Nursing and Health Update Board Presentation August 25, 2015 - - PowerPoint PPT Presentation

SLIDE 1

Nursing and Health Update

Board Presentation – August 25, 2015 Presented by: Heather Edlund – Executive Director Special Education Sonja Reid – Lead Nurse The Bellevue School District Mission:  To provide all students with an exemplary college preparatory education so they can succeed in college, career and life. For additional information regarding this presentation contact: Name – Heather Edlund Email: edlundh@bsd405.org Phone: (425)456‐4121 1

SLIDE 2

Agenda

2

• Data
• Staffing FTE
• Staffing Ratios
• Health Care Plans
• Nurse Visits
• Challenges, Strategies, and Timelines
• Next Steps
• Questions/Comments

SLIDE 3

Data: Total FTE & FTE by School

3 Elementary Middle High

Ardmore 0.3 Bennett 0.3 Cherry Crest 0.4 Clyde Hill 0.4 Eastgate 0.4 Enatai 0.3 Jing Mei 0.1 Lake Hills 0.5 Medina 0.4 NHES 0.9 Phantom Lake 0.9 Puesta 0.3 Sherwood Forest 0.9 Somerset 0.4 Spiritridge 0.4 Stevenson 0.4 Woodridge 0.3

* Plus 2 hours/day classified support

Chinook MS 0.7 Highland MS 1.0 Odle MS 0.5 Tillicum MS 0.5 Tyee MS 0.7 Bellevue HS 0.7 Interlake HS 1.0 Newport HS 0.8 Sammamish HS 0.7 International(all) 0.2 Big Picture (all) 0.2 Total: 7.6 FTE 3.4 FTE 3.6 FTE Total FTE: 14.6

SLIDE 4

Data: Total District Ratio & Ratio by School

4 Elementary Middle High

Ardmore 1:1165 Bennett 1:1565 Cherry Crest 1:1425 Clyde Hill 1:1630 Eastgate 1:1355 Enatai 1:1795 Jing Mei 1:1800 Lake Hills 1:972 Medina 1:1430 NHES 1:731 Phantom Lake 1:667 Puesta 1:1880 Sherwood Forest 1:481 Somerset 1:1800 Spiritridge 1:1560 Stevenson 1:1148 Woodridge 1:2167

Chinook MS 1:1471 Highland MS 1:643 Odle MS 1:1580 Tillicum MS 1:1424 Tyee MS 1:1331 Bellevue HS 1:2118 Interlake HS 1:1513 Newport HS 1:2095 Sammamish HS 1:1286 International(all) 1:2825 Big Picture (all) 1:1600 Average: 1:1385 1:1290 1:1906 District Average: 1:1527

SLIDE 5

Data: Total Health Care Plans & Health Care Plans by School

5 Elementary Middle High

Ardmore 10 Bennett 15 Cherry Crest 34 Clyde Hill 42 Eastgate 40 Enatai 42 Jing Mei 14 Lake Hills 29 Medina 37 NHES 67 Phantom Lake 16 K‐5 32 preschool Puesta 44 Sherwood Forest 58 Somerset 57 Spiritridge 44 Stevenson 18 Woodridge 41

Chinook MS 67 Highland MS 61 Odle MS 35 Tillicum MS 39 Tyee MS 60 Bellevue HS 86 Interlake HS 144 Newport HS 67 Sammamish HS 32 International(all) 33 Big Picture (all) 25 Total: 640 262 387 District Total: 1289

SLIDE 6

Data: Total # Nurse Visits, Nurse Visits by School, & Nurse Visits by Student

6

Elementary

Middle High

ARDMORE 1666 4.76 BENNETT 1960 4.18 CHERRY CREST 2459 4.31 CLYDE HILL 3011 4.62 EASTGATE 1874 4.15 ENATAI 2348 4.36 JING MEI 451 2.45 LAKE HILLS 5011 10.31 MEDINA 2550 4.46

NEWPORT HEIGHTS 3787

5.76

PHANTOM LAKE 2439

5.48

PUESTA DEL SOL2421

4.29

SHERWOOD FOREST 887

2.05 SOMERSET 4503 6.25 SPIRITRIDGE 3650 5.85 STEVENSON 1983 4.32 WOODRIDGE 3008 4.63

CHINOOK 5364 5.21 HIGHLAND 2168 3.37 ODLE 1153 1.46 TILLICUM 1140 1.60 TYEE 3134 3.36

BIG PICTURE 974 0.66 BELLEVUE 1361 0.90 INTERLAKE 1546 0.92

INTERNATIONAL 977

1.09 NEWPORT 1455 2.58 SAMMAMISH 2430 7.59

Total: 44,008 (4.99) 12,959 (3.16) 6,457 (1.35) District Total: 65,719 (6.78, including Transition)

