T HE POWE R OF T HE WORD VIGIL ANCE IN SCHOOL NURSING L E - - PowerPoint PPT Presentation

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T HE POWE R OF T HE WORD VIGIL ANCE IN SCHOOL NURSING L E ADI NG WI T H VI GI L ANCE : DR. OL I NDA JOHNSON PhD PROFESSIONAL VIGILANCE IS THE ESSENCE OF CARING IN NURSING under the w atchful eyes of nursing An

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T HE POWE R OF T HE WORD VIGIL ANCE IN SCHOOL NURSING

L E ADI NG WI T H VI GI L ANCE : DR. OL I NDA JOHNSON PhD

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PROFESSIONAL VIGILANCE IS THE ESSENCE OF CARING IN NURSING “under the w atchful eyes of nursing”

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An And when en he e was as finished ed he e crea reated ed the nur nurse se

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He lace he her bo body dy with ith armor or endur ndurance

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A mi mine of

  • f wi

wisdom

  • m

and a heart eart of love

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He He smi mile led and said well well don

  • ne
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Wha t is Sc hool Nursing ?

 A spe c ia lize d pra c tic e o f pro fe ssio na l nursing tha t a dva nc e s the we ll-b e ing , a c a de mic

suc c e ss, a nd life lo ng a c hie ve me nt o f stude nts. T

  • tha t e nd, sc ho o l nurse s fa c ilita te

po sitive stude nt re spo nse s to no rma l de ve lo pme nt; pro mo te he a lth a nd sa fe ty; inte rve ne with a c tua l a nd po te ntia l he a lth pro b le ms; pro vide c a se ma na g e me nt se rvic e s; a nd a c tive ly c o lla b o ra te with o the rs to b uild stude nt a nd fa mily c a pa c ity fo r a da pta tio n, se lf- ma na g e me nt, se lf-a dvo c a c y, a nd le a rning .

 Surro g a te mo the r, frie nd, pro te c to r, liste n e a r, sho ulde r to c ry o n, a nd a ha nd to ho ld  http:/ / pe dia tric s.a a ppub lic a tio ns.o rg

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  • V. I. G. I .L

. A.N.C.E

SI CK SL E E P I NT UBAT E D DE L I RI OUS UNCONSCOUOS COMBAT I VE F E ARF UL L OSS DE PRE SSE D HYST E RI CAL

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T he Role of the Sc hool Nurse

 T

he sc ho o l nurse ha s a c ruc ia l ro le in the se a mle ss pro visio n o f c o mpre he nsive he a lth se rvic e s to c hildre n a nd yo uth. I nc re a sing numb e rs o f stude nts e nte r sc ho o ls with c hro nic he a lth c o nditio ns tha t re q uire ma na g e me nt during the sc ho o l da y. T his po lic y sta te me nt de sc rib e s fo r pe dia tric ia ns the ro le o f the sc ho o l nurse in se rving a s a te a m me mb e r in pro viding pre ve ntive se rvic e s, e a rly ide ntific a tio n o f pro b le ms, inte rve ntio ns, a nd re fe rra ls to fo ste r he a lth a nd e duc a tio na l suc c e ss. T

  • o ptima lly c a re fo r c hildre n, pre pa ra tio n,
  • ng o ing e duc a tio n, a nd a ppro pria te sta ffing le ve ls o f sc ho o l nurse s a re impo rta nt fa c to rs

fo r suc c e ss. Re c o mme nda tio ns a re o ffe re d to fa c ilita te the wo rking re la tio nship b e twe e n the sc ho o l nurse a nd the c hild's me dic a l ho me . T his sta te me nt ha s b e e n e ndo rse d b y the Na tio na l Asso c ia tio n o f Sc ho o l Nurse s.

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BUCK NAKE D T RUST

 Nur

se s again top sur ve y for e thic s, tr ustwor thine ss among pr

  • fe ssions

 Nursing re ma ins the mo st-truste d pro fe ssio n in Ga llup's a nnua l ho ne sty a nd e thic a l

sta nda rds po ll fo r the 15th ye a r running , with 84% o f re spo nde nts ra ting nurse s' ho ne sty a nd e thic a l sta nda rds a s hig h o r ve ry hig h. I n the surve y, pha rma c ists a nd physic ia ns fo llo we d nurse s with 67% a nd 65% ra ting s, re spe c tive ly.

