Title XXI

School District

School District TotalCommunity Partners (Public and Private) Total

Community Partners (Public and Private)

Reported Student Health Conditions

2

2162101515

Type of Health Condition Number of Conditions Reported51

Pregnancy Prevention Classes

Note: Based on 2017 FTE Week Counts and a 36 Week School Year.Note: Comprehensive school health services include basic school health services and additional prevention services and care management to promote retention in school.StudentsaaA

Needing ServicesNumber of Comprehensive SchoolsNumber of Comprehensive StudentsDental Health EducationNutrition and Physical Activity Classes

Tube Feeding (e.g., G, J, PEG, NG) Alcohol, Tobacco and Other Drug Abuse Prevention Classes

Number of Full Service School StudentsNumber of In-Kind Hours from Health/Social Service Agencies

Sexually Transmitted Disease (including HIV) PreventionViolence Prevention/Conflict Resolution Classes

Full Service SchoolsNote: Full Service Schools provide basic school health services and coordinate the provision of donated (in-kind) health and social services on school campuses.Number of Full Service Schools

Suicide Prevention ClassesComprehensive Birth Rate Per 1,000: 6th-12th Grade FemalesCountywide Birth Rate Per 1,000: All 11-18 Year-Old Females Low Weight Births (% of births less than 2,500 grams)Percent of Students Returning to School After Giving Birth

Page 25: State of Florida 2016-2017 Summary of School Health Services · a professional registered school nurse be present in every school, all day, every day.” (NASN, 2017) Note: Based

2016-2017 Summary of School Health Services

Elementary/Middle/High/Combined Level Schools 4Pre-Kindergarten Through 12th Grade Students 1,688Annual Average Number of Health Room Visits Per Student 6.82 Registered Nurse to Student Ratio 1: 2,110% of Students Returning to Class After Health Room Visits 88.62% Registered Nurse to School Ratio 1: 5.00Annual Average Number of Services Per Student 19.66

Registered Nurses 0.80State General Revenue $72,319 Licensed Practical Nurses 2.70

$252,663 Health Aides/Techs 0.00County Health Department Subtotal $324,982County Health Department - Other Funding $11,623

$336,605 Registered Nurses 0.00$0 Licensed Practical Nurses 0.00$0 Health Aides/Techs 0.00

$336,605

Annual Per Student Expenditure for School Health: $199.41 Registered Nurses 0.00Note: Per student expenditure based on funding from all of the above sources. Licensed Practical Nurses 0.00

Health Aides/Techs 0.00

Allergies: Life ThreateningAllergies: Non-Life ThreateningAsthma Registered Nurses 0.80Attention Deficit / Hyperactivity Disorder Licensed Practical Nurses 2.70Seizure Disorder Health Aides/Techs 0.00Cardiac Mental/Behavioral Health ConditionsDiabetes Nursing Assessment/Counseling 778Kidney Disease Licensed Practical Nurse Encounter 8,905Sickle Cell Disease Paraprofessional Evaluation/Treatment 2,068Bleeding Disorder Staff/Parent Consultation 4,012Cancer Individualized Health Care Plan Development 211Cystic Fibrosis Complex Medical Procedures 546All Other Exceptional Student Education Staffing 15Total Health Record Reviews 1,620

Immunization Follow-up 1,418Daily Annual First Aid Administration 2,643

Average Student Health Room Visits 89 15,948 Health Education Classes 40Average Medication Doses Administered 31 5,508 All Other Services 10,922

Total Services 33,178

Procedures and

Medication Doses Estimated Annual

ServicesCarbohydrate Counting 1 360 4Catheterization 1 252 1,778Colostomy, Ileostomy, Jejunostomy 3 252 3Electronic Monitoring 0 0 0

2 180 0Glucose Monitoring 2 684 0Insulin Administration 2 468 0Intravenous Treatments 0 0 0Medications (Inhaled) 46 216 0Medications (Injection) 3 0 7.85Medications (Nasal) 0 0 12.42Medications (Oral) 19 4,824 0.00%Medications (Other Routes) 0 0 100.00%Oxygen Continuous or Intermittent 0 0Specimen Collection or Testing 0 0Tracheostomy Care 0 0Ventilator Dependent Care 0 0 0Other Procedures 0 0 0Total 79 7,236 7,035

$320,340

Vision Hearing ScoliosisTarget Populations (Mandated grade levels for each screening) KG, 1st, 3rd, 6th KG, 1st, 6th 6th 1st, 3rd, 6thNumber of Students in Mandated Grades (minus opt-outs) 578 407 125 435Number (#) of Students Screened in Mandated Grades 584 412 123 420Percent (%) of Students Screened in Mandated Grades 101.04% 101.23% 98.40% 96.55%Number (#) of Students Referred for Abnormal Results 78 2 6 87

225 11 97 8753.57% 2.62% 23.10% 20.71%

Underweight (< 5th percentile)

Overweight (85th to < 95th

Obese (≥ 95th percentile)Body Mass Index Screening Results

Number of 1st, 3rd and 6th Grade Students by BMI Percentile

Dollar Value of In-Kind Hours Donated by Local Agencies

Students Screened in Grades Mandated by Florida Administrative Code Rule 64F-6.003Note: The percent of students screened in mandated grades may be over 100% due to screening students enrolled after the DOE's October survey of student membership. Growth and

Development with Body Mass IndexScreenings and Referrals

Total Health Staff82

Estimated Health Room Visits and Medication Doses Administered

Estimated Annual Medical Procedures and Medication Doses by Type Schools With Comprehensive School Health Services

Key School Health Services in Health Management System

16384

1

Hamilton CountyLegislative authority for School Health Services provided in sections 381.0056, 381.0057, 402.3026, Florida Statutes.

Note: This report uses a combination of data from local county Annual School Health Reports, the Department of Health - Health Management System, Vital Statistics and the Department of Education (DOE). This report represents school health services provided by county health departments, school districts and community partners.

Public Schools and Students School Health Staff (excludes Exceptional Student Education Staff)

Percent of 1st, 3rd, 6th Grade Students by BMI Percentile

Healthy Weight (5th to < 85th

Ratio of Registered Nurses (RN) to Schools and Students

County Health Department Total

Total Expenditures for School Health Services

00

3

413

Note: The National Association of School Nurses (2017) and the American Academy of Pediatrics (2016) recommend a ratio of one full-time registered school nurse for every school. “To optimize student health, safety and learning, it is the position of the National Association of School Nurses that a professional registered school nurse be present in every school, all day, every day.” (NASN, 2017)

Note: Based on DOE reports for Regular Elementary, Middle, Senior High, Combo Schools 2016-2017 and 2016-2017 Membership by District by School by Grade.

2016-2017 Expenditures for School Health ServicesCounty Health Department

County Health Department

Federal Title XXI

School District

School District TotalCommunity Partners (Public and Private) Total

Community Partners (Public and Private)

Reported Student Health Conditions

4

17853103

Type of Health Condition Number of Conditions Reported17

Pregnancy Prevention Classes

Note: Based on 2017 FTE Week Counts and a 36 Week School Year.Note: Comprehensive school health services include basic school health services and additional prevention services and care management to promote retention in school.StudentsaaA

Needing ServicesNumber of Comprehensive SchoolsNumber of Comprehensive StudentsDental Health EducationNutrition and Physical Activity Classes

Tube Feeding (e.g., G, J, PEG, NG) Alcohol, Tobacco and Other Drug Abuse Prevention Classes

Number of Full Service School StudentsNumber of In-Kind Hours from Health/Social Service Agencies

Sexually Transmitted Disease (including HIV) PreventionViolence Prevention/Conflict Resolution Classes

Full Service SchoolsNote: Full Service Schools provide basic school health services and coordinate the provision of donated (in-kind) health and social services on school campuses.Number of Full Service Schools

Suicide Prevention ClassesComprehensive Birth Rate Per 1,000: 6th-12th Grade FemalesCountywide Birth Rate Per 1,000: All 11-18 Year-Old Females Low Weight Births (% of births less than 2,500 grams)Percent of Students Returning to School After Giving Birth

Page 26: State of Florida 2016-2017 Summary of School Health Services · a professional registered school nurse be present in every school, all day, every day.” (NASN, 2017) Note: Based

2016-2017 Summary of School Health Services

Elementary/Middle/High/Combined Level Schools 7Pre-Kindergarten Through 12th Grade Students 5,264Annual Average Number of Health Room Visits Per Student 5.04 Registered Nurse to Student Ratio 1: 1,755% of Students Returning to Class After Health Room Visits 90.27% Registered Nurse to School Ratio 1: 2.33Annual Average Number of Services Per Student 17.73

Registered Nurses 3.00State General Revenue $98,246 Licensed Practical Nurses 1.00

$171,635 Health Aides/Techs 7.00County Health Department Subtotal $269,881County Health Department - Other Funding $57,148

$327,029 Registered Nurses 0.00$112,316 Licensed Practical Nurses 0.00

$0 Health Aides/Techs 0.00$439,345

Annual Per Student Expenditure for School Health: $83.46 Registered Nurses 0.00Note: Per student expenditure based on funding from all of the above sources. Licensed Practical Nurses 0.00

Health Aides/Techs 0.00

Allergies: Life ThreateningAllergies: Non-Life ThreateningAsthma Registered Nurses 3.00Attention Deficit / Hyperactivity Disorder Licensed Practical Nurses 1.00Seizure Disorder Health Aides/Techs 7.00Cardiac Mental/Behavioral Health ConditionsDiabetes Nursing Assessment/Counseling 1,191Kidney Disease Licensed Practical Nurse Encounter 1,303Sickle Cell Disease Paraprofessional Evaluation/Treatment 9,099Bleeding Disorder Staff/Parent Consultation 41,742Cancer Individualized Health Care Plan Development 401Cystic Fibrosis Complex Medical Procedures 1,227All Other Exceptional Student Education Staffing 1Total Health Record Reviews 1,815

Immunization Follow-up 493Daily Annual First Aid Administration 10,346

Average Student Health Room Visits 289 52,056 Health Education Classes 192Average Medication Doses Administered 92 16,560 All Other Services 25,504

Total Services 93,314

Procedures and

Medication Doses Estimated Annual

ServicesCarbohydrate Counting 4 504 5Catheterization 0 0 3,745Colostomy, Ileostomy, Jejunostomy 0 0 31Electronic Monitoring 327 396 55

2 180 3Glucose Monitoring 5 864 1Insulin Administration 3 504 2Intravenous Treatments 0 0 4Medications (Inhaled) 111 2,592 3Medications (Injection) 5 0 666.67Medications (Nasal) 0 0 13.86Medications (Oral) 114 13,176 0.00%Medications (Other Routes) 1 288 50.00%Oxygen Continuous or Intermittent 0 0Specimen Collection or Testing 0 0Tracheostomy Care 0 0Ventilator Dependent Care 0 0 1Other Procedures 0 1,332 1,639Total 572 19,836 5,400

$117,220

Vision Hearing ScoliosisTarget Populations (Mandated grade levels for each screening) KG, 1st, 3rd, 6th KG, 1st, 6th 6th 1st, 3rd, 6thNumber of Students in Mandated Grades (minus opt-outs) 1,686 1,217 385 1,281Number (#) of Students Screened in Mandated Grades 1,768 1,267 382 1,304Percent (%) of Students Screened in Mandated Grades 104.86% 104.11% 99.22% 101.80%Number (#) of Students Referred for Abnormal Results 263 22 6 0

732 50 215 30756.13% 3.83% 16.49% 23.54%

Number of Full Service School StudentsNumber of In-Kind Hours from Health/Social Service Agencies

Sexually Transmitted Disease (including HIV) PreventionViolence Prevention/Conflict Resolution Classes

Full Service SchoolsNote: Full Service Schools provide basic school health services and coordinate the provision of donated (in-kind) health and social services on school campuses.Number of Full Service Schools

Suicide Prevention ClassesComprehensive Birth Rate Per 1,000: 6th-12th Grade FemalesCountywide Birth Rate Per 1,000: All 11-18 Year-Old Females Low Weight Births (% of births less than 2,500 grams)Percent of Students Returning to School After Giving Birth

Pregnancy Prevention Classes

Note: Based on 2017 FTE Week Counts and a 36 Week School Year.Note: Comprehensive school health services include basic school health services and additional prevention services and care management to promote retention in school.StudentsaaA

Needing ServicesNumber of Comprehensive SchoolsNumber of Comprehensive StudentsDental Health EducationNutrition and Physical Activity Classes

Tube Feeding (e.g., G, J, PEG, NG) Alcohol, Tobacco and Other Drug Abuse Prevention Classes

Reported Student Health Conditions

1

3972042714

Type of Health Condition Number of Conditions Reported127

Federal Title XXI

School District

School District TotalCommunity Partners (Public and Private) Total

Community Partners (Public and Private)

Percent of 1st, 3rd, 6th Grade Students by BMI Percentile

Healthy Weight (5th to < 85th

Ratio of Registered Nurses (RN) to Schools and Students

County Health Department Total

Total Expenditures for School Health Services

20

5

155

Note: The National Association of School Nurses (2017) and the American Academy of Pediatrics (2016) recommend a ratio of one full-time registered school nurse for every school. “To optimize student health, safety and learning, it is the position of the National Association of School Nurses that a professional registered school nurse be present in every school, all day, every day.” (NASN, 2017)

Note: Based on DOE reports for Regular Elementary, Middle, Senior High, Combo Schools 2016-2017 and 2016-2017 Membership by District by School by Grade.

2016-2017 Expenditures for School Health ServicesCounty Health Department

County Health Department

Hardee CountyLegislative authority for School Health Services provided in sections 381.0056, 381.0057, 402.3026, Florida Statutes.

Note: This report uses a combination of data from local county Annual School Health Reports, the Department of Health - Health Management System, Vital Statistics and the Department of Education (DOE). This report represents school health services provided by county health departments, school districts and community partners.

Public Schools and Students School Health Staff (excludes Exceptional Student Education Staff)

Total Health Staff125

Estimated Health Room Visits and Medication Doses Administered

Estimated Annual Medical Procedures and Medication Doses by Type Schools With Comprehensive School Health Services

Key School Health Services in Health Management System

841,012

6

Dollar Value of In-Kind Hours Donated by Local Agencies

Students Screened in Grades Mandated by Florida Administrative Code Rule 64F-6.003Note: The percent of students screened in mandated grades may be over 100% due to screening students enrolled after the DOE's October survey of student membership. Growth and

Development with Body Mass IndexScreenings and Referrals

Underweight (< 5th percentile)

Overweight (85th to < 95th

Obese (≥ 95th percentile)Body Mass Index Screening Results

Number of 1st, 3rd and 6th Grade Students by BMI Percentile

Page 27: State of Florida 2016-2017 Summary of School Health Services · a professional registered school nurse be present in every school, all day, every day.” (NASN, 2017) Note: Based

2016-2017 Summary of School Health Services

Elementary/Middle/High/Combined Level Schools 12Pre-Kindergarten Through 12th Grade Students 7,398Annual Average Number of Health Room Visits Per Student 6.29 Registered Nurse to Student Ratio 1: 1,897% of Students Returning to Class After Health Room Visits 90.90% Registered Nurse to School Ratio 1: 3.08Annual Average Number of Services Per Student 15.70

Registered Nurses 1.90State General Revenue $96,393 Licensed Practical Nurses 0.00

$16,611 Health Aides/Techs 0.00County Health Department Subtotal $113,004County Health Department - Other Funding $0

$113,004 Registered Nurses 2.00$351,002 Licensed Practical Nurses 8.00

$0 Health Aides/Techs 0.00$464,006

Annual Per Student Expenditure for School Health: $62.72 Registered Nurses 0.00Note: Per student expenditure based on funding from all of the above sources. Licensed Practical Nurses 0.00

Health Aides/Techs 0.00

Allergies: Life ThreateningAllergies: Non-Life ThreateningAsthma Registered Nurses 3.90Attention Deficit / Hyperactivity Disorder Licensed Practical Nurses 8.00Seizure Disorder Health Aides/Techs 0.00Cardiac Mental/Behavioral Health ConditionsDiabetes Nursing Assessment/Counseling 10,825Kidney Disease Licensed Practical Nurse Encounter 35,229Sickle Cell Disease Paraprofessional Evaluation/Treatment 1,566Bleeding Disorder Staff/Parent Consultation 12,823Cancer Individualized Health Care Plan Development 236Cystic Fibrosis Complex Medical Procedures 4,864All Other Exceptional Student Education Staffing 315Total Health Record Reviews 5,997

Immunization Follow-up 2,002Daily Annual First Aid Administration 15,580

Average Student Health Room Visits 301 54,216 Health Education Classes 92Average Medication Doses Administered 106 19,044 All Other Services 26,609

Total Services 116,138

Procedures and

Medication Doses Estimated Annual

ServicesCarbohydrate Counting 13 1,764 0Catheterization 1 144 0Colostomy, Ileostomy, Jejunostomy 3 648 0Electronic Monitoring 0 180 0

3 216 0Glucose Monitoring 17 2,556 0Insulin Administration 16 2,484 0Intravenous Treatments 0 0 0Medications (Inhaled) 86 1,260 0Medications (Injection) 54 0 0.00Medications (Nasal) 0 0 17.09Medications (Oral) 241 12,744 0.00%Medications (Other Routes) 19 2,556 0.00%Oxygen Continuous or Intermittent 0 0Specimen Collection or Testing 3 0Tracheostomy Care 0 0Ventilator Dependent Care 0 0 10Other Procedures 0 0 7,667Total 456 24,552 672

$21,577

Vision Hearing ScoliosisTarget Populations (Mandated grade levels for each screening) KG, 1st, 3rd, 6th KG, 1st, 6th 6th 1st, 3rd, 6thNumber of Students in Mandated Grades (minus opt-outs) 2,190 1,576 534 1,691Number (#) of Students Screened in Mandated Grades 2,113 1,515 514 1,633Percent (%) of Students Screened in Mandated Grades 96.48% 96.13% 96.25% 96.57%Number (#) of Students Referred for Abnormal Results 309 97 5 0

855 63 252 46352.36% 3.86% 15.43% 28.35%

Underweight (< 5th percentile)

Overweight (85th to < 95th

Obese (≥ 95th percentile)Body Mass Index Screening Results

Number of 1st, 3rd and 6th Grade Students by BMI Percentile

Dollar Value of In-Kind Hours Donated by Local Agencies

Students Screened in Grades Mandated by Florida Administrative Code Rule 64F-6.003Note: The percent of students screened in mandated grades may be over 100% due to screening students enrolled after the DOE's October survey of student membership. Growth and

Development with Body Mass IndexScreenings and Referrals

Total Health Staff371

Estimated Health Room Visits and Medication Doses Administered

Estimated Annual Medical Procedures and Medication Doses by Type Schools With Comprehensive School Health Services

Key School Health Services in Health Management System

221,204

3

Hendry CountyLegislative authority for School Health Services provided in sections 381.0056, 381.0057, 402.3026, Florida Statutes.

Note: This report uses a combination of data from local county Annual School Health Reports, the Department of Health - Health Management System, Vital Statistics and the Department of Education (DOE). This report represents school health services provided by county health departments, school districts and community partners.

Public Schools and Students School Health Staff (excludes Exceptional Student Education Staff)

Percent of 1st, 3rd, 6th Grade Students by BMI Percentile

Healthy Weight (5th to < 85th

Ratio of Registered Nurses (RN) to Schools and Students

County Health Department Total

Total Expenditures for School Health Services

24

7

2917

Note: The National Association of School Nurses (2017) and the American Academy of Pediatrics (2016) recommend a ratio of one full-time registered school nurse for every school. “To optimize student health, safety and learning, it is the position of the National Association of School Nurses that a professional registered school nurse be present in every school, all day, every day.” (NASN, 2017)

Note: Based on DOE reports for Regular Elementary, Middle, Senior High, Combo Schools 2016-2017 and 2016-2017 Membership by District by School by Grade.

2016-2017 Expenditures for School Health ServicesCounty Health Department

County Health Department

Federal Title XXI

School District

School District TotalCommunity Partners (Public and Private) Total

Community Partners (Public and Private)

Reported Student Health Conditions

3

4292064215

Type of Health Condition Number of Conditions Reported54

Pregnancy Prevention Classes

Note: Based on 2017 FTE Week Counts and a 36 Week School Year.Note: Comprehensive school health services include basic school health services and additional prevention services and care management to promote retention in school.StudentsaaA

Needing ServicesNumber of Comprehensive SchoolsNumber of Comprehensive StudentsDental Health EducationNutrition and Physical Activity Classes

Tube Feeding (e.g., G, J, PEG, NG) Alcohol, Tobacco and Other Drug Abuse Prevention Classes

Number of Full Service School StudentsNumber of In-Kind Hours from Health/Social Service Agencies

Sexually Transmitted Disease (including HIV) PreventionViolence Prevention/Conflict Resolution Classes

Full Service SchoolsNote: Full Service Schools provide basic school health services and coordinate the provision of donated (in-kind) health and social services on school campuses.Number of Full Service Schools

Suicide Prevention ClassesComprehensive Birth Rate Per 1,000: 6th-12th Grade FemalesCountywide Birth Rate Per 1,000: All 11-18 Year-Old Females Low Weight Births (% of births less than 2,500 grams)Percent of Students Returning to School After Giving Birth

Page 28: State of Florida 2016-2017 Summary of School Health Services · a professional registered school nurse be present in every school, all day, every day.” (NASN, 2017) Note: Based

2016-2017 Summary of School Health Services

Elementary/Middle/High/Combined Level Schools 26Pre-Kindergarten Through 12th Grade Students 22,293Annual Average Number of Health Room Visits Per Student 7.21 Registered Nurse to Student Ratio 1: 3,430% of Students Returning to Class After Health Room Visits 90.12% Registered Nurse to School Ratio 1: 4.00Annual Average Number of Services Per Student 18.91

Registered Nurses 1.50State General Revenue $127,724 Licensed Practical Nurses 0.00

$23,222 Health Aides/Techs 0.00County Health Department Subtotal $150,946County Health Department - Other Funding $17,336

$168,282 Registered Nurses 5.00$837,856 Licensed Practical Nurses 6.00

$0 Health Aides/Techs 29.00$1,006,138

Annual Per Student Expenditure for School Health: $45.13 Registered Nurses 0.00Note: Per student expenditure based on funding from all of the above sources. Licensed Practical Nurses 0.00

Health Aides/Techs 0.00

Allergies: Life ThreateningAllergies: Non-Life ThreateningAsthma Registered Nurses 6.50Attention Deficit / Hyperactivity Disorder Licensed Practical Nurses 6.00Seizure Disorder Health Aides/Techs 29.00Cardiac Mental/Behavioral Health ConditionsDiabetes Nursing Assessment/Counseling 12,313Kidney Disease Licensed Practical Nurse Encounter 26,270Sickle Cell Disease Paraprofessional Evaluation/Treatment 124,851Bleeding Disorder Staff/Parent Consultation 69,724Cancer Individualized Health Care Plan Development 860Cystic Fibrosis Complex Medical Procedures 6,928All Other Exceptional Student Education Staffing 1,895Total Health Record Reviews 15,661

Immunization Follow-up 4,568Daily Annual First Aid Administration 94,495

Average Student Health Room Visits 1,146 206,244 Health Education Classes 1,200Average Medication Doses Administered 300 53,928 All Other Services 62,797

Total Services 421,562

Procedures and

Medication Doses Estimated Annual

ServicesCarbohydrate Counting 48 5,832 0Catheterization 4 828 0Colostomy, Ileostomy, Jejunostomy 0 0 0Electronic Monitoring 4 1,188 0

10 2,232 0Glucose Monitoring 54 11,736 0Insulin Administration 52 6,516 0Intravenous Treatments 0 0 0Medications (Inhaled) 301 3,852 0Medications (Injection) 144 0 0.00Medications (Nasal) 1 0 6.59Medications (Oral) 484 42,840 0.00%Medications (Other Routes) 17 720 0.00%Oxygen Continuous or Intermittent 2 0Specimen Collection or Testing 32 216Tracheostomy Care 2 0Ventilator Dependent Care 0 0 22Other Procedures 2 177,624 21,649Total 1,157 253,584 1,836

$1,073,584

Vision Hearing ScoliosisTarget Populations (Mandated grade levels for each screening) KG, 1st, 3rd, 6th KG, 1st, 6th 6th 1st, 3rd, 6thNumber of Students in Mandated Grades (minus opt-outs) 5,975 4,420 1,552 4,565Number (#) of Students Screened in Mandated Grades 5,919 4,372 1,541 4,462Percent (%) of Students Screened in Mandated Grades 99.06% 98.91% 99.29% 97.74%Number (#) of Students Referred for Abnormal Results 786 196 4 802

2,794 132 729 80762.62% 2.96% 16.34% 18.09%

Underweight (< 5th percentile)

Overweight (85th to < 95th

Obese (≥ 95th percentile)Body Mass Index Screening Results

Number of 1st, 3rd and 6th Grade Students by BMI Percentile

Dollar Value of In-Kind Hours Donated by Local Agencies

Students Screened in Grades Mandated by Florida Administrative Code Rule 64F-6.003Note: The percent of students screened in mandated grades may be over 100% due to screening students enrolled after the DOE's October survey of student membership. Growth and

Development with Body Mass IndexScreenings and Referrals

Total Health Staff784

Estimated Health Room Visits and Medication Doses Administered

Estimated Annual Medical Procedures and Medication Doses by Type Schools With Comprehensive School Health Services

Key School Health Services in Health Management System

2053,155

17

Hernando CountyLegislative authority for School Health Services provided in sections 381.0056, 381.0057, 402.3026, Florida Statutes.

Note: This report uses a combination of data from local county Annual School Health Reports, the Department of Health - Health Management System, Vital Statistics and the Department of Education (DOE). This report represents school health services provided by county health departments, school districts and community partners.

Public Schools and Students School Health Staff (excludes Exceptional Student Education Staff)

Percent of 1st, 3rd, 6th Grade Students by BMI Percentile

Healthy Weight (5th to < 85th

Ratio of Registered Nurses (RN) to Schools and Students

County Health Department Total

Total Expenditures for School Health Services

911

14

17559

Note: The National Association of School Nurses (2017) and the American Academy of Pediatrics (2016) recommend a ratio of one full-time registered school nurse for every school. “To optimize student health, safety and learning, it is the position of the National Association of School Nurses that a professional registered school nurse be present in every school, all day, every day.” (NASN, 2017)

Note: Based on DOE reports for Regular Elementary, Middle, Senior High, Combo Schools 2016-2017 and 2016-2017 Membership by District by School by Grade.

2016-2017 Expenditures for School Health ServicesCounty Health Department

County Health Department

Federal Title XXI

School District

School District TotalCommunity Partners (Public and Private) Total

Community Partners (Public and Private)

Reported Student Health Conditions

3

9445799246

Type of Health Condition Number of Conditions Reported217

Pregnancy Prevention Classes

Note: Based on 2017 FTE Week Counts and a 36 Week School Year.Note: Comprehensive school health services include basic school health services and additional prevention services and care management to promote retention in school.StudentsaaA

Needing ServicesNumber of Comprehensive SchoolsNumber of Comprehensive StudentsDental Health EducationNutrition and Physical Activity Classes

Tube Feeding (e.g., G, J, PEG, NG) Alcohol, Tobacco and Other Drug Abuse Prevention Classes

Number of Full Service School StudentsNumber of In-Kind Hours from Health/Social Service Agencies

Sexually Transmitted Disease (including HIV) PreventionViolence Prevention/Conflict Resolution Classes

Full Service SchoolsNote: Full Service Schools provide basic school health services and coordinate the provision of donated (in-kind) health and social services on school campuses.Number of Full Service Schools

Suicide Prevention ClassesComprehensive Birth Rate Per 1,000: 6th-12th Grade FemalesCountywide Birth Rate Per 1,000: All 11-18 Year-Old Females Low Weight Births (% of births less than 2,500 grams)Percent of Students Returning to School After Giving Birth

Page 29: State of Florida 2016-2017 Summary of School Health Services · a professional registered school nurse be present in every school, all day, every day.” (NASN, 2017) Note: Based

2016-2017 Summary of School Health Services

Elementary/Middle/High/Combined Level Schools 17Pre-Kindergarten Through 12th Grade Students 12,318Annual Average Number of Health Room Visits Per Student 4.79 Registered Nurse to Student Ratio 1: 6,317% of Students Returning to Class After Health Room Visits 91.72% Registered Nurse to School Ratio 1: 8.72Annual Average Number of Services Per Student 11.87

Registered Nurses 1.95State General Revenue $94,866 Licensed Practical Nurses 6.00

$270,742 Health Aides/Techs 4.00County Health Department Subtotal $365,608County Health Department - Other Funding $22,000

$387,608 Registered Nurses 0.00$174,909 Licensed Practical Nurses 0.00

$0 Health Aides/Techs 7.00$562,517

Annual Per Student Expenditure for School Health: $45.67 Registered Nurses 0.00Note: Per student expenditure based on funding from all of the above sources. Licensed Practical Nurses 0.00

Health Aides/Techs 0.00

Allergies: Life ThreateningAllergies: Non-Life ThreateningAsthma Registered Nurses 1.95Attention Deficit / Hyperactivity Disorder Licensed Practical Nurses 6.00Seizure Disorder Health Aides/Techs 11.00Cardiac Mental/Behavioral Health ConditionsDiabetes Nursing Assessment/Counseling 26Kidney Disease Licensed Practical Nurse Encounter 17,116Sickle Cell Disease Paraprofessional Evaluation/Treatment 20,557Bleeding Disorder Staff/Parent Consultation 30,307Cancer Individualized Health Care Plan Development 1,962Cystic Fibrosis Complex Medical Procedures 4,232All Other Exceptional Student Education Staffing 48Total Health Record Reviews 12,165

Immunization Follow-up 2,277Daily Annual First Aid Administration 16,303

Average Student Health Room Visits 0 0 Health Education Classes 5Average Medication Doses Administered 172 31,032 All Other Services 41,263

Total Services 146,261

Procedures and

Medication Doses Estimated Annual

ServicesCarbohydrate Counting 9 1,764 16Catheterization 2 0 11,718Colostomy, Ileostomy, Jejunostomy 0 0 0Electronic Monitoring 2 612 0

8 1,080 0Glucose Monitoring 22 3,276 0Insulin Administration 37 1,728 0Intravenous Treatments 0 0 0Medications (Inhaled) 424 4,716 0Medications (Injection) 148 0 1.39Medications (Nasal) 3 0 11.19Medications (Oral) 428 24,588 0.00%Medications (Other Routes) 32 0 20.00%Oxygen Continuous or Intermittent 0 180Specimen Collection or Testing 994 1,008Tracheostomy Care 0 0Ventilator Dependent Care 0 0 1Other Procedures 10 6,912 616Total 2,119 45,864 100

$3,591

Vision Hearing ScoliosisTarget Populations (Mandated grade levels for each screening) KG, 1st, 3rd, 6th KG, 1st, 6th 6th 1st, 3rd, 6thNumber of Students in Mandated Grades (minus opt-outs) 3,916 2,854 953 2,970Number (#) of Students Screened in Mandated Grades 4,190 2,621 616 2,470Percent (%) of Students Screened in Mandated Grades 107.00% 91.84% 64.64% 83.16%Number (#) of Students Referred for Abnormal Results 270 12 55 461

1,267 92 446 66551.30% 3.72% 18.06% 26.92%

Underweight (< 5th percentile)

Overweight (85th to < 95th

Obese (≥ 95th percentile)Body Mass Index Screening Results

Number of 1st, 3rd and 6th Grade Students by BMI Percentile

Dollar Value of In-Kind Hours Donated by Local Agencies

Students Screened in Grades Mandated by Florida Administrative Code Rule 64F-6.003Note: The percent of students screened in mandated grades may be over 100% due to screening students enrolled after the DOE's October survey of student membership. Growth and

Development with Body Mass IndexScreenings and Referrals

Total Health Staff822

Estimated Health Room Visits and Medication Doses Administered

Estimated Annual Medical Procedures and Medication Doses by Type Schools With Comprehensive School Health Services

Key School Health Services in Health Management System

1363,407

50

Highlands CountyLegislative authority for School Health Services provided in sections 381.0056, 381.0057, 402.3026, Florida Statutes.

Note: This report uses a combination of data from local county Annual School Health Reports, the Department of Health - Health Management System, Vital Statistics and the Department of Education (DOE). This report represents school health services provided by county health departments, school districts and community partners.

Public Schools and Students School Health Staff (excludes Exceptional Student Education Staff)

Percent of 1st, 3rd, 6th Grade Students by BMI Percentile

Healthy Weight (5th to < 85th

Ratio of Registered Nurses (RN) to Schools and Students

County Health Department Total

Total Expenditures for School Health Services

1121

33

17938

Note: The National Association of School Nurses (2017) and the American Academy of Pediatrics (2016) recommend a ratio of one full-time registered school nurse for every school. “To optimize student health, safety and learning, it is the position of the National Association of School Nurses that a professional registered school nurse be present in every school, all day, every day.” (NASN, 2017)

Note: Based on DOE reports for Regular Elementary, Middle, Senior High, Combo Schools 2016-2017 and 2016-2017 Membership by District by School by Grade.

2016-2017 Expenditures for School Health ServicesCounty Health Department

County Health Department

Federal Title XXI

School District

School District TotalCommunity Partners (Public and Private) Total

Community Partners (Public and Private)

Reported Student Health Conditions

13

1,24849112274

Type of Health Condition Number of Conditions Reported169

Pregnancy Prevention Classes

Note: Based on 2017 FTE Week Counts and a 36 Week School Year.Note: Comprehensive school health services include basic school health services and additional prevention services and care management to promote retention in school.StudentsaaA

Needing ServicesNumber of Comprehensive SchoolsNumber of Comprehensive StudentsDental Health EducationNutrition and Physical Activity Classes

Tube Feeding (e.g., G, J, PEG, NG) Alcohol, Tobacco and Other Drug Abuse Prevention Classes

Number of Full Service School StudentsNumber of In-Kind Hours from Health/Social Service Agencies

Sexually Transmitted Disease (including HIV) PreventionViolence Prevention/Conflict Resolution Classes

Full Service SchoolsNote: Full Service Schools provide basic school health services and coordinate the provision of donated (in-kind) health and social services on school campuses.Number of Full Service Schools

Suicide Prevention ClassesComprehensive Birth Rate Per 1,000: 6th-12th Grade FemalesCountywide Birth Rate Per 1,000: All 11-18 Year-Old Females Low Weight Births (% of births less than 2,500 grams)Percent of Students Returning to School After Giving Birth

Page 30: State of Florida 2016-2017 Summary of School Health Services · a professional registered school nurse be present in every school, all day, every day.” (NASN, 2017) Note: Based

2016-2017 Summary of School Health Services

Elementary/Middle/High/Combined Level Schools 277Pre-Kindergarten Through 12th Grade Students 214,386Annual Average Number of Health Room Visits Per Student 4.10 Registered Nurse to Student Ratio 1: 2,144% of Students Returning to Class After Health Room Visits 86.15% Registered Nurse to School Ratio 1: 2.77Annual Average Number of Services Per Student 11.02

Registered Nurses 13.00State General Revenue $891,940 Licensed Practical Nurses 0.00

$654,317 Health Aides/Techs 0.00County Health Department Subtotal $1,546,257County Health Department - Other Funding $140,000

$1,686,257 Registered Nurses 87.00$8,372,390 Licensed Practical Nurses 51.00

$0 Health Aides/Techs 53.00$10,058,647

Annual Per Student Expenditure for School Health: $46.92 Registered Nurses 0.00Note: Per student expenditure based on funding from all of the above sources. Licensed Practical Nurses 0.00

Health Aides/Techs 0.00

Allergies: Life ThreateningAllergies: Non-Life ThreateningAsthma Registered Nurses 100.00Attention Deficit / Hyperactivity Disorder Licensed Practical Nurses 51.00Seizure Disorder Health Aides/Techs 53.00Cardiac Mental/Behavioral Health ConditionsDiabetes Nursing Assessment/Counseling 117,541Kidney Disease Licensed Practical Nurse Encounter 462,095Sickle Cell Disease Paraprofessional Evaluation/Treatment 131,350Bleeding Disorder Staff/Parent Consultation 584,882Cancer Individualized Health Care Plan Development 6,919Cystic Fibrosis Complex Medical Procedures 107,278All Other Exceptional Student Education Staffing 4,087Total Health Record Reviews 72,408

Immunization Follow-up 76,346Daily Annual First Aid Administration 243,908

Average Student Health Room Visits 5,891 1,060,416 Health Education Classes 1,962Average Medication Doses Administered 1,680 302,328 All Other Services 553,723

Total Services 2,362,499

Procedures and

Medication Doses Estimated Annual

ServicesCarbohydrate Counting 313 35,352 29Catheterization 38 9,396 27,132Colostomy, Ileostomy, Jejunostomy 50 2,700 65Electronic Monitoring 2,166 25,848 411

139 35,892 34Glucose Monitoring 459 65,376 3Insulin Administration 362 41,328 3Intravenous Treatments 44 0 5Medications (Inhaled) 3,490 37,620 1Medications (Injection) 101 5,364 4.91Medications (Nasal) 62 936 6.18Medications (Oral) 9,407 205,200 0.00%Medications (Other Routes) 717 11,880 83.33%Oxygen Continuous or Intermittent 4 0Specimen Collection or Testing 52 1,296Tracheostomy Care 4 1,692Ventilator Dependent Care 0 972 35Other Procedures 0 1,188 28,963Total 17,408 482,040 37,695

$631,400

Vision Hearing ScoliosisTarget Populations (Mandated grade levels for each screening) KG, 1st, 3rd, 6th KG, 1st, 6th 6th 1st, 3rd, 6thNumber of Students in Mandated Grades (minus opt-outs) 67,677 49,285 14,213 51,077Number (#) of Students Screened in Mandated Grades 66,376 47,988 13,886 49,123Percent (%) of Students Screened in Mandated Grades 98.08% 97.37% 97.70% 96.17%Number (#) of Students Referred for Abnormal Results 4,307 1,752 900 8,927

30,714 1,762 7,720 8,92762.52% 3.59% 15.72% 18.17%

Underweight (< 5th percentile)

Overweight (85th to < 95th

Obese (≥ 95th percentile)Body Mass Index Screening Results

Number of 1st, 3rd and 6th Grade Students by BMI Percentile

Dollar Value of In-Kind Hours Donated by Local Agencies

Students Screened in Grades Mandated by Florida Administrative Code Rule 64F-6.003Note: The percent of students screened in mandated grades may be over 100% due to screening students enrolled after the DOE's October survey of student membership. Growth and

Development with Body Mass IndexScreenings and Referrals

Total Health Staff22,820

Estimated Health Room Visits and Medication Doses Administered

Estimated Annual Medical Procedures and Medication Doses by Type Schools With Comprehensive School Health Services

Key School Health Services in Health Management System

073,883

250

Hillsborough CountyLegislative authority for School Health Services provided in sections 381.0056, 381.0057, 402.3026, Florida Statutes.