SLIDE 7

Anaphylaxis Update

7

• Reduced number of administrations of Epi Pens in the

2014‐15 school year

• 2013‐14: 16 administrations
• 2014‐15: 9 administrations
• Implementation of Revised Procedure 3420 P went

smoothly

• An Anaphylaxis Advisory Committee will be convened for

the purposes of:

• On‐going implementation support and advice for schools and outside

groups including PTSA

• Advising the District on training related to allergies and anaphylaxis
• Safe Schools Anaphylaxis Training for all Certificated Staff
• Anaphylaxis Advisory Committee Members will convene

three times:

• September 2015
• January 2016
• April 2016

SLIDE 8

Challenges & Strategies

8

Challenges

• Caseloads
• Models for nursing support
• Filling open positions with ESA nurses

Strategies

• BEA/BSD Committee reviewed caseloads and made

recommendations

• Increase classified staff support in the clinics
• Centralized database of records

SLIDE 9

Questions?

9 For additional information regarding this presentation contact: The Bellevue School District Mission:  To provide all students with an exemplary college preparatory education so they can succeed in college, career and life. Heather Edlund – Executive Director Special Education Email: edlundh@bsd405.org Phone: (425)456‐4121

SLIDE 10

Documented Student Visits (ASPEN) to Health Room 2014-2015 School Year

August 2015 sr School Visits ARDMORE 1666 BELLEVUE BIG PICTURE SCH 974 BELLEVUE HIGH SCHOOL 1361 BENNETT 1960 CHERRY CREST 2459 CHINOOK MIDDLE SCHOOL 5364 CLYDE HILL 3011 EASTGATE 1874 ENATAI 2348 HIGHLAND MIDDLE SCHOOL 2168 INTERLAKE HIGH SCHOOL 1546 INTERNATIONAL SCHOOL 977 JING MEI ELEMENTARY SCH 451 LAKE HILLS 5011 MEDINA 2550 NEWPORT HEIGHTS 3787 NEWPORT HIGH SCHOOL 1455 ODLE MIDDLE SCHOOL 1153 PHANTOM LAKE 2439 PUESTA DEL SOL 2421 SAMMAMISH HIGH SCHOOL 2430 SHERWOOD FOREST 887 SOMERSET 4503 SPIRITRIDGE 3650 STEVENSON 1983 TILLICUM MIDDLE SCHOOL 1140 TRANSITION PROGRAM 9 TYEE MIDDLE SCHOOL 3134 WOODRIDGE 3008 Total * From ASPEN 65719

SLIDE 11

Nursing Workload DATA 2014/2015 school year to date: Updated July, 2015 Compiled by Sonja Reid, Lead Nurse HEALTH ROOM VISITS: Data from ASPEN student information system (2014-15) 65,719 visits entered in ASPEN. An addition 20% may not be entered into system due to time limitations – staffing/coverage – ease in using system. Most students come on day nurse is on site. May require significant first aid. Assessment, Call to home etc. Students may come because of stress, anxiety, mental health issues, depression, fear, peer issues etc. The health room is a safe haven and is

• ften the first stop for many students with such issues. Registered nurses help assess these students -

refer for follow up to counselors/administrators as needed – contact teachers/families as needed. Monitors health room patterns of students (#of visits – reasons etc.) tracks visits when nurse on site/not on site – contacts teacher- counselor as needed. Does follow up – checks in with attendance – excused – unexcused etc.  Elementary - 44,008 student visits – EA on site assigned 2 hours per day per school - Nurse assignment 1 ½ – 2 ½ days a week (Sherwood, NHES, Phantom Lake .9)  Middle School – 14,919 student visits – Nursing assignment 2 – 3 ½ days a week (Highland FT nurse)  High School - 6792 student visits - Nursing assignment 2 ½ days – to 4 days (Interlake FT nurse) Immunizations are maintained for all students, which is state law driven. Recent Measles outbreak and scrutiny of exemptions and compliance reinforced the need to complete the len processes for immunization compliance  Elementary – 11,000 plus students tracked, data reviewed, follow up – new students arriving through year – mandated reports to state completed etc.  Middle School – continued immunization tracking with roll ups on all students. Tdap for all incoming 6th graders- input into information system – follow up – filed etc. etc.  High School – continued tracking – roll ups – new students – out of country records Screenings: State Law  Elementary - 11,000 plus students are screened for vision and hearing by nurses. Required by

• law. Referrals made, follow ups, calls to home, contact and report to organizations to provide

glasses for free and reduced lunch students (those without access) – rescreen referred and SPED students (100’s) as needed through the year. Input all this data into student data

• system. Recheck – correct data - contact families – get services.