Note: This report uses a combination of data from local county Annual School Health Reports, the Department of Health - Health Management System, Vital Statistics and the Department of Education (DOE). This report represents school health services provided by county health departments, school districts and community partners.

Public Schools and Students School Health Staff (excludes Exceptional Student Education Staff)

Percent of 1st, 3rd, 6th Grade Students by BMI Percentile

Healthy Weight (5th to < 85th

Ratio of Registered Nurses (RN) to Schools and Students

County Health Department Total

Total Expenditures for School Health Services

27626

6

2,858652

Note: The National Association of School Nurses (2017) and the American Academy of Pediatrics (2016) recommend a ratio of one full-time registered school nurse for every school. “To optimize student health, safety and learning, it is the position of the National Association of School Nurses that a professional registered school nurse be present in every school, all day, every day.” (NASN, 2017)

Note: Based on DOE reports for Regular Elementary, Middle, Senior High, Combo Schools 2016-2017 and 2016-2017 Membership by District by School by Grade.

2016-2017 Expenditures for School Health ServicesCounty Health Department

County Health Department

Federal Title XXI

School District

School District TotalCommunity Partners (Public and Private) Total

Community Partners (Public and Private)

Reported Student Health Conditions

180

26,74012,1003,9001,975

Type of Health Condition Number of Conditions Reported2,100

Pregnancy Prevention Classes

Note: Based on 2017 FTE Week Counts and a 36 Week School Year.Note: Comprehensive school health services include basic school health services and additional prevention services and care management to promote retention in school.StudentsaaA

Needing ServicesNumber of Comprehensive SchoolsNumber of Comprehensive StudentsDental Health EducationNutrition and Physical Activity Classes

Tube Feeding (e.g., G, J, PEG, NG) Alcohol, Tobacco and Other Drug Abuse Prevention Classes

Number of Full Service School StudentsNumber of In-Kind Hours from Health/Social Service Agencies

Sexually Transmitted Disease (including HIV) PreventionViolence Prevention/Conflict Resolution Classes

Full Service SchoolsNote: Full Service Schools provide basic school health services and coordinate the provision of donated (in-kind) health and social services on school campuses.Number of Full Service Schools

Suicide Prevention ClassesComprehensive Birth Rate Per 1,000: 6th-12th Grade FemalesCountywide Birth Rate Per 1,000: All 11-18 Year-Old Females Low Weight Births (% of births less than 2,500 grams)Percent of Students Returning to School After Giving Birth

Page 31: State of Florida 2016-2017 Summary of School Health Services · a professional registered school nurse be present in every school, all day, every day.” (NASN, 2017) Note: Based

2016-2017 Summary of School Health Services

Elementary/Middle/High/Combined Level Schools 7Pre-Kindergarten Through 12th Grade Students 3,311Annual Average Number of Health Room Visits Per Student 4.20 Registered Nurse to Student Ratio 1: 2,207% of Students Returning to Class After Health Room Visits 90.27% Registered Nurse to School Ratio 1: 4.67Annual Average Number of Services Per Student 18.57

Registered Nurses 1.50State General Revenue $72,434 Licensed Practical Nurses 0.00

$198,003 Health Aides/Techs 7.00County Health Department Subtotal $270,437County Health Department - Other Funding $0

$270,437 Registered Nurses 0.00$55,763 Licensed Practical Nurses 0.00

$0 Health Aides/Techs 0.00$326,200

Annual Per Student Expenditure for School Health: $98.52 Registered Nurses 0.00Note: Per student expenditure based on funding from all of the above sources. Licensed Practical Nurses 0.00

Health Aides/Techs 0.00

Allergies: Life ThreateningAllergies: Non-Life ThreateningAsthma Registered Nurses 1.50Attention Deficit / Hyperactivity Disorder Licensed Practical Nurses 0.00Seizure Disorder Health Aides/Techs 7.00Cardiac Mental/Behavioral Health ConditionsDiabetes Nursing Assessment/Counseling 1,058Kidney Disease Licensed Practical Nurse Encounter 0Sickle Cell Disease Paraprofessional Evaluation/Treatment 22,825Bleeding Disorder Staff/Parent Consultation 3,995Cancer Individualized Health Care Plan Development 30Cystic Fibrosis Complex Medical Procedures 3,035All Other Exceptional Student Education Staffing 1Total Health Record Reviews 3,616

Immunization Follow-up 130Daily Annual First Aid Administration 12,771

Average Student Health Room Visits 221 39,780 Health Education Classes 88Average Medication Doses Administered 48 8,676 All Other Services 13,949

Total Services 61,498

Procedures and

Medication Doses Estimated Annual

ServicesCarbohydrate Counting 9 1,548 5Catheterization 2 180 2,669Colostomy, Ileostomy, Jejunostomy 0 0 6Electronic Monitoring 0 0 27

2 0 11Glucose Monitoring 9 2,952 0Insulin Administration 9 1,512 0Intravenous Treatments 0 0 11Medications (Inhaled) 22 360 0Medications (Injection) 0 1,764 4.79Medications (Nasal) 0 0 9.37Medications (Oral) 52 5,040 0.00%Medications (Other Routes) 0 0 100.00%Oxygen Continuous or Intermittent 1 36Specimen Collection or Testing 0 0Tracheostomy Care 0 0Ventilator Dependent Care 0 0 2Other Procedures 0 432 598Total 106 13,824 59

$1,575

Vision Hearing ScoliosisTarget Populations (Mandated grade levels for each screening) KG, 1st, 3rd, 6th KG, 1st, 6th 6th 1st, 3rd, 6thNumber of Students in Mandated Grades (minus opt-outs) 1,043 774 265 796Number (#) of Students Screened in Mandated Grades 1,130 858 256 781Percent (%) of Students Screened in Mandated Grades 108.34% 110.85% 96.60% 98.12%Number (#) of Students Referred for Abnormal Results 14 1 0 0

523 10 142 10666.97% 1.28% 18.18% 13.57%

Underweight (< 5th percentile)

Overweight (85th to < 95th

Obese (≥ 95th percentile)Body Mass Index Screening Results

Number of 1st, 3rd and 6th Grade Students by BMI Percentile

Dollar Value of In-Kind Hours Donated by Local Agencies

Students Screened in Grades Mandated by Florida Administrative Code Rule 64F-6.003Note: The percent of students screened in mandated grades may be over 100% due to screening students enrolled after the DOE's October survey of student membership. Growth and

Development with Body Mass IndexScreenings and Referrals

Total Health Staff250

Estimated Health Room Visits and Medication Doses Administered

Estimated Annual Medical Procedures and Medication Doses by Type Schools With Comprehensive School Health Services

Key School Health Services in Health Management System

4615

1

Holmes CountyLegislative authority for School Health Services provided in sections 381.0056, 381.0057, 402.3026, Florida Statutes.

Note: This report uses a combination of data from local county Annual School Health Reports, the Department of Health - Health Management System, Vital Statistics and the Department of Education (DOE). This report represents school health services provided by county health departments, school districts and community partners.

Public Schools and Students School Health Staff (excludes Exceptional Student Education Staff)

Percent of 1st, 3rd, 6th Grade Students by BMI Percentile

Healthy Weight (5th to < 85th

Ratio of Registered Nurses (RN) to Schools and Students

County Health Department Total

Total Expenditures for School Health Services

42

7

89

Note: The National Association of School Nurses (2017) and the American Academy of Pediatrics (2016) recommend a ratio of one full-time registered school nurse for every school. “To optimize student health, safety and learning, it is the position of the National Association of School Nurses that a professional registered school nurse be present in every school, all day, every day.” (NASN, 2017)

Note: Based on DOE reports for Regular Elementary, Middle, Senior High, Combo Schools 2016-2017 and 2016-2017 Membership by District by School by Grade.

2016-2017 Expenditures for School Health ServicesCounty Health Department

County Health Department

Federal Title XXI

School District

School District TotalCommunity Partners (Public and Private) Total

Community Partners (Public and Private)

Reported Student Health Conditions

2

168120156

Type of Health Condition Number of Conditions Reported19

Pregnancy Prevention Classes

Note: Based on 2017 FTE Week Counts and a 36 Week School Year.Note: Comprehensive school health services include basic school health services and additional prevention services and care management to promote retention in school.StudentsaaA

Needing ServicesNumber of Comprehensive SchoolsNumber of Comprehensive StudentsDental Health EducationNutrition and Physical Activity Classes

Tube Feeding (e.g., G, J, PEG, NG) Alcohol, Tobacco and Other Drug Abuse Prevention Classes

Number of Full Service School StudentsNumber of In-Kind Hours from Health/Social Service Agencies

Sexually Transmitted Disease (including HIV) PreventionViolence Prevention/Conflict Resolution Classes

Full Service SchoolsNote: Full Service Schools provide basic school health services and coordinate the provision of donated (in-kind) health and social services on school campuses.Number of Full Service Schools

Suicide Prevention ClassesComprehensive Birth Rate Per 1,000: 6th-12th Grade FemalesCountywide Birth Rate Per 1,000: All 11-18 Year-Old Females Low Weight Births (% of births less than 2,500 grams)Percent of Students Returning to School After Giving Birth

Page 32: State of Florida 2016-2017 Summary of School Health Services · a professional registered school nurse be present in every school, all day, every day.” (NASN, 2017) Note: Based

2016-2017 Summary of School Health Services

Elementary/Middle/High/Combined Level Schools 27Pre-Kindergarten Through 12th Grade Students 17,879Annual Average Number of Health Room Visits Per Student 2.76 Registered Nurse to Student Ratio 1: 3,973% of Students Returning to Class After Health Room Visits 88.00% Registered Nurse to School Ratio 1: 6.00Annual Average Number of Services Per Student 1.48

Registered Nurses 3.50State General Revenue $153,495 Licensed Practical Nurses 0.00

$157,571 Health Aides/Techs 0.00County Health Department Subtotal $311,066County Health Department - Other Funding $0

$311,066 Registered Nurses 1.00$902,202 Licensed Practical Nurses 7.00

$0 Health Aides/Techs 14.00$1,213,268

Annual Per Student Expenditure for School Health: $67.86 Registered Nurses 0.00Note: Per student expenditure based on funding from all of the above sources. Licensed Practical Nurses 0.00

Health Aides/Techs 0.00

Allergies: Life ThreateningAllergies: Non-Life ThreateningAsthma Registered Nurses 4.50Attention Deficit / Hyperactivity Disorder Licensed Practical Nurses 7.00Seizure Disorder Health Aides/Techs 14.00Cardiac Mental/Behavioral Health ConditionsDiabetes Nursing Assessment/Counseling 827Kidney Disease Licensed Practical Nurse Encounter 27Sickle Cell Disease Paraprofessional Evaluation/Treatment 74Bleeding Disorder Staff/Parent Consultation 1,547Cancer Individualized Health Care Plan Development 403Cystic Fibrosis Complex Medical Procedures 13All Other Exceptional Student Education Staffing 4Total Health Record Reviews 2,008

Immunization Follow-up 533Daily Annual First Aid Administration 120

Average Student Health Room Visits 653 117,612 Health Education Classes 920Average Medication Doses Administered 170 30,564 All Other Services 20,001

Total Services 26,477

Procedures and

Medication Doses Estimated Annual

ServicesCarbohydrate Counting 19 3,708 20Catheterization 2 720 14,904Colostomy, Ileostomy, Jejunostomy 0 720 0Electronic Monitoring 0 0 878

3 828 0Glucose Monitoring 29 6,912 0Insulin Administration 28 5,148 0Intravenous Treatments 0 0 0Medications (Inhaled) 103 3,924 0Medications (Injection) 40 0 4.83Medications (Nasal) 1 0 7.89Medications (Oral) 168 21,492 5.26%Medications (Other Routes) 0 0 36.84%Oxygen Continuous or Intermittent 0 0Specimen Collection or Testing 2 252Tracheostomy Care 0 0Ventilator Dependent Care 0 0 1Other Procedures 0 3,528 664Total 395 47,232 0

$0

Vision Hearing ScoliosisTarget Populations (Mandated grade levels for each screening) KG, 1st, 3rd, 6th KG, 1st, 6th 6th 1st, 3rd, 6thNumber of Students in Mandated Grades (minus opt-outs) 5,226 3,756 1,368 4,002Number (#) of Students Screened in Mandated Grades 5,153 3,761 1,336 3,914Percent (%) of Students Screened in Mandated Grades 98.60% 100.13% 97.66% 97.80%Number (#) of Students Referred for Abnormal Results 509 32 31 657

2,433 163 604 71462.16% 4.16% 15.43% 18.24%

Underweight (< 5th percentile)

Overweight (85th to < 95th

Obese (≥ 95th percentile)Body Mass Index Screening Results

Number of 1st, 3rd and 6th Grade Students by BMI Percentile

Dollar Value of In-Kind Hours Donated by Local Agencies

Students Screened in Grades Mandated by Florida Administrative Code Rule 64F-6.003Note: The percent of students screened in mandated grades may be over 100% due to screening students enrolled after the DOE's October survey of student membership. Growth and

Development with Body Mass IndexScreenings and Referrals

Total Health Staff2,355

Estimated Health Room Visits and Medication Doses Administered

Estimated Annual Medical Procedures and Medication Doses by Type Schools With Comprehensive School Health Services

Key School Health Services in Health Management System

06,000

24

Indian River CountyLegislative authority for School Health Services provided in sections 381.0056, 381.0057, 402.3026, Florida Statutes.

Note: This report uses a combination of data from local county Annual School Health Reports, the Department of Health - Health Management System, Vital Statistics and the Department of Education (DOE). This report represents school health services provided by county health departments, school districts and community partners.

Public Schools and Students School Health Staff (excludes Exceptional Student Education Staff)

Percent of 1st, 3rd, 6th Grade Students by BMI Percentile

Healthy Weight (5th to < 85th

Ratio of Registered Nurses (RN) to Schools and Students

County Health Department Total

Total Expenditures for School Health Services

42

9

26453

Note: The National Association of School Nurses (2017) and the American Academy of Pediatrics (2016) recommend a ratio of one full-time registered school nurse for every school. “To optimize student health, safety and learning, it is the position of the National Association of School Nurses that a professional registered school nurse be present in every school, all day, every day.” (NASN, 2017)

Note: Based on DOE reports for Regular Elementary, Middle, Senior High, Combo Schools 2016-2017 and 2016-2017 Membership by District by School by Grade.

2016-2017 Expenditures for School Health ServicesCounty Health Department

County Health Department

Federal Title XXI

School District

School District TotalCommunity Partners (Public and Private) Total

Community Partners (Public and Private)

Reported Student Health Conditions

24

1,92283618680

Type of Health Condition Number of Conditions Reported241

Pregnancy Prevention Classes

Note: Based on 2017 FTE Week Counts and a 36 Week School Year.Note: Comprehensive school health services include basic school health services and additional prevention services and care management to promote retention in school.StudentsaaA

Needing ServicesNumber of Comprehensive SchoolsNumber of Comprehensive StudentsDental Health EducationNutrition and Physical Activity Classes

Tube Feeding (e.g., G, J, PEG, NG) Alcohol, Tobacco and Other Drug Abuse Prevention Classes

Number of Full Service School StudentsNumber of In-Kind Hours from Health/Social Service Agencies

Sexually Transmitted Disease (including HIV) PreventionViolence Prevention/Conflict Resolution Classes

Full Service SchoolsNote: Full Service Schools provide basic school health services and coordinate the provision of donated (in-kind) health and social services on school campuses.Number of Full Service Schools

Suicide Prevention ClassesComprehensive Birth Rate Per 1,000: 6th-12th Grade FemalesCountywide Birth Rate Per 1,000: All 11-18 Year-Old Females Low Weight Births (% of births less than 2,500 grams)Percent of Students Returning to School After Giving Birth

Page 33: State of Florida 2016-2017 Summary of School Health Services · a professional registered school nurse be present in every school, all day, every day.” (NASN, 2017) Note: Based

2016-2017 Summary of School Health Services

Elementary/Middle/High/Combined Level Schools 15Pre-Kindergarten Through 12th Grade Students 6,738Annual Average Number of Health Room Visits Per Student 10.42 Registered Nurse to Student Ratio 1: 1,225% of Students Returning to Class After Health Room Visits 90.77% Registered Nurse to School Ratio 1: 2.73Annual Average Number of Services Per Student 16.81

Registered Nurses 4.50State General Revenue $120,882 Licensed Practical Nurses 1.10

$349,869 Health Aides/Techs 0.00County Health Department Subtotal $470,751County Health Department - Other Funding $0

$470,751 Registered Nurses 1.00$3,439 Licensed Practical Nurses 0.00

$0 Health Aides/Techs 13.00$474,190

Annual Per Student Expenditure for School Health: $70.38 Registered Nurses 0.00Note: Per student expenditure based on funding from all of the above sources. Licensed Practical Nurses 0.00

Health Aides/Techs 0.00

Allergies: Life ThreateningAllergies: Non-Life ThreateningAsthma Registered Nurses 5.50Attention Deficit / Hyperactivity Disorder Licensed Practical Nurses 1.10Seizure Disorder Health Aides/Techs 13.00Cardiac Mental/Behavioral Health ConditionsDiabetes Nursing Assessment/Counseling 18Kidney Disease Licensed Practical Nurse Encounter 4,146Sickle Cell Disease Paraprofessional Evaluation/Treatment 34,172Bleeding Disorder Staff/Parent Consultation 18,214Cancer Individualized Health Care Plan Development 2,737Cystic Fibrosis Complex Medical Procedures 1,064All Other Exceptional Student Education Staffing 43Total Health Record Reviews 5,553

Immunization Follow-up 4,389Daily Annual First Aid Administration 908

Average Student Health Room Visits 452 81,396 Health Education Classes 29Average Medication Doses Administered 218 39,240 All Other Services 42,014

Total Services 113,287

Procedures and

Medication Doses Estimated Annual

ServicesCarbohydrate Counting 17 2,448 13Catheterization 2 216 6,221Colostomy, Ileostomy, Jejunostomy 0 0 40Electronic Monitoring 0 108 0

1 0 0Glucose Monitoring 17 4,104 0Insulin Administration 17 2,232 0Intravenous Treatments 0 0 0Medications (Inhaled) 158 4,536 0Medications (Injection) 0 0 4.85Medications (Nasal) 6 360 13.13Medications (Oral) 436 32,112 0.00%Medications (Other Routes) 30 0 62.50%Oxygen Continuous or Intermittent 0 0Specimen Collection or Testing 0 288Tracheostomy Care 0 0Ventilator Dependent Care 0 0 1Other Procedures 1 1,944 124Total 685 48,348 0

$0

Vision Hearing ScoliosisTarget Populations (Mandated grade levels for each screening) KG, 1st, 3rd, 6th KG, 1st, 6th 6th 1st, 3rd, 6thNumber of Students in Mandated Grades (minus opt-outs) 2,023 1,500 511 1,544Number (#) of Students Screened in Mandated Grades 2,073 1,537 494 1,510Percent (%) of Students Screened in Mandated Grades 102.47% 102.47% 96.67% 97.80%Number (#) of Students Referred for Abnormal Results 128 19 8 332

886 38 252 33458.68% 2.52% 16.69% 22.12%

Underweight (< 5th percentile)

Overweight (85th to < 95th

Obese (≥ 95th percentile)Body Mass Index Screening Results

Number of 1st, 3rd and 6th Grade Students by BMI Percentile

Dollar Value of In-Kind Hours Donated by Local Agencies

Students Screened in Grades Mandated by Florida Administrative Code Rule 64F-6.003Note: The percent of students screened in mandated grades may be over 100% due to screening students enrolled after the DOE's October survey of student membership. Growth and

Development with Body Mass IndexScreenings and Referrals

Total Health Staff1,086

Estimated Health Room Visits and Medication Doses Administered

Estimated Annual Medical Procedures and Medication Doses by Type Schools With Comprehensive School Health Services

Key School Health Services in Health Management System

3353,424

4

Jackson CountyLegislative authority for School Health Services provided in sections 381.0056, 381.0057, 402.3026, Florida Statutes.

Note: This report uses a combination of data from local county Annual School Health Reports, the Department of Health - Health Management System, Vital Statistics and the Department of Education (DOE). This report represents school health services provided by county health departments, school districts and community partners.

Public Schools and Students School Health Staff (excludes Exceptional Student Education Staff)

Percent of 1st, 3rd, 6th Grade Students by BMI Percentile

Healthy Weight (5th to < 85th

Ratio of Registered Nurses (RN) to Schools and Students

County Health Department Total

Total Expenditures for School Health Services

31

9

2820

Note: The National Association of School Nurses (2017) and the American Academy of Pediatrics (2016) recommend a ratio of one full-time registered school nurse for every school. “To optimize student health, safety and learning, it is the position of the National Association of School Nurses that a professional registered school nurse be present in every school, all day, every day.” (NASN, 2017)

Note: Based on DOE reports for Regular Elementary, Middle, Senior High, Combo Schools 2016-2017 and 2016-2017 Membership by District by School by Grade.

2016-2017 Expenditures for School Health ServicesCounty Health Department

County Health Department

Federal Title XXI

School District

School District TotalCommunity Partners (Public and Private) Total

Community Partners (Public and Private)

Reported Student Health Conditions

13

8088578598

Type of Health Condition Number of Conditions Reported77

Pregnancy Prevention Classes

Note: Based on 2017 FTE Week Counts and a 36 Week School Year.Note: Comprehensive school health services include basic school health services and additional prevention services and care management to promote retention in school.StudentsaaA

Needing ServicesNumber of Comprehensive SchoolsNumber of Comprehensive StudentsDental Health EducationNutrition and Physical Activity Classes

Tube Feeding (e.g., G, J, PEG, NG) Alcohol, Tobacco and Other Drug Abuse Prevention Classes

Number of Full Service School StudentsNumber of In-Kind Hours from Health/Social Service Agencies

Sexually Transmitted Disease (including HIV) PreventionViolence Prevention/Conflict Resolution Classes

Full Service SchoolsNote: Full Service Schools provide basic school health services and coordinate the provision of donated (in-kind) health and social services on school campuses.Number of Full Service Schools

Suicide Prevention ClassesComprehensive Birth Rate Per 1,000: 6th-12th Grade FemalesCountywide Birth Rate Per 1,000: All 11-18 Year-Old Females Low Weight Births (% of births less than 2,500 grams)Percent of Students Returning to School After Giving Birth

Page 34: State of Florida 2016-2017 Summary of School Health Services · a professional registered school nurse be present in every school, all day, every day.” (NASN, 2017) Note: Based

2016-2017 Summary of School Health Services

Elementary/Middle/High/Combined Level Schools 3Pre-Kindergarten Through 12th Grade Students 734Annual Average Number of Health Room Visits Per Student 8.72 Registered Nurse to Student Ratio 1: 1,112% of Students Returning to Class After Health Room Visits 94.50% Registered Nurse to School Ratio 1: 4.55Annual Average Number of Services Per Student 11.67

Registered Nurses 0.66State General Revenue $72,243 Licensed Practical Nurses 2.00

$95,684 Health Aides/Techs 0.00County Health Department Subtotal $167,927County Health Department - Other Funding $0

$167,927 Registered Nurses 0.00$0 Licensed Practical Nurses 0.00$0 Health Aides/Techs 0.00

$167,927

Annual Per Student Expenditure for School Health: $228.78 Registered Nurses 0.00Note: Per student expenditure based on funding from all of the above sources. Licensed Practical Nurses 0.00

Health Aides/Techs 0.00

Allergies: Life ThreateningAllergies: Non-Life ThreateningAsthma Registered Nurses 0.66Attention Deficit / Hyperactivity Disorder Licensed Practical Nurses 2.00Seizure Disorder Health Aides/Techs 0.00Cardiac Mental/Behavioral Health ConditionsDiabetes Nursing Assessment/Counseling 1,383Kidney Disease Licensed Practical Nurse Encounter 4,844Sickle Cell Disease Paraprofessional Evaluation/Treatment 0Bleeding Disorder Staff/Parent Consultation 231Cancer Individualized Health Care Plan Development 39Cystic Fibrosis Complex Medical Procedures 6All Other Exceptional Student Education Staffing 16Total Health Record Reviews 354

Immunization Follow-up 72Daily Annual First Aid Administration 0

Average Student Health Room Visits 67 12,024 Health Education Classes 402Average Medication Doses Administered 7 1,224 All Other Services 1,216

Total Services 8,563

Procedures and

Medication Doses Estimated Annual

ServicesCarbohydrate Counting 0 0 2Catheterization 0 0 777Colostomy, Ileostomy, Jejunostomy 0 0 15Electronic Monitoring 46 0 17

0 0 0Glucose Monitoring 0 0 14Insulin Administration 0 0 15Intravenous Treatments 0 0 5Medications (Inhaled) 14 576 0Medications (Injection) 0 0 25.81Medications (Nasal) 0 0 10.77Medications (Oral) 8 648 0.00%Medications (Other Routes) 0 0 100.00%Oxygen Continuous or Intermittent 0 0Specimen Collection or Testing 0 0Tracheostomy Care 0 0Ventilator Dependent Care 0 0 0Other Procedures 0 0 0Total 68 1,224 19,098

$280,120

Vision Hearing ScoliosisTarget Populations (Mandated grade levels for each screening) KG, 1st, 3rd, 6th KG, 1st, 6th 6th 1st, 3rd, 6thNumber of Students in Mandated Grades (minus opt-outs) 255 184 71 201Number (#) of Students Screened in Mandated Grades 250 183 68 199Percent (%) of Students Screened in Mandated Grades 98.04% 99.46% 95.77% 99.00%Number (#) of Students Referred for Abnormal Results 20 0 0 54

109 3 33 5454.77% 1.51% 16.58% 27.14%

Underweight (< 5th percentile)

Overweight (85th to < 95th

Obese (≥ 95th percentile)Body Mass Index Screening Results

Number of 1st, 3rd and 6th Grade Students by BMI Percentile

Dollar Value of In-Kind Hours Donated by Local Agencies

Students Screened in Grades Mandated by Florida Administrative Code Rule 64F-6.003Note: The percent of students screened in mandated grades may be over 100% due to screening students enrolled after the DOE's October survey of student membership. Growth and

Development with Body Mass IndexScreenings and Referrals

Total Health Staff81

Estimated Health Room Visits and Medication Doses Administered

Estimated Annual Medical Procedures and Medication Doses by Type Schools With Comprehensive School Health Services

Key School Health Services in Health Management System

15165

0

Jefferson CountyLegislative authority for School Health Services provided in sections 381.0056, 381.0057, 402.3026, Florida Statutes.

Note: This report uses a combination of data from local county Annual School Health Reports, the Department of Health - Health Management System, Vital Statistics and the Department of Education (DOE). This report represents school health services provided by county health departments, school districts and community partners.

Public Schools and Students School Health Staff (excludes Exceptional Student Education Staff)

Percent of 1st, 3rd, 6th Grade Students by BMI Percentile

Healthy Weight (5th to < 85th

Ratio of Registered Nurses (RN) to Schools and Students

County Health Department Total

Total Expenditures for School Health Services

00

0

40

Note: The National Association of School Nurses (2017) and the American Academy of Pediatrics (2016) recommend a ratio of one full-time registered school nurse for every school. “To optimize student health, safety and learning, it is the position of the National Association of School Nurses that a professional registered school nurse be present in every school, all day, every day.” (NASN, 2017)

Note: Based on DOE reports for Regular Elementary, Middle, Senior High, Combo Schools 2016-2017 and 2016-2017 Membership by District by School by Grade.

2016-2017 Expenditures for School Health ServicesCounty Health Department

County Health Department

Federal Title XXI

School District

School District TotalCommunity Partners (Public and Private) Total

Community Partners (Public and Private)

Reported Student Health Conditions

0

282563

Type of Health Condition Number of Conditions Reported3

Pregnancy Prevention Classes

Note: Based on 2017 FTE Week Counts and a 36 Week School Year.Note: Comprehensive school health services include basic school health services and additional prevention services and care management to promote retention in school.StudentsaaA

Needing ServicesNumber of Comprehensive SchoolsNumber of Comprehensive StudentsDental Health EducationNutrition and Physical Activity Classes

Tube Feeding (e.g., G, J, PEG, NG) Alcohol, Tobacco and Other Drug Abuse Prevention Classes

Number of Full Service School StudentsNumber of In-Kind Hours from Health/Social Service Agencies

Sexually Transmitted Disease (including HIV) PreventionViolence Prevention/Conflict Resolution Classes

Full Service SchoolsNote: Full Service Schools provide basic school health services and coordinate the provision of donated (in-kind) health and social services on school campuses.Number of Full Service Schools

Suicide Prevention ClassesComprehensive Birth Rate Per 1,000: 6th-12th Grade FemalesCountywide Birth Rate Per 1,000: All 11-18 Year-Old Females Low Weight Births (% of births less than 2,500 grams)Percent of Students Returning to School After Giving Birth

Page 35: State of Florida 2016-2017 Summary of School Health Services · a professional registered school nurse be present in every school, all day, every day.” (NASN, 2017) Note: Based

2016-2017 Summary of School Health Services

Elementary/Middle/High/Combined Level Schools 2Pre-Kindergarten Through 12th Grade Students 1,268Annual Average Number of Health Room Visits Per Student 12.00 Registered Nurse to Student Ratio 1: 1,691% of Students Returning to Class After Health Room Visits 95.04% Registered Nurse to School Ratio 1: 2.67Annual Average Number of Services Per Student 20.37

Registered Nurses 0.75State General Revenue $59,110 Licensed Practical Nurses 0.00

$87,407 Health Aides/Techs 2.00County Health Department Subtotal $146,517County Health Department - Other Funding $2,300

$148,817 Registered Nurses 0.00$0 Licensed Practical Nurses 0.00$0 Health Aides/Techs 0.00

$148,817

Annual Per Student Expenditure for School Health: $117.36 Registered Nurses 0.00Note: Per student expenditure based on funding from all of the above sources. Licensed Practical Nurses 0.00

Health Aides/Techs 0.00

Allergies: Life ThreateningAllergies: Non-Life ThreateningAsthma Registered Nurses 0.75Attention Deficit / Hyperactivity Disorder Licensed Practical Nurses 0.00Seizure Disorder Health Aides/Techs 2.00Cardiac Mental/Behavioral Health ConditionsDiabetes Nursing Assessment/Counseling 2,568Kidney Disease Licensed Practical Nurse Encounter 0Sickle Cell Disease Paraprofessional Evaluation/Treatment 6,295Bleeding Disorder Staff/Parent Consultation 4,203Cancer Individualized Health Care Plan Development 33Cystic Fibrosis Complex Medical Procedures 204All Other Exceptional Student Education Staffing 20Total Health Record Reviews 1,422

Immunization Follow-up 333Daily Annual First Aid Administration 1,533

Average Student Health Room Visits 104 18,720 Health Education Classes 40Average Medication Doses Administered 34 6,048 All Other Services 9,175

Total Services 25,826

Procedures and

Medication Doses Estimated Annual

ServicesCarbohydrate Counting 1 180 2Catheterization 0 0 1,262Colostomy, Ileostomy, Jejunostomy 0 0 2Electronic Monitoring 12 180 0

0 0 0Glucose Monitoring 1 180 8Insulin Administration 1 0 9Intravenous Treatments 0 0 0Medications (Inhaled) 31 216 0Medications (Injection) 11 0 0.00Medications (Nasal) 1 0 6.79Medications (Oral) 86 5,652 0.00%Medications (Other Routes) 4 180 0.00%Oxygen Continuous or Intermittent 1 216Specimen Collection or Testing 0 0Tracheostomy Care 0 0Ventilator Dependent Care 0 0 0Other Procedures 1 0 0Total 150 6,804 1,568

$56,400

Vision Hearing ScoliosisTarget Populations (Mandated grade levels for each screening) KG, 1st, 3rd, 6th KG, 1st, 6th 6th 1st, 3rd, 6thNumber of Students in Mandated Grades (minus opt-outs) 376 288 98 269Number (#) of Students Screened in Mandated Grades 373 281 94 266Percent (%) of Students Screened in Mandated Grades 99.20% 97.57% 95.92% 98.88%Number (#) of Students Referred for Abnormal Results 12 0 0 0

153 8 53 5257.52% 3.01% 19.92% 19.55%

Underweight (< 5th percentile)

Overweight (85th to < 95th

Obese (≥ 95th percentile)Body Mass Index Screening Results

Number of 1st, 3rd and 6th Grade Students by BMI Percentile

Dollar Value of In-Kind Hours Donated by Local Agencies

Students Screened in Grades Mandated by Florida Administrative Code Rule 64F-6.003Note: The percent of students screened in mandated grades may be over 100% due to screening students enrolled after the DOE's October survey of student membership. Growth and

Development with Body Mass IndexScreenings and Referrals

Total Health Staff330

Estimated Health Room Visits and Medication Doses Administered

Estimated Annual Medical Procedures and Medication Doses by Type Schools With Comprehensive School Health Services

Key School Health Services in Health Management System

8649

0

Lafayette CountyLegislative authority for School Health Services provided in sections 381.0056, 381.0057, 402.3026, Florida Statutes.

Note: This report uses a combination of data from local county Annual School Health Reports, the Department of Health - Health Management System, Vital Statistics and the Department of Education (DOE). This report represents school health services provided by county health departments, school districts and community partners.

Public Schools and Students School Health Staff (excludes Exceptional Student Education Staff)

Percent of 1st, 3rd, 6th Grade Students by BMI Percentile

Healthy Weight (5th to < 85th

Ratio of Registered Nurses (RN) to Schools and Students

County Health Department Total

Total Expenditures for School Health Services

00

1

181

Note: The National Association of School Nurses (2017) and the American Academy of Pediatrics (2016) recommend a ratio of one full-time registered school nurse for every school. “To optimize student health, safety and learning, it is the position of the National Association of School Nurses that a professional registered school nurse be present in every school, all day, every day.” (NASN, 2017)

Note: Based on DOE reports for Regular Elementary, Middle, Senior High, Combo Schools 2016-2017 and 2016-2017 Membership by District by School by Grade.

2016-2017 Expenditures for School Health ServicesCounty Health Department

County Health Department

Federal Title XXI

School District

School District TotalCommunity Partners (Public and Private) Total

Community Partners (Public and Private)

Reported Student Health Conditions

1

143124

87

Type of Health Condition Number of Conditions Reported8

Pregnancy Prevention Classes

Note: Based on 2017 FTE Week Counts and a 36 Week School Year.Note: Comprehensive school health services include basic school health services and additional prevention services and care management to promote retention in school.StudentsaaA

Needing ServicesNumber of Comprehensive SchoolsNumber of Comprehensive StudentsDental Health EducationNutrition and Physical Activity Classes

Tube Feeding (e.g., G, J, PEG, NG) Alcohol, Tobacco and Other Drug Abuse Prevention Classes

Number of Full Service School StudentsNumber of In-Kind Hours from Health/Social Service Agencies

Sexually Transmitted Disease (including HIV) PreventionViolence Prevention/Conflict Resolution Classes

Full Service SchoolsNote: Full Service Schools provide basic school health services and coordinate the provision of donated (in-kind) health and social services on school campuses.Number of Full Service Schools

Suicide Prevention ClassesComprehensive Birth Rate Per 1,000: 6th-12th Grade FemalesCountywide Birth Rate Per 1,000: All 11-18 Year-Old Females Low Weight Births (% of births less than 2,500 grams)Percent of Students Returning to School After Giving Birth

Page 36: State of Florida 2016-2017 Summary of School Health Services · a professional registered school nurse be present in every school, all day, every day.” (NASN, 2017) Note: Based

2016-2017 Summary of School Health Services

Elementary/Middle/High/Combined Level Schools 45Pre-Kindergarten Through 12th Grade Students 42,472Annual Average Number of Health Room Visits Per Student 4.33 Registered Nurse to Student Ratio 1: 3,481% of Students Returning to Class After Health Room Visits 85.35% Registered Nurse to School Ratio 1: 3.69Annual Average Number of Services Per Student 9.47

Registered Nurses 0.50State General Revenue $0 Licensed Practical Nurses 1.00

$0 Health Aides/Techs 4.00County Health Department Subtotal $0County Health Department - Other Funding $2,342,585

$2,342,585 Registered Nurses 11.70$0 Licensed Practical Nurses 27.00$0 Health Aides/Techs 0.00

$2,342,585

Annual Per Student Expenditure for School Health: $55.16 Registered Nurses 0.00Note: Per student expenditure based on funding from all of the above sources. Licensed Practical Nurses 0.00

Health Aides/Techs 0.00

Allergies: Life ThreateningAllergies: Non-Life ThreateningAsthma Registered Nurses 12.20Attention Deficit / Hyperactivity Disorder Licensed Practical Nurses 28.00Seizure Disorder Health Aides/Techs 4.00Cardiac Mental/Behavioral Health ConditionsDiabetes Nursing Assessment/Counseling 13,663Kidney Disease Licensed Practical Nurse Encounter 127,376Sickle Cell Disease Paraprofessional Evaluation/Treatment 0Bleeding Disorder Staff/Parent Consultation 77,318Cancer Individualized Health Care Plan Development 789Cystic Fibrosis Complex Medical Procedures 13,348All Other Exceptional Student Education Staffing 810Total Health Record Reviews 9,161

Immunization Follow-up 6,573Daily Annual First Aid Administration 61,445

Average Student Health Room Visits 1,446 260,208 Health Education Classes 1,725Average Medication Doses Administered 539 97,092 All Other Services 90,161

Total Services 402,369

Procedures and

Medication Doses Estimated Annual

ServicesCarbohydrate Counting 104 1,188 0Catheterization 5 1,116 0Colostomy, Ileostomy, Jejunostomy 6 936 0Electronic Monitoring 4 1,152 0

35 8,460 0Glucose Monitoring 105 17,568 0Insulin Administration 108 13,968 0Intravenous Treatments 0 0 0Medications (Inhaled) 556 12,924 0Medications (Injection) 116 72 0.00Medications (Nasal) 2 0 7.60Medications (Oral) 465 68,040 0.00%Medications (Other Routes) 52 2,088 0.00%Oxygen Continuous or Intermittent 2 180Specimen Collection or Testing 37 648Tracheostomy Care 0 360Ventilator Dependent Care 0 0 3Other Procedures 0 6,624 2,114Total 1,597 135,324 12

$7,100

Vision Hearing ScoliosisTarget Populations (Mandated grade levels for each screening) KG, 1st, 3rd, 6th KG, 1st, 6th 6th 1st, 3rd, 6thNumber of Students in Mandated Grades (minus opt-outs) 12,782 9,267 3,072 9,741Number (#) of Students Screened in Mandated Grades 12,638 9,139 3,048 9,362Percent (%) of Students Screened in Mandated Grades 98.87% 98.62% 99.22% 96.11%Number (#) of Students Referred for Abnormal Results 1,167 210 21 1,696

5,951 358 1,361 1,69263.57% 3.82% 14.54% 18.07%

Underweight (< 5th percentile)

Overweight (85th to < 95th

Obese (≥ 95th percentile)Body Mass Index Screening Results

Number of 1st, 3rd and 6th Grade Students by BMI Percentile

Dollar Value of In-Kind Hours Donated by Local Agencies

Students Screened in Grades Mandated by Florida Administrative Code Rule 64F-6.003Note: The percent of students screened in mandated grades may be over 100% due to screening students enrolled after the DOE's October survey of student membership. Growth and

Development with Body Mass IndexScreenings and Referrals

Total Health Staff970

Estimated Health Room Visits and Medication Doses Administered

Estimated Annual Medical Procedures and Medication Doses by Type Schools With Comprehensive School Health Services

Key School Health Services in Health Management System

1554,813

21

Lake CountyLegislative authority for School Health Services provided in sections 381.0056, 381.0057, 402.3026, Florida Statutes.

Note: This report uses a combination of data from local county Annual School Health Reports, the Department of Health - Health Management System, Vital Statistics and the Department of Education (DOE). This report represents school health services provided by county health departments, school districts and community partners.

Public Schools and Students School Health Staff (excludes Exceptional Student Education Staff)

Percent of 1st, 3rd, 6th Grade Students by BMI Percentile

Healthy Weight (5th to < 85th

Ratio of Registered Nurses (RN) to Schools and Students

County Health Department Total

Total Expenditures for School Health Services

2312

39

151120

Note: The National Association of School Nurses (2017) and the American Academy of Pediatrics (2016) recommend a ratio of one full-time registered school nurse for every school. “To optimize student health, safety and learning, it is the position of the National Association of School Nurses that a professional registered school nurse be present in every school, all day, every day.” (NASN, 2017)

Note: Based on DOE reports for Regular Elementary, Middle, Senior High, Combo Schools 2016-2017 and 2016-2017 Membership by District by School by Grade.

2016-2017 Expenditures for School Health ServicesCounty Health Department

County Health Department

Federal Title XXI

School District

School District TotalCommunity Partners (Public and Private) Total

Community Partners (Public and Private)

Reported Student Health Conditions

28

1,83255323678

Type of Health Condition Number of Conditions Reported595

Pregnancy Prevention Classes

Note: Based on 2017 FTE Week Counts and a 36 Week School Year.Note: Comprehensive school health services include basic school health services and additional prevention services and care management to promote retention in school.StudentsaaA

Needing ServicesNumber of Comprehensive SchoolsNumber of Comprehensive StudentsDental Health EducationNutrition and Physical Activity Classes

Tube Feeding (e.g., G, J, PEG, NG) Alcohol, Tobacco and Other Drug Abuse Prevention Classes

Number of Full Service School StudentsNumber of In-Kind Hours from Health/Social Service Agencies

Sexually Transmitted Disease (including HIV) PreventionViolence Prevention/Conflict Resolution Classes

Full Service SchoolsNote: Full Service Schools provide basic school health services and coordinate the provision of donated (in-kind) health and social services on school campuses.Number of Full Service Schools

Suicide Prevention ClassesComprehensive Birth Rate Per 1,000: 6th-12th Grade FemalesCountywide Birth Rate Per 1,000: All 11-18 Year-Old Females Low Weight Births (% of births less than 2,500 grams)Percent of Students Returning to School After Giving Birth

Page 37: State of Florida 2016-2017 Summary of School Health Services · a professional registered school nurse be present in every school, all day, every day.” (NASN, 2017) Note: Based

2016-2017 Summary of School Health Services

Elementary/Middle/High/Combined Level Schools 114Pre-Kindergarten Through 12th Grade Students 92,686Annual Average Number of Health Room Visits Per Student 7.10 Registered Nurse to Student Ratio 1: 2,317% of Students Returning to Class After Health Room Visits 93.42% Registered Nurse to School Ratio 1: 2.85Annual Average Number of Services Per Student 11.76

Registered Nurses 0.00State General Revenue $385,870 Licensed Practical Nurses 0.00

$60,870 Health Aides/Techs 0.00County Health Department Subtotal $446,740County Health Department - Other Funding $5,316

$452,056 Registered Nurses 40.00$3,030,311 Licensed Practical Nurses 6.00

$0 Health Aides/Techs 83.00$3,482,367

Annual Per Student Expenditure for School Health: $37.57 Registered Nurses 0.00Note: Per student expenditure based on funding from all of the above sources. Licensed Practical Nurses 0.00

Health Aides/Techs 0.00

Allergies: Life ThreateningAllergies: Non-Life ThreateningAsthma Registered Nurses 40.00Attention Deficit / Hyperactivity Disorder Licensed Practical Nurses 6.00Seizure Disorder Health Aides/Techs 83.00Cardiac Mental/Behavioral Health ConditionsDiabetes Nursing Assessment/Counseling 103,333Kidney Disease Licensed Practical Nurse Encounter 70Sickle Cell Disease Paraprofessional Evaluation/Treatment 425,933Bleeding Disorder Staff/Parent Consultation 17,859Cancer Individualized Health Care Plan Development 3,141Cystic Fibrosis Complex Medical Procedures 94,456All Other Exceptional Student Education Staffing 1,559Total Health Record Reviews 47,128

Immunization Follow-up 3,658Daily Annual First Aid Administration 100,508

Average Student Health Room Visits 3,797 683,496 Health Education Classes 161Average Medication Doses Administered 1,144 205,956 All Other Services 291,995

Total Services 1,089,801

Procedures and

Medication Doses Estimated Annual

ServicesCarbohydrate Counting 164 20,880 0Catheterization 11 2,844 0Colostomy, Ileostomy, Jejunostomy 21 0 0Electronic Monitoring 3 0 0

43 8,136 0Glucose Monitoring 195 36,216 0Insulin Administration 162 41,940 0Intravenous Treatments 0 0 0Medications (Inhaled) 802 30,132 0Medications (Injection) 40 144 0.00Medications (Nasal) 6 72 7.41Medications (Oral) 1,086 110,916 0.00%Medications (Other Routes) 42 22,752 0.00%Oxygen Continuous or Intermittent 1 0Specimen Collection or Testing 2 0Tracheostomy Care 0 0Ventilator Dependent Care 0 0 8Other Procedures 150 612 5,251Total 2,728 274,644 956

$27,968

Vision Hearing ScoliosisTarget Populations (Mandated grade levels for each screening) KG, 1st, 3rd, 6th KG, 1st, 6th 6th 1st, 3rd, 6thNumber of Students in Mandated Grades (minus opt-outs) 27,863 20,086 6,791 21,264Number (#) of Students Screened in Mandated Grades 28,339 19,243 6,480 20,245Percent (%) of Students Screened in Mandated Grades 101.71% 95.80% 95.42% 95.21%Number (#) of Students Referred for Abnormal Results 3,048 164 97 0

12,296 1,150 3,004 3,79560.74% 5.68% 14.84% 18.75%

Underweight (< 5th percentile)

Overweight (85th to < 95th

Obese (≥ 95th percentile)Body Mass Index Screening Results

Number of 1st, 3rd and 6th Grade Students by BMI Percentile

Dollar Value of In-Kind Hours Donated by Local Agencies

Students Screened in Grades Mandated by Florida Administrative Code Rule 64F-6.003Note: The percent of students screened in mandated grades may be over 100% due to screening students enrolled after the DOE's October survey of student membership. Growth and

Development with Body Mass IndexScreenings and Referrals

Total Health Staff18,212

Estimated Health Room Visits and Medication Doses Administered

Estimated Annual Medical Procedures and Medication Doses by Type Schools With Comprehensive School Health Services

Key School Health Services in Health Management System

2,85245,479

426

Lee CountyLegislative authority for School Health Services provided in sections 381.0056, 381.0057, 402.3026, Florida Statutes.

Note: This report uses a combination of data from local county Annual School Health Reports, the Department of Health - Health Management System, Vital Statistics and the Department of Education (DOE). This report represents school health services provided by county health departments, school districts and community partners.

Public Schools and Students School Health Staff (excludes Exceptional Student Education Staff)

Percent of 1st, 3rd, 6th Grade Students by BMI Percentile

Healthy Weight (5th to < 85th

Ratio of Registered Nurses (RN) to Schools and Students

County Health Department Total

Total Expenditures for School Health Services

6915

326

1,391284

Note: The National Association of School Nurses (2017) and the American Academy of Pediatrics (2016) recommend a ratio of one full-time registered school nurse for every school. “To optimize student health, safety and learning, it is the position of the National Association of School Nurses that a professional registered school nurse be present in every school, all day, every day.” (NASN, 2017)

Note: Based on DOE reports for Regular Elementary, Middle, Senior High, Combo Schools 2016-2017 and 2016-2017 Membership by District by School by Grade.

2016-2017 Expenditures for School Health ServicesCounty Health Department

County Health Department

Federal Title XXI

School District

School District TotalCommunity Partners (Public and Private) Total

Community Partners (Public and Private)

Reported Student Health Conditions

116

11,1588,555912814

Type of Health Condition Number of Conditions Reported349

Pregnancy Prevention Classes

Note: Based on 2017 FTE Week Counts and a 36 Week School Year.Note: Comprehensive school health services include basic school health services and additional prevention services and care management to promote retention in school.StudentsaaA

Needing ServicesNumber of Comprehensive SchoolsNumber of Comprehensive StudentsDental Health EducationNutrition and Physical Activity Classes

Tube Feeding (e.g., G, J, PEG, NG) Alcohol, Tobacco and Other Drug Abuse Prevention Classes

Number of Full Service School StudentsNumber of In-Kind Hours from Health/Social Service Agencies

Sexually Transmitted Disease (including HIV) PreventionViolence Prevention/Conflict Resolution Classes

Full Service SchoolsNote: Full Service Schools provide basic school health services and coordinate the provision of donated (in-kind) health and social services on school campuses.Number of Full Service Schools

Suicide Prevention ClassesComprehensive Birth Rate Per 1,000: 6th-12th Grade FemalesCountywide Birth Rate Per 1,000: All 11-18 Year-Old Females Low Weight Births (% of births less than 2,500 grams)Percent of Students Returning to School After Giving Birth

Page 38: State of Florida 2016-2017 Summary of School Health Services · a professional registered school nurse be present in every school, all day, every day.” (NASN, 2017) Note: Based

2016-2017 Summary of School Health Services

Elementary/Middle/High/Combined Level Schools 48Pre-Kindergarten Through 12th Grade Students 33,952Annual Average Number of Health Room Visits Per Student 2.97 Registered Nurse to Student Ratio 1: 4,244% of Students Returning to Class After Health Room Visits 75.78% Registered Nurse to School Ratio 1: 6.00Annual Average Number of Services Per Student 10.86

Registered Nurses 8.00State General Revenue $192,120 Licensed Practical Nurses 0.00

$198,001 Health Aides/Techs 24.00County Health Department Subtotal $390,121County Health Department - Other Funding $543,159

$933,280 Registered Nurses 0.00$0 Licensed Practical Nurses 5.00$0 Health Aides/Techs 3.00

$933,280

Annual Per Student Expenditure for School Health: $27.49 Registered Nurses 0.00Note: Per student expenditure based on funding from all of the above sources. Licensed Practical Nurses 0.00

Health Aides/Techs 0.00

Allergies: Life ThreateningAllergies: Non-Life ThreateningAsthma Registered Nurses 8.00Attention Deficit / Hyperactivity Disorder Licensed Practical Nurses 5.00Seizure Disorder Health Aides/Techs 27.00Cardiac Mental/Behavioral Health ConditionsDiabetes Nursing Assessment/Counseling 6,478Kidney Disease Licensed Practical Nurse Encounter 20Sickle Cell Disease Paraprofessional Evaluation/Treatment 73,310Bleeding Disorder Staff/Parent Consultation 95,928Cancer Individualized Health Care Plan Development 972Cystic Fibrosis Complex Medical Procedures 17,883All Other Exceptional Student Education Staffing 108Total Health Record Reviews 69,763

Immunization Follow-up 37Daily Annual First Aid Administration 38,144

Average Student Health Room Visits 1,045 188,172 Health Education Classes 607Average Medication Doses Administered 354 63,792 All Other Services 65,571

Total Services 368,821

Procedures and

Medication Doses Estimated Annual

ServicesCarbohydrate Counting 54 9,180 31Catheterization 4 1,584 21,032Colostomy, Ileostomy, Jejunostomy 1 144 64Electronic Monitoring 1 0 116

12 2,376 7Glucose Monitoring 53 15,768 7Insulin Administration 52 9,252 7Intravenous Treatments 8 0 30Medications (Inhaled) 489 8,316 0Medications (Injection) 228 0 0.00Medications (Nasal) 4 0 4.51Medications (Oral) 661 45,900 0.00%Medications (Other Routes) 78 324 0.00%Oxygen Continuous or Intermittent 2 0Specimen Collection or Testing 54 144Tracheostomy Care 0 0Ventilator Dependent Care 0 0 1Other Procedures 0 1,800 960Total 1,701 94,788 111

$3,598

Vision Hearing ScoliosisTarget Populations (Mandated grade levels for each screening) KG, 1st, 3rd, 6th KG, 1st, 6th 6th 1st, 3rd, 6thNumber of Students in Mandated Grades (minus opt-outs) 10,021 7,410 2,419 7,262Number (#) of Students Screened in Mandated Grades 9,997 7,116 2,368 6,817Percent (%) of Students Screened in Mandated Grades 99.76% 96.03% 97.89% 93.87%Number (#) of Students Referred for Abnormal Results 707 19 24 0

4,318 305 1,054 1,14063.34% 4.47% 15.46% 16.72%

Underweight (< 5th percentile)

Overweight (85th to < 95th

Obese (≥ 95th percentile)Body Mass Index Screening Results

Number of 1st, 3rd and 6th Grade Students by BMI Percentile

Dollar Value of In-Kind Hours Donated by Local Agencies

Students Screened in Grades Mandated by Florida Administrative Code Rule 64F-6.003Note: The percent of students screened in mandated grades may be over 100% due to screening students enrolled after the DOE's October survey of student membership. Growth and

Development with Body Mass IndexScreenings and Referrals

Total Health Staff2,455

Estimated Health Room Visits and Medication Doses Administered

Estimated Annual Medical Procedures and Medication Doses by Type Schools With Comprehensive School Health Services

Key School Health Services in Health Management System

1078,324

9

Leon CountyLegislative authority for School Health Services provided in sections 381.0056, 381.0057, 402.3026, Florida Statutes.

Note: This report uses a combination of data from local county Annual School Health Reports, the Department of Health - Health Management System, Vital Statistics and the Department of Education (DOE). This report represents school health services provided by county health departments, school districts and community partners.

Public Schools and Students School Health Staff (excludes Exceptional Student Education Staff)

Percent of 1st, 3rd, 6th Grade Students by BMI Percentile

Healthy Weight (5th to < 85th

Ratio of Registered Nurses (RN) to Schools and Students

County Health Department Total

Total Expenditures for School Health Services

108

33

21974

Note: The National Association of School Nurses (2017) and the American Academy of Pediatrics (2016) recommend a ratio of one full-time registered school nurse for every school. “To optimize student health, safety and learning, it is the position of the National Association of School Nurses that a professional registered school nurse be present in every school, all day, every day.” (NASN, 2017)

Note: Based on DOE reports for Regular Elementary, Middle, Senior High, Combo Schools 2016-2017 and 2016-2017 Membership by District by School by Grade.

2016-2017 Expenditures for School Health ServicesCounty Health Department

County Health Department

Federal Title XXI

School District

School District TotalCommunity Partners (Public and Private) Total

Community Partners (Public and Private)

Reported Student Health Conditions

38

2,9211,696180107

Type of Health Condition Number of Conditions Reported467

Pregnancy Prevention Classes

Note: Based on 2017 FTE Week Counts and a 36 Week School Year.Note: Comprehensive school health services include basic school health services and additional prevention services and care management to promote retention in school.StudentsaaA

Needing ServicesNumber of Comprehensive SchoolsNumber of Comprehensive StudentsDental Health EducationNutrition and Physical Activity Classes

Tube Feeding (e.g., G, J, PEG, NG) Alcohol, Tobacco and Other Drug Abuse Prevention Classes

Number of Full Service School StudentsNumber of In-Kind Hours from Health/Social Service Agencies

Sexually Transmitted Disease (including HIV) PreventionViolence Prevention/Conflict Resolution Classes

Full Service SchoolsNote: Full Service Schools provide basic school health services and coordinate the provision of donated (in-kind) health and social services on school campuses.Number of Full Service Schools

Suicide Prevention ClassesComprehensive Birth Rate Per 1,000: 6th-12th Grade FemalesCountywide Birth Rate Per 1,000: All 11-18 Year-Old Females Low Weight Births (% of births less than 2,500 grams)Percent of Students Returning to School After Giving Birth

Page 39: State of Florida 2016-2017 Summary of School Health Services · a professional registered school nurse be present in every school, all day, every day.” (NASN, 2017) Note: Based

2016-2017 Summary of School Health Services

Elementary/Middle/High/Combined Level Schools 12Pre-Kindergarten Through 12th Grade Students 5,503Annual Average Number of Health Room Visits Per Student 15.33 Registered Nurse to Student Ratio 1: 2,524% of Students Returning to Class After Health Room Visits 93.11% Registered Nurse to School Ratio 1: 5.50Annual Average Number of Services Per Student 17.47

Registered Nurses 2.18State General Revenue $77,583 Licensed Practical Nurses 0.00

$148,537 Health Aides/Techs 1.54County Health Department Subtotal $226,120County Health Department - Other Funding $0

$226,120 Registered Nurses 0.00$98,029 Licensed Practical Nurses 0.00

$0 Health Aides/Techs 7.00$324,148

Annual Per Student Expenditure for School Health: $58.90 Registered Nurses 0.00Note: Per student expenditure based on funding from all of the above sources. Licensed Practical Nurses 0.00

Health Aides/Techs 0.00

Allergies: Life ThreateningAllergies: Non-Life ThreateningAsthma Registered Nurses 2.18Attention Deficit / Hyperactivity Disorder Licensed Practical Nurses 0.00Seizure Disorder Health Aides/Techs 8.54Cardiac Mental/Behavioral Health ConditionsDiabetes Nursing Assessment/Counseling 1,198Kidney Disease Licensed Practical Nurse Encounter 0Sickle Cell Disease Paraprofessional Evaluation/Treatment 19,251Bleeding Disorder Staff/Parent Consultation 19,119Cancer Individualized Health Care Plan Development 129Cystic Fibrosis Complex Medical Procedures 11,929All Other Exceptional Student Education Staffing 776Total Health Record Reviews 1,280

Immunization Follow-up 1,528Daily Annual First Aid Administration 9,990

Average Student Health Room Visits 487 87,660 Health Education Classes 776Average Medication Doses Administered 112 20,124 All Other Services 30,182

Total Services 96,158

Procedures and

Medication Doses Estimated Annual

ServicesCarbohydrate Counting 13 2,340 8Catheterization 2 360 3,558Colostomy, Ileostomy, Jejunostomy 5 180 5Electronic Monitoring 15 0 57

5 792 8Glucose Monitoring 17 6,588 6Insulin Administration 16 3,312 7Intravenous Treatments 0 0 3Medications (Inhaled) 176 612 0Medications (Injection) 86 0 2.83Medications (Nasal) 0 0 8.94Medications (Oral) 387 16,020 25.00%Medications (Other Routes) 16 180 100.00%Oxygen Continuous or Intermittent 0 0Specimen Collection or Testing 6 540Tracheostomy Care 0 0Ventilator Dependent Care 0 0 2Other Procedures 11 10,224 1,789Total 755 41,148 1,428

$30,980

Vision Hearing ScoliosisTarget Populations (Mandated grade levels for each screening) KG, 1st, 3rd, 6th KG, 1st, 6th 6th 1st, 3rd, 6thNumber of Students in Mandated Grades (minus opt-outs) 1,786 1,314 431 1,348Number (#) of Students Screened in Mandated Grades 1,777 1,385 404 1,304Percent (%) of Students Screened in Mandated Grades 99.50% 105.40% 93.74% 96.74%Number (#) of Students Referred for Abnormal Results 168 45 5 165

746 40 227 29157.21% 3.07% 17.41% 22.32%

Underweight (< 5th percentile)

Overweight (85th to < 95th

Obese (≥ 95th percentile)Body Mass Index Screening Results

Number of 1st, 3rd and 6th Grade Students by BMI Percentile

Dollar Value of In-Kind Hours Donated by Local Agencies

Students Screened in Grades Mandated by Florida Administrative Code Rule 64F-6.003Note: The percent of students screened in mandated grades may be over 100% due to screening students enrolled after the DOE's October survey of student membership. Growth and

Development with Body Mass IndexScreenings and Referrals

Total Health Staff634

Estimated Health Room Visits and Medication Doses Administered

Estimated Annual Medical Procedures and Medication Doses by Type Schools With Comprehensive School Health Services

Key School Health Services in Health Management System

1182,095

12

Levy CountyLegislative authority for School Health Services provided in sections 381.0056, 381.0057, 402.3026, Florida Statutes.

Note: This report uses a combination of data from local county Annual School Health Reports, the Department of Health - Health Management System, Vital Statistics and the Department of Education (DOE). This report represents school health services provided by county health departments, school districts and community partners.

Public Schools and Students School Health Staff (excludes Exceptional Student Education Staff)

Percent of 1st, 3rd, 6th Grade Students by BMI Percentile

Healthy Weight (5th to < 85th

Ratio of Registered Nurses (RN) to Schools and Students

County Health Department Total

Total Expenditures for School Health Services

101

9

4328

Note: The National Association of School Nurses (2017) and the American Academy of Pediatrics (2016) recommend a ratio of one full-time registered school nurse for every school. “To optimize student health, safety and learning, it is the position of the National Association of School Nurses that a professional registered school nurse be present in every school, all day, every day.” (NASN, 2017)

Note: Based on DOE reports for Regular Elementary, Middle, Senior High, Combo Schools 2016-2017 and 2016-2017 Membership by District by School by Grade.

2016-2017 Expenditures for School Health ServicesCounty Health Department

County Health Department

Federal Title XXI

School District

School District TotalCommunity Partners (Public and Private) Total

Community Partners (Public and Private)

Reported Student Health Conditions

6

7243654743

Type of Health Condition Number of Conditions Reported55

Pregnancy Prevention Classes

Note: Based on 2017 FTE Week Counts and a 36 Week School Year.Note: Comprehensive school health services include basic school health services and additional prevention services and care management to promote retention in school.StudentsaaA

Needing ServicesNumber of Comprehensive SchoolsNumber of Comprehensive StudentsDental Health EducationNutrition and Physical Activity Classes

Tube Feeding (e.g., G, J, PEG, NG) Alcohol, Tobacco and Other Drug Abuse Prevention Classes

Number of Full Service School StudentsNumber of In-Kind Hours from Health/Social Service Agencies

Sexually Transmitted Disease (including HIV) PreventionViolence Prevention/Conflict Resolution Classes

Full Service SchoolsNote: Full Service Schools provide basic school health services and coordinate the provision of donated (in-kind) health and social services on school campuses.Number of Full Service Schools

Suicide Prevention ClassesComprehensive Birth Rate Per 1,000: 6th-12th Grade FemalesCountywide Birth Rate Per 1,000: All 11-18 Year-Old Females Low Weight Births (% of births less than 2,500 grams)Percent of Students Returning to School After Giving Birth

Page 40: State of Florida 2016-2017 Summary of School Health Services · a professional registered school nurse be present in every school, all day, every day.” (NASN, 2017) Note: Based

2016-2017 Summary of School Health Services

Elementary/Middle/High/Combined Level Schools 3Pre-Kindergarten Through 12th Grade Students 1,407Annual Average Number of Health Room Visits Per Student 9.31 Registered Nurse to Student Ratio 1: 5,628% of Students Returning to Class After Health Room Visits 88.03% Registered Nurse to School Ratio 1: 12.00Annual Average Number of Services Per Student 18.41

Registered Nurses 0.25State General Revenue $60,170 Licensed Practical Nurses 2.00

$65,292 Health Aides/Techs 0.00County Health Department Subtotal $125,462County Health Department - Other Funding $0

$125,462 Registered Nurses 0.00$0 Licensed Practical Nurses 0.00$0 Health Aides/Techs 0.00

$125,462

Annual Per Student Expenditure for School Health: $89.17 Registered Nurses 0.00Note: Per student expenditure based on funding from all of the above sources. Licensed Practical Nurses 0.00

Health Aides/Techs 0.00

Allergies: Life ThreateningAllergies: Non-Life ThreateningAsthma Registered Nurses 0.25Attention Deficit / Hyperactivity Disorder Licensed Practical Nurses 2.00Seizure Disorder Health Aides/Techs 0.00Cardiac Mental/Behavioral Health ConditionsDiabetes Nursing Assessment/Counseling 35Kidney Disease Licensed Practical Nurse Encounter 11,218Sickle Cell Disease Paraprofessional Evaluation/Treatment 0Bleeding Disorder Staff/Parent Consultation 3,236Cancer Individualized Health Care Plan Development 103Cystic Fibrosis Complex Medical Procedures 655All Other Exceptional Student Education Staffing 71Total Health Record Reviews 1,554

Immunization Follow-up 776Daily Annual First Aid Administration 1,767

Average Student Health Room Visits 84 15,156 Health Education Classes 237Average Medication Doses Administered 35 6,264 All Other Services 6,250

Total Services 25,902

Procedures and

Medication Doses Estimated Annual

ServicesCarbohydrate Counting 5 648 3Catheterization 0 0 1,249Colostomy, Ileostomy, Jejunostomy 0 0 16Electronic Monitoring 0 0 11

0 0 0Glucose Monitoring 6 2,376 1Insulin Administration 6 828 1Intravenous Treatments 0 0 0Medications (Inhaled) 25 252 0Medications (Injection) 7 0 9.62Medications (Nasal) 0 0 5.09Medications (Oral) 118 5,148 33.33%Medications (Other Routes) 4 36 0.00%Oxygen Continuous or Intermittent 0 0Specimen Collection or Testing 0 0Tracheostomy Care 1 0Ventilator Dependent Care 0 0 0Other Procedures 3 252 0Total 175 9,540 104

$2,995

Vision Hearing ScoliosisTarget Populations (Mandated grade levels for each screening) KG, 1st, 3rd, 6th KG, 1st, 6th 6th 1st, 3rd, 6thNumber of Students in Mandated Grades (minus opt-outs) 403 305 99 307Number (#) of Students Screened in Mandated Grades 393 296 94 301Percent (%) of Students Screened in Mandated Grades 97.52% 97.05% 94.95% 98.05%Number (#) of Students Referred for Abnormal Results 22 8 15 60

188 5 48 6062.46% 1.66% 15.95% 19.93%

Underweight (< 5th percentile)

Overweight (85th to < 95th

Obese (≥ 95th percentile)Body Mass Index Screening Results

Number of 1st, 3rd and 6th Grade Students by BMI Percentile

Dollar Value of In-Kind Hours Donated by Local Agencies

Students Screened in Grades Mandated by Florida Administrative Code Rule 64F-6.003Note: The percent of students screened in mandated grades may be over 100% due to screening students enrolled after the DOE's October survey of student membership. Growth and

Development with Body Mass IndexScreenings and Referrals

Total Health Staff172

Estimated Health Room Visits and Medication Doses Administered

Estimated Annual Medical Procedures and Medication Doses by Type Schools With Comprehensive School Health Services

Key School Health Services in Health Management System

13366

0

Liberty CountyLegislative authority for School Health Services provided in sections 381.0056, 381.0057, 402.3026, Florida Statutes.

Note: This report uses a combination of data from local county Annual School Health Reports, the Department of Health - Health Management System, Vital Statistics and the Department of Education (DOE). This report represents school health services provided by county health departments, school districts and community partners.

Public Schools and Students School Health Staff (excludes Exceptional Student Education Staff)

Percent of 1st, 3rd, 6th Grade Students by BMI Percentile

Healthy Weight (5th to < 85th

Ratio of Registered Nurses (RN) to Schools and Students

County Health Department Total

Total Expenditures for School Health Services

00

1

116

Note: The National Association of School Nurses (2017) and the American Academy of Pediatrics (2016) recommend a ratio of one full-time registered school nurse for every school. “To optimize student health, safety and learning, it is the position of the National Association of School Nurses that a professional registered school nurse be present in every school, all day, every day.” (NASN, 2017)

Note: Based on DOE reports for Regular Elementary, Middle, Senior High, Combo Schools 2016-2017 and 2016-2017 Membership by District by School by Grade.

2016-2017 Expenditures for School Health ServicesCounty Health Department

County Health Department

Federal Title XXI

School District

School District TotalCommunity Partners (Public and Private) Total

Community Partners (Public and Private)

Reported Student Health Conditions

0

7168106

Type of Health Condition Number of Conditions Reported8

Pregnancy Prevention Classes

Note: Based on 2017 FTE Week Counts and a 36 Week School Year.Note: Comprehensive school health services include basic school health services and additional prevention services and care management to promote retention in school.StudentsaaA

Needing ServicesNumber of Comprehensive SchoolsNumber of Comprehensive StudentsDental Health EducationNutrition and Physical Activity Classes

Tube Feeding (e.g., G, J, PEG, NG) Alcohol, Tobacco and Other Drug Abuse Prevention Classes

Number of Full Service School StudentsNumber of In-Kind Hours from Health/Social Service Agencies

Sexually Transmitted Disease (including HIV) PreventionViolence Prevention/Conflict Resolution Classes

Full Service SchoolsNote: Full Service Schools provide basic school health services and coordinate the provision of donated (in-kind) health and social services on school campuses.Number of Full Service Schools

Suicide Prevention ClassesComprehensive Birth Rate Per 1,000: 6th-12th Grade FemalesCountywide Birth Rate Per 1,000: All 11-18 Year-Old Females Low Weight Births (% of births less than 2,500 grams)Percent of Students Returning to School After Giving Birth

Page 41: State of Florida 2016-2017 Summary of School Health Services · a professional registered school nurse be present in every school, all day, every day.” (NASN, 2017) Note: Based

2016-2017 Summary of School Health Services

Elementary/Middle/High/Combined Level Schools 7Pre-Kindergarten Through 12th Grade Students 2,759Annual Average Number of Health Room Visits Per Student 5.83 Registered Nurse to Student Ratio 1: 9,197% of Students Returning to Class After Health Room Visits 92.34% Registered Nurse to School Ratio 1: 23.33Annual Average Number of Services Per Student 13.90

Registered Nurses 0.30State General Revenue $72,487 Licensed Practical Nurses 2.70

$193,902 Health Aides/Techs 2.00County Health Department Subtotal $266,389County Health Department - Other Funding $2,244

$268,633 Registered Nurses 0.00$24,973 Licensed Practical Nurses 1.00

$0 Health Aides/Techs 0.00$293,606

Annual Per Student Expenditure for School Health: $106.42 Registered Nurses 0.00Note: Per student expenditure based on funding from all of the above sources. Licensed Practical Nurses 0.00

Health Aides/Techs 0.00

Allergies: Life ThreateningAllergies: Non-Life ThreateningAsthma Registered Nurses 0.30Attention Deficit / Hyperactivity Disorder Licensed Practical Nurses 3.70Seizure Disorder Health Aides/Techs 2.00Cardiac Mental/Behavioral Health ConditionsDiabetes Nursing Assessment/Counseling 252Kidney Disease Licensed Practical Nurse Encounter 7,227Sickle Cell Disease Paraprofessional Evaluation/Treatment 2,269Bleeding Disorder Staff/Parent Consultation 4,580Cancer Individualized Health Care Plan Development 95Cystic Fibrosis Complex Medical Procedures 102All Other Exceptional Student Education Staffing 50Total Health Record Reviews 2,853

Immunization Follow-up 1,742Daily Annual First Aid Administration 11,283

Average Student Health Room Visits 93 16,776 Health Education Classes 99Average Medication Doses Administered 37 6,624 All Other Services 7,799

Total Services 38,351

Procedures and

Medication Doses Estimated Annual

ServicesCarbohydrate Counting 0 0 4Catheterization 0 0 1,042Colostomy, Ileostomy, Jejunostomy 0 0 26Electronic Monitoring 0 0 48

0 0 59Glucose Monitoring 2 396 17Insulin Administration 1 144 17Intravenous Treatments 0 0 0Medications (Inhaled) 40 1,044 0Medications (Injection) 1 180 8.05Medications (Nasal) 0 0 8.13Medications (Oral) 28 5,256 25.00%Medications (Other Routes) 0 0 50.00%Oxygen Continuous or Intermittent 0 0Specimen Collection or Testing 0 0Tracheostomy Care 0 0Ventilator Dependent Care 0 0 1Other Procedures 0 9,756 1,099Total 72 16,776 22,562

$236,890

Vision Hearing ScoliosisTarget Populations (Mandated grade levels for each screening) KG, 1st, 3rd, 6th KG, 1st, 6th 6th 1st, 3rd, 6thNumber of Students in Mandated Grades (minus opt-outs) 849 610 195 627Number (#) of Students Screened in Mandated Grades 850 595 191 645Percent (%) of Students Screened in Mandated Grades 100.12% 97.54% 97.95% 102.87%Number (#) of Students Referred for Abnormal Results 4 0 0 24

379 12 129 12558.76% 1.86% 20.00% 19.38%

Underweight (< 5th percentile)

Overweight (85th to < 95th

Obese (≥ 95th percentile)Body Mass Index Screening Results

Number of 1st, 3rd and 6th Grade Students by BMI Percentile

Dollar Value of In-Kind Hours Donated by Local Agencies

Students Screened in Grades Mandated by Florida Administrative Code Rule 64F-6.003Note: The percent of students screened in mandated grades may be over 100% due to screening students enrolled after the DOE's October survey of student membership. Growth and

Development with Body Mass IndexScreenings and Referrals

Total Health Staff156

Estimated Health Room Visits and Medication Doses Administered

Estimated Annual Medical Procedures and Medication Doses by Type Schools With Comprehensive School Health Services

Key School Health Services in Health Management System

32921

0

Madison CountyLegislative authority for School Health Services provided in sections 381.0056, 381.0057, 402.3026, Florida Statutes.