 Middle School – 1600 plus 7th graders are screened for vision and hearing (as above- the law). Multiple (100’s) of screenings done by referral from classroom and parent/guardians  High School: Screenings as requested by staff/Student/ families and as required for SPED evaluations. IHP’/504’s: State Law  1000 plus in district. Approximately 2 to 3 hours to complete each one or more depending

• n situation. Medications must be accounted for, verified, labeled, stored. Training of

non- licensed school staff (delegated staff on nurse licensure). Health alert list completed and distributed to staff (teachers/administration/office). IHP’s and alert list to dietary

SLIDE 12

and transportation. Prepare for student exclusion as needed. Check for expirations, refills through the year. Contact families.  504 process: extensive with Childfind evaluation piece implemented (triennial)  End of Year: Prep for each next year IHP extensive – information to families – return or safe disposal of medication Special Ed Evaluations:  1581 completed in the district 2013-2014 (new evaluations and re-evaluations)  Waiting for 2014-2015 total count – will be higher  Nurse completes a significant health assessment as needed for each one – interviews student/parent guardian/review of file etc.  Nurse attends intake and feedback meetings as time allows - acuity  Nurse obtains all Medical Implication forms – communication with Provider as needed  At Phantom Lake – nurse responsible within the FTE for special needs Preschool/Childfind evaluations 2 days a week. End of year – all those going into Kindergarten require re-eval regardless of time frame from last eval. Health Alerts/Health Information: Consult with many families students who have health needs and do not meet criteria for the IHP process. Information is collected yearly from families completing Health Information

• sheets. Information is then documented if needed in student information system. Alerts are

distributed as needed, referrals made, student meet with nurse frequently for update – needs

• adjusted. Auxiliary staff trained throughout year as needed. Meet/call/email parents. Work

with team members – attend meetings if warranted. Maintain head injury and accident reports.

SLIDE 13

Nurse Data – Workload (update 8/2015 sr) School Enrollment June 2015 Nurse FTE/Ratio IHP/ECP/504*

Yearly Vision/Hear Screenings rescreen/refer for glasses, All SPED evaluations

Notes Ardmore 350 1:1165 (.3) 10

All students

Title – behavior ^SPED Bennett 469 1:1565 (.3) 15

All students

Cherry Crest 570 1:1425 (.4) 34

All students

Clyde Hill 652 1:1630 (.4) 42

All students

Eastgate 452 1:1355 (.4) 40

All students

Autism ^ SPED Enatai 538 1:1795 (.3) 42

All students

Jing Mei 184 1:1800 (.1) 14

All students

Lake Hills 486 1:972 (.5) 29

All students

Title - ^SPED Medina 572 1:1430 (.4) 37

All students

Diabetics – need .9 to cover NHES 658 1:731 (.9) 67

All students

PACIFIC ^ SPED ^Fragile Phantom Lake

445/200

1:667 (.9) 16 K-5 32 preschool

K-5 Childfind

High needs preschool – Title - ^SPED Puesta 564 1:1880 (.3) 44

All students

^ IHP - ^ needs Sherwood Forest 433 1:481 (.9) 58

All students

PACIFIC ^ SPED ^ Diabetics Somerset 720 1:1800 (.4) 57

All students

^ IHP Spiritridge 624 1:1560 (.4) 44

All students

Stevenson 459 1:1148 (.4) 12 (+6 moved)

All students

Title- ^ SPED Woodridge 650 1:2167 (.3) 41

All students

^IHP Chinook MS 1030 1:1471 (.7) 67

7th grade

^IHP Highland MS 643 1:643 (1.) 61

7th grade

PACIFIC program ^SPED Odle MS 790 1:1580 (.5) 35

7th grade

^SPED - ^ needs - Behavior Tillicum MS 712 1:1424 (.5) 39

7th grade

Tyee MS 932 1:1331 (.7) 60

7th grade

^Special needs ^SPED Bellevue HS 1483 1:2118 86

Referral/ SPED

Interlake HS 1513 1:1513 144

Referral/ SPED

PACIFIC - includes Transition Newport HS 1676 1:2095 67

Referral/ SPED

Sammamish HS 900 1:1286 32

Referral/ SPED

^SPED - ^needs - behavior International(all) 565 1:2825 33

7th grade

Big Picture (all) 320 1:1600 25

7th grade *Nurses also create alert list that is distributed to school staff. Includes the students with IHP’s as well as dozens and dozens more that have important health concerns that may not require IHP (i.e. majority of asthma students do not have IHP but have alert – caution – information to staff required). Done through review of yearly updated health information and family correspondence.