Note: This report uses a combination of data from local county Annual School Health Reports, the Department of Health - Health Management System, Vital Statistics and the Department of Education (DOE). This report represents school health services provided by county health departments, school districts and community partners.

Public Schools and Students School Health Staff (excludes Exceptional Student Education Staff)

Percent of 1st, 3rd, 6th Grade Students by BMI Percentile

Healthy Weight (5th to < 85th

Ratio of Registered Nurses (RN) to Schools and Students

County Health Department Total

Total Expenditures for School Health Services

10

10

1217

Note: The National Association of School Nurses (2017) and the American Academy of Pediatrics (2016) recommend a ratio of one full-time registered school nurse for every school. “To optimize student health, safety and learning, it is the position of the National Association of School Nurses that a professional registered school nurse be present in every school, all day, every day.” (NASN, 2017)

Note: Based on DOE reports for Regular Elementary, Middle, Senior High, Combo Schools 2016-2017 and 2016-2017 Membership by District by School by Grade.

2016-2017 Expenditures for School Health ServicesCounty Health Department

County Health Department

Federal Title XXI

School District

School District TotalCommunity Partners (Public and Private) Total

Community Partners (Public and Private)

Reported Student Health Conditions

21

3772254220

Type of Health Condition Number of Conditions Reported8

Pregnancy Prevention Classes

Note: Based on 2017 FTE Week Counts and a 36 Week School Year.Note: Comprehensive school health services include basic school health services and additional prevention services and care management to promote retention in school.StudentsaaA

Needing ServicesNumber of Comprehensive SchoolsNumber of Comprehensive StudentsDental Health EducationNutrition and Physical Activity Classes

Tube Feeding (e.g., G, J, PEG, NG) Alcohol, Tobacco and Other Drug Abuse Prevention Classes

Number of Full Service School StudentsNumber of In-Kind Hours from Health/Social Service Agencies

Sexually Transmitted Disease (including HIV) PreventionViolence Prevention/Conflict Resolution Classes

Full Service SchoolsNote: Full Service Schools provide basic school health services and coordinate the provision of donated (in-kind) health and social services on school campuses.Number of Full Service Schools

Suicide Prevention ClassesComprehensive Birth Rate Per 1,000: 6th-12th Grade FemalesCountywide Birth Rate Per 1,000: All 11-18 Year-Old Females Low Weight Births (% of births less than 2,500 grams)Percent of Students Returning to School After Giving Birth

Page 42: State of Florida 2016-2017 Summary of School Health Services · a professional registered school nurse be present in every school, all day, every day.” (NASN, 2017) Note: Based

2016-2017 Summary of School Health Services

Elementary/Middle/High/Combined Level Schools 72Pre-Kindergarten Through 12th Grade Students 48,884Annual Average Number of Health Room Visits Per Student 6.29 Registered Nurse to Student Ratio 1: 3,259% of Students Returning to Class After Health Room Visits 89.07% Registered Nurse to School Ratio 1: 4.80Annual Average Number of Services Per Student 17.15

Registered Nurses 5.50State General Revenue $221,058 Licensed Practical Nurses 7.00

$487,758 Health Aides/Techs 3.00County Health Department Subtotal $708,816County Health Department - Other Funding $125,757

$834,573 Registered Nurses 9.50$2,917,166 Licensed Practical Nurses 30.00

$0 Health Aides/Techs 8.00$3,751,739

Annual Per Student Expenditure for School Health: $76.75 Registered Nurses 0.00Note: Per student expenditure based on funding from all of the above sources. Licensed Practical Nurses 0.00

Health Aides/Techs 0.00

Allergies: Life ThreateningAllergies: Non-Life ThreateningAsthma Registered Nurses 15.00Attention Deficit / Hyperactivity Disorder Licensed Practical Nurses 37.00Seizure Disorder Health Aides/Techs 11.00Cardiac Mental/Behavioral Health ConditionsDiabetes Nursing Assessment/Counseling 48,371Kidney Disease Licensed Practical Nurse Encounter 135,648Sickle Cell Disease Paraprofessional Evaluation/Treatment 34,588Bleeding Disorder Staff/Parent Consultation 302,084Cancer Individualized Health Care Plan Development 3,676Cystic Fibrosis Complex Medical Procedures 32,725All Other Exceptional Student Education Staffing 4,597Total Health Record Reviews 58,354

Immunization Follow-up 18,177Daily Annual First Aid Administration 45,608

Average Student Health Room Visits 1,986 357,480 Health Education Classes 3,067Average Medication Doses Administered 578 104,004 All Other Services 151,462

Total Services 838,357

Procedures and

Medication Doses Estimated Annual

ServicesCarbohydrate Counting 88 9,468 10Catheterization 2 468 7,307Colostomy, Ileostomy, Jejunostomy 3 792 395Electronic Monitoring 25 972 7

39 5,148 0Glucose Monitoring 102 16,704 0Insulin Administration 103 11,700 0Intravenous Treatments 0 0 0Medications (Inhaled) 705 10,008 0Medications (Injection) 179 0 5.68Medications (Nasal) 31 0 7.88Medications (Oral) 1,126 81,180 14.29%Medications (Other Routes) 80 1,116 85.71%Oxygen Continuous or Intermittent 2 0Specimen Collection or Testing 36 180Tracheostomy Care 0 0Ventilator Dependent Care 0 0 2Other Procedures 6 648 726Total 2,527 138,384 75

$9,510

Vision Hearing ScoliosisTarget Populations (Mandated grade levels for each screening) KG, 1st, 3rd, 6th KG, 1st, 6th 6th 1st, 3rd, 6thNumber of Students in Mandated Grades (minus opt-outs) 14,679 10,417 3,517 11,293Number (#) of Students Screened in Mandated Grades 14,967 10,627 2,911 10,984Percent (%) of Students Screened in Mandated Grades 101.96% 102.02% 82.77% 97.26%Number (#) of Students Referred for Abnormal Results 1,306 82 38 58

7,405 321 1,566 1,69267.42% 2.92% 14.26% 15.40%

Underweight (< 5th percentile)

Overweight (85th to < 95th

Obese (≥ 95th percentile)Body Mass Index Screening Results

Number of 1st, 3rd and 6th Grade Students by BMI Percentile

Dollar Value of In-Kind Hours Donated by Local Agencies

Students Screened in Grades Mandated by Florida Administrative Code Rule 64F-6.003Note: The percent of students screened in mandated grades may be over 100% due to screening students enrolled after the DOE's October survey of student membership. Growth and

Development with Body Mass IndexScreenings and Referrals

Total Health Staff6,999

Estimated Health Room Visits and Medication Doses Administered

Estimated Annual Medical Procedures and Medication Doses by Type Schools With Comprehensive School Health Services

Key School Health Services in Health Management System

5,46125,634

55

Manatee CountyLegislative authority for School Health Services provided in sections 381.0056, 381.0057, 402.3026, Florida Statutes.

Note: This report uses a combination of data from local county Annual School Health Reports, the Department of Health - Health Management System, Vital Statistics and the Department of Education (DOE). This report represents school health services provided by county health departments, school districts and community partners.

Public Schools and Students School Health Staff (excludes Exceptional Student Education Staff)

Percent of 1st, 3rd, 6th Grade Students by BMI Percentile

Healthy Weight (5th to < 85th

Ratio of Registered Nurses (RN) to Schools and Students

County Health Department Total

Total Expenditures for School Health Services

4716

137

832156

Note: The National Association of School Nurses (2017) and the American Academy of Pediatrics (2016) recommend a ratio of one full-time registered school nurse for every school. “To optimize student health, safety and learning, it is the position of the National Association of School Nurses that a professional registered school nurse be present in every school, all day, every day.” (NASN, 2017)

Note: Based on DOE reports for Regular Elementary, Middle, Senior High, Combo Schools 2016-2017 and 2016-2017 Membership by District by School by Grade.

2016-2017 Expenditures for School Health ServicesCounty Health Department

County Health Department

Federal Title XXI

School District

School District TotalCommunity Partners (Public and Private) Total

Community Partners (Public and Private)

Reported Student Health Conditions

104

4,8404,250557761

Type of Health Condition Number of Conditions Reported1,419

Pregnancy Prevention Classes

Note: Based on 2017 FTE Week Counts and a 36 Week School Year.Note: Comprehensive school health services include basic school health services and additional prevention services and care management to promote retention in school.StudentsaaA

Needing ServicesNumber of Comprehensive SchoolsNumber of Comprehensive StudentsDental Health EducationNutrition and Physical Activity Classes

Tube Feeding (e.g., G, J, PEG, NG) Alcohol, Tobacco and Other Drug Abuse Prevention Classes

Number of Full Service School StudentsNumber of In-Kind Hours from Health/Social Service Agencies

Sexually Transmitted Disease (including HIV) PreventionViolence Prevention/Conflict Resolution Classes

Full Service SchoolsNote: Full Service Schools provide basic school health services and coordinate the provision of donated (in-kind) health and social services on school campuses.Number of Full Service Schools

Suicide Prevention ClassesComprehensive Birth Rate Per 1,000: 6th-12th Grade FemalesCountywide Birth Rate Per 1,000: All 11-18 Year-Old Females Low Weight Births (% of births less than 2,500 grams)Percent of Students Returning to School After Giving Birth

Page 43: State of Florida 2016-2017 Summary of School Health Services · a professional registered school nurse be present in every school, all day, every day.” (NASN, 2017) Note: Based

2016-2017 Summary of School Health Services

Elementary/Middle/High/Combined Level Schools 61Pre-Kindergarten Through 12th Grade Students 43,032Annual Average Number of Health Room Visits Per Student 6.89 Registered Nurse to Student Ratio 1: 2,608% of Students Returning to Class After Health Room Visits 88.60% Registered Nurse to School Ratio 1: 3.70Annual Average Number of Services Per Student 13.13

Registered Nurses 16.50State General Revenue $223,393 Licensed Practical Nurses 0.00

$198,962 Health Aides/Techs 4.00County Health Department Subtotal $422,355County Health Department - Other Funding $321,841

$744,196 Registered Nurses 0.00$1,713,221 Licensed Practical Nurses 0.00

$0 Health Aides/Techs 50.00$2,457,417

Annual Per Student Expenditure for School Health: $57.11 Registered Nurses 0.00Note: Per student expenditure based on funding from all of the above sources. Licensed Practical Nurses 0.00

Health Aides/Techs 0.00

Allergies: Life ThreateningAllergies: Non-Life ThreateningAsthma Registered Nurses 16.50Attention Deficit / Hyperactivity Disorder Licensed Practical Nurses 0.00Seizure Disorder Health Aides/Techs 54.00Cardiac Mental/Behavioral Health ConditionsDiabetes Nursing Assessment/Counseling 17,983Kidney Disease Licensed Practical Nurse Encounter 0Sickle Cell Disease Paraprofessional Evaluation/Treatment 151,787Bleeding Disorder Staff/Parent Consultation 100,111Cancer Individualized Health Care Plan Development 2,679Cystic Fibrosis Complex Medical Procedures 37,726All Other Exceptional Student Education Staffing 925Total Health Record Reviews 19,469

Immunization Follow-up 1,746Daily Annual First Aid Administration 77,274

Average Student Health Room Visits 0 0 Health Education Classes 1,812Average Medication Doses Administered 618 111,312 All Other Services 153,395

Total Services 564,907

Procedures and

Medication Doses Estimated Annual

ServicesCarbohydrate Counting 59 10,908 48Catheterization 5 1,296 39,766Colostomy, Ileostomy, Jejunostomy 1 0 2Electronic Monitoring 3 0 0

21 1,908 0Glucose Monitoring 108 23,400 48Insulin Administration 108 15,372 48Intravenous Treatments 2 180 48Medications (Inhaled) 720 17,028 0Medications (Injection) 270 0 17.00Medications (Nasal) 2 36 10.55Medications (Oral) 688 77,940 16.86%Medications (Other Routes) 55 756 100.00%Oxygen Continuous or Intermittent 0 0Specimen Collection or Testing 101 0Tracheostomy Care 1 0Ventilator Dependent Care 0 0 1Other Procedures 12 0 1,072Total 2,156 148,824 3,522

$70,864

Vision Hearing ScoliosisTarget Populations (Mandated grade levels for each screening) KG, 1st, 3rd, 6th KG, 1st, 6th 6th 1st, 3rd, 6thNumber of Students in Mandated Grades (minus opt-outs) 12,909 9,223 3,139 9,957Number (#) of Students Screened in Mandated Grades 12,450 8,990 3,061 9,630Percent (%) of Students Screened in Mandated Grades 96.44% 97.47% 97.52% 96.72%Number (#) of Students Referred for Abnormal Results 958 133 123 2,165

5,416 403 1,641 2,17056.24% 4.18% 17.04% 22.53%

Underweight (< 5th percentile)

Overweight (85th to < 95th

Obese (≥ 95th percentile)Body Mass Index Screening Results

Number of 1st, 3rd and 6th Grade Students by BMI Percentile

Dollar Value of In-Kind Hours Donated by Local Agencies

Students Screened in Grades Mandated by Florida Administrative Code Rule 64F-6.003Note: The percent of students screened in mandated grades may be over 100% due to screening students enrolled after the DOE's October survey of student membership. Growth and

Development with Body Mass IndexScreenings and Referrals

Total Health Staff1,028

Estimated Health Room Visits and Medication Doses Administered

Estimated Annual Medical Procedures and Medication Doses by Type Schools With Comprehensive School Health Services

Key School Health Services in Health Management System

6665,368

17

Marion CountyLegislative authority for School Health Services provided in sections 381.0056, 381.0057, 402.3026, Florida Statutes.

Note: This report uses a combination of data from local county Annual School Health Reports, the Department of Health - Health Management System, Vital Statistics and the Department of Education (DOE). This report represents school health services provided by county health departments, school districts and community partners.

Public Schools and Students School Health Staff (excludes Exceptional Student Education Staff)

Percent of 1st, 3rd, 6th Grade Students by BMI Percentile

Healthy Weight (5th to < 85th

Ratio of Registered Nurses (RN) to Schools and Students

County Health Department Total

Total Expenditures for School Health Services

53

23

96124

Note: The National Association of School Nurses (2017) and the American Academy of Pediatrics (2016) recommend a ratio of one full-time registered school nurse for every school. “To optimize student health, safety and learning, it is the position of the National Association of School Nurses that a professional registered school nurse be present in every school, all day, every day.” (NASN, 2017)

Note: Based on DOE reports for Regular Elementary, Middle, Senior High, Combo Schools 2016-2017 and 2016-2017 Membership by District by School by Grade.

2016-2017 Expenditures for School Health ServicesCounty Health Department

County Health Department

Federal Title XXI

School District

School District TotalCommunity Partners (Public and Private) Total

Community Partners (Public and Private)

Reported Student Health Conditions

83

1,88077715563

Type of Health Condition Number of Conditions Reported448

Pregnancy Prevention Classes

Note: Based on 2017 FTE Week Counts and a 36 Week School Year.Note: Comprehensive school health services include basic school health services and additional prevention services and care management to promote retention in school.StudentsaaA

Needing ServicesNumber of Comprehensive SchoolsNumber of Comprehensive StudentsDental Health EducationNutrition and Physical Activity Classes

Tube Feeding (e.g., G, J, PEG, NG) Alcohol, Tobacco and Other Drug Abuse Prevention Classes

Number of Full Service School StudentsNumber of In-Kind Hours from Health/Social Service Agencies

Sexually Transmitted Disease (including HIV) PreventionViolence Prevention/Conflict Resolution Classes

Full Service SchoolsNote: Full Service Schools provide basic school health services and coordinate the provision of donated (in-kind) health and social services on school campuses.Number of Full Service Schools

Suicide Prevention ClassesComprehensive Birth Rate Per 1,000: 6th-12th Grade FemalesCountywide Birth Rate Per 1,000: All 11-18 Year-Old Females Low Weight Births (% of births less than 2,500 grams)Percent of Students Returning to School After Giving Birth

Page 44: State of Florida 2016-2017 Summary of School Health Services · a professional registered school nurse be present in every school, all day, every day.” (NASN, 2017) Note: Based

2016-2017 Summary of School Health Services

Elementary/Middle/High/Combined Level Schools 24Pre-Kindergarten Through 12th Grade Students 19,026Annual Average Number of Health Room Visits Per Student 5.30 Registered Nurse to Student Ratio 1: 1,730% of Students Returning to Class After Health Room Visits 86.98% Registered Nurse to School Ratio 1: 2.18Annual Average Number of Services Per Student 15.62

Registered Nurses 10.00State General Revenue $114,269 Licensed Practical Nurses 0.00

$181,608 Health Aides/Techs 2.00County Health Department Subtotal $295,877County Health Department - Other Funding $55,720

$351,597 Registered Nurses 1.00$819,216 Licensed Practical Nurses 0.00$370,202 Health Aides/Techs 22.00

$1,541,015

Annual Per Student Expenditure for School Health: $81.00 Registered Nurses 0.00Note: Per student expenditure based on funding from all of the above sources. Licensed Practical Nurses 0.00

Health Aides/Techs 0.00

Allergies: Life ThreateningAllergies: Non-Life ThreateningAsthma Registered Nurses 11.00Attention Deficit / Hyperactivity Disorder Licensed Practical Nurses 0.00Seizure Disorder Health Aides/Techs 24.00Cardiac Mental/Behavioral Health ConditionsDiabetes Nursing Assessment/Counseling 6,165Kidney Disease Licensed Practical Nurse Encounter 0Sickle Cell Disease Paraprofessional Evaluation/Treatment 100,452Bleeding Disorder Staff/Parent Consultation 53,810Cancer Individualized Health Care Plan Development 1,198Cystic Fibrosis Complex Medical Procedures 14,134All Other Exceptional Student Education Staffing 384Total Health Record Reviews 31,519

Immunization Follow-up 3,772Daily Annual First Aid Administration 34,253

Average Student Health Room Visits 837 150,588 Health Education Classes 260Average Medication Doses Administered 183 33,012 All Other Services 51,185

Total Services 297,132

Procedures and

Medication Doses Estimated Annual

ServicesCarbohydrate Counting 61 5,436 8Catheterization 1 360 7,254Colostomy, Ileostomy, Jejunostomy 1 36 14Electronic Monitoring 2 0 8

3 252 5Glucose Monitoring 62 8,496 1Insulin Administration 62 5,688 0Intravenous Treatments 0 0 0Medications (Inhaled) 385 4,464 0Medications (Injection) 289 0 3.49Medications (Nasal) 3 72 7.78Medications (Oral) 460 22,752 0.00%Medications (Other Routes) 30 36 66.67%Oxygen Continuous or Intermittent 1 0Specimen Collection or Testing 56 612Tracheostomy Care 0 0Ventilator Dependent Care 0 0 1Other Procedures 56 5,832 1,912Total 1,472 54,036 695

$50,001

Vision Hearing ScoliosisTarget Populations (Mandated grade levels for each screening) KG, 1st, 3rd, 6th KG, 1st, 6th 6th 1st, 3rd, 6thNumber of Students in Mandated Grades (minus opt-outs) 5,485 4,079 1,206 3,961Number (#) of Students Screened in Mandated Grades 5,407 4,017 1,186 3,913Percent (%) of Students Screened in Mandated Grades 98.58% 98.48% 98.34% 98.79%Number (#) of Students Referred for Abnormal Results 789 181 14 733

2,413 114 653 73361.67% 2.91% 16.69% 18.73%

Underweight (< 5th percentile)

Overweight (85th to < 95th

Obese (≥ 95th percentile)Body Mass Index Screening Results

Number of 1st, 3rd and 6th Grade Students by BMI Percentile

Dollar Value of In-Kind Hours Donated by Local Agencies

Students Screened in Grades Mandated by Florida Administrative Code Rule 64F-6.003Note: The percent of students screened in mandated grades may be over 100% due to screening students enrolled after the DOE's October survey of student membership. Growth and

Development with Body Mass IndexScreenings and Referrals

Total Health Staff3,098

Estimated Health Room Visits and Medication Doses Administered

Estimated Annual Medical Procedures and Medication Doses by Type Schools With Comprehensive School Health Services

Key School Health Services in Health Management System

4,45211,192

23

Martin CountyLegislative authority for School Health Services provided in sections 381.0056, 381.0057, 402.3026, Florida Statutes.

Note: This report uses a combination of data from local county Annual School Health Reports, the Department of Health - Health Management System, Vital Statistics and the Department of Education (DOE). This report represents school health services provided by county health departments, school districts and community partners.

Public Schools and Students School Health Staff (excludes Exceptional Student Education Staff)

Percent of 1st, 3rd, 6th Grade Students by BMI Percentile

Healthy Weight (5th to < 85th

Ratio of Registered Nurses (RN) to Schools and Students

County Health Department Total

Total Expenditures for School Health Services

194

39

37764

Note: The National Association of School Nurses (2017) and the American Academy of Pediatrics (2016) recommend a ratio of one full-time registered school nurse for every school. “To optimize student health, safety and learning, it is the position of the National Association of School Nurses that a professional registered school nurse be present in every school, all day, every day.” (NASN, 2017)

Note: Based on DOE reports for Regular Elementary, Middle, Senior High, Combo Schools 2016-2017 and 2016-2017 Membership by District by School by Grade.

2016-2017 Expenditures for School Health ServicesCounty Health Department

County Health Department

Federal Title XXI

School District

School District TotalCommunity Partners (Public and Private) Total

Community Partners (Public and Private)

Reported Student Health Conditions

6

1,4871,106149117

Type of Health Condition Number of Conditions Reported251

Pregnancy Prevention Classes

Note: Based on 2017 FTE Week Counts and a 36 Week School Year.Note: Comprehensive school health services include basic school health services and additional prevention services and care management to promote retention in school.StudentsaaA

Needing ServicesNumber of Comprehensive SchoolsNumber of Comprehensive StudentsDental Health EducationNutrition and Physical Activity Classes

Tube Feeding (e.g., G, J, PEG, NG) Alcohol, Tobacco and Other Drug Abuse Prevention Classes

Number of Full Service School StudentsNumber of In-Kind Hours from Health/Social Service Agencies

Sexually Transmitted Disease (including HIV) PreventionViolence Prevention/Conflict Resolution Classes

Full Service SchoolsNote: Full Service Schools provide basic school health services and coordinate the provision of donated (in-kind) health and social services on school campuses.Number of Full Service Schools

Suicide Prevention ClassesComprehensive Birth Rate Per 1,000: 6th-12th Grade FemalesCountywide Birth Rate Per 1,000: All 11-18 Year-Old Females Low Weight Births (% of births less than 2,500 grams)Percent of Students Returning to School After Giving Birth

Page 45: State of Florida 2016-2017 Summary of School Health Services · a professional registered school nurse be present in every school, all day, every day.” (NASN, 2017) Note: Based

2016-2017 Summary of School Health Services

Elementary/Middle/High/Combined Level Schools 18Pre-Kindergarten Through 12th Grade Students 8,571Annual Average Number of Health Room Visits Per Student 8.71 Registered Nurse to Student Ratio 1: 1,174% of Students Returning to Class After Health Room Visits 94.15% Registered Nurse to School Ratio 1: 2.47Annual Average Number of Services Per Student 14.71

Registered Nurses 1.30State General Revenue $96,223 Licensed Practical Nurses 0.00

$123,839 Health Aides/Techs 2.00County Health Department Subtotal $220,062County Health Department - Other Funding $0

$220,062 Registered Nurses 6.00$0 Licensed Practical Nurses 1.00$0 Health Aides/Techs 0.00

$220,062

Annual Per Student Expenditure for School Health: $25.68 Registered Nurses 0.00Note: Per student expenditure based on funding from all of the above sources. Licensed Practical Nurses 0.00

Health Aides/Techs 0.00

Allergies: Life ThreateningAllergies: Non-Life ThreateningAsthma Registered Nurses 7.30Attention Deficit / Hyperactivity Disorder Licensed Practical Nurses 1.00Seizure Disorder Health Aides/Techs 2.00Cardiac Mental/Behavioral Health ConditionsDiabetes Nursing Assessment/Counseling 25,805Kidney Disease Licensed Practical Nurse Encounter 2,291Sickle Cell Disease Paraprofessional Evaluation/Treatment 7,351Bleeding Disorder Staff/Parent Consultation 33,665Cancer Individualized Health Care Plan Development 746Cystic Fibrosis Complex Medical Procedures 13,988All Other Exceptional Student Education Staffing 379Total Health Record Reviews 6,579

Immunization Follow-up 6,219Daily Annual First Aid Administration 894

Average Student Health Room Visits 501 90,180 Health Education Classes 112Average Medication Doses Administered 94 16,992 All Other Services 28,086

Total Services 126,115

Procedures and

Medication Doses Estimated Annual

ServicesCarbohydrate Counting 8 360 9Catheterization 1 180 6,858Colostomy, Ileostomy, Jejunostomy 1 180 36Electronic Monitoring 0 0 4

1 180 2Glucose Monitoring 8 1,368 3Insulin Administration 8 1,260 1Intravenous Treatments 0 0 22Medications (Inhaled) 35 612 0Medications (Injection) 35 0 0.00Medications (Nasal) 0 0 2.57Medications (Oral) 132 14,760 0.00%Medications (Other Routes) 6 360 0.00%Oxygen Continuous or Intermittent 0 0Specimen Collection or Testing 8 0Tracheostomy Care 0 0Ventilator Dependent Care 0 0 1Other Procedures 0 936 587Total 243 20,196 0

$0

Vision Hearing ScoliosisTarget Populations (Mandated grade levels for each screening) KG, 1st, 3rd, 6th KG, 1st, 6th 6th 1st, 3rd, 6thNumber of Students in Mandated Grades (minus opt-outs) 2,585 1,904 637 1,928Number (#) of Students Screened in Mandated Grades 2,622 1,874 610 1,979Percent (%) of Students Screened in Mandated Grades 101.43% 98.42% 95.76% 102.65%Number (#) of Students Referred for Abnormal Results 93 15 2 71

1,397 69 198 31570.59% 3.49% 10.01% 15.92%

Underweight (< 5th percentile)

Overweight (85th to < 95th

Obese (≥ 95th percentile)Body Mass Index Screening Results

Number of 1st, 3rd and 6th Grade Students by BMI Percentile

Dollar Value of In-Kind Hours Donated by Local Agencies

Students Screened in Grades Mandated by Florida Administrative Code Rule 64F-6.003Note: The percent of students screened in mandated grades may be over 100% due to screening students enrolled after the DOE's October survey of student membership. Growth and

Development with Body Mass IndexScreenings and Referrals

Total Health Staff823

Estimated Health Room Visits and Medication Doses Administered

Estimated Annual Medical Procedures and Medication Doses by Type Schools With Comprehensive School Health Services

Key School Health Services in Health Management System

4422,636

10

Monroe CountyLegislative authority for School Health Services provided in sections 381.0056, 381.0057, 402.3026, Florida Statutes.

Note: This report uses a combination of data from local county Annual School Health Reports, the Department of Health - Health Management System, Vital Statistics and the Department of Education (DOE). This report represents school health services provided by county health departments, school districts and community partners.

Public Schools and Students School Health Staff (excludes Exceptional Student Education Staff)

Percent of 1st, 3rd, 6th Grade Students by BMI Percentile

Healthy Weight (5th to < 85th

Ratio of Registered Nurses (RN) to Schools and Students

County Health Department Total

Total Expenditures for School Health Services

21

25

1814

Note: The National Association of School Nurses (2017) and the American Academy of Pediatrics (2016) recommend a ratio of one full-time registered school nurse for every school. “To optimize student health, safety and learning, it is the position of the National Association of School Nurses that a professional registered school nurse be present in every school, all day, every day.” (NASN, 2017)

Note: Based on DOE reports for Regular Elementary, Middle, Senior High, Combo Schools 2016-2017 and 2016-2017 Membership by District by School by Grade.

2016-2017 Expenditures for School Health ServicesCounty Health Department

County Health Department

Federal Title XXI

School District

School District TotalCommunity Partners (Public and Private) Total

Community Partners (Public and Private)

Reported Student Health Conditions

9

5575496960

Type of Health Condition Number of Conditions Reported57

Pregnancy Prevention Classes

Note: Based on 2017 FTE Week Counts and a 36 Week School Year.Note: Comprehensive school health services include basic school health services and additional prevention services and care management to promote retention in school.StudentsaaA

Needing ServicesNumber of Comprehensive SchoolsNumber of Comprehensive StudentsDental Health EducationNutrition and Physical Activity Classes

Tube Feeding (e.g., G, J, PEG, NG) Alcohol, Tobacco and Other Drug Abuse Prevention Classes

Number of Full Service School StudentsNumber of In-Kind Hours from Health/Social Service Agencies

Sexually Transmitted Disease (including HIV) PreventionViolence Prevention/Conflict Resolution Classes

Full Service SchoolsNote: Full Service Schools provide basic school health services and coordinate the provision of donated (in-kind) health and social services on school campuses.Number of Full Service Schools

Suicide Prevention ClassesComprehensive Birth Rate Per 1,000: 6th-12th Grade FemalesCountywide Birth Rate Per 1,000: All 11-18 Year-Old Females Low Weight Births (% of births less than 2,500 grams)Percent of Students Returning to School After Giving Birth

Page 46: State of Florida 2016-2017 Summary of School Health Services · a professional registered school nurse be present in every school, all day, every day.” (NASN, 2017) Note: Based

2016-2017 Summary of School Health Services

Elementary/Middle/High/Combined Level Schools 15Pre-Kindergarten Through 12th Grade Students 11,546Annual Average Number of Health Room Visits Per Student 5.27 Registered Nurse to Student Ratio 1: 1,776% of Students Returning to Class After Health Room Visits 92.90% Registered Nurse to School Ratio 1: 2.31Annual Average Number of Services Per Student 14.37

Registered Nurses 3.50State General Revenue $116,301 Licensed Practical Nurses 0.00

$18,817 Health Aides/Techs 0.00County Health Department Subtotal $135,118County Health Department - Other Funding $0

$135,118 Registered Nurses 3.00$322,049 Licensed Practical Nurses 2.00

$0 Health Aides/Techs 7.00$457,167

Annual Per Student Expenditure for School Health: $39.60 Registered Nurses 0.00Note: Per student expenditure based on funding from all of the above sources. Licensed Practical Nurses 0.00

Health Aides/Techs 0.00

Allergies: Life ThreateningAllergies: Non-Life ThreateningAsthma Registered Nurses 6.50Attention Deficit / Hyperactivity Disorder Licensed Practical Nurses 2.00Seizure Disorder Health Aides/Techs 7.00Cardiac Mental/Behavioral Health ConditionsDiabetes Nursing Assessment/Counseling 10,764Kidney Disease Licensed Practical Nurse Encounter 11,604Sickle Cell Disease Paraprofessional Evaluation/Treatment 32,457Bleeding Disorder Staff/Parent Consultation 18,975Cancer Individualized Health Care Plan Development 696Cystic Fibrosis Complex Medical Procedures 14,128All Other Exceptional Student Education Staffing 632Total Health Record Reviews 9,665

Immunization Follow-up 5,037Daily Annual First Aid Administration 25,767

Average Student Health Room Visits 510 91,872 Health Education Classes 66Average Medication Doses Administered 150 27,036 All Other Services 36,149

Total Services 165,940

Procedures and

Medication Doses Estimated Annual

ServicesCarbohydrate Counting 33 7,524 0Catheterization 2 360 0Colostomy, Ileostomy, Jejunostomy 0 0 0Electronic Monitoring 2 36 0

1 3,024 0Glucose Monitoring 49 12,384 0Insulin Administration 33 6,192 0Intravenous Treatments 0 0 0Medications (Inhaled) 143 1,440 0Medications (Injection) 0 0 0.00Medications (Nasal) 0 0 9.28Medications (Oral) 207 19,008 0.00%Medications (Other Routes) 3 396 0.00%Oxygen Continuous or Intermittent 1 0Specimen Collection or Testing 0 0Tracheostomy Care 1 36Ventilator Dependent Care 0 0 1Other Procedures 0 28,944 977Total 475 79,344 687

$22,446

Vision Hearing ScoliosisTarget Populations (Mandated grade levels for each screening) KG, 1st, 3rd, 6th KG, 1st, 6th 6th 1st, 3rd, 6thNumber of Students in Mandated Grades (minus opt-outs) 3,408 2,564 902 2,549Number (#) of Students Screened in Mandated Grades 3,308 2,458 864 3,118Percent (%) of Students Screened in Mandated Grades 97.07% 95.87% 95.79% 122.32%Number (#) of Students Referred for Abnormal Results 237 87 8 338

1,717 452 272 67755.07% 14.50% 8.72% 21.71%

Underweight (< 5th percentile)

Overweight (85th to < 95th

Obese (≥ 95th percentile)Body Mass Index Screening Results

Number of 1st, 3rd and 6th Grade Students by BMI Percentile

Dollar Value of In-Kind Hours Donated by Local Agencies

Students Screened in Grades Mandated by Florida Administrative Code Rule 64F-6.003Note: The percent of students screened in mandated grades may be over 100% due to screening students enrolled after the DOE's October survey of student membership. Growth and

Development with Body Mass IndexScreenings and Referrals

Total Health Staff973

Estimated Health Room Visits and Medication Doses Administered

Estimated Annual Medical Procedures and Medication Doses by Type Schools With Comprehensive School Health Services

Key School Health Services in Health Management System

1003,004

6

Nassau CountyLegislative authority for School Health Services provided in sections 381.0056, 381.0057, 402.3026, Florida Statutes.

Note: This report uses a combination of data from local county Annual School Health Reports, the Department of Health - Health Management System, Vital Statistics and the Department of Education (DOE). This report represents school health services provided by county health departments, school districts and community partners.

Public Schools and Students School Health Staff (excludes Exceptional Student Education Staff)

Percent of 1st, 3rd, 6th Grade Students by BMI Percentile

Healthy Weight (5th to < 85th

Ratio of Registered Nurses (RN) to Schools and Students

County Health Department Total

Total Expenditures for School Health Services

84

18

8438

Note: The National Association of School Nurses (2017) and the American Academy of Pediatrics (2016) recommend a ratio of one full-time registered school nurse for every school. “To optimize student health, safety and learning, it is the position of the National Association of School Nurses that a professional registered school nurse be present in every school, all day, every day.” (NASN, 2017)

Note: Based on DOE reports for Regular Elementary, Middle, Senior High, Combo Schools 2016-2017 and 2016-2017 Membership by District by School by Grade.

2016-2017 Expenditures for School Health ServicesCounty Health Department

County Health Department

Federal Title XXI

School District

School District TotalCommunity Partners (Public and Private) Total

Community Partners (Public and Private)

Reported Student Health Conditions

2

9555426160

Type of Health Condition Number of Conditions Reported153

Pregnancy Prevention Classes

Note: Based on 2017 FTE Week Counts and a 36 Week School Year.Note: Comprehensive school health services include basic school health services and additional prevention services and care management to promote retention in school.StudentsaaA

Needing ServicesNumber of Comprehensive SchoolsNumber of Comprehensive StudentsDental Health EducationNutrition and Physical Activity Classes

Tube Feeding (e.g., G, J, PEG, NG) Alcohol, Tobacco and Other Drug Abuse Prevention Classes

Number of Full Service School StudentsNumber of In-Kind Hours from Health/Social Service Agencies

Sexually Transmitted Disease (including HIV) PreventionViolence Prevention/Conflict Resolution Classes

Full Service SchoolsNote: Full Service Schools provide basic school health services and coordinate the provision of donated (in-kind) health and social services on school campuses.Number of Full Service Schools

Suicide Prevention ClassesComprehensive Birth Rate Per 1,000: 6th-12th Grade FemalesCountywide Birth Rate Per 1,000: All 11-18 Year-Old Females Low Weight Births (% of births less than 2,500 grams)Percent of Students Returning to School After Giving Birth

Page 47: State of Florida 2016-2017 Summary of School Health Services · a professional registered school nurse be present in every school, all day, every day.” (NASN, 2017) Note: Based

2016-2017 Summary of School Health Services

Elementary/Middle/High/Combined Level Schools 43Pre-Kindergarten Through 12th Grade Students 31,093Annual Average Number of Health Room Visits Per Student 7.03 Registered Nurse to Student Ratio 1: 4,442% of Students Returning to Class After Health Room Visits 92.06% Registered Nurse to School Ratio 1: 6.14Annual Average Number of Services Per Student 9.04

Registered Nurses 0.00State General Revenue $177,240 Licensed Practical Nurses 0.00

$0 Health Aides/Techs 0.00County Health Department Subtotal $177,240County Health Department - Other Funding $11,828

$189,068 Registered Nurses 7.00$1,185,507 Licensed Practical Nurses 12.00

$0 Health Aides/Techs 25.00$1,374,575

Annual Per Student Expenditure for School Health: $44.21 Registered Nurses 0.00Note: Per student expenditure based on funding from all of the above sources. Licensed Practical Nurses 0.00

Health Aides/Techs 0.00

Allergies: Life ThreateningAllergies: Non-Life ThreateningAsthma Registered Nurses 7.00Attention Deficit / Hyperactivity Disorder Licensed Practical Nurses 12.00Seizure Disorder Health Aides/Techs 25.00Cardiac Mental/Behavioral Health ConditionsDiabetes Nursing Assessment/Counseling 0Kidney Disease Licensed Practical Nurse Encounter 0Sickle Cell Disease Paraprofessional Evaluation/Treatment 91,327Bleeding Disorder Staff/Parent Consultation 0Cancer Individualized Health Care Plan Development 304Cystic Fibrosis Complex Medical Procedures 51,359All Other Exceptional Student Education Staffing 0Total Health Record Reviews 0

Immunization Follow-up 0Daily Annual First Aid Administration 24,308

Average Student Health Room Visits 1,442 259,596 Health Education Classes 539Average Medication Doses Administered 568 102,168 All Other Services 113,305

Total Services 281,142

Procedures and

Medication Doses Estimated Annual

ServicesCarbohydrate Counting 91 13,392 0Catheterization 1 396 0Colostomy, Ileostomy, Jejunostomy 1 0 0Electronic Monitoring 3 0 0

24 4,572 0Glucose Monitoring 109 29,196 0Insulin Administration 103 14,796 0Intravenous Treatments 0 0 0Medications (Inhaled) 791 14,076 0Medications (Injection) 37 108 0.00Medications (Nasal) 21 108 7.20Medications (Oral) 2,883 69,840 0.00%Medications (Other Routes) 118 3,240 0.00%Oxygen Continuous or Intermittent 0 0Specimen Collection or Testing 18 0Tracheostomy Care 0 0Ventilator Dependent Care 0 0 0Other Procedures 5 30,312 0Total 4,205 180,036 0

$0

Vision Hearing ScoliosisTarget Populations (Mandated grade levels for each screening) KG, 1st, 3rd, 6th KG, 1st, 6th 6th 1st, 3rd, 6thNumber of Students in Mandated Grades (minus opt-outs) 9,668 7,053 2,331 7,254Number (#) of Students Screened in Mandated Grades 9,533 6,908 2,236 7,041Percent (%) of Students Screened in Mandated Grades 98.60% 97.94% 95.92% 97.06%Number (#) of Students Referred for Abnormal Results 308 37 0 886

4,707 255 1,193 88666.85% 3.62% 16.94% 12.58%

Underweight (< 5th percentile)

Overweight (85th to < 95th

Obese (≥ 95th percentile)Body Mass Index Screening Results

Number of 1st, 3rd and 6th Grade Students by BMI Percentile

Dollar Value of In-Kind Hours Donated by Local Agencies

Students Screened in Grades Mandated by Florida Administrative Code Rule 64F-6.003Note: The percent of students screened in mandated grades may be over 100% due to screening students enrolled after the DOE's October survey of student membership. Growth and

Development with Body Mass IndexScreenings and Referrals

Total Health Staff3,119

Estimated Health Room Visits and Medication Doses Administered

Estimated Annual Medical Procedures and Medication Doses by Type Schools With Comprehensive School Health Services

Key School Health Services in Health Management System

09,217

25

Okaloosa CountyLegislative authority for School Health Services provided in sections 381.0056, 381.0057, 402.3026, Florida Statutes.

Note: This report uses a combination of data from local county Annual School Health Reports, the Department of Health - Health Management System, Vital Statistics and the Department of Education (DOE). This report represents school health services provided by county health departments, school districts and community partners.

Public Schools and Students School Health Staff (excludes Exceptional Student Education Staff)

Percent of 1st, 3rd, 6th Grade Students by BMI Percentile

Healthy Weight (5th to < 85th

Ratio of Registered Nurses (RN) to Schools and Students

County Health Department Total

Total Expenditures for School Health Services

2711

73

28299

Note: The National Association of School Nurses (2017) and the American Academy of Pediatrics (2016) recommend a ratio of one full-time registered school nurse for every school. “To optimize student health, safety and learning, it is the position of the National Association of School Nurses that a professional registered school nurse be present in every school, all day, every day.” (NASN, 2017)

Note: Based on DOE reports for Regular Elementary, Middle, Senior High, Combo Schools 2016-2017 and 2016-2017 Membership by District by School by Grade.

2016-2017 Expenditures for School Health ServicesCounty Health Department

County Health Department

Federal Title XXI

School District

School District TotalCommunity Partners (Public and Private) Total

Community Partners (Public and Private)

Reported Student Health Conditions

22

2,0212,478231142

Type of Health Condition Number of Conditions Reported687

Pregnancy Prevention Classes

Note: Based on 2017 FTE Week Counts and a 36 Week School Year.Note: Comprehensive school health services include basic school health services and additional prevention services and care management to promote retention in school.StudentsaaA

Needing ServicesNumber of Comprehensive SchoolsNumber of Comprehensive StudentsDental Health EducationNutrition and Physical Activity Classes

Tube Feeding (e.g., G, J, PEG, NG) Alcohol, Tobacco and Other Drug Abuse Prevention Classes

Number of Full Service School StudentsNumber of In-Kind Hours from Health/Social Service Agencies

Sexually Transmitted Disease (including HIV) PreventionViolence Prevention/Conflict Resolution Classes

Full Service SchoolsNote: Full Service Schools provide basic school health services and coordinate the provision of donated (in-kind) health and social services on school campuses.Number of Full Service Schools

Suicide Prevention ClassesComprehensive Birth Rate Per 1,000: 6th-12th Grade FemalesCountywide Birth Rate Per 1,000: All 11-18 Year-Old Females Low Weight Births (% of births less than 2,500 grams)Percent of Students Returning to School After Giving Birth

Page 48: State of Florida 2016-2017 Summary of School Health Services · a professional registered school nurse be present in every school, all day, every day.” (NASN, 2017) Note: Based

2016-2017 Summary of School Health Services

Elementary/Middle/High/Combined Level Schools 10Pre-Kindergarten Through 12th Grade Students 6,494Annual Average Number of Health Room Visits Per Student 7.10 Registered Nurse to Student Ratio 1: 1,299% of Students Returning to Class After Health Room Visits 93.64% Registered Nurse to School Ratio 1: 2.00Annual Average Number of Services Per Student 13.22

Registered Nurses 5.00State General Revenue $82,603 Licensed Practical Nurses 1.00

$248,875 Health Aides/Techs 0.00County Health Department Subtotal $331,478County Health Department - Other Funding $0

$331,478 Registered Nurses 0.00$190,477 Licensed Practical Nurses 0.00

$0 Health Aides/Techs 9.50$521,955

Annual Per Student Expenditure for School Health: $80.38 Registered Nurses 0.00Note: Per student expenditure based on funding from all of the above sources. Licensed Practical Nurses 0.00

Health Aides/Techs 0.00

Allergies: Life ThreateningAllergies: Non-Life ThreateningAsthma Registered Nurses 5.00Attention Deficit / Hyperactivity Disorder Licensed Practical Nurses 1.00Seizure Disorder Health Aides/Techs 9.50Cardiac Mental/Behavioral Health ConditionsDiabetes Nursing Assessment/Counseling 1,796Kidney Disease Licensed Practical Nurse Encounter 224Sickle Cell Disease Paraprofessional Evaluation/Treatment 935Bleeding Disorder Staff/Parent Consultation 20,513Cancer Individualized Health Care Plan Development 1,999Cystic Fibrosis Complex Medical Procedures 2,389All Other Exceptional Student Education Staffing 287Total Health Record Reviews 10,558

Immunization Follow-up 1,976Daily Annual First Aid Administration 5,006

Average Student Health Room Visits 0 0 Health Education Classes 652Average Medication Doses Administered 116 20,916 All Other Services 39,538

Total Services 85,873

Procedures and

Medication Doses Estimated Annual

ServicesCarbohydrate Counting 6 1,404 7Catheterization 3 180 4,289Colostomy, Ileostomy, Jejunostomy 0 0 38Electronic Monitoring 8 288 302

1 0 47Glucose Monitoring 9 2,340 0Insulin Administration 8 576 0Intravenous Treatments 0 0 17Medications (Inhaled) 76 1,800 0Medications (Injection) 2 0 0.00Medications (Nasal) 2 36 11.69Medications (Oral) 184 18,288 0.00%Medications (Other Routes) 11 216 0.00%Oxygen Continuous or Intermittent 0 0Specimen Collection or Testing 22 108Tracheostomy Care 1 36Ventilator Dependent Care 0 0 3Other Procedures 10 4,104 1,847Total 343 29,376 111

$2,775

Vision Hearing ScoliosisTarget Populations (Mandated grade levels for each screening) KG, 1st, 3rd, 6th KG, 1st, 6th 6th 1st, 3rd, 6thNumber of Students in Mandated Grades (minus opt-outs) 1,825 1,340 475 1,407Number (#) of Students Screened in Mandated Grades 1,855 1,440 487 1,500Percent (%) of Students Screened in Mandated Grades 101.64% 107.46% 102.53% 106.61%Number (#) of Students Referred for Abnormal Results 112 10 9 274

864 24 238 37457.60% 1.60% 15.87% 24.93%

Underweight (< 5th percentile)

Overweight (85th to < 95th

Obese (≥ 95th percentile)Body Mass Index Screening Results

Number of 1st, 3rd and 6th Grade Students by BMI Percentile

Dollar Value of In-Kind Hours Donated by Local Agencies

Students Screened in Grades Mandated by Florida Administrative Code Rule 64F-6.003Note: The percent of students screened in mandated grades may be over 100% due to screening students enrolled after the DOE's October survey of student membership. Growth and

Development with Body Mass IndexScreenings and Referrals

Total Health Staff292

Estimated Health Room Visits and Medication Doses Administered

Estimated Annual Medical Procedures and Medication Doses by Type Schools With Comprehensive School Health Services

Key School Health Services in Health Management System

31,724

23

Okeechobee CountyLegislative authority for School Health Services provided in sections 381.0056, 381.0057, 402.3026, Florida Statutes.

Note: This report uses a combination of data from local county Annual School Health Reports, the Department of Health - Health Management System, Vital Statistics and the Department of Education (DOE). This report represents school health services provided by county health departments, school districts and community partners.

Public Schools and Students School Health Staff (excludes Exceptional Student Education Staff)

Percent of 1st, 3rd, 6th Grade Students by BMI Percentile

Healthy Weight (5th to < 85th

Ratio of Registered Nurses (RN) to Schools and Students

County Health Department Total

Total Expenditures for School Health Services

44

13

815

Note: The National Association of School Nurses (2017) and the American Academy of Pediatrics (2016) recommend a ratio of one full-time registered school nurse for every school. “To optimize student health, safety and learning, it is the position of the National Association of School Nurses that a professional registered school nurse be present in every school, all day, every day.” (NASN, 2017)

Note: Based on DOE reports for Regular Elementary, Middle, Senior High, Combo Schools 2016-2017 and 2016-2017 Membership by District by School by Grade.

2016-2017 Expenditures for School Health ServicesCounty Health Department

County Health Department

Federal Title XXI

School District

School District TotalCommunity Partners (Public and Private) Total

Community Partners (Public and Private)

Reported Student Health Conditions

3

6705044731

Type of Health Condition Number of Conditions Reported107

Pregnancy Prevention Classes

Note: Based on 2017 FTE Week Counts and a 36 Week School Year.Note: Comprehensive school health services include basic school health services and additional prevention services and care management to promote retention in school.StudentsaaA

Needing ServicesNumber of Comprehensive SchoolsNumber of Comprehensive StudentsDental Health EducationNutrition and Physical Activity Classes

Tube Feeding (e.g., G, J, PEG, NG) Alcohol, Tobacco and Other Drug Abuse Prevention Classes

Number of Full Service School StudentsNumber of In-Kind Hours from Health/Social Service Agencies

Sexually Transmitted Disease (including HIV) PreventionViolence Prevention/Conflict Resolution Classes

Full Service SchoolsNote: Full Service Schools provide basic school health services and coordinate the provision of donated (in-kind) health and social services on school campuses.Number of Full Service Schools

Suicide Prevention ClassesComprehensive Birth Rate Per 1,000: 6th-12th Grade FemalesCountywide Birth Rate Per 1,000: All 11-18 Year-Old Females Low Weight Births (% of births less than 2,500 grams)Percent of Students Returning to School After Giving Birth

Page 49: State of Florida 2016-2017 Summary of School Health Services · a professional registered school nurse be present in every school, all day, every day.” (NASN, 2017) Note: Based

2016-2017 Summary of School Health Services

Elementary/Middle/High/Combined Level Schools 234Pre-Kindergarten Through 12th Grade Students 200,674Annual Average Number of Health Room Visits Per Student 5.29 Registered Nurse to Student Ratio 1: 3,786% of Students Returning to Class After Health Room Visits 91.93% Registered Nurse to School Ratio 1: 4.42Annual Average Number of Services Per Student 10.26

Registered Nurses 10.00State General Revenue $843,792 Licensed Practical Nurses 1.00

$261,979 Health Aides/Techs 6.00County Health Department Subtotal $1,105,771County Health Department - Other Funding $0

$1,105,771 Registered Nurses 37.00$6,021,787 Licensed Practical Nurses 65.00

$310,710 Health Aides/Techs 106.00$7,438,268

Annual Per Student Expenditure for School Health: $37.07 Registered Nurses 6.00Note: Per student expenditure based on funding from all of the above sources. Licensed Practical Nurses 0.00

Health Aides/Techs 0.00

Allergies: Life ThreateningAllergies: Non-Life ThreateningAsthma Registered Nurses 53.00Attention Deficit / Hyperactivity Disorder Licensed Practical Nurses 66.00Seizure Disorder Health Aides/Techs 112.00Cardiac Mental/Behavioral Health ConditionsDiabetes Nursing Assessment/Counseling 206,453Kidney Disease Licensed Practical Nurse Encounter 313,985Sickle Cell Disease Paraprofessional Evaluation/Treatment 538,210Bleeding Disorder Staff/Parent Consultation 145,351Cancer Individualized Health Care Plan Development 3,174Cystic Fibrosis Complex Medical Procedures 107,207All Other Exceptional Student Education Staffing 1,393Total Health Record Reviews 26,195

Immunization Follow-up 31,493Daily Annual First Aid Administration 196,874

Average Student Health Room Visits 5,963 1,073,304 Health Education Classes 159Average Medication Doses Administered 1,600 287,964 All Other Services 488,108

Total Services 2,058,602

Procedures and

Medication Doses Estimated Annual

ServicesCarbohydrate Counting 2,347 34,380 2Catheterization 48 10,944 2,267Colostomy, Ileostomy, Jejunostomy 41 12,456 411Electronic Monitoring 74 12,960 1,161

177 21,528 2Glucose Monitoring 870 57,816 54Insulin Administration 905 45,396 54Intravenous Treatments 13 6,984 3Medications (Inhaled) 1,479 51,480 1Medications (Injection) 786 10,728 0.00Medications (Nasal) 141 5,688 5.98Medications (Oral) 2,148 164,520 0.00%Medications (Other Routes) 0 3,168 0.00%Oxygen Continuous or Intermittent 5 360Specimen Collection or Testing 32 6,876Tracheostomy Care 24 2,628Ventilator Dependent Care 55 0 2Other Procedures 56 51,804 5,521Total 9,201 499,716 3,232

$87,360

Vision Hearing ScoliosisTarget Populations (Mandated grade levels for each screening) KG, 1st, 3rd, 6th KG, 1st, 6th 6th 1st, 3rd, 6thNumber of Students in Mandated Grades (minus opt-outs) 58,958 41,910 13,672 44,264Number (#) of Students Screened in Mandated Grades 56,133 41,620 13,557 43,375Percent (%) of Students Screened in Mandated Grades 95.21% 99.31% 99.16% 97.99%Number (#) of Students Referred for Abnormal Results 5,827 1,155 509 6,989

26,736 2,149 6,740 7,75061.64% 4.95% 15.54% 17.87%

Underweight (< 5th percentile)

Overweight (85th to < 95th

Obese (≥ 95th percentile)Body Mass Index Screening Results

Number of 1st, 3rd and 6th Grade Students by BMI Percentile

Dollar Value of In-Kind Hours Donated by Local Agencies

Students Screened in Grades Mandated by Florida Administrative Code Rule 64F-6.003Note: The percent of students screened in mandated grades may be over 100% due to screening students enrolled after the DOE's October survey of student membership. Growth and

Development with Body Mass IndexScreenings and Referrals

Total Health Staff9,030

Estimated Health Room Visits and Medication Doses Administered

Estimated Annual Medical Procedures and Medication Doses by Type Schools With Comprehensive School Health Services

Key School Health Services in Health Management System

1,79536,168

162

Orange CountyLegislative authority for School Health Services provided in sections 381.0056, 381.0057, 402.3026, Florida Statutes.

Note: This report uses a combination of data from local county Annual School Health Reports, the Department of Health - Health Management System, Vital Statistics and the Department of Education (DOE). This report represents school health services provided by county health departments, school districts and community partners.

Public Schools and Students School Health Staff (excludes Exceptional Student Education Staff)

Percent of 1st, 3rd, 6th Grade Students by BMI Percentile

Healthy Weight (5th to < 85th

Ratio of Registered Nurses (RN) to Schools and Students

County Health Department Total

Total Expenditures for School Health Services

9649

491

8941,120

Note: The National Association of School Nurses (2017) and the American Academy of Pediatrics (2016) recommend a ratio of one full-time registered school nurse for every school. “To optimize student health, safety and learning, it is the position of the National Association of School Nurses that a professional registered school nurse be present in every school, all day, every day.” (NASN, 2017)

Note: Based on DOE reports for Regular Elementary, Middle, Senior High, Combo Schools 2016-2017 and 2016-2017 Membership by District by School by Grade.

2016-2017 Expenditures for School Health ServicesCounty Health Department

County Health Department

Federal Title XXI

School District

School District TotalCommunity Partners (Public and Private) Total

Community Partners (Public and Private)

Reported Student Health Conditions

380

11,9155,7971,567568

Type of Health Condition Number of Conditions Reported2,304

Pregnancy Prevention Classes

Note: Based on 2017 FTE Week Counts and a 36 Week School Year.Note: Comprehensive school health services include basic school health services and additional prevention services and care management to promote retention in school.StudentsaaA

Needing ServicesNumber of Comprehensive SchoolsNumber of Comprehensive StudentsDental Health EducationNutrition and Physical Activity Classes

Tube Feeding (e.g., G, J, PEG, NG) Alcohol, Tobacco and Other Drug Abuse Prevention Classes

Number of Full Service School StudentsNumber of In-Kind Hours from Health/Social Service Agencies

Sexually Transmitted Disease (including HIV) PreventionViolence Prevention/Conflict Resolution Classes

Full Service SchoolsNote: Full Service Schools provide basic school health services and coordinate the provision of donated (in-kind) health and social services on school campuses.Number of Full Service Schools

Suicide Prevention ClassesComprehensive Birth Rate Per 1,000: 6th-12th Grade FemalesCountywide Birth Rate Per 1,000: All 11-18 Year-Old Females Low Weight Births (% of births less than 2,500 grams)Percent of Students Returning to School After Giving Birth

Page 50: State of Florida 2016-2017 Summary of School Health Services · a professional registered school nurse be present in every school, all day, every day.” (NASN, 2017) Note: Based

2016-2017 Summary of School Health Services

Elementary/Middle/High/Combined Level Schools 69Pre-Kindergarten Through 12th Grade Students 63,031Annual Average Number of Health Room Visits Per Student 4.33 Registered Nurse to Student Ratio 1: 8,294% of Students Returning to Class After Health Room Visits 93.01% Registered Nurse to School Ratio 1: 9.08Annual Average Number of Services Per Student 10.82

Registered Nurses 2.00State General Revenue $187,558 Licensed Practical Nurses 1.00

$34,799 Health Aides/Techs 0.00County Health Department Subtotal $222,357County Health Department - Other Funding $1,455

$223,812 Registered Nurses 5.60$2,659,367 Licensed Practical Nurses 47.00

$0 Health Aides/Techs 0.00$2,883,179

Annual Per Student Expenditure for School Health: $45.74 Registered Nurses 0.00Note: Per student expenditure based on funding from all of the above sources. Licensed Practical Nurses 0.00

Health Aides/Techs 0.00

Allergies: Life ThreateningAllergies: Non-Life ThreateningAsthma Registered Nurses 7.60Attention Deficit / Hyperactivity Disorder Licensed Practical Nurses 48.00Seizure Disorder Health Aides/Techs 0.00Cardiac Mental/Behavioral Health ConditionsDiabetes Nursing Assessment/Counseling 17,728Kidney Disease Licensed Practical Nurse Encounter 228,027Sickle Cell Disease Paraprofessional Evaluation/Treatment 0Bleeding Disorder Staff/Parent Consultation 91,573Cancer Individualized Health Care Plan Development 3,385Cystic Fibrosis Complex Medical Procedures 39,488All Other Exceptional Student Education Staffing 831Total Health Record Reviews 30,754

Immunization Follow-up 16,917Daily Annual First Aid Administration 122,901

Average Student Health Room Visits 2,084 375,120 Health Education Classes 7Average Medication Doses Administered 579 104,148 All Other Services 130,439

Total Services 682,050

Procedures and

Medication Doses Estimated Annual

ServicesCarbohydrate Counting 112 20,700 0Catheterization 5 5,688 0Colostomy, Ileostomy, Jejunostomy 5 972 0Electronic Monitoring 2 756 0

17 7,524 0Glucose Monitoring 125 32,184 0Insulin Administration 135 25,272 0Intravenous Treatments 0 0 0Medications (Inhaled) 227 14,328 0Medications (Injection) 14 2,304 0.00Medications (Nasal) 42 2,448 6.67Medications (Oral) 539 51,336 0.00%Medications (Other Routes) 38 8,460 0.00%Oxygen Continuous or Intermittent 2 360Specimen Collection or Testing 10 432Tracheostomy Care 7 2,664Ventilator Dependent Care 1 216 10Other Procedures 15 10,476 11,108Total 1,296 186,120 17,645

$800,723

Vision Hearing ScoliosisTarget Populations (Mandated grade levels for each screening) KG, 1st, 3rd, 6th KG, 1st, 6th 6th 1st, 3rd, 6thNumber of Students in Mandated Grades (minus opt-outs) 18,141 13,197 4,742 13,944Number (#) of Students Screened in Mandated Grades 19,460 12,993 4,658 13,687Percent (%) of Students Screened in Mandated Grades 107.27% 98.45% 98.23% 98.16%Number (#) of Students Referred for Abnormal Results 2,334 479 138 2,595

8,054 520 2,464 2,64958.84% 3.80% 18.00% 19.35%

Underweight (< 5th percentile)

Overweight (85th to < 95th

Obese (≥ 95th percentile)Body Mass Index Screening Results

Number of 1st, 3rd and 6th Grade Students by BMI Percentile

Dollar Value of In-Kind Hours Donated by Local Agencies

Students Screened in Grades Mandated by Florida Administrative Code Rule 64F-6.003Note: The percent of students screened in mandated grades may be over 100% due to screening students enrolled after the DOE's October survey of student membership. Growth and

Development with Body Mass IndexScreenings and Referrals

Total Health Staff3,560

Estimated Health Room Visits and Medication Doses Administered

Estimated Annual Medical Procedures and Medication Doses by Type Schools With Comprehensive School Health Services

Key School Health Services in Health Management System

28911,374

36

Osceola CountyLegislative authority for School Health Services provided in sections 381.0056, 381.0057, 402.3026, Florida Statutes.

Note: This report uses a combination of data from local county Annual School Health Reports, the Department of Health - Health Management System, Vital Statistics and the Department of Education (DOE). This report represents school health services provided by county health departments, school districts and community partners.

Public Schools and Students School Health Staff (excludes Exceptional Student Education Staff)

Percent of 1st, 3rd, 6th Grade Students by BMI Percentile

Healthy Weight (5th to < 85th

Ratio of Registered Nurses (RN) to Schools and Students

County Health Department Total

Total Expenditures for School Health Services

4435

77

471198

Note: The National Association of School Nurses (2017) and the American Academy of Pediatrics (2016) recommend a ratio of one full-time registered school nurse for every school. “To optimize student health, safety and learning, it is the position of the National Association of School Nurses that a professional registered school nurse be present in every school, all day, every day.” (NASN, 2017)

Note: Based on DOE reports for Regular Elementary, Middle, Senior High, Combo Schools 2016-2017 and 2016-2017 Membership by District by School by Grade.

2016-2017 Expenditures for School Health ServicesCounty Health Department

County Health Department

Federal Title XXI

School District

School District TotalCommunity Partners (Public and Private) Total

Community Partners (Public and Private)

Reported Student Health Conditions

46

3,7361,650529282

Type of Health Condition Number of Conditions Reported421

Pregnancy Prevention Classes

Note: Based on 2017 FTE Week Counts and a 36 Week School Year.Note: Comprehensive school health services include basic school health services and additional prevention services and care management to promote retention in school.StudentsaaA

Needing ServicesNumber of Comprehensive SchoolsNumber of Comprehensive StudentsDental Health EducationNutrition and Physical Activity Classes

Tube Feeding (e.g., G, J, PEG, NG) Alcohol, Tobacco and Other Drug Abuse Prevention Classes

Number of Full Service School StudentsNumber of In-Kind Hours from Health/Social Service Agencies

Sexually Transmitted Disease (including HIV) PreventionViolence Prevention/Conflict Resolution Classes

Full Service SchoolsNote: Full Service Schools provide basic school health services and coordinate the provision of donated (in-kind) health and social services on school campuses.Number of Full Service Schools

Suicide Prevention ClassesComprehensive Birth Rate Per 1,000: 6th-12th Grade FemalesCountywide Birth Rate Per 1,000: All 11-18 Year-Old Females Low Weight Births (% of births less than 2,500 grams)Percent of Students Returning to School After Giving Birth

Page 51: State of Florida 2016-2017 Summary of School Health Services · a professional registered school nurse be present in every school, all day, every day.” (NASN, 2017) Note: Based

2016-2017 Summary of School Health Services

Elementary/Middle/High/Combined Level Schools 224Pre-Kindergarten Through 12th Grade Students 192,721Annual Average Number of Health Room Visits Per Student 1.91 Registered Nurse to Student Ratio 1: 885% of Students Returning to Class After Health Room Visits 80.59% Registered Nurse to School Ratio 1: 1.03Annual Average Number of Services Per Student 7.05

Registered Nurses 7.00State General Revenue $861,083 Licensed Practical Nurses 3.50

$350,277 Health Aides/Techs 0.00County Health Department Subtotal $1,211,360County Health Department - Other Funding $22,052

$1,233,412 Registered Nurses 0.00$17,635,952 Licensed Practical Nurses 0.00$16,655,861 Health Aides/Techs 0.00$35,525,225

Annual Per Student Expenditure for School Health: $184.33 Registered Nurses 210.70Note: Per student expenditure based on funding from all of the above sources. Licensed Practical Nurses 2.00

Health Aides/Techs 10.00

Allergies: Life ThreateningAllergies: Non-Life ThreateningAsthma Registered Nurses 217.70Attention Deficit / Hyperactivity Disorder Licensed Practical Nurses 5.50Seizure Disorder Health Aides/Techs 10.00Cardiac Mental/Behavioral Health ConditionsDiabetes Nursing Assessment/Counseling 356,874Kidney Disease Licensed Practical Nurse Encounter 14,628Sickle Cell Disease Paraprofessional Evaluation/Treatment 7,274Bleeding Disorder Staff/Parent Consultation 50,598Cancer Individualized Health Care Plan Development 4,347Cystic Fibrosis Complex Medical Procedures 117,045All Other Exceptional Student Education Staffing 259Total Health Record Reviews 68,615

Immunization Follow-up 22,841Daily Annual First Aid Administration 267,277

Average Student Health Room Visits 4,774 859,356 Health Education Classes 3,032Average Medication Doses Administered 1,280 230,400 All Other Services 446,486

Total Services 1,359,276

Procedures and

Medication Doses Estimated Annual

ServicesCarbohydrate Counting 287 38,340 3Catheterization 7 2,340 4,156Colostomy, Ileostomy, Jejunostomy 3 1,188 6Electronic Monitoring 163 4,500 45

1 3,960 40Glucose Monitoring 438 68,148 72Insulin Administration 397 48,204 74Intravenous Treatments 1 0 0Medications (Inhaled) 3,102 20,736 15Medications (Injection) 2,131 0 3.75Medications (Nasal) 47 612 6.04Medications (Oral) 4,714 155,880 0.00%Medications (Other Routes) 336 4,968 100.00%Oxygen Continuous or Intermittent 4 4,140Specimen Collection or Testing 342 4,536Tracheostomy Care 4 1,620Ventilator Dependent Care 0 0 1Other Procedures 102 2,340 2,298Total 12,079 361,512 22,458

$529,755

Vision Hearing ScoliosisTarget Populations (Mandated grade levels for each screening) KG, 1st, 3rd, 6th KG, 1st, 6th 6th 1st, 3rd, 6thNumber of Students in Mandated Grades (minus opt-outs) 54,120 38,823 12,497 40,917Number (#) of Students Screened in Mandated Grades 52,808 38,614 12,569 40,303Percent (%) of Students Screened in Mandated Grades 97.58% 99.46% 100.58% 98.50%Number (#) of Students Referred for Abnormal Results 4,921 1,122 201 7,947

24,144 1,336 6,876 7,94759.91% 3.31% 17.06% 19.72%

Underweight (< 5th percentile)

Overweight (85th to < 95th

Obese (≥ 95th percentile)Body Mass Index Screening Results

Number of 1st, 3rd and 6th Grade Students by BMI Percentile

Dollar Value of In-Kind Hours Donated by Local Agencies

Students Screened in Grades Mandated by Florida Administrative Code Rule 64F-6.003Note: The percent of students screened in mandated grades may be over 100% due to screening students enrolled after the DOE's October survey of student membership. Growth and

Development with Body Mass IndexScreenings and Referrals

Total Health Staff1,281

Estimated Health Room Visits and Medication Doses Administered

Estimated Annual Medical Procedures and Medication Doses by Type Schools With Comprehensive School Health Services

Key School Health Services in Health Management System

1,17815,218

155

Palm Beach CountyLegislative authority for School Health Services provided in sections 381.0056, 381.0057, 402.3026, Florida Statutes.

Note: This report uses a combination of data from local county Annual School Health Reports, the Department of Health - Health Management System, Vital Statistics and the Department of Education (DOE). This report represents school health services provided by county health departments, school districts and community partners.

Public Schools and Students School Health Staff (excludes Exceptional Student Education Staff)

Percent of 1st, 3rd, 6th Grade Students by BMI Percentile

Healthy Weight (5th to < 85th

Ratio of Registered Nurses (RN) to Schools and Students

County Health Department Total

Total Expenditures for School Health Services

4519

88

222464

Note: The National Association of School Nurses (2017) and the American Academy of Pediatrics (2016) recommend a ratio of one full-time registered school nurse for every school. “To optimize student health, safety and learning, it is the position of the National Association of School Nurses that a professional registered school nurse be present in every school, all day, every day.” (NASN, 2017)

Note: Based on DOE reports for Regular Elementary, Middle, Senior High, Combo Schools 2016-2017 and 2016-2017 Membership by District by School by Grade.

2016-2017 Expenditures for School Health ServicesCounty Health Department

County Health Department

Federal Title XXI

School District

School District TotalCommunity Partners (Public and Private) Total

Community Partners (Public and Private)

Reported Student Health Conditions

157

6,8361,173690320

Type of Health Condition Number of Conditions Reported2,590

Pregnancy Prevention Classes

Note: Based on 2017 FTE Week Counts and a 36 Week School Year.Note: Comprehensive school health services include basic school health services and additional prevention services and care management to promote retention in school.StudentsaaA

Needing ServicesNumber of Comprehensive SchoolsNumber of Comprehensive StudentsDental Health EducationNutrition and Physical Activity Classes

Tube Feeding (e.g., G, J, PEG, NG) Alcohol, Tobacco and Other Drug Abuse Prevention Classes

Number of Full Service School StudentsNumber of In-Kind Hours from Health/Social Service Agencies

Sexually Transmitted Disease (including HIV) PreventionViolence Prevention/Conflict Resolution Classes

Full Service SchoolsNote: Full Service Schools provide basic school health services and coordinate the provision of donated (in-kind) health and social services on school campuses.Number of Full Service Schools

Suicide Prevention ClassesComprehensive Birth Rate Per 1,000: 6th-12th Grade FemalesCountywide Birth Rate Per 1,000: All 11-18 Year-Old Females Low Weight Births (% of births less than 2,500 grams)Percent of Students Returning to School After Giving Birth

Page 52: State of Florida 2016-2017 Summary of School Health Services · a professional registered school nurse be present in every school, all day, every day.” (NASN, 2017) Note: Based

2016-2017 Summary of School Health Services

Elementary/Middle/High/Combined Level Schools 91Pre-Kindergarten Through 12th Grade Students 72,493Annual Average Number of Health Room Visits Per Student 5.61 Registered Nurse to Student Ratio 1: 1,726% of Students Returning to Class After Health Room Visits 91.94% Registered Nurse to School Ratio 1: 2.17Annual Average Number of Services Per Student 11.19

Registered Nurses 0.00State General Revenue $227,660 Licensed Practical Nurses 0.00

$45,117 Health Aides/Techs 0.00County Health Department Subtotal $272,777County Health Department - Other Funding $0

$272,777 Registered Nurses 42.00$4,618,187 Licensed Practical Nurses 1.00

$0 Health Aides/Techs 81.00$4,890,964

Annual Per Student Expenditure for School Health: $67.47 Registered Nurses 0.00Note: Per student expenditure based on funding from all of the above sources. Licensed Practical Nurses 0.00

Health Aides/Techs 0.00

Allergies: Life ThreateningAllergies: Non-Life ThreateningAsthma Registered Nurses 42.00Attention Deficit / Hyperactivity Disorder Licensed Practical Nurses 1.00Seizure Disorder Health Aides/Techs 81.00Cardiac Mental/Behavioral Health ConditionsDiabetes Nursing Assessment/Counseling 21,039Kidney Disease Licensed Practical Nurse Encounter 20,539Sickle Cell Disease Paraprofessional Evaluation/Treatment 187,533Bleeding Disorder Staff/Parent Consultation 145,861Cancer Individualized Health Care Plan Development 4,183Cystic Fibrosis Complex Medical Procedures 39,125All Other Exceptional Student Education Staffing 3,945Total Health Record Reviews 71,199

Immunization Follow-up 11,174Daily Annual First Aid Administration 102,174

Average Student Health Room Visits 3,663 659,268 Health Education Classes 2,615Average Medication Doses Administered 1,415 254,628 All Other Services 202,114

Total Services 811,501

Procedures and

Medication Doses Estimated Annual

ServicesCarbohydrate Counting 211 36,540 0Catheterization 33 1,692 0Colostomy, Ileostomy, Jejunostomy 11 6,732 0Electronic Monitoring 28 432 0

39 7,128 0Glucose Monitoring 228 58,428 0Insulin Administration 231 36,144 0Intravenous Treatments 0 0 0Medications (Inhaled) 1,319 64,584 0Medications (Injection) 978 0 0.00Medications (Nasal) 7 576 6.12Medications (Oral) 5,772 142,524 0.00%Medications (Other Routes) 94 10,800 0.00%Oxygen Continuous or Intermittent 5 0Specimen Collection or Testing 412 2,412Tracheostomy Care 3 1,080Ventilator Dependent Care 0 0 4Other Procedures 7 3,456 4,262Total 9,378 372,528 8,905

$394,145

Vision Hearing ScoliosisTarget Populations (Mandated grade levels for each screening) KG, 1st, 3rd, 6th KG, 1st, 6th 6th 1st, 3rd, 6thNumber of Students in Mandated Grades (minus opt-outs) 21,736 15,534 5,523 16,834Number (#) of Students Screened in Mandated Grades 21,811 15,688 5,482 16,326Percent (%) of Students Screened in Mandated Grades 100.35% 100.99% 99.26% 96.98%Number (#) of Students Referred for Abnormal Results 1,160 309 66 192

9,678 1,104 2,576 2,96859.28% 6.76% 15.78% 18.18%

Underweight (< 5th percentile)

Overweight (85th to < 95th

Obese (≥ 95th percentile)Body Mass Index Screening Results

Number of 1st, 3rd and 6th Grade Students by BMI Percentile

Dollar Value of In-Kind Hours Donated by Local Agencies

Students Screened in Grades Mandated by Florida Administrative Code Rule 64F-6.003Note: The percent of students screened in mandated grades may be over 100% due to screening students enrolled after the DOE's October survey of student membership. Growth and

Development with Body Mass IndexScreenings and Referrals

Total Health Staff5,950

Estimated Health Room Visits and Medication Doses Administered

Estimated Annual Medical Procedures and Medication Doses by Type Schools With Comprehensive School Health Services

Key School Health Services in Health Management System

1,29527,840

24

Pasco CountyLegislative authority for School Health Services provided in sections 381.0056, 381.0057, 402.3026, Florida Statutes.

Note: This report uses a combination of data from local county Annual School Health Reports, the Department of Health - Health Management System, Vital Statistics and the Department of Education (DOE). This report represents school health services provided by county health departments, school districts and community partners.

Public Schools and Students School Health Staff (excludes Exceptional Student Education Staff)

Percent of 1st, 3rd, 6th Grade Students by BMI Percentile

Healthy Weight (5th to < 85th

Ratio of Registered Nurses (RN) to Schools and Students

County Health Department Total

Total Expenditures for School Health Services

5328

267

2,931311

Note: The National Association of School Nurses (2017) and the American Academy of Pediatrics (2016) recommend a ratio of one full-time registered school nurse for every school. “To optimize student health, safety and learning, it is the position of the National Association of School Nurses that a professional registered school nurse be present in every school, all day, every day.” (NASN, 2017)

Note: Based on DOE reports for Regular Elementary, Middle, Senior High, Combo Schools 2016-2017 and 2016-2017 Membership by District by School by Grade.

2016-2017 Expenditures for School Health ServicesCounty Health Department

County Health Department

Federal Title XXI

School District

School District TotalCommunity Partners (Public and Private) Total

Community Partners (Public and Private)

Reported Student Health Conditions

38

7,4366,600817878

Type of Health Condition Number of Conditions Reported1,212

Pregnancy Prevention Classes

Note: Based on 2017 FTE Week Counts and a 36 Week School Year.Note: Comprehensive school health services include basic school health services and additional prevention services and care management to promote retention in school.StudentsaaA

Needing ServicesNumber of Comprehensive SchoolsNumber of Comprehensive StudentsDental Health EducationNutrition and Physical Activity Classes

Tube Feeding (e.g., G, J, PEG, NG) Alcohol, Tobacco and Other Drug Abuse Prevention Classes

Number of Full Service School StudentsNumber of In-Kind Hours from Health/Social Service Agencies

Sexually Transmitted Disease (including HIV) PreventionViolence Prevention/Conflict Resolution Classes

Full Service SchoolsNote: Full Service Schools provide basic school health services and coordinate the provision of donated (in-kind) health and social services on school campuses.Number of Full Service Schools

Suicide Prevention ClassesComprehensive Birth Rate Per 1,000: 6th-12th Grade FemalesCountywide Birth Rate Per 1,000: All 11-18 Year-Old Females Low Weight Births (% of births less than 2,500 grams)Percent of Students Returning to School After Giving Birth

Page 53: State of Florida 2016-2017 Summary of School Health Services · a professional registered school nurse be present in every school, all day, every day.” (NASN, 2017) Note: Based

2016-2017 Summary of School Health Services

Elementary/Middle/High/Combined Level Schools 150Pre-Kindergarten Through 12th Grade Students 102,905Annual Average Number of Health Room Visits Per Student 3.79 Registered Nurse to Student Ratio 1: 1,882% of Students Returning to Class After Health Room Visits 86.09% Registered Nurse to School Ratio 1: 2.74Annual Average Number of Services Per Student 8.36

Registered Nurses 8.68State General Revenue $707,539 Licensed Practical Nurses 3.00

$349,655 Health Aides/Techs 12.92County Health Department Subtotal $1,057,194County Health Department - Other Funding $1,536,150

$2,593,344 Registered Nurses 46.00$3,408,278 Licensed Practical Nurses 29.00

$0 Health Aides/Techs 12.00$6,001,622

Annual Per Student Expenditure for School Health: $58.32 Registered Nurses 0.00Note: Per student expenditure based on funding from all of the above sources. Licensed Practical Nurses 0.00

Health Aides/Techs 0.00

Allergies: Life ThreateningAllergies: Non-Life ThreateningAsthma Registered Nurses 54.68Attention Deficit / Hyperactivity Disorder Licensed Practical Nurses 32.00Seizure Disorder Health Aides/Techs 24.92Cardiac Mental/Behavioral Health ConditionsDiabetes Nursing Assessment/Counseling 49,395Kidney Disease Licensed Practical Nurse Encounter 24,609Sickle Cell Disease Paraprofessional Evaluation/Treatment 103,777Bleeding Disorder Staff/Parent Consultation 144,278Cancer Individualized Health Care Plan Development 3,377Cystic Fibrosis Complex Medical Procedures 53,557All Other Exceptional Student Education Staffing 577Total Health Record Reviews 86,824

Immunization Follow-up 8,724Daily Annual First Aid Administration 139,991

Average Student Health Room Visits 3,308 595,476 Health Education Classes 1,478Average Medication Doses Administered 862 155,124 All Other Services 243,207

Total Services 859,794

Procedures and

Medication Doses Estimated Annual

ServicesCarbohydrate Counting 171 15,696 6Catheterization 9 1,908 5,273Colostomy, Ileostomy, Jejunostomy 5 1,728 40Electronic Monitoring 0 648 181

112 25,668 0Glucose Monitoring 237 26,892 0Insulin Administration 237 20,664 0Intravenous Treatments 28 252 0Medications (Inhaled) 1,522 25,488 0Medications (Injection) 829 1,296 0.99Medications (Nasal) 8 1,332 6.77Medications (Oral) 1,265 106,092 50.00%Medications (Other Routes) 241 0 50.00%Oxygen Continuous or Intermittent 3 0Specimen Collection or Testing 199 1,764Tracheostomy Care 3 72Ventilator Dependent Care 0 0 26Other Procedures 0 0 20,501Total 4,869 229,500 1,136

$185,648

Vision Hearing ScoliosisTarget Populations (Mandated grade levels for each screening) KG, 1st, 3rd, 6th KG, 1st, 6th 6th 1st, 3rd, 6thNumber of Students in Mandated Grades (minus opt-outs) 30,290 22,139 7,355 23,014Number (#) of Students Screened in Mandated Grades 30,419 21,647 7,264 22,949Percent (%) of Students Screened in Mandated Grades 100.43% 97.78% 98.76% 99.72%Number (#) of Students Referred for Abnormal Results 2,999 273 78 3,907

13,406 1,309 3,809 4,42558.42% 5.70% 16.60% 19.28%

Underweight (< 5th percentile)

Overweight (85th to < 95th

Obese (≥ 95th percentile)Body Mass Index Screening Results

Number of 1st, 3rd and 6th Grade Students by BMI Percentile

Dollar Value of In-Kind Hours Donated by Local Agencies

Students Screened in Grades Mandated by Florida Administrative Code Rule 64F-6.003Note: The percent of students screened in mandated grades may be over 100% due to screening students enrolled after the DOE's October survey of student membership. Growth and

Development with Body Mass IndexScreenings and Referrals

Total Health Staff13,344

Estimated Health Room Visits and Medication Doses Administered

Estimated Annual Medical Procedures and Medication Doses by Type Schools With Comprehensive School Health Services

Key School Health Services in Health Management System

2,05932,686

131

Pinellas CountyLegislative authority for School Health Services provided in sections 381.0056, 381.0057, 402.3026, Florida Statutes.

Note: This report uses a combination of data from local county Annual School Health Reports, the Department of Health - Health Management System, Vital Statistics and the Department of Education (DOE). This report represents school health services provided by county health departments, school districts and community partners.

Public Schools and Students School Health Staff (excludes Exceptional Student Education Staff)

Percent of 1st, 3rd, 6th Grade Students by BMI Percentile

Healthy Weight (5th to < 85th

Ratio of Registered Nurses (RN) to Schools and Students

County Health Department Total

Total Expenditures for School Health Services

8618

164

1,544265

Note: The National Association of School Nurses (2017) and the American Academy of Pediatrics (2016) recommend a ratio of one full-time registered school nurse for every school. “To optimize student health, safety and learning, it is the position of the National Association of School Nurses that a professional registered school nurse be present in every school, all day, every day.” (NASN, 2017)

Note: Based on DOE reports for Regular Elementary, Middle, Senior High, Combo Schools 2016-2017 and 2016-2017 Membership by District by School by Grade.

2016-2017 Expenditures for School Health ServicesCounty Health Department

County Health Department

Federal Title XXI

School District

School District TotalCommunity Partners (Public and Private) Total

Community Partners (Public and Private)

Reported Student Health Conditions

82

6,6223,765665624

Type of Health Condition Number of Conditions Reported3,317

Pregnancy Prevention Classes

Note: Based on 2017 FTE Week Counts and a 36 Week School Year.Note: Comprehensive school health services include basic school health services and additional prevention services and care management to promote retention in school.StudentsaaA

Needing ServicesNumber of Comprehensive SchoolsNumber of Comprehensive StudentsDental Health EducationNutrition and Physical Activity Classes

Tube Feeding (e.g., G, J, PEG, NG) Alcohol, Tobacco and Other Drug Abuse Prevention Classes

Number of Full Service School StudentsNumber of In-Kind Hours from Health/Social Service Agencies

Sexually Transmitted Disease (including HIV) PreventionViolence Prevention/Conflict Resolution Classes

Full Service SchoolsNote: Full Service Schools provide basic school health services and coordinate the provision of donated (in-kind) health and social services on school campuses.Number of Full Service Schools

Suicide Prevention ClassesComprehensive Birth Rate Per 1,000: 6th-12th Grade FemalesCountywide Birth Rate Per 1,000: All 11-18 Year-Old Females Low Weight Births (% of births less than 2,500 grams)Percent of Students Returning to School After Giving Birth

Page 54: State of Florida 2016-2017 Summary of School Health Services · a professional registered school nurse be present in every school, all day, every day.” (NASN, 2017) Note: Based

2016-2017 Summary of School Health Services

Elementary/Middle/High/Combined Level Schools 156Pre-Kindergarten Through 12th Grade Students 102,295Annual Average Number of Health Room Visits Per Student 6.43 Registered Nurse to Student Ratio 1: 4,860% of Students Returning to Class After Health Room Visits 78.98% Registered Nurse to School Ratio 1: 7.41Annual Average Number of Services Per Student 8.63

Registered Nurses 17.05State General Revenue $492,710 Licensed Practical Nurses 0.00

$351,066 Health Aides/Techs 7.00County Health Department Subtotal $843,776County Health Department - Other Funding $761,399

$1,605,175 Registered Nurses 4.00$18,505,521 Licensed Practical Nurses 107.00

$0 Health Aides/Techs 6.00$20,110,696

Annual Per Student Expenditure for School Health: $196.60 Registered Nurses 0.00Note: Per student expenditure based on funding from all of the above sources. Licensed Practical Nurses 0.00

Health Aides/Techs 0.00

Allergies: Life ThreateningAllergies: Non-Life ThreateningAsthma Registered Nurses 21.05Attention Deficit / Hyperactivity Disorder Licensed Practical Nurses 107.00Seizure Disorder Health Aides/Techs 13.00Cardiac Mental/Behavioral Health ConditionsDiabetes Nursing Assessment/Counseling 19,930Kidney Disease Licensed Practical Nurse Encounter 271,138Sickle Cell Disease Paraprofessional Evaluation/Treatment 34,280Bleeding Disorder Staff/Parent Consultation 154,534Cancer Individualized Health Care Plan Development 3,194Cystic Fibrosis Complex Medical Procedures 2,757All Other Exceptional Student Education Staffing 1,671Total Health Record Reviews 11,835

Immunization Follow-up 6,780Daily Annual First Aid Administration 59,661

Average Student Health Room Visits 5,158 928,476 Health Education Classes 2,338Average Medication Doses Administered 1,151 207,252 All Other Services 315,172

Total Services 883,290

Procedures and

Medication Doses Estimated Annual

ServicesCarbohydrate Counting 110 19,008 20Catheterization 19 2,592 10,304Colostomy, Ileostomy, Jejunostomy 30 2,628 27Electronic Monitoring 8 1,548 45

58 15,048 200Glucose Monitoring 130 38,484 0Insulin Administration 188 22,932 2Intravenous Treatments 1 0 95Medications (Inhaled) 2,229 43,056 5Medications (Injection) 963 360 180.56Medications (Nasal) 30 0 9.28Medications (Oral) 2,421 135,540 7.69%Medications (Other Routes) 218 5,364 61.54%Oxygen Continuous or Intermittent 19 180Specimen Collection or Testing 50 6,264Tracheostomy Care 2 2,700Ventilator Dependent Care 0 180 8Other Procedures 10 126,576 5,384Total 6,486 422,460 31,020

$831,321

Vision Hearing ScoliosisTarget Populations (Mandated grade levels for each screening) KG, 1st, 3rd, 6th KG, 1st, 6th 6th 1st, 3rd, 6thNumber of Students in Mandated Grades (minus opt-outs) 30,029 20,497 6,993 22,852Number (#) of Students Screened in Mandated Grades 30,829 20,572 7,061 22,378Percent (%) of Students Screened in Mandated Grades 102.66% 100.37% 100.97% 97.93%Number (#) of Students Referred for Abnormal Results 1,787 144 222 1

13,507 849 3,656 4,36660.36% 3.79% 16.34% 19.51%

Underweight (< 5th percentile)

Overweight (85th to < 95th

Obese (≥ 95th percentile)Body Mass Index Screening Results

Number of 1st, 3rd and 6th Grade Students by BMI Percentile

Dollar Value of In-Kind Hours Donated by Local Agencies

Students Screened in Grades Mandated by Florida Administrative Code Rule 64F-6.003Note: The percent of students screened in mandated grades may be over 100% due to screening students enrolled after the DOE's October survey of student membership. Growth and

Development with Body Mass IndexScreenings and Referrals

Total Health Staff26,770

Estimated Health Room Visits and Medication Doses Administered

Estimated Annual Medical Procedures and Medication Doses by Type Schools With Comprehensive School Health Services

Key School Health Services in Health Management System

9,43367,432

297

Polk CountyLegislative authority for School Health Services provided in sections 381.0056, 381.0057, 402.3026, Florida Statutes.

Note: This report uses a combination of data from local county Annual School Health Reports, the Department of Health - Health Management System, Vital Statistics and the Department of Education (DOE). This report represents school health services provided by county health departments, school districts and community partners.

Public Schools and Students School Health Staff (excludes Exceptional Student Education Staff)

Percent of 1st, 3rd, 6th Grade Students by BMI Percentile

Healthy Weight (5th to < 85th

Ratio of Registered Nurses (RN) to Schools and Students

County Health Department Total

Total Expenditures for School Health Services

11132

514

1,783364

Note: The National Association of School Nurses (2017) and the American Academy of Pediatrics (2016) recommend a ratio of one full-time registered school nurse for every school. “To optimize student health, safety and learning, it is the position of the National Association of School Nurses that a professional registered school nurse be present in every school, all day, every day.” (NASN, 2017)

Note: Based on DOE reports for Regular Elementary, Middle, Senior High, Combo Schools 2016-2017 and 2016-2017 Membership by District by School by Grade.

2016-2017 Expenditures for School Health ServicesCounty Health Department

County Health Department

Federal Title XXI

School District

School District TotalCommunity Partners (Public and Private) Total

Community Partners (Public and Private)

Reported Student Health Conditions

231

14,6329,011916

1,231

Type of Health Condition Number of Conditions Reported2,107

Pregnancy Prevention Classes

Note: Based on 2017 FTE Week Counts and a 36 Week School Year.Note: Comprehensive school health services include basic school health services and additional prevention services and care management to promote retention in school.StudentsaaA

Needing ServicesNumber of Comprehensive SchoolsNumber of Comprehensive StudentsDental Health EducationNutrition and Physical Activity Classes

Tube Feeding (e.g., G, J, PEG, NG) Alcohol, Tobacco and Other Drug Abuse Prevention Classes

Number of Full Service School StudentsNumber of In-Kind Hours from Health/Social Service Agencies

Sexually Transmitted Disease (including HIV) PreventionViolence Prevention/Conflict Resolution Classes

Full Service SchoolsNote: Full Service Schools provide basic school health services and coordinate the provision of donated (in-kind) health and social services on school campuses.Number of Full Service Schools

Suicide Prevention ClassesComprehensive Birth Rate Per 1,000: 6th-12th Grade FemalesCountywide Birth Rate Per 1,000: All 11-18 Year-Old Females Low Weight Births (% of births less than 2,500 grams)Percent of Students Returning to School After Giving Birth

Page 55: State of Florida 2016-2017 Summary of School Health Services · a professional registered school nurse be present in every school, all day, every day.” (NASN, 2017) Note: Based

2016-2017 Summary of School Health Services

Elementary/Middle/High/Combined Level Schools 21Pre-Kindergarten Through 12th Grade Students 11,255Annual Average Number of Health Room Visits Per Student 2.59 Registered Nurse to Student Ratio 1: 2,814% of Students Returning to Class After Health Room Visits 86.56% Registered Nurse to School Ratio 1: 5.25Annual Average Number of Services Per Student 10.54

Registered Nurses 3.00State General Revenue $135,404 Licensed Practical Nurses 0.00

$25,304 Health Aides/Techs 0.00County Health Department Subtotal $160,708County Health Department - Other Funding $103,961

$264,669 Registered Nurses 1.00$705,052 Licensed Practical Nurses 4.00

$0 Health Aides/Techs 16.00$969,721

Annual Per Student Expenditure for School Health: $86.16 Registered Nurses 0.00Note: Per student expenditure based on funding from all of the above sources. Licensed Practical Nurses 0.00

Health Aides/Techs 0.00

Allergies: Life ThreateningAllergies: Non-Life ThreateningAsthma Registered Nurses 4.00Attention Deficit / Hyperactivity Disorder Licensed Practical Nurses 4.00Seizure Disorder Health Aides/Techs 16.00Cardiac Mental/Behavioral Health ConditionsDiabetes Nursing Assessment/Counseling 2,072Kidney Disease Licensed Practical Nurse Encounter 14,506Sickle Cell Disease Paraprofessional Evaluation/Treatment 29,760Bleeding Disorder Staff/Parent Consultation 1,576Cancer Individualized Health Care Plan Development 569Cystic Fibrosis Complex Medical Procedures 10,781All Other Exceptional Student Education Staffing 10Total Health Record Reviews 6,532

Immunization Follow-up 10,344Daily Annual First Aid Administration 8,849

Average Student Health Room Visits 350 62,928 Health Education Classes 340Average Medication Doses Administered 144 25,956 All Other Services 33,337

Total Services 118,676

Procedures and

Medication Doses Estimated Annual

ServicesCarbohydrate Counting 26 3,384 0Catheterization 4 1,260 0Colostomy, Ileostomy, Jejunostomy 0 1,980 0Electronic Monitoring 1 0 0

8 216 0Glucose Monitoring 28 5,616 0Insulin Administration 27 4,140 0Intravenous Treatments 0 0 0Medications (Inhaled) 289 3,780 0Medications (Injection) 0 0 0.00Medications (Nasal) 0 0 13.96Medications (Oral) 328 17,820 0.00%Medications (Other Routes) 0 216 0.00%Oxygen Continuous or Intermittent 0 0Specimen Collection or Testing 0 0Tracheostomy Care 0 0Ventilator Dependent Care 0 0 6Other Procedures 0 0 4,361Total 711 38,412 26

$613

Vision Hearing ScoliosisTarget Populations (Mandated grade levels for each screening) KG, 1st, 3rd, 6th KG, 1st, 6th 6th 1st, 3rd, 6thNumber of Students in Mandated Grades (minus opt-outs) 2,982 2,127 643 2,239Number (#) of Students Screened in Mandated Grades 2,880 2,056 647 2,139Percent (%) of Students Screened in Mandated Grades 96.58% 96.66% 100.62% 95.53%Number (#) of Students Referred for Abnormal Results 444 79 2 104

1,239 50 363 48757.92% 2.34% 16.97% 22.77%

Underweight (< 5th percentile)

Overweight (85th to < 95th

Obese (≥ 95th percentile)Body Mass Index Screening Results

Number of 1st, 3rd and 6th Grade Students by BMI Percentile

Dollar Value of In-Kind Hours Donated by Local Agencies

Students Screened in Grades Mandated by Florida Administrative Code Rule 64F-6.003Note: The percent of students screened in mandated grades may be over 100% due to screening students enrolled after the DOE's October survey of student membership. Growth and

Development with Body Mass IndexScreenings and Referrals

Total Health Staff1,711

Estimated Health Room Visits and Medication Doses Administered

Estimated Annual Medical Procedures and Medication Doses by Type Schools With Comprehensive School Health Services

Key School Health Services in Health Management System

9566,124

379

Putnam CountyLegislative authority for School Health Services provided in sections 381.0056, 381.0057, 402.3026, Florida Statutes.

Note: This report uses a combination of data from local county Annual School Health Reports, the Department of Health - Health Management System, Vital Statistics and the Department of Education (DOE). This report represents school health services provided by county health departments, school districts and community partners.

Public Schools and Students School Health Staff (excludes Exceptional Student Education Staff)

Percent of 1st, 3rd, 6th Grade Students by BMI Percentile

Healthy Weight (5th to < 85th

Ratio of Registered Nurses (RN) to Schools and Students

County Health Department Total

Total Expenditures for School Health Services

119

37

9127

Note: The National Association of School Nurses (2017) and the American Academy of Pediatrics (2016) recommend a ratio of one full-time registered school nurse for every school. “To optimize student health, safety and learning, it is the position of the National Association of School Nurses that a professional registered school nurse be present in every school, all day, every day.” (NASN, 2017)

Note: Based on DOE reports for Regular Elementary, Middle, Senior High, Combo Schools 2016-2017 and 2016-2017 Membership by District by School by Grade.

2016-2017 Expenditures for School Health ServicesCounty Health Department

County Health Department

Federal Title XXI

School District

School District TotalCommunity Partners (Public and Private) Total

Community Partners (Public and Private)

Reported Student Health Conditions

54

1,47894077

136

Type of Health Condition Number of Conditions Reported218

Pregnancy Prevention Classes

Note: Based on 2017 FTE Week Counts and a 36 Week School Year.Note: Comprehensive school health services include basic school health services and additional prevention services and care management to promote retention in school.StudentsaaA

Needing ServicesNumber of Comprehensive SchoolsNumber of Comprehensive StudentsDental Health EducationNutrition and Physical Activity Classes

Tube Feeding (e.g., G, J, PEG, NG) Alcohol, Tobacco and Other Drug Abuse Prevention Classes

Number of Full Service School StudentsNumber of In-Kind Hours from Health/Social Service Agencies

Sexually Transmitted Disease (including HIV) PreventionViolence Prevention/Conflict Resolution Classes

Full Service SchoolsNote: Full Service Schools provide basic school health services and coordinate the provision of donated (in-kind) health and social services on school campuses.Number of Full Service Schools

Suicide Prevention ClassesComprehensive Birth Rate Per 1,000: 6th-12th Grade FemalesCountywide Birth Rate Per 1,000: All 11-18 Year-Old Females Low Weight Births (% of births less than 2,500 grams)Percent of Students Returning to School After Giving Birth

Page 56: State of Florida 2016-2017 Summary of School Health Services · a professional registered school nurse be present in every school, all day, every day.” (NASN, 2017) Note: Based

2016-2017 Summary of School Health Services

Elementary/Middle/High/Combined Level Schools 39Pre-Kindergarten Through 12th Grade Students 38,550Annual Average Number of Health Room Visits Per Student 5.90 Registered Nurse to Student Ratio 1: 1,329% of Students Returning to Class After Health Room Visits 82.74% Registered Nurse to School Ratio 1: 1.34Annual Average Number of Services Per Student 20.93

Registered Nurses 0.00State General Revenue $160,078 Licensed Practical Nurses 0.00

$24,413 Health Aides/Techs 0.00County Health Department Subtotal $184,491County Health Department - Other Funding $0

$184,491 Registered Nurses 29.00$2,170,964 Licensed Practical Nurses 11.50

$0 Health Aides/Techs 0.00$2,355,455

Annual Per Student Expenditure for School Health: $61.10 Registered Nurses 0.00Note: Per student expenditure based on funding from all of the above sources. Licensed Practical Nurses 0.00

Health Aides/Techs 0.00

Allergies: Life ThreateningAllergies: Non-Life ThreateningAsthma Registered Nurses 29.00Attention Deficit / Hyperactivity Disorder Licensed Practical Nurses 11.50Seizure Disorder Health Aides/Techs 0.00Cardiac Mental/Behavioral Health ConditionsDiabetes Nursing Assessment/Counseling 299,823Kidney Disease Licensed Practical Nurse Encounter 217,185Sickle Cell Disease Paraprofessional Evaluation/Treatment 46,255Bleeding Disorder Staff/Parent Consultation 4,951Cancer Individualized Health Care Plan Development 3,352Cystic Fibrosis Complex Medical Procedures 59,002All Other Exceptional Student Education Staffing 2,468Total Health Record Reviews 341

Immunization Follow-up 821Daily Annual First Aid Administration 23,192

Average Student Health Room Visits 1,733 311,940 Health Education Classes 139Average Medication Doses Administered 489 88,092 All Other Services 149,488

Total Services 807,017

Procedures and

Medication Doses Estimated Annual

ServicesCarbohydrate Counting 143 20,484 0Catheterization 9 1,944 0Colostomy, Ileostomy, Jejunostomy 9 36 0Electronic Monitoring 44 4,392 0

35 4,608 0Glucose Monitoring 144 34,164 0Insulin Administration 143 19,188 0Intravenous Treatments 0 0 0Medications (Inhaled) 321 11,556 0Medications (Injection) 16 144 0.00Medications (Nasal) 21 396 3.41Medications (Oral) 397 53,352 0.00%Medications (Other Routes) 71 3,456 0.00%Oxygen Continuous or Intermittent 0 0Specimen Collection or Testing 2 144Tracheostomy Care 1 180Ventilator Dependent Care 0 0 4Other Procedures 39 3,240 2,588Total 1,395 157,284 5,694

$145,494

Vision Hearing ScoliosisTarget Populations (Mandated grade levels for each screening) KG, 1st, 3rd, 6th KG, 1st, 6th 6th 1st, 3rd, 6thNumber of Students in Mandated Grades (minus opt-outs) 10,849 8,089 2,963 8,327Number (#) of Students Screened in Mandated Grades 10,769 7,945 2,906 8,236Percent (%) of Students Screened in Mandated Grades 99.26% 98.22% 98.08% 98.91%Number (#) of Students Referred for Abnormal Results 489 86 7 3

5,865 413 979 97971.21% 5.01% 11.89% 11.89%

Underweight (< 5th percentile)

Overweight (85th to < 95th

Obese (≥ 95th percentile)Body Mass Index Screening Results

Number of 1st, 3rd and 6th Grade Students by BMI Percentile

Dollar Value of In-Kind Hours Donated by Local Agencies

Students Screened in Grades Mandated by Florida Administrative Code Rule 64F-6.003Note: The percent of students screened in mandated grades may be over 100% due to screening students enrolled after the DOE's October survey of student membership. Growth and

Development with Body Mass IndexScreenings and Referrals

Total Health Staff2,562

Estimated Health Room Visits and Medication Doses Administered

Estimated Annual Medical Procedures and Medication Doses by Type Schools With Comprehensive School Health Services

Key School Health Services in Health Management System

39510,560

27

Saint John's CountyLegislative authority for School Health Services provided in sections 381.0056, 381.0057, 402.3026, Florida Statutes.

Note: This report uses a combination of data from local county Annual School Health Reports, the Department of Health - Health Management System, Vital Statistics and the Department of Education (DOE). This report represents school health services provided by county health departments, school districts and community partners.

Public Schools and Students School Health Staff (excludes Exceptional Student Education Staff)

Percent of 1st, 3rd, 6th Grade Students by BMI Percentile

Healthy Weight (5th to < 85th

Ratio of Registered Nurses (RN) to Schools and Students

County Health Department Total

Total Expenditures for School Health Services

1612

54

226144

Note: The National Association of School Nurses (2017) and the American Academy of Pediatrics (2016) recommend a ratio of one full-time registered school nurse for every school. “To optimize student health, safety and learning, it is the position of the National Association of School Nurses that a professional registered school nurse be present in every school, all day, every day.” (NASN, 2017)

Note: Based on DOE reports for Regular Elementary, Middle, Senior High, Combo Schools 2016-2017 and 2016-2017 Membership by District by School by Grade.

2016-2017 Expenditures for School Health ServicesCounty Health Department

County Health Department

Federal Title XXI

School District

School District TotalCommunity Partners (Public and Private) Total

Community Partners (Public and Private)

Reported Student Health Conditions

16

3,1232,713259244

Type of Health Condition Number of Conditions Reported769

Pregnancy Prevention Classes

Note: Based on 2017 FTE Week Counts and a 36 Week School Year.Note: Comprehensive school health services include basic school health services and additional prevention services and care management to promote retention in school.StudentsaaA

Needing ServicesNumber of Comprehensive SchoolsNumber of Comprehensive StudentsDental Health EducationNutrition and Physical Activity Classes

Tube Feeding (e.g., G, J, PEG, NG) Alcohol, Tobacco and Other Drug Abuse Prevention Classes

Number of Full Service School StudentsNumber of In-Kind Hours from Health/Social Service Agencies

Sexually Transmitted Disease (including HIV) PreventionViolence Prevention/Conflict Resolution Classes

Full Service SchoolsNote: Full Service Schools provide basic school health services and coordinate the provision of donated (in-kind) health and social services on school campuses.Number of Full Service Schools

Suicide Prevention ClassesComprehensive Birth Rate Per 1,000: 6th-12th Grade FemalesCountywide Birth Rate Per 1,000: All 11-18 Year-Old Females Low Weight Births (% of births less than 2,500 grams)Percent of Students Returning to School After Giving Birth

Page 57: State of Florida 2016-2017 Summary of School Health Services · a professional registered school nurse be present in every school, all day, every day.” (NASN, 2017) Note: Based

2016-2017 Summary of School Health Services

Elementary/Middle/High/Combined Level Schools 42Pre-Kindergarten Through 12th Grade Students 40,383Annual Average Number of Health Room Visits Per Student 2.85 Registered Nurse to Student Ratio 1: 3,671% of Students Returning to Class After Health Room Visits 83.50% Registered Nurse to School Ratio 1: 3.82Annual Average Number of Services Per Student 11.73

Registered Nurses 11.00State General Revenue $220,514 Licensed Practical Nurses 0.00

$32,383 Health Aides/Techs 1.00County Health Department Subtotal $252,897County Health Department - Other Funding $0

$252,897 Registered Nurses 0.00$2,137,596 Licensed Practical Nurses 0.50

$475,000 Health Aides/Techs 48.00$2,865,493

Annual Per Student Expenditure for School Health: $70.96 Registered Nurses 0.00Note: Per student expenditure based on funding from all of the above sources. Licensed Practical Nurses 0.00

Health Aides/Techs 0.00

Allergies: Life ThreateningAllergies: Non-Life ThreateningAsthma Registered Nurses 11.00Attention Deficit / Hyperactivity Disorder Licensed Practical Nurses 0.50Seizure Disorder Health Aides/Techs 49.00Cardiac Mental/Behavioral Health ConditionsDiabetes Nursing Assessment/Counseling 48,621Kidney Disease Licensed Practical Nurse Encounter 4,384Sickle Cell Disease Paraprofessional Evaluation/Treatment 142,014Bleeding Disorder Staff/Parent Consultation 83,636Cancer Individualized Health Care Plan Development 2,148Cystic Fibrosis Complex Medical Procedures 9,599All Other Exceptional Student Education Staffing 643Total Health Record Reviews 12,582

Immunization Follow-up 16,899Daily Annual First Aid Administration 38,565

Average Student Health Room Visits 1,311 235,908 Health Education Classes 3,046Average Medication Doses Administered 307 55,296 All Other Services 111,562

Total Services 473,699

Procedures and

Medication Doses Estimated Annual

ServicesCarbohydrate Counting 76 8,568 0Catheterization 3 540 0Colostomy, Ileostomy, Jejunostomy 3 540 0Electronic Monitoring 4 3,600 0

15 2,304 0Glucose Monitoring 90 30,060 0Insulin Administration 84 9,972 0Intravenous Treatments 0 0 0Medications (Inhaled) 495 8,352 0Medications (Injection) 369 0 0.00Medications (Nasal) 4 252 4.86Medications (Oral) 416 34,920 0.00%Medications (Other Routes) 98 1,800 0.00%Oxygen Continuous or Intermittent 2 540Specimen Collection or Testing 2 108Tracheostomy Care 2 576Ventilator Dependent Care 0 0 1Other Procedures 4 3,096 753Total 1,667 105,228 35

$3,700

Vision Hearing ScoliosisTarget Populations (Mandated grade levels for each screening) KG, 1st, 3rd, 6th KG, 1st, 6th 6th 1st, 3rd, 6thNumber of Students in Mandated Grades (minus opt-outs) 11,777 8,286 2,996 9,166Number (#) of Students Screened in Mandated Grades 12,649 8,577 2,367 8,962Percent (%) of Students Screened in Mandated Grades 107.40% 103.51% 79.01% 97.77%Number (#) of Students Referred for Abnormal Results 1,270 166 107 2,090

5,139 250 1,533 2,04057.34% 2.79% 17.11% 22.76%

Underweight (< 5th percentile)

Overweight (85th to < 95th

Obese (≥ 95th percentile)Body Mass Index Screening Results

Number of 1st, 3rd and 6th Grade Students by BMI Percentile

Dollar Value of In-Kind Hours Donated by Local Agencies

Students Screened in Grades Mandated by Florida Administrative Code Rule 64F-6.003Note: The percent of students screened in mandated grades may be over 100% due to screening students enrolled after the DOE's October survey of student membership. Growth and

Development with Body Mass IndexScreenings and Referrals

Total Health Staff9,729

Estimated Health Room Visits and Medication Doses Administered

Estimated Annual Medical Procedures and Medication Doses by Type Schools With Comprehensive School Health Services

Key School Health Services in Health Management System

1,87319,935

25

Saint Lucie CountyLegislative authority for School Health Services provided in sections 381.0056, 381.0057, 402.3026, Florida Statutes.

Note: This report uses a combination of data from local county Annual School Health Reports, the Department of Health - Health Management System, Vital Statistics and the Department of Education (DOE). This report represents school health services provided by county health departments, school districts and community partners.

Public Schools and Students School Health Staff (excludes Exceptional Student Education Staff)

Percent of 1st, 3rd, 6th Grade Students by BMI Percentile

Healthy Weight (5th to < 85th

Ratio of Registered Nurses (RN) to Schools and Students

County Health Department Total

Total Expenditures for School Health Services

2410

192

0131

Note: The National Association of School Nurses (2017) and the American Academy of Pediatrics (2016) recommend a ratio of one full-time registered school nurse for every school. “To optimize student health, safety and learning, it is the position of the National Association of School Nurses that a professional registered school nurse be present in every school, all day, every day.” (NASN, 2017)

Note: Based on DOE reports for Regular Elementary, Middle, Senior High, Combo Schools 2016-2017 and 2016-2017 Membership by District by School by Grade.

2016-2017 Expenditures for School Health ServicesCounty Health Department

County Health Department

Federal Title XXI

School District

School District TotalCommunity Partners (Public and Private) Total

Community Partners (Public and Private)

Reported Student Health Conditions

107

4,6452,230372240

Type of Health Condition Number of Conditions Reported357

Pregnancy Prevention Classes

Note: Based on 2017 FTE Week Counts and a 36 Week School Year.Note: Comprehensive school health services include basic school health services and additional prevention services and care management to promote retention in school.StudentsaaA

Needing ServicesNumber of Comprehensive SchoolsNumber of Comprehensive StudentsDental Health EducationNutrition and Physical Activity Classes

Tube Feeding (e.g., G, J, PEG, NG) Alcohol, Tobacco and Other Drug Abuse Prevention Classes

Number of Full Service School StudentsNumber of In-Kind Hours from Health/Social Service Agencies

Sexually Transmitted Disease (including HIV) PreventionViolence Prevention/Conflict Resolution Classes

Full Service SchoolsNote: Full Service Schools provide basic school health services and coordinate the provision of donated (in-kind) health and social services on school campuses.Number of Full Service Schools

Suicide Prevention ClassesComprehensive Birth Rate Per 1,000: 6th-12th Grade FemalesCountywide Birth Rate Per 1,000: All 11-18 Year-Old Females Low Weight Births (% of births less than 2,500 grams)Percent of Students Returning to School After Giving Birth

Page 58: State of Florida 2016-2017 Summary of School Health Services · a professional registered school nurse be present in every school, all day, every day.” (NASN, 2017) Note: Based

2016-2017 Summary of School Health Services

Elementary/Middle/High/Combined Level Schools 35Pre-Kindergarten Through 12th Grade Students 27,473Annual Average Number of Health Room Visits Per Student 5.77 Registered Nurse to Student Ratio 1: 4,040% of Students Returning to Class After Health Room Visits 87.99% Registered Nurse to School Ratio 1: 5.15Annual Average Number of Services Per Student 9.88

Registered Nurses 3.80State General Revenue $141,804 Licensed Practical Nurses 1.20

$118,937 Health Aides/Techs 0.00County Health Department Subtotal $260,741County Health Department - Other Funding $59,800

$320,541 Registered Nurses 3.00$1,074,013 Licensed Practical Nurses 2.00

$0 Health Aides/Techs 30.00$1,394,554

Annual Per Student Expenditure for School Health: $50.76 Registered Nurses 0.00Note: Per student expenditure based on funding from all of the above sources. Licensed Practical Nurses 0.00

Health Aides/Techs 0.00

Allergies: Life ThreateningAllergies: Non-Life ThreateningAsthma Registered Nurses 6.80Attention Deficit / Hyperactivity Disorder Licensed Practical Nurses 3.20Seizure Disorder Health Aides/Techs 30.00Cardiac Mental/Behavioral Health ConditionsDiabetes Nursing Assessment/Counseling 1,624Kidney Disease Licensed Practical Nurse Encounter 0Sickle Cell Disease Paraprofessional Evaluation/Treatment 95,598Bleeding Disorder Staff/Parent Consultation 32,159Cancer Individualized Health Care Plan Development 1,378Cystic Fibrosis Complex Medical Procedures 5All Other Exceptional Student Education Staffing 18Total Health Record Reviews 21,396

Immunization Follow-up 20,968Daily Annual First Aid Administration 13,755

Average Student Health Room Visits 1,400 251,928 Health Education Classes 348Average Medication Doses Administered 509 91,548 All Other Services 84,300

Total Services 271,549

Procedures and

Medication Doses Estimated Annual

ServicesCarbohydrate Counting 66 11,160 27Catheterization 6 828 22,842Colostomy, Ileostomy, Jejunostomy 10 3,564 175Electronic Monitoring 12 2,988 2,007

55 4,212 900Glucose Monitoring 65 19,440 33Insulin Administration 68 11,376 35Intravenous Treatments 0 0 1,396Medications (Inhaled) 249 7,200 22Medications (Injection) 6 612 3.63Medications (Nasal) 6 540 6.65Medications (Oral) 1,498 70,272 11.11%Medications (Other Routes) 31 1,548 55.56%Oxygen Continuous or Intermittent 2 180Specimen Collection or Testing 4 432Tracheostomy Care 2 468Ventilator Dependent Care 1 216 4Other Procedures 308 11,160 4,783Total 2,389 146,196 29,880

$699,600

Vision Hearing ScoliosisTarget Populations (Mandated grade levels for each screening) KG, 1st, 3rd, 6th KG, 1st, 6th 6th 1st, 3rd, 6thNumber of Students in Mandated Grades (minus opt-outs) 7,919 5,793 2,102 6,072Number (#) of Students Screened in Mandated Grades 8,132 5,763 2,035 5,710Percent (%) of Students Screened in Mandated Grades 102.69% 99.48% 96.81% 94.04%Number (#) of Students Referred for Abnormal Results 498 97 63 622

3,853 249 808 80067.48% 4.36% 14.15% 14.01%

Underweight (< 5th percentile)

Overweight (85th to < 95th

Obese (≥ 95th percentile)Body Mass Index Screening Results

Number of 1st, 3rd and 6th Grade Students by BMI Percentile

Dollar Value of In-Kind Hours Donated by Local Agencies

Students Screened in Grades Mandated by Florida Administrative Code Rule 64F-6.003Note: The percent of students screened in mandated grades may be over 100% due to screening students enrolled after the DOE's October survey of student membership. Growth and

Development with Body Mass IndexScreenings and Referrals

Total Health Staff5,902

Estimated Health Room Visits and Medication Doses Administered

Estimated Annual Medical Procedures and Medication Doses by Type Schools With Comprehensive School Health Services

Key School Health Services in Health Management System

1,81413,004

58

Santa Rosa CountyLegislative authority for School Health Services provided in sections 381.0056, 381.0057, 402.3026, Florida Statutes.

Note: This report uses a combination of data from local county Annual School Health Reports, the Department of Health - Health Management System, Vital Statistics and the Department of Education (DOE). This report represents school health services provided by county health departments, school districts and community partners.

Public Schools and Students School Health Staff (excludes Exceptional Student Education Staff)

Percent of 1st, 3rd, 6th Grade Students by BMI Percentile

Healthy Weight (5th to < 85th

Ratio of Registered Nurses (RN) to Schools and Students

County Health Department Total

Total Expenditures for School Health Services

3315

130

39378

Note: The National Association of School Nurses (2017) and the American Academy of Pediatrics (2016) recommend a ratio of one full-time registered school nurse for every school. “To optimize student health, safety and learning, it is the position of the National Association of School Nurses that a professional registered school nurse be present in every school, all day, every day.” (NASN, 2017)

Note: Based on DOE reports for Regular Elementary, Middle, Senior High, Combo Schools 2016-2017 and 2016-2017 Membership by District by School by Grade.

2016-2017 Expenditures for School Health ServicesCounty Health Department

County Health Department

Federal Title XXI

School District

School District TotalCommunity Partners (Public and Private) Total

Community Partners (Public and Private)

Reported Student Health Conditions

3

2,0081,514224158

Type of Health Condition Number of Conditions Reported674

Pregnancy Prevention Classes

Note: Based on 2017 FTE Week Counts and a 36 Week School Year.Note: Comprehensive school health services include basic school health services and additional prevention services and care management to promote retention in school.StudentsaaA

Needing ServicesNumber of Comprehensive SchoolsNumber of Comprehensive StudentsDental Health EducationNutrition and Physical Activity Classes

Tube Feeding (e.g., G, J, PEG, NG) Alcohol, Tobacco and Other Drug Abuse Prevention Classes

Number of Full Service School StudentsNumber of In-Kind Hours from Health/Social Service Agencies

Sexually Transmitted Disease (including HIV) PreventionViolence Prevention/Conflict Resolution Classes

Full Service SchoolsNote: Full Service Schools provide basic school health services and coordinate the provision of donated (in-kind) health and social services on school campuses.Number of Full Service Schools

Suicide Prevention ClassesComprehensive Birth Rate Per 1,000: 6th-12th Grade FemalesCountywide Birth Rate Per 1,000: All 11-18 Year-Old Females Low Weight Births (% of births less than 2,500 grams)Percent of Students Returning to School After Giving Birth

Page 59: State of Florida 2016-2017 Summary of School Health Services · a professional registered school nurse be present in every school, all day, every day.” (NASN, 2017) Note: Based

2016-2017 Summary of School Health Services

Elementary/Middle/High/Combined Level Schools 52Pre-Kindergarten Through 12th Grade Students 42,810Annual Average Number of Health Room Visits Per Student 6.96 Registered Nurse to Student Ratio 1: 1,586% of Students Returning to Class After Health Room Visits 88.87% Registered Nurse to School Ratio 1: 1.93Annual Average Number of Services Per Student 16.43

Registered Nurses 13.00State General Revenue $243,777 Licensed Practical Nurses 0.00

$239,180 Health Aides/Techs 0.00County Health Department Subtotal $482,957County Health Department - Other Funding $635,024

$1,117,981 Registered Nurses 14.00$5,190,206 Licensed Practical Nurses 0.00

$0 Health Aides/Techs 54.00$6,308,187

Annual Per Student Expenditure for School Health: $147.35 Registered Nurses 0.00Note: Per student expenditure based on funding from all of the above sources. Licensed Practical Nurses 0.00

Health Aides/Techs 0.00

Allergies: Life ThreateningAllergies: Non-Life ThreateningAsthma Registered Nurses 27.00Attention Deficit / Hyperactivity Disorder Licensed Practical Nurses 0.00Seizure Disorder Health Aides/Techs 54.00Cardiac Mental/Behavioral Health ConditionsDiabetes Nursing Assessment/Counseling 46,152Kidney Disease Licensed Practical Nurse Encounter 0Sickle Cell Disease Paraprofessional Evaluation/Treatment 255,883Bleeding Disorder Staff/Parent Consultation 131,072Cancer Individualized Health Care Plan Development 3,465Cystic Fibrosis Complex Medical Procedures 47,748All Other Exceptional Student Education Staffing 2,881Total Health Record Reviews 13,781

Immunization Follow-up 6,986Daily Annual First Aid Administration 40,843

Average Student Health Room Visits 1,875 337,464 Health Education Classes 1,320Average Medication Doses Administered 622 111,960 All Other Services 153,253

Total Services 703,384

Procedures and

Medication Doses Estimated Annual

ServicesCarbohydrate Counting 79 16,776 37Catheterization 4 1,044 34,772Colostomy, Ileostomy, Jejunostomy 1 72 41Electronic Monitoring 7 504 115

19 2,916 10Glucose Monitoring 88 24,120 46Insulin Administration 100 14,256 99Intravenous Treatments 0 0 1Medications (Inhaled) 669 11,304 2Medications (Injection) 435 36 2.35Medications (Nasal) 15 0 6.14Medications (Oral) 2,874 83,304 16.13%Medications (Other Routes) 85 3,060 90.00%Oxygen Continuous or Intermittent 3 0Specimen Collection or Testing 25 432Tracheostomy Care 1 360Ventilator Dependent Care 0 0 2Other Procedures 6 1,368 1,262Total 4,411 159,552 13,951

$364,855

Vision Hearing ScoliosisTarget Populations (Mandated grade levels for each screening) KG, 1st, 3rd, 6th KG, 1st, 6th 6th 1st, 3rd, 6thNumber of Students in Mandated Grades (minus opt-outs) 12,534 9,138 3,227 9,625Number (#) of Students Screened in Mandated Grades 12,590 9,209 3,227 9,612Percent (%) of Students Screened in Mandated Grades 100.45% 100.78% 100.00% 99.86%Number (#) of Students Referred for Abnormal Results 627 143 34 93

6,049 238 1,606 1,71962.93% 2.48% 16.71% 17.88%

Underweight (< 5th percentile)

Overweight (85th to < 95th

Obese (≥ 95th percentile)Body Mass Index Screening Results

Number of 1st, 3rd and 6th Grade Students by BMI Percentile

Dollar Value of In-Kind Hours Donated by Local Agencies

Students Screened in Grades Mandated by Florida Administrative Code Rule 64F-6.003Note: The percent of students screened in mandated grades may be over 100% due to screening students enrolled after the DOE's October survey of student membership. Growth and

Development with Body Mass IndexScreenings and Referrals

Total Health Staff10,099

Estimated Health Room Visits and Medication Doses Administered

Estimated Annual Medical Procedures and Medication Doses by Type Schools With Comprehensive School Health Services

Key School Health Services in Health Management System

5,46427,125

135

Sarasota CountyLegislative authority for School Health Services provided in sections 381.0056, 381.0057, 402.3026, Florida Statutes.

Note: This report uses a combination of data from local county Annual School Health Reports, the Department of Health - Health Management System, Vital Statistics and the Department of Education (DOE). This report represents school health services provided by county health departments, school districts and community partners.

Public Schools and Students School Health Staff (excludes Exceptional Student Education Staff)

Percent of 1st, 3rd, 6th Grade Students by BMI Percentile

Healthy Weight (5th to < 85th

Ratio of Registered Nurses (RN) to Schools and Students

County Health Department Total

Total Expenditures for School Health Services

4510

212

950129

Note: The National Association of School Nurses (2017) and the American Academy of Pediatrics (2016) recommend a ratio of one full-time registered school nurse for every school. “To optimize student health, safety and learning, it is the position of the National Association of School Nurses that a professional registered school nurse be present in every school, all day, every day.” (NASN, 2017)

Note: Based on DOE reports for Regular Elementary, Middle, Senior High, Combo Schools 2016-2017 and 2016-2017 Membership by District by School by Grade.

2016-2017 Expenditures for School Health ServicesCounty Health Department

County Health Department

Federal Title XXI

School District

School District TotalCommunity Partners (Public and Private) Total

Community Partners (Public and Private)

Reported Student Health Conditions

15

4,6123,635432682

Type of Health Condition Number of Conditions Reported705

Pregnancy Prevention Classes

Note: Based on 2017 FTE Week Counts and a 36 Week School Year.Note: Comprehensive school health services include basic school health services and additional prevention services and care management to promote retention in school.StudentsaaA

Needing ServicesNumber of Comprehensive SchoolsNumber of Comprehensive StudentsDental Health EducationNutrition and Physical Activity Classes

Tube Feeding (e.g., G, J, PEG, NG) Alcohol, Tobacco and Other Drug Abuse Prevention Classes

Number of Full Service School StudentsNumber of In-Kind Hours from Health/Social Service Agencies

Sexually Transmitted Disease (including HIV) PreventionViolence Prevention/Conflict Resolution Classes

Full Service SchoolsNote: Full Service Schools provide basic school health services and coordinate the provision of donated (in-kind) health and social services on school campuses.Number of Full Service Schools

Suicide Prevention ClassesComprehensive Birth Rate Per 1,000: 6th-12th Grade FemalesCountywide Birth Rate Per 1,000: All 11-18 Year-Old Females Low Weight Births (% of births less than 2,500 grams)Percent of Students Returning to School After Giving Birth

Page 60: State of Florida 2016-2017 Summary of School Health Services · a professional registered school nurse be present in every school, all day, every day.” (NASN, 2017) Note: Based

2016-2017 Summary of School Health Services

Elementary/Middle/High/Combined Level Schools 66Pre-Kindergarten Through 12th Grade Students 67,808Annual Average Number of Health Room Visits Per Student 2.72 Registered Nurse to Student Ratio 1: 3,244% of Students Returning to Class After Health Room Visits 85.61% Registered Nurse to School Ratio 1: 3.16Annual Average Number of Services Per Student 9.79

Registered Nurses 2.40State General Revenue $414,453 Licensed Practical Nurses 0.00

$54,981 Health Aides/Techs 0.00County Health Department Subtotal $469,434County Health Department - Other Funding $7,665

$477,099 Registered Nurses 18.50$2,972,245 Licensed Practical Nurses 0.00

$0 Health Aides/Techs 44.00$3,449,344

Annual Per Student Expenditure for School Health: $50.87 Registered Nurses 0.00Note: Per student expenditure based on funding from all of the above sources. Licensed Practical Nurses 0.00

Health Aides/Techs 0.00

Allergies: Life ThreateningAllergies: Non-Life ThreateningAsthma Registered Nurses 20.90Attention Deficit / Hyperactivity Disorder Licensed Practical Nurses 0.00Seizure Disorder Health Aides/Techs 44.00Cardiac Mental/Behavioral Health ConditionsDiabetes Nursing Assessment/Counseling 6,723Kidney Disease Licensed Practical Nurse Encounter 0Sickle Cell Disease Paraprofessional Evaluation/Treatment 192,741Bleeding Disorder Staff/Parent Consultation 111,917Cancer Individualized Health Care Plan Development 2,204Cystic Fibrosis Complex Medical Procedures 26,437All Other Exceptional Student Education Staffing 3,364Total Health Record Reviews 42,315

Immunization Follow-up 10,103Daily Annual First Aid Administration 106,038

Average Student Health Room Visits 2,010 361,764 Health Education Classes 631Average Medication Doses Administered 546 98,280 All Other Services 161,317

Total Services 663,790

Procedures and

Medication Doses Estimated Annual

ServicesCarbohydrate Counting 175 29,376 0Catheterization 13 3,312 0Colostomy, Ileostomy, Jejunostomy 4 1,584 0Electronic Monitoring 15 1,368 0

27 5,112 0Glucose Monitoring 186 40,428 0Insulin Administration 190 33,192 0Intravenous Treatments 2 0 0Medications (Inhaled) 1,006 10,764 0Medications (Injection) 801 0 0.00Medications (Nasal) 5 432 3.70Medications (Oral) 1,273 50,796 0.00%Medications (Other Routes) 142 3,096 0.00%Oxygen Continuous or Intermittent 8 360Specimen Collection or Testing 78 1,008Tracheostomy Care 5 1,692Ventilator Dependent Care 0 0 9Other Procedures 7 540 13,270Total 3,937 183,060 851

$20,788

Vision Hearing ScoliosisTarget Populations (Mandated grade levels for each screening) KG, 1st, 3rd, 6th KG, 1st, 6th 6th 1st, 3rd, 6thNumber of Students in Mandated Grades (minus opt-outs) 18,930 13,861 4,616 14,200Number (#) of Students Screened in Mandated Grades 18,821 13,539 4,512 13,575Percent (%) of Students Screened in Mandated Grades 99.42% 97.68% 97.75% 95.60%Number (#) of Students Referred for Abnormal Results 1,602 246 111 2,111

8,823 562 2,079 2,11164.99% 4.14% 15.31% 15.55%

Underweight (< 5th percentile)

Overweight (85th to < 95th

Obese (≥ 95th percentile)Body Mass Index Screening Results

Number of 1st, 3rd and 6th Grade Students by BMI Percentile

Dollar Value of In-Kind Hours Donated by Local Agencies

Students Screened in Grades Mandated by Florida Administrative Code Rule 64F-6.003Note: The percent of students screened in mandated grades may be over 100% due to screening students enrolled after the DOE's October survey of student membership. Growth and

Development with Body Mass IndexScreenings and Referrals

Total Health Staff10,434

Estimated Health Room Visits and Medication Doses Administered

Estimated Annual Medical Procedures and Medication Doses by Type Schools With Comprehensive School Health Services

Key School Health Services in Health Management System

2,12722,111

36

Seminole CountyLegislative authority for School Health Services provided in sections 381.0056, 381.0057, 402.3026, Florida Statutes.

Note: This report uses a combination of data from local county Annual School Health Reports, the Department of Health - Health Management System, Vital Statistics and the Department of Education (DOE). This report represents school health services provided by county health departments, school districts and community partners.

Public Schools and Students School Health Staff (excludes Exceptional Student Education Staff)

Percent of 1st, 3rd, 6th Grade Students by BMI Percentile

Healthy Weight (5th to < 85th

Ratio of Registered Nurses (RN) to Schools and Students

County Health Department Total

Total Expenditures for School Health Services

4020

101

644220

Note: The National Association of School Nurses (2017) and the American Academy of Pediatrics (2016) recommend a ratio of one full-time registered school nurse for every school. “To optimize student health, safety and learning, it is the position of the National Association of School Nurses that a professional registered school nurse be present in every school, all day, every day.” (NASN, 2017)

Note: Based on DOE reports for Regular Elementary, Middle, Senior High, Combo Schools 2016-2017 and 2016-2017 Membership by District by School by Grade.

2016-2017 Expenditures for School Health ServicesCounty Health Department

County Health Department

Federal Title XXI

School District

School District TotalCommunity Partners (Public and Private) Total

Community Partners (Public and Private)

Reported Student Health Conditions

47

4,8012,109517282

Type of Health Condition Number of Conditions Reported733

Pregnancy Prevention Classes

Note: Based on 2017 FTE Week Counts and a 36 Week School Year.Note: Comprehensive school health services include basic school health services and additional prevention services and care management to promote retention in school.StudentsaaA

Needing ServicesNumber of Comprehensive SchoolsNumber of Comprehensive StudentsDental Health EducationNutrition and Physical Activity Classes

Tube Feeding (e.g., G, J, PEG, NG) Alcohol, Tobacco and Other Drug Abuse Prevention Classes

Number of Full Service School StudentsNumber of In-Kind Hours from Health/Social Service Agencies

Sexually Transmitted Disease (including HIV) PreventionViolence Prevention/Conflict Resolution Classes

Full Service SchoolsNote: Full Service Schools provide basic school health services and coordinate the provision of donated (in-kind) health and social services on school campuses.Number of Full Service Schools

Suicide Prevention ClassesComprehensive Birth Rate Per 1,000: 6th-12th Grade FemalesCountywide Birth Rate Per 1,000: All 11-18 Year-Old Females Low Weight Births (% of births less than 2,500 grams)Percent of Students Returning to School After Giving Birth

Page 61: State of Florida 2016-2017 Summary of School Health Services · a professional registered school nurse be present in every school, all day, every day.” (NASN, 2017) Note: Based

2016-2017 Summary of School Health Services

Elementary/Middle/High/Combined Level Schools 8Pre-Kindergarten Through 12th Grade Students 8,604Annual Average Number of Health Room Visits Per Student 2.07 Registered Nurse to Student Ratio 1: 1,912% of Students Returning to Class After Health Room Visits 90.47% Registered Nurse to School Ratio 1: 1.78Annual Average Number of Services Per Student 9.16

Registered Nurses 0.00State General Revenue $92,000 Licensed Practical Nurses 0.00

$15,327 Health Aides/Techs 3.00County Health Department Subtotal $107,327County Health Department - Other Funding $65,960

$173,287 Registered Nurses 4.50$272,941 Licensed Practical Nurses 0.00

$0 Health Aides/Techs 0.00$446,228

Annual Per Student Expenditure for School Health: $51.86 Registered Nurses 0.00Note: Per student expenditure based on funding from all of the above sources. Licensed Practical Nurses 0.00

Health Aides/Techs 0.00

Allergies: Life ThreateningAllergies: Non-Life ThreateningAsthma Registered Nurses 4.50Attention Deficit / Hyperactivity Disorder Licensed Practical Nurses 0.00Seizure Disorder Health Aides/Techs 3.00Cardiac Mental/Behavioral Health ConditionsDiabetes Nursing Assessment/Counseling 15,057Kidney Disease Licensed Practical Nurse Encounter 6Sickle Cell Disease Paraprofessional Evaluation/Treatment 10,658Bleeding Disorder Staff/Parent Consultation 18,233Cancer Individualized Health Care Plan Development 557Cystic Fibrosis Complex Medical Procedures 2,274All Other Exceptional Student Education Staffing 275Total Health Record Reviews 4,949

Immunization Follow-up 1,364Daily Annual First Aid Administration 6,523

Average Student Health Room Visits 192 34,488 Health Education Classes 84Average Medication Doses Administered 60 10,764 All Other Services 18,820

Total Services 78,800

Procedures and

Medication Doses Estimated Annual

ServicesCarbohydrate Counting 8 1,080 0Catheterization 0 0 0Colostomy, Ileostomy, Jejunostomy 1 144 0Electronic Monitoring 1 540 0

3 360 0Glucose Monitoring 11 3,096 0Insulin Administration 10 1,656 0Intravenous Treatments 0 0 0Medications (Inhaled) 114 1,044 0Medications (Injection) 41 0 0.00Medications (Nasal) 0 0 9.06Medications (Oral) 195 7,740 0.00%Medications (Other Routes) 8 324 0.00%Oxygen Continuous or Intermittent 0 0Specimen Collection or Testing 0 0Tracheostomy Care 0 0Ventilator Dependent Care 0 0 3Other Procedures 3 3,240 2,600Total 395 19,224 14,812

$619,616

Vision Hearing ScoliosisTarget Populations (Mandated grade levels for each screening) KG, 1st, 3rd, 6th KG, 1st, 6th 6th 1st, 3rd, 6thNumber of Students in Mandated Grades (minus opt-outs) 2,469 1,812 631 1,879Number (#) of Students Screened in Mandated Grades 2,571 1,864 613 1,973Percent (%) of Students Screened in Mandated Grades 104.13% 102.87% 97.15% 105.00%Number (#) of Students Referred for Abnormal Results 276 21 25 228

1,396 42 270 26570.76% 2.13% 13.68% 13.43%

Underweight (< 5th percentile)

Overweight (85th to < 95th

Obese (≥ 95th percentile)Body Mass Index Screening Results

Number of 1st, 3rd and 6th Grade Students by BMI Percentile

Dollar Value of In-Kind Hours Donated by Local Agencies

Students Screened in Grades Mandated by Florida Administrative Code Rule 64F-6.003Note: The percent of students screened in mandated grades may be over 100% due to screening students enrolled after the DOE's October survey of student membership. Growth and

Development with Body Mass IndexScreenings and Referrals

Total Health Staff631

Estimated Health Room Visits and Medication Doses Administered

Estimated Annual Medical Procedures and Medication Doses by Type Schools With Comprehensive School Health Services

Key School Health Services in Health Management System

492,105

7

Sumter CountyLegislative authority for School Health Services provided in sections 381.0056, 381.0057, 402.3026, Florida Statutes.

Note: This report uses a combination of data from local county Annual School Health Reports, the Department of Health - Health Management System, Vital Statistics and the Department of Education (DOE). This report represents school health services provided by county health departments, school districts and community partners.

Public Schools and Students School Health Staff (excludes Exceptional Student Education Staff)

Percent of 1st, 3rd, 6th Grade Students by BMI Percentile

Healthy Weight (5th to < 85th

Ratio of Registered Nurses (RN) to Schools and Students

County Health Department Total

Total Expenditures for School Health Services

20

9

2613

Note: The National Association of School Nurses (2017) and the American Academy of Pediatrics (2016) recommend a ratio of one full-time registered school nurse for every school. “To optimize student health, safety and learning, it is the position of the National Association of School Nurses that a professional registered school nurse be present in every school, all day, every day.” (NASN, 2017)

Note: Based on DOE reports for Regular Elementary, Middle, Senior High, Combo Schools 2016-2017 and 2016-2017 Membership by District by School by Grade.

2016-2017 Expenditures for School Health ServicesCounty Health Department

County Health Department

Federal Title XXI

School District

School District TotalCommunity Partners (Public and Private) Total

Community Partners (Public and Private)

Reported Student Health Conditions

6

6583333423

Type of Health Condition Number of Conditions Reported314

Pregnancy Prevention Classes

Note: Based on 2017 FTE Week Counts and a 36 Week School Year.Note: Comprehensive school health services include basic school health services and additional prevention services and care management to promote retention in school.StudentsaaA

Needing ServicesNumber of Comprehensive SchoolsNumber of Comprehensive StudentsDental Health EducationNutrition and Physical Activity Classes

Tube Feeding (e.g., G, J, PEG, NG) Alcohol, Tobacco and Other Drug Abuse Prevention Classes

Number of Full Service School StudentsNumber of In-Kind Hours from Health/Social Service Agencies

Sexually Transmitted Disease (including HIV) PreventionViolence Prevention/Conflict Resolution Classes

Full Service SchoolsNote: Full Service Schools provide basic school health services and coordinate the provision of donated (in-kind) health and social services on school campuses.Number of Full Service Schools

Suicide Prevention ClassesComprehensive Birth Rate Per 1,000: 6th-12th Grade FemalesCountywide Birth Rate Per 1,000: All 11-18 Year-Old Females Low Weight Births (% of births less than 2,500 grams)Percent of Students Returning to School After Giving Birth

Page 62: State of Florida 2016-2017 Summary of School Health Services · a professional registered school nurse be present in every school, all day, every day.” (NASN, 2017) Note: Based

2016-2017 Summary of School Health Services

Elementary/Middle/High/Combined Level Schools 7Pre-Kindergarten Through 12th Grade Students 6,056Annual Average Number of Health Room Visits Per Student 7.28 Registered Nurse to Student Ratio 1: 865% of Students Returning to Class After Health Room Visits 91.56% Registered Nurse to School Ratio 1: 1.00Annual Average Number of Services Per Student 14.84

Registered Nurses 1.00State General Revenue $76,833 Licensed Practical Nurses 1.00

$80,416 Health Aides/Techs 1.00County Health Department Subtotal $157,249County Health Department - Other Funding $0

$157,249 Registered Nurses 6.00$323,141 Licensed Practical Nurses 0.00

$0 Health Aides/Techs 0.00$480,390

Annual Per Student Expenditure for School Health: $79.32 Registered Nurses 0.00Note: Per student expenditure based on funding from all of the above sources. Licensed Practical Nurses 0.00

Health Aides/Techs 0.00

Allergies: Life ThreateningAllergies: Non-Life ThreateningAsthma Registered Nurses 7.00Attention Deficit / Hyperactivity Disorder Licensed Practical Nurses 1.00Seizure Disorder Health Aides/Techs 1.00Cardiac Mental/Behavioral Health ConditionsDiabetes Nursing Assessment/Counseling 19,908Kidney Disease Licensed Practical Nurse Encounter 2,000Sickle Cell Disease Paraprofessional Evaluation/Treatment 1,648Bleeding Disorder Staff/Parent Consultation 17,537Cancer Individualized Health Care Plan Development 450Cystic Fibrosis Complex Medical Procedures 8,134All Other Exceptional Student Education Staffing 351Total Health Record Reviews 5,107

Immunization Follow-up 713Daily Annual First Aid Administration 9,319

Average Student Health Room Visits 297 53,388 Health Education Classes 72Average Medication Doses Administered 103 18,504 All Other Services 24,660

Total Services 89,899

Procedures and

Medication Doses Estimated Annual

ServicesCarbohydrate Counting 9 1,944 7Catheterization 2 360 5,920Colostomy, Ileostomy, Jejunostomy 0 0 88Electronic Monitoring 2 0 211

11 396 21Glucose Monitoring 14 4,464 14Insulin Administration 10 2,340 15Intravenous Treatments 0 0 8Medications (Inhaled) 81 612 7Medications (Injection) 52 0 5.02Medications (Nasal) 0 0 12.99Medications (Oral) 207 15,372 14.29%Medications (Other Routes) 7 180 57.14%Oxygen Continuous or Intermittent 0 0Specimen Collection or Testing 9 504Tracheostomy Care 1 0Ventilator Dependent Care 0 0 0Other Procedures 1 36 0Total 406 26,208 0

$0

Vision Hearing ScoliosisTarget Populations (Mandated grade levels for each screening) KG, 1st, 3rd, 6th KG, 1st, 6th 6th 1st, 3rd, 6thNumber of Students in Mandated Grades (minus opt-outs) 1,875 1,386 447 1,399Number (#) of Students Screened in Mandated Grades 1,927 1,420 430 1,425Percent (%) of Students Screened in Mandated Grades 102.77% 102.45% 96.20% 101.86%Number (#) of Students Referred for Abnormal Results 210 62 5 331

903 24 167 33163.37% 1.68% 11.72% 23.23%

Underweight (< 5th percentile)

Overweight (85th to < 95th

Obese (≥ 95th percentile)Body Mass Index Screening Results

Number of 1st, 3rd and 6th Grade Students by BMI Percentile

Dollar Value of In-Kind Hours Donated by Local Agencies

Students Screened in Grades Mandated by Florida Administrative Code Rule 64F-6.003Note: The percent of students screened in mandated grades may be over 100% due to screening students enrolled after the DOE's October survey of student membership. Growth and

Development with Body Mass IndexScreenings and Referrals

Total Health Staff1,540

Estimated Health Room Visits and Medication Doses Administered

Estimated Annual Medical Procedures and Medication Doses by Type Schools With Comprehensive School Health Services

Key School Health Services in Health Management System

1713,302

12

Suwannee CountyLegislative authority for School Health Services provided in sections 381.0056, 381.0057, 402.3026, Florida Statutes.

Note: This report uses a combination of data from local county Annual School Health Reports, the Department of Health - Health Management System, Vital Statistics and the Department of Education (DOE). This report represents school health services provided by county health departments, school districts and community partners.

Public Schools and Students School Health Staff (excludes Exceptional Student Education Staff)

Percent of 1st, 3rd, 6th Grade Students by BMI Percentile

Healthy Weight (5th to < 85th

Ratio of Registered Nurses (RN) to Schools and Students

County Health Department Total

Total Expenditures for School Health Services

142

69

9523

Note: The National Association of School Nurses (2017) and the American Academy of Pediatrics (2016) recommend a ratio of one full-time registered school nurse for every school. “To optimize student health, safety and learning, it is the position of the National Association of School Nurses that a professional registered school nurse be present in every school, all day, every day.” (NASN, 2017)

Note: Based on DOE reports for Regular Elementary, Middle, Senior High, Combo Schools 2016-2017 and 2016-2017 Membership by District by School by Grade.

2016-2017 Expenditures for School Health ServicesCounty Health Department

County Health Department

Federal Title XXI

School District

School District TotalCommunity Partners (Public and Private) Total

Community Partners (Public and Private)

Reported Student Health Conditions

18

6295286770

Type of Health Condition Number of Conditions Reported64

Pregnancy Prevention Classes

Note: Based on 2017 FTE Week Counts and a 36 Week School Year.Note: Comprehensive school health services include basic school health services and additional prevention services and care management to promote retention in school.StudentsaaA

Needing ServicesNumber of Comprehensive SchoolsNumber of Comprehensive StudentsDental Health EducationNutrition and Physical Activity Classes

Tube Feeding (e.g., G, J, PEG, NG) Alcohol, Tobacco and Other Drug Abuse Prevention Classes

Number of Full Service School StudentsNumber of In-Kind Hours from Health/Social Service Agencies

Sexually Transmitted Disease (including HIV) PreventionViolence Prevention/Conflict Resolution Classes

Full Service SchoolsNote: Full Service Schools provide basic school health services and coordinate the provision of donated (in-kind) health and social services on school campuses.Number of Full Service Schools

Suicide Prevention ClassesComprehensive Birth Rate Per 1,000: 6th-12th Grade FemalesCountywide Birth Rate Per 1,000: All 11-18 Year-Old Females Low Weight Births (% of births less than 2,500 grams)Percent of Students Returning to School After Giving Birth

Page 63: State of Florida 2016-2017 Summary of School Health Services · a professional registered school nurse be present in every school, all day, every day.” (NASN, 2017) Note: Based

2016-2017 Summary of School Health Services

Elementary/Middle/High/Combined Level Schools 7Pre-Kindergarten Through 12th Grade Students 2,808Annual Average Number of Health Room Visits Per Student 5.61 Registered Nurse to Student Ratio 1: 2,340% of Students Returning to Class After Health Room Visits 93.74% Registered Nurse to School Ratio 1: 5.83Annual Average Number of Services Per Student 24.62

Registered Nurses 1.20State General Revenue $72,514 Licensed Practical Nurses 1.00

$213,245 Health Aides/Techs 4.00County Health Department Subtotal $285,759County Health Department - Other Funding $0

$285,759 Registered Nurses 0.00$26,000 Licensed Practical Nurses 0.00

$0 Health Aides/Techs 2.00$311,759

Annual Per Student Expenditure for School Health: $111.03 Registered Nurses 0.00Note: Per student expenditure based on funding from all of the above sources. Licensed Practical Nurses 0.00

Health Aides/Techs 0.00

Allergies: Life ThreateningAllergies: Non-Life ThreateningAsthma Registered Nurses 1.20Attention Deficit / Hyperactivity Disorder Licensed Practical Nurses 1.00Seizure Disorder Health Aides/Techs 6.00Cardiac Mental/Behavioral Health ConditionsDiabetes Nursing Assessment/Counseling 1,737Kidney Disease Licensed Practical Nurse Encounter 725Sickle Cell Disease Paraprofessional Evaluation/Treatment 22,666Bleeding Disorder Staff/Parent Consultation 6,706Cancer Individualized Health Care Plan Development 30Cystic Fibrosis Complex Medical Procedures 5,071All Other Exceptional Student Education Staffing 80Total Health Record Reviews 1,010

Immunization Follow-up 600Daily Annual First Aid Administration 8,722

Average Student Health Room Visits 146 26,280 Health Education Classes 53Average Medication Doses Administered 97 17,460 All Other Services 21,746

Total Services 69,146

Procedures and

Medication Doses Estimated Annual

ServicesCarbohydrate Counting 13 3,096 6Catheterization 0 0 2,624Colostomy, Ileostomy, Jejunostomy 0 0 6Electronic Monitoring 0 0 0

0 0 0Glucose Monitoring 14 4,392 5Insulin Administration 12 2,772 0Intravenous Treatments 0 0 0Medications (Inhaled) 40 108 0Medications (Injection) 0 0 3.47Medications (Nasal) 0 0 10.86Medications (Oral) 152 14,580 0.00%Medications (Other Routes) 1 0 100.00%Oxygen Continuous or Intermittent 0 0Specimen Collection or Testing 12 72Tracheostomy Care 0 0Ventilator Dependent Care 0 0 1Other Procedures 7 1,260 71Total 251 26,280 1,600

$72,000

Vision Hearing ScoliosisTarget Populations (Mandated grade levels for each screening) KG, 1st, 3rd, 6th KG, 1st, 6th 6th 1st, 3rd, 6thNumber of Students in Mandated Grades (minus opt-outs) 890 657 187 651Number (#) of Students Screened in Mandated Grades 1,082 874 188 620Percent (%) of Students Screened in Mandated Grades 121.57% 133.03% 100.53% 95.24%Number (#) of Students Referred for Abnormal Results 52 59 4 22

455 20 72 7373.39% 3.23% 11.61% 11.77%

Underweight (< 5th percentile)

Overweight (85th to < 95th

Obese (≥ 95th percentile)Body Mass Index Screening Results

Number of 1st, 3rd and 6th Grade Students by BMI Percentile

Dollar Value of In-Kind Hours Donated by Local Agencies

Students Screened in Grades Mandated by Florida Administrative Code Rule 64F-6.003Note: The percent of students screened in mandated grades may be over 100% due to screening students enrolled after the DOE's October survey of student membership. Growth and

Development with Body Mass IndexScreenings and Referrals

Total Health Staff204

Estimated Health Room Visits and Medication Doses Administered

Estimated Annual Medical Procedures and Medication Doses by Type Schools With Comprehensive School Health Services

Key School Health Services in Health Management System

1051,042

19

Taylor CountyLegislative authority for School Health Services provided in sections 381.0056, 381.0057, 402.3026, Florida Statutes.

Note: This report uses a combination of data from local county Annual School Health Reports, the Department of Health - Health Management System, Vital Statistics and the Department of Education (DOE). This report represents school health services provided by county health departments, school districts and community partners.

Public Schools and Students School Health Staff (excludes Exceptional Student Education Staff)

Percent of 1st, 3rd, 6th Grade Students by BMI Percentile

Healthy Weight (5th to < 85th

Ratio of Registered Nurses (RN) to Schools and Students

County Health Department Total

Total Expenditures for School Health Services

12

11

5239

Note: The National Association of School Nurses (2017) and the American Academy of Pediatrics (2016) recommend a ratio of one full-time registered school nurse for every school. “To optimize student health, safety and learning, it is the position of the National Association of School Nurses that a professional registered school nurse be present in every school, all day, every day.” (NASN, 2017)

Note: Based on DOE reports for Regular Elementary, Middle, Senior High, Combo Schools 2016-2017 and 2016-2017 Membership by District by School by Grade.

2016-2017 Expenditures for School Health ServicesCounty Health Department

County Health Department

Federal Title XXI

School District

School District TotalCommunity Partners (Public and Private) Total

Community Partners (Public and Private)

Reported Student Health Conditions

3

2662401618

Type of Health Condition Number of Conditions Reported66

Pregnancy Prevention Classes

Note: Based on 2017 FTE Week Counts and a 36 Week School Year.Note: Comprehensive school health services include basic school health services and additional prevention services and care management to promote retention in school.StudentsaaA

Needing ServicesNumber of Comprehensive SchoolsNumber of Comprehensive StudentsDental Health EducationNutrition and Physical Activity Classes

Tube Feeding (e.g., G, J, PEG, NG) Alcohol, Tobacco and Other Drug Abuse Prevention Classes

Number of Full Service School StudentsNumber of In-Kind Hours from Health/Social Service Agencies

Sexually Transmitted Disease (including HIV) PreventionViolence Prevention/Conflict Resolution Classes

Full Service SchoolsNote: Full Service Schools provide basic school health services and coordinate the provision of donated (in-kind) health and social services on school campuses.Number of Full Service Schools

Suicide Prevention ClassesComprehensive Birth Rate Per 1,000: 6th-12th Grade FemalesCountywide Birth Rate Per 1,000: All 11-18 Year-Old Females Low Weight Births (% of births less than 2,500 grams)Percent of Students Returning to School After Giving Birth

Page 64: State of Florida 2016-2017 Summary of School Health Services · a professional registered school nurse be present in every school, all day, every day.” (NASN, 2017) Note: Based

2016-2017 Summary of School Health Services

Elementary/Middle/High/Combined Level Schools 3Pre-Kindergarten Through 12th Grade Students 2,340Annual Average Number of Health Room Visits Per Student 7.07 Registered Nurse to Student Ratio 1: 1,560% of Students Returning to Class After Health Room Visits 86.38% Registered Nurse to School Ratio 1: 2.00Annual Average Number of Services Per Student 19.62

Registered Nurses 1.50State General Revenue $85,660 Licensed Practical Nurses 0.00

$12,685 Health Aides/Techs 0.00County Health Department Subtotal $98,345County Health Department - Other Funding $0

$98,345 Registered Nurses 0.00$0 Licensed Practical Nurses 0.00$0 Health Aides/Techs 3.00

$98,345

Annual Per Student Expenditure for School Health: $42.03 Registered Nurses 0.00Note: Per student expenditure based on funding from all of the above sources. Licensed Practical Nurses 0.00

Health Aides/Techs 0.00

Allergies: Life ThreateningAllergies: Non-Life ThreateningAsthma Registered Nurses 1.50Attention Deficit / Hyperactivity Disorder Licensed Practical Nurses 0.00Seizure Disorder Health Aides/Techs 3.00Cardiac Mental/Behavioral Health ConditionsDiabetes Nursing Assessment/Counseling 4,964Kidney Disease Licensed Practical Nurse Encounter 0Sickle Cell Disease Paraprofessional Evaluation/Treatment 13,442Bleeding Disorder Staff/Parent Consultation 6,159Cancer Individualized Health Care Plan Development 39Cystic Fibrosis Complex Medical Procedures 1,996All Other Exceptional Student Education Staffing 9Total Health Record Reviews 1,460

Immunization Follow-up 101Daily Annual First Aid Administration 7,014

Average Student Health Room Visits 141 25,452 Health Education Classes 0Average Medication Doses Administered 54 9,648 All Other Services 10,720

Total Services 45,904

Procedures and

Medication Doses Estimated Annual

ServicesCarbohydrate Counting 3 432 0Catheterization 0 0 0Colostomy, Ileostomy, Jejunostomy 5 0 0Electronic Monitoring 0 0 0

5 1,440 0Glucose Monitoring 3 612 0Insulin Administration 3 432 0Intravenous Treatments 0 0 0Medications (Inhaled) 24 324 0Medications (Injection) 1 0 0.00Medications (Nasal) 0 0 15.31Medications (Oral) 56 8,712 0.00%Medications (Other Routes) 11 180 0.00%Oxygen Continuous or Intermittent 0 0Specimen Collection or Testing 0 0Tracheostomy Care 0 0Ventilator Dependent Care 0 0 1Other Procedures 1 360 981Total 112 12,492 0

$0

Vision Hearing ScoliosisTarget Populations (Mandated grade levels for each screening) KG, 1st, 3rd, 6th KG, 1st, 6th 6th 1st, 3rd, 6thNumber of Students in Mandated Grades (minus opt-outs) 663 493 154 495Number (#) of Students Screened in Mandated Grades 668 493 155 493Percent (%) of Students Screened in Mandated Grades 100.75% 100.00% 100.65% 99.60%Number (#) of Students Referred for Abnormal Results 25 12 3 0

288 24 83 9858.42% 4.87% 16.84% 19.88%

Growth and Development with Body Mass IndexScreenings and Referrals

Healthy Weight (5th to < 85th

Underweight (< 5th percentile)

Overweight (85th to < 95th

Obese (≥ 95th percentile)Body Mass Index Screening Results

Note: The percent of students screened in mandated grades may be over 100% due to screening students enrolled after the DOE's October survey of student membership.

Pregnancy Prevention ClassesSexually Transmitted Disease (including HIV) PreventionViolence Prevention/Conflict Resolution Classes

Percent of Students Returning to School After Giving BirthFull Service Schools

Number of Comprehensive StudentsDental Health EducationNutrition and Physical Activity Classes

Note: Comprehensive school health services include basic school health services and additional prevention services and care management to promote retention in school.

Tube Feeding (e.g., G, J, PEG, NG) Alcohol, Tobacco and Other Drug Abuse Prevention Classes

Estimated Health Room Visits and Medication Doses Administered

Estimated Annual Medical Procedures and Medication Doses by Type Schools With Comprehensive School Health Services

StudentsaaA Needing Services

Number of Comprehensive Schools

County Health Department

Federal Title XXI

School District

School District TotalCommunity Partners (Public and Private) Total

Ratio of Registered Nurses (RN) to Schools and Students

Note: The National Association of School Nurses (2017) and the American Academy of Pediatrics (2016) recommend a ratio of one full-time registered school nurse for every school. “To optimize student health, safety and learning, it is the position of the National Association of School Nurses that a professional registered school nurse be present in every school, all day, every day.” (NASN, 2017)

Note: Based on DOE reports for Regular Elementary, Middle, Senior High, Combo Schools 2016-2017 and 2016-2017 Membership by District by School by Grade.

2016-2017 Expenditures for School Health ServicesCounty Health Department

Union CountyLegislative authority for School Health Services provided in sections 381.0056, 381.0057, 402.3026, Florida Statutes.

Note: This report uses a combination of data from local county Annual School Health Reports, the Department of Health - Health Management System, Vital Statistics and the Department of Education (DOE). This report represents school health services provided by county health departments, school districts and community partners.

Public Schools and Students School Health Staff (excludes Exceptional Student Education Staff)

Number of 1st, 3rd and 6th Grade Students by BMI PercentilePercent of 1st, 3rd, 6th Grade Students by BMI Percentile

County Health Department Total

Total Expenditures for School Health Services

10713110425775

560

Note: Based on 2017 FTE Week Counts and a 36 Week School Year.

Reported Student Health ConditionsType of Health Condition

Community Partners (Public and Private)

21211

Number of Conditions Reported39 Total Health Staff

209

Key School Health Services in Health Management System

Dollar Value of In-Kind Hours Donated by Local Agencies

Students Screened in Grades Mandated by Florida Administrative Code Rule 64F-6.003

Suicide Prevention ClassesComprehensive Birth Rate Per 1,000: 6th-12th Grade FemalesCountywide Birth Rate Per 1,000: All 11-18 Year-Old Females Low Weight Births (% of births less than 2,500 grams)

Number of In-Kind Hours from Health/Social Service Agencies

Note: Full Service Schools provide basic school health services and coordinate the provision of donated (in-kind) health and social services on school campuses.Number of Full Service SchoolsNumber of Full Service School Students

Page 65: State of Florida 2016-2017 Summary of School Health Services · a professional registered school nurse be present in every school, all day, every day.” (NASN, 2017) Note: Based

2016-2017 Summary of School Health Services

Elementary/Middle/High/Combined Level Schools 86Pre-Kindergarten Through 12th Grade Students 63,028Annual Average Number of Health Room Visits Per Student 4.17 Registered Nurse to Student Ratio 1: 5,730% of Students Returning to Class After Health Room Visits 88.09% Registered Nurse to School Ratio 1: 7.82Annual Average Number of Services Per Student 10.73

Registered Nurses 2.00State General Revenue $410,022 Licensed Practical Nurses 0.00

$187,460 Health Aides/Techs 0.00County Health Department Subtotal $597,481County Health Department - Other Funding $0

$597,481 Registered Nurses 9.00$1,980,767 Licensed Practical Nurses 42.00

$0 Health Aides/Techs 30.00$2,578,248

Annual Per Student Expenditure for School Health: $40.91 Registered Nurses 0.00Note: Per student expenditure based on funding from all of the above sources. Licensed Practical Nurses 0.00

Health Aides/Techs 0.00

Allergies: Life ThreateningAllergies: Non-Life ThreateningAsthma Registered Nurses 11.00Attention Deficit / Hyperactivity Disorder Licensed Practical Nurses 42.00Seizure Disorder Health Aides/Techs 30.00Cardiac Mental/Behavioral Health ConditionsDiabetes Nursing Assessment/Counseling 45,746Kidney Disease Licensed Practical Nurse Encounter 138,454Sickle Cell Disease Paraprofessional Evaluation/Treatment 77,228Bleeding Disorder Staff/Parent Consultation 121,570Cancer Individualized Health Care Plan Development 2,145Cystic Fibrosis Complex Medical Procedures 33,416All Other Exceptional Student Education Staffing 390Total Health Record Reviews 887

Immunization Follow-up 2,562Daily Annual First Aid Administration 109,355

Average Student Health Room Visits 1,963 353,268 Health Education Classes 271Average Medication Doses Administered 542 97,488 All Other Services 144,126

Total Services 676,150

Procedures and

Medication Doses Estimated Annual

ServicesCarbohydrate Counting 80 15,516 3Catheterization 9 1,044 3,583Colostomy, Ileostomy, Jejunostomy 2 468 4Electronic Monitoring 1 180 34

16 3,672 47Glucose Monitoring 118 21,348 2Insulin Administration 123 16,776 1Intravenous Treatments 0 0 1Medications (Inhaled) 481 16,812 2Medications (Injection) 12 180 0.65Medications (Nasal) 0 0 7.15Medications (Oral) 445 63,072 0.00%Medications (Other Routes) 89 648 100.00%Oxygen Continuous or Intermittent 0 0Specimen Collection or Testing 25 900Tracheostomy Care 0 0Ventilator Dependent Care 0 0 5Other Procedures 0 180 4,291Total 1,401 140,796 3,129

$70,010

Vision Hearing ScoliosisTarget Populations (Mandated grade levels for each screening) KG, 1st, 3rd, 6th KG, 1st, 6th 6th 1st, 3rd, 6thNumber of Students in Mandated Grades (minus opt-outs) 18,533 13,348 4,280 13,095Number (#) of Students Screened in Mandated Grades 18,228 13,270 4,169 12,543Percent (%) of Students Screened in Mandated Grades 98.35% 99.42% 97.41% 95.78%Number (#) of Students Referred for Abnormal Results 1,517 440 37 1,165

8,261 429 1,908 1,94565.86% 3.42% 15.21% 15.51%

Underweight (< 5th percentile)

Overweight (85th to < 95th

Obese (≥ 95th percentile)Body Mass Index Screening Results

Number of 1st, 3rd and 6th Grade Students by BMI Percentile

Dollar Value of In-Kind Hours Donated by Local Agencies

Students Screened in Grades Mandated by Florida Administrative Code Rule 64F-6.003Note: The percent of students screened in mandated grades may be over 100% due to screening students enrolled after the DOE's October survey of student membership. Growth and

Development with Body Mass IndexScreenings and Referrals

Total Health Staff2,303

Estimated Health Room Visits and Medication Doses Administered

Estimated Annual Medical Procedures and Medication Doses by Type Schools With Comprehensive School Health Services

Key School Health Services in Health Management System

1,16112,059

23

Volusia CountyLegislative authority for School Health Services provided in sections 381.0056, 381.0057, 402.3026, Florida Statutes.

Note: This report uses a combination of data from local county Annual School Health Reports, the Department of Health - Health Management System, Vital Statistics and the Department of Education (DOE). This report represents school health services provided by county health departments, school districts and community partners.

Public Schools and Students School Health Staff (excludes Exceptional Student Education Staff)

Percent of 1st, 3rd, 6th Grade Students by BMI Percentile

Healthy Weight (5th to < 85th

Ratio of Registered Nurses (RN) to Schools and Students

County Health Department Total

Total Expenditures for School Health Services

916

49

62166

Note: The National Association of School Nurses (2017) and the American Academy of Pediatrics (2016) recommend a ratio of one full-time registered school nurse for every school. “To optimize student health, safety and learning, it is the position of the National Association of School Nurses that a professional registered school nurse be present in every school, all day, every day.” (NASN, 2017)

Note: Based on DOE reports for Regular Elementary, Middle, Senior High, Combo Schools 2016-2017 and 2016-2017 Membership by District by School by Grade.

2016-2017 Expenditures for School Health ServicesCounty Health Department

County Health Department

Federal Title XXI

School District

School District TotalCommunity Partners (Public and Private) Total

Community Partners (Public and Private)

Reported Student Health Conditions

90

4,7331,734439148

Type of Health Condition Number of Conditions Reported1,126

Pregnancy Prevention Classes

Note: Based on 2017 FTE Week Counts and a 36 Week School Year.Note: Comprehensive school health services include basic school health services and additional prevention services and care management to promote retention in school.StudentsaaA

Needing ServicesNumber of Comprehensive SchoolsNumber of Comprehensive StudentsDental Health EducationNutrition and Physical Activity Classes

Tube Feeding (e.g., G, J, PEG, NG) Alcohol, Tobacco and Other Drug Abuse Prevention Classes

Number of Full Service School StudentsNumber of In-Kind Hours from Health/Social Service Agencies

Sexually Transmitted Disease (including HIV) PreventionViolence Prevention/Conflict Resolution Classes

Full Service SchoolsNote: Full Service Schools provide basic school health services and coordinate the provision of donated (in-kind) health and social services on school campuses.Number of Full Service Schools

Suicide Prevention ClassesComprehensive Birth Rate Per 1,000: 6th-12th Grade FemalesCountywide Birth Rate Per 1,000: All 11-18 Year-Old Females Low Weight Births (% of births less than 2,500 grams)Percent of Students Returning to School After Giving Birth

Page 66: State of Florida 2016-2017 Summary of School Health Services · a professional registered school nurse be present in every school, all day, every day.” (NASN, 2017) Note: Based

2016-2017 Summary of School Health Services

Elementary/Middle/High/Combined Level Schools 11Pre-Kindergarten Through 12th Grade Students 5,178Annual Average Number of Health Room Visits Per Student 7.73 Registered Nurse to Student Ratio 1: 4,315% of Students Returning to Class After Health Room Visits 92.80% Registered Nurse to School Ratio 1: 9.17Annual Average Number of Services Per Student 11.14

Registered Nurses 1.20State General Revenue $66,435 Licensed Practical Nurses 1.80

$152,080 Health Aides/Techs 5.00County Health Department Subtotal $218,514County Health Department - Other Funding $89,777

$308,291 Registered Nurses 0.00$2,079 Licensed Practical Nurses 0.00

$0 Health Aides/Techs 0.80$310,371

Annual Per Student Expenditure for School Health: $59.94 Registered Nurses 0.00Note: Per student expenditure based on funding from all of the above sources. Licensed Practical Nurses 0.00

Health Aides/Techs 0.00

Allergies: Life ThreateningAllergies: Non-Life ThreateningAsthma Registered Nurses 1.20Attention Deficit / Hyperactivity Disorder Licensed Practical Nurses 1.80Seizure Disorder Health Aides/Techs 5.80Cardiac Mental/Behavioral Health ConditionsDiabetes Nursing Assessment/Counseling 882Kidney Disease Licensed Practical Nurse Encounter 8,385Sickle Cell Disease Paraprofessional Evaluation/Treatment 7,481Bleeding Disorder Staff/Parent Consultation 4,924Cancer Individualized Health Care Plan Development 47Cystic Fibrosis Complex Medical Procedures 7,183All Other Exceptional Student Education Staffing 132Total Health Record Reviews 1,372

Immunization Follow-up 812Daily Annual First Aid Administration 4,362

Average Student Health Room Visits 336 60,480 Health Education Classes 1,183Average Medication Doses Administered 99 17,892 All Other Services 20,934

Total Services 57,697

Procedures and

Medication Doses Estimated Annual

ServicesCarbohydrate Counting 18 3,240 2Catheterization 0 0 1,103Colostomy, Ileostomy, Jejunostomy 0 0 0Electronic Monitoring 6 0 0

1 108 46Glucose Monitoring 21 6,552 270Insulin Administration 20 4,320 0Intravenous Treatments 0 0 0Medications (Inhaled) 59 396 0Medications (Injection) 28 0 4.06Medications (Nasal) 1 0 7.38Medications (Oral) 267 12,240 0.00%Medications (Other Routes) 18 936 100.00%Oxygen Continuous or Intermittent 0 0Specimen Collection or Testing 8 0Tracheostomy Care 0 0Ventilator Dependent Care 0 0 1Other Procedures 23 4,824 1,416Total 470 32,616 3,460

$106,000

Vision Hearing ScoliosisTarget Populations (Mandated grade levels for each screening) KG, 1st, 3rd, 6th KG, 1st, 6th 6th 1st, 3rd, 6thNumber of Students in Mandated Grades (minus opt-outs) 1,366 995 348 996Number (#) of Students Screened in Mandated Grades 1,320 1,008 338 947Percent (%) of Students Screened in Mandated Grades 96.63% 101.31% 97.13% 95.08%Number (#) of Students Referred for Abnormal Results 128 29 32 0

529 39 147 23255.86% 4.12% 15.52% 24.50%

Underweight (< 5th percentile)

Overweight (85th to < 95th

Obese (≥ 95th percentile)Body Mass Index Screening Results

Number of 1st, 3rd and 6th Grade Students by BMI Percentile

Dollar Value of In-Kind Hours Donated by Local Agencies

Students Screened in Grades Mandated by Florida Administrative Code Rule 64F-6.003Note: The percent of students screened in mandated grades may be over 100% due to screening students enrolled after the DOE's October survey of student membership. Growth and

Development with Body Mass IndexScreenings and Referrals

Total Health Staff232

Estimated Health Room Visits and Medication Doses Administered

Estimated Annual Medical Procedures and Medication Doses by Type Schools With Comprehensive School Health Services

Key School Health Services in Health Management System

1031,407

2

Wakulla CountyLegislative authority for School Health Services provided in sections 381.0056, 381.0057, 402.3026, Florida Statutes.

Note: This report uses a combination of data from local county Annual School Health Reports, the Department of Health - Health Management System, Vital Statistics and the Department of Education (DOE). This report represents school health services provided by county health departments, school districts and community partners.

Public Schools and Students School Health Staff (excludes Exceptional Student Education Staff)

Percent of 1st, 3rd, 6th Grade Students by BMI Percentile

Healthy Weight (5th to < 85th

Ratio of Registered Nurses (RN) to Schools and Students

County Health Department Total

Total Expenditures for School Health Services

20

8

5424

Note: The National Association of School Nurses (2017) and the American Academy of Pediatrics (2016) recommend a ratio of one full-time registered school nurse for every school. “To optimize student health, safety and learning, it is the position of the National Association of School Nurses that a professional registered school nurse be present in every school, all day, every day.” (NASN, 2017)

Note: Based on DOE reports for Regular Elementary, Middle, Senior High, Combo Schools 2016-2017 and 2016-2017 Membership by District by School by Grade.

2016-2017 Expenditures for School Health ServicesCounty Health Department

County Health Department

Federal Title XXI

School District

School District TotalCommunity Partners (Public and Private) Total

Community Partners (Public and Private)

Reported Student Health Conditions

1

4704082420

Type of Health Condition Number of Conditions Reported59

Pregnancy Prevention Classes

Note: Based on 2017 FTE Week Counts and a 36 Week School Year.Note: Comprehensive school health services include basic school health services and additional prevention services and care management to promote retention in school.StudentsaaA

Needing ServicesNumber of Comprehensive SchoolsNumber of Comprehensive StudentsDental Health EducationNutrition and Physical Activity Classes

Tube Feeding (e.g., G, J, PEG, NG) Alcohol, Tobacco and Other Drug Abuse Prevention Classes

Number of Full Service School StudentsNumber of In-Kind Hours from Health/Social Service Agencies

Sexually Transmitted Disease (including HIV) PreventionViolence Prevention/Conflict Resolution Classes

Full Service SchoolsNote: Full Service Schools provide basic school health services and coordinate the provision of donated (in-kind) health and social services on school campuses.Number of Full Service Schools

Suicide Prevention ClassesComprehensive Birth Rate Per 1,000: 6th-12th Grade FemalesCountywide Birth Rate Per 1,000: All 11-18 Year-Old Females Low Weight Births (% of births less than 2,500 grams)Percent of Students Returning to School After Giving Birth

Page 67: State of Florida 2016-2017 Summary of School Health Services · a professional registered school nurse be present in every school, all day, every day.” (NASN, 2017) Note: Based

2016-2017 Summary of School Health Services

Elementary/Middle/High/Combined Level Schools 16Pre-Kindergarten Through 12th Grade Students 9,172Annual Average Number of Health Room Visits Per Student 7.12 Registered Nurse to Student Ratio 1: 1,529% of Students Returning to Class After Health Room Visits 91.20% Registered Nurse to School Ratio 1: 2.67Annual Average Number of Services Per Student 23.62

Registered Nurses 2.00State General Revenue $97,312 Licensed Practical Nurses 0.00

$131,604 Health Aides/Techs 0.00County Health Department Subtotal $228,916County Health Department - Other Funding $0

$228,916 Registered Nurses 4.00$505,794 Licensed Practical Nurses 7.00

$0 Health Aides/Techs 0.00$734,710

Annual Per Student Expenditure for School Health: $80.10 Registered Nurses 0.00Note: Per student expenditure based on funding from all of the above sources. Licensed Practical Nurses 0.00

Health Aides/Techs 0.00

Allergies: Life ThreateningAllergies: Non-Life ThreateningAsthma Registered Nurses 6.00Attention Deficit / Hyperactivity Disorder Licensed Practical Nurses 7.00Seizure Disorder Health Aides/Techs 0.00Cardiac Mental/Behavioral Health ConditionsDiabetes Nursing Assessment/Counseling 22,475Kidney Disease Licensed Practical Nurse Encounter 36,084Sickle Cell Disease Paraprofessional Evaluation/Treatment 5,847Bleeding Disorder Staff/Parent Consultation 13,034Cancer Individualized Health Care Plan Development 475Cystic Fibrosis Complex Medical Procedures 7,648All Other Exceptional Student Education Staffing 28Total Health Record Reviews 7,047

Immunization Follow-up 1,072Daily Annual First Aid Administration 24,082

Average Student Health Room Visits 422 76,032 Health Education Classes 286Average Medication Doses Administered 151 27,180 All Other Services 98,539

Total Services 216,617

Procedures and

Medication Doses Estimated Annual

ServicesCarbohydrate Counting 24 3,492 3Catheterization 0 0 2,037Colostomy, Ileostomy, Jejunostomy 0 0 30Electronic Monitoring 10 180 242

3 288 5Glucose Monitoring 26 5,688 43Insulin Administration 26 4,284 0Intravenous Treatments 1 0 8Medications (Inhaled) 127 3,348 0Medications (Injection) 62 0 1.48Medications (Nasal) 5 180 8.07Medications (Oral) 413 18,756 0.00%Medications (Other Routes) 18 612 100.00%Oxygen Continuous or Intermittent 0 0Specimen Collection or Testing 20 144Tracheostomy Care 0 0Ventilator Dependent Care 0 0 3Other Procedures 3 360 1,400Total 738 37,332 1,618

$59,683

Vision Hearing ScoliosisTarget Populations (Mandated grade levels for each screening) KG, 1st, 3rd, 6th KG, 1st, 6th 6th 1st, 3rd, 6thNumber of Students in Mandated Grades (minus opt-outs) 2,927 2,149 706 2,232Number (#) of Students Screened in Mandated Grades 2,888 2,122 693 2,252Percent (%) of Students Screened in Mandated Grades 98.67% 98.74% 98.16% 100.90%Number (#) of Students Referred for Abnormal Results 200 27 1 48

1,522 53 361 31667.58% 2.35% 16.03% 14.03%

Underweight (< 5th percentile)

Overweight (85th to < 95th

Obese (≥ 95th percentile)Body Mass Index Screening Results

Number of 1st, 3rd and 6th Grade Students by BMI Percentile

Dollar Value of In-Kind Hours Donated by Local Agencies

Students Screened in Grades Mandated by Florida Administrative Code Rule 64F-6.003Note: The percent of students screened in mandated grades may be over 100% due to screening students enrolled after the DOE's October survey of student membership. Growth and

Development with Body Mass IndexScreenings and Referrals

Total Health Staff534

Estimated Health Room Visits and Medication Doses Administered

Estimated Annual Medical Procedures and Medication Doses by Type Schools With Comprehensive School Health Services

Key School Health Services in Health Management System

51,547

9

Walton CountyLegislative authority for School Health Services provided in sections 381.0056, 381.0057, 402.3026, Florida Statutes.

Note: This report uses a combination of data from local county Annual School Health Reports, the Department of Health - Health Management System, Vital Statistics and the Department of Education (DOE). This report represents school health services provided by county health departments, school districts and community partners.

Public Schools and Students School Health Staff (excludes Exceptional Student Education Staff)

Percent of 1st, 3rd, 6th Grade Students by BMI Percentile

Healthy Weight (5th to < 85th

Ratio of Registered Nurses (RN) to Schools and Students

County Health Department Total

Total Expenditures for School Health Services

42

10

4228

Note: The National Association of School Nurses (2017) and the American Academy of Pediatrics (2016) recommend a ratio of one full-time registered school nurse for every school. “To optimize student health, safety and learning, it is the position of the National Association of School Nurses that a professional registered school nurse be present in every school, all day, every day.” (NASN, 2017)

Note: Based on DOE reports for Regular Elementary, Middle, Senior High, Combo Schools 2016-2017 and 2016-2017 Membership by District by School by Grade.

2016-2017 Expenditures for School Health ServicesCounty Health Department

County Health Department

Federal Title XXI

School District

School District TotalCommunity Partners (Public and Private) Total

Community Partners (Public and Private)

Reported Student Health Conditions

4

4483013424

Type of Health Condition Number of Conditions Reported102

Pregnancy Prevention Classes

Note: Based on 2017 FTE Week Counts and a 36 Week School Year.Note: Comprehensive school health services include basic school health services and additional prevention services and care management to promote retention in school.StudentsaaA

Needing ServicesNumber of Comprehensive SchoolsNumber of Comprehensive StudentsDental Health EducationNutrition and Physical Activity Classes

Tube Feeding (e.g., G, J, PEG, NG) Alcohol, Tobacco and Other Drug Abuse Prevention Classes

Number of Full Service School StudentsNumber of In-Kind Hours from Health/Social Service Agencies

Sexually Transmitted Disease (including HIV) PreventionViolence Prevention/Conflict Resolution Classes

Full Service SchoolsNote: Full Service Schools provide basic school health services and coordinate the provision of donated (in-kind) health and social services on school campuses.Number of Full Service Schools

Suicide Prevention ClassesComprehensive Birth Rate Per 1,000: 6th-12th Grade FemalesCountywide Birth Rate Per 1,000: All 11-18 Year-Old Females Low Weight Births (% of births less than 2,500 grams)Percent of Students Returning to School After Giving Birth

Page 68: State of Florida 2016-2017 Summary of School Health Services · a professional registered school nurse be present in every school, all day, every day.” (NASN, 2017) Note: Based

2016-2017 Summary of School Health Services

Elementary/Middle/High/Combined Level Schools 7Pre-Kindergarten Through 12th Grade Students 3,234Annual Average Number of Health Room Visits Per Student 8.65 Registered Nurse to Student Ratio 1: 2,156% of Students Returning to Class After Health Room Visits 92.69% Registered Nurse to School Ratio 1: 4.67Annual Average Number of Services Per Student 14.35

Registered Nurses 1.50State General Revenue $70,689 Licensed Practical Nurses 0.00

$184,107 Health Aides/Techs 6.00County Health Department Subtotal $254,796County Health Department - Other Funding $0

$254,796 Registered Nurses 0.00$1,343 Licensed Practical Nurses 0.00

$0 Health Aides/Techs 0.00$256,139

Annual Per Student Expenditure for School Health: $79.20 Registered Nurses 0.00Note: Per student expenditure based on funding from all of the above sources. Licensed Practical Nurses 0.00

Health Aides/Techs 0.00

Allergies: Life ThreateningAllergies: Non-Life ThreateningAsthma Registered Nurses 1.50Attention Deficit / Hyperactivity Disorder Licensed Practical Nurses 0.00Seizure Disorder Health Aides/Techs 6.00Cardiac Mental/Behavioral Health ConditionsDiabetes Nursing Assessment/Counseling 1,407Kidney Disease Licensed Practical Nurse Encounter 0Sickle Cell Disease Paraprofessional Evaluation/Treatment 12,653Bleeding Disorder Staff/Parent Consultation 10,033Cancer Individualized Health Care Plan Development 408Cystic Fibrosis Complex Medical Procedures 401All Other Exceptional Student Education Staffing 0Total Health Record Reviews 3,755

Immunization Follow-up 0Daily Annual First Aid Administration 4,116

Average Student Health Room Visits 177 31,824 Health Education Classes 116Average Medication Doses Administered 42 7,632 All Other Services 13,530

Total Services 46,419

Procedures and

Medication Doses Estimated Annual

ServicesCarbohydrate Counting 1 180 5Catheterization 1 0 2,972Colostomy, Ileostomy, Jejunostomy 0 0 28Electronic Monitoring 0 0 15

0 0 38Glucose Monitoring 1 252 0Insulin Administration 1 180 4Intravenous Treatments 0 0 20Medications (Inhaled) 25 288 13Medications (Injection) 21 0 3.89Medications (Nasal) 0 0 14.61Medications (Oral) 78 7,164 0.00%Medications (Other Routes) 3 0 100.00%Oxygen Continuous or Intermittent 0 0Specimen Collection or Testing 0 0Tracheostomy Care 0 0Ventilator Dependent Care 0 0 1Other Procedures 0 0 308Total 131 8,064 41

$876

Vision Hearing ScoliosisTarget Populations (Mandated grade levels for each screening) KG, 1st, 3rd, 6th KG, 1st, 6th 6th 1st, 3rd, 6thNumber of Students in Mandated Grades (minus opt-outs) 1,000 746 258 770Number (#) of Students Screened in Mandated Grades 1,001 746 257 756Percent (%) of Students Screened in Mandated Grades 100.10% 100.00% 99.61% 98.18%Number (#) of Students Referred for Abnormal Results 66 3 3 209

405 21 116 21453.57% 2.78% 15.34% 28.31%

Underweight (< 5th percentile)

Overweight (85th to < 95th

Obese (≥ 95th percentile)Body Mass Index Screening Results

Number of 1st, 3rd and 6th Grade Students by BMI Percentile

Dollar Value of In-Kind Hours Donated by Local Agencies

Students Screened in Grades Mandated by Florida Administrative Code Rule 64F-6.003Note: The percent of students screened in mandated grades may be over 100% due to screening students enrolled after the DOE's October survey of student membership. Growth and

Development with Body Mass IndexScreenings and Referrals

Total Health Staff195

Estimated Health Room Visits and Medication Doses Administered

Estimated Annual Medical Procedures and Medication Doses by Type Schools With Comprehensive School Health Services

Key School Health Services in Health Management System

65539

0

Washington CountyLegislative authority for School Health Services provided in sections 381.0056, 381.0057, 402.3026, Florida Statutes.

Note: This report uses a combination of data from local county Annual School Health Reports, the Department of Health - Health Management System, Vital Statistics and the Department of Education (DOE). This report represents school health services provided by county health departments, school districts and community partners.

Public Schools and Students School Health Staff (excludes Exceptional Student Education Staff)

Percent of 1st, 3rd, 6th Grade Students by BMI Percentile

Healthy Weight (5th to < 85th

Ratio of Registered Nurses (RN) to Schools and Students

County Health Department Total

Total Expenditures for School Health Services

00

2

74

Note: The National Association of School Nurses (2017) and the American Academy of Pediatrics (2016) recommend a ratio of one full-time registered school nurse for every school. “To optimize student health, safety and learning, it is the position of the National Association of School Nurses that a professional registered school nurse be present in every school, all day, every day.” (NASN, 2017)

Note: Based on DOE reports for Regular Elementary, Middle, Senior High, Combo Schools 2016-2017 and 2016-2017 Membership by District by School by Grade.

2016-2017 Expenditures for School Health ServicesCounty Health Department

County Health Department

Federal Title XXI

School District

School District TotalCommunity Partners (Public and Private) Total

Community Partners (Public and Private)

Reported Student Health Conditions

2

1111051011

Type of Health Condition Number of Conditions Reported27

Pregnancy Prevention Classes

Note: Based on 2017 FTE Week Counts and a 36 Week School Year.Note: Comprehensive school health services include basic school health services and additional prevention services and care management to promote retention in school.StudentsaaA

Needing ServicesNumber of Comprehensive SchoolsNumber of Comprehensive StudentsDental Health EducationNutrition and Physical Activity Classes

Tube Feeding (e.g., G, J, PEG, NG) Alcohol, Tobacco and Other Drug Abuse Prevention Classes

Number of Full Service School StudentsNumber of In-Kind Hours from Health/Social Service Agencies

Sexually Transmitted Disease (including HIV) PreventionViolence Prevention/Conflict Resolution Classes

Full Service SchoolsNote: Full Service Schools provide basic school health services and coordinate the provision of donated (in-kind) health and social services on school campuses.Number of Full Service Schools

Suicide Prevention ClassesComprehensive Birth Rate Per 1,000: 6th-12th Grade FemalesCountywide Birth Rate Per 1,000: All 11-18 Year-Old Females Low Weight Births (% of births less than 2,500 grams)Percent of Students Returning to School After Giving Birth