 12/ 23/ 2016 AWHONN SMART

BRI E F

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Provides Active Keep Safeguards Acts Maintains Sustains Recognizes & Accepts Use Participates Plays

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HIST ORICAL PE RSE PCT IVE

 Nig hting a le (1860/ 1969) re c o g nize d the impo rta nc e o f vig ila nc e in nursing . I

n No te s o n Nursing , she wro te :

 T

he mo st impo rta nt pra c tic a l le sso n tha t c a n b e g ive n to nurse s is to te a c h the m wha t to

  • b se rve —ho w to o b se rve —wha t sympto ms indic a te impro ve me nt—wha t the re ve rse —

whic h a re o f impo rta nc e —whic h a re o f no ne —whic h a re e vide nc e o f ne g le c t—a nd o f wha t kind o f ne g le c t. All this is wha t o ug ht to ma ke pa rt, a nd a n e sse ntia l pa rt, o f the tra ining o f e ve ry nurse (P. 105).

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SCHOL ARS

 Nurse sc ho la rs ha ve re pe a te dly a c kno wle dg e d tha t o b se rva tio n is

a vita l e le me nt in the pra c tic e o f nursing .

 T

he ha b it o f o b se rva tio n is o ne o f the mo st (if no t the mo st) e sse ntia l q ua litie s in nursing . ...T he re spo nsib ility [to o b se rve ] is distinc tly tha t

  • f the nurse , fo r during the g re a te r pa rt o f the time she is the o nly
  • ne pre se nt to c a re fo r the pa tie nt a nd thus to o b se rve a nd re po rt.

Witho ut c lo se o b se rva tio n...a nurse c a n no t c a rry o ut the first e sse ntia ls in nursing —tho se me a sure s no t pre sc rib e d b y the do c to r b ut dic ta te d b y the unde rlying princ iple s a nd me tho ds o f nursing itse lf (P. 219).

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Anothe r Sc hola r

 Mc Cla in (1950) pro po se d, "in o b se rving the nurse must kno w wha t she

is lo o king fo r a nd, to a c e rta in e xte nt, wha t she is like ly to find. Ob se rva tio n is b a se d o n kno wle dg e , inte re st a nd a tte ntio n" (P. 51).

 1970 the e ra o f g ra nd nursing the o rie s. the a ppre c ia tio n o f this a b ility o f

nurse s to re c o g nize impo rta nt c ue s in the ir pa tie nts.

 Ca rpe r (1978) ide ntifie d the a b ility to pe rc e ive a s pa rt o f the a e sthe tic

pa tte rn o f kno wing in nursing . She de fine d pe rc e ptio n a s the "a c tive g a the ring to g e the r o f de ta ils a nd sc a tte re d pa rtic ula rs into a n e xpe rie nc e d who le fo r the purpo se o f se e ing wha t is the re " (P. 17).

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DE F INING VIGIL ANCE

Vig ila nc e is de vo te d a tte ntive ne ss o r wa tc hfulne ss.

Se c urity g ua rds a nd te st pro c to rs a like ne e d to pra c tic e vig ila nc e . Vig ila nc e c o me s fro m the L a tin wo rd fo r "wa ke fulne ss," vig ila ntia , a nd in a me dic a l se tting vig ila nc e is still so me time s use d to me a n "inso mnia ."

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Profe ssiona l Nursing Vig ila nc e

A sta te o f sc ie ntific a lly, inte lle c tua lly, a nd e xpe rie ntia lly g ro unde d:

Atte ntio n to a nd ide ntific a tio n o f c linic a lly sig nific a nt

  • b se rva tio ns/ sig na ls/ c ue s;

Ca lc ula tio n o f risk inhe re nt in nursing pra c tic e situa tio ns; Re a dine ss to a c t a ppro pria te ly a nd e ffic ie ntly to minimize

risks a nd to re spo nd to thre a ts.

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Vig ila nc e E nta ils

 Pro fe ssio na l vig ila nc e is the e sse nc e o f c a ring in nursing . Ho we ve r, it

is o fte n invisib le , a nd is no t c le a rly de sc rib e d o r ta ug ht to stude nts in nursing pro g ra ms.

 “Vig ila nc e is the b a c kdro p a g a inst whic h pro fe ssio na l nursing

a c tivitie s a re pe rfo rme d. I t is no t the a c tio n o f do ing so me thing . I t is the c o ntinuo us wa tc hfulne ss tha t is a lwa ys a pa rt o f a nurse ’ s thinking pro c e ss whe n pe rfo rming a c tivitie s, suc h a s ta king vita l sig ns. I t is the me nta l wo rk o f nursing a nd a pre re q uisite to info rme d nursing a c tio n.

 Nurse s a re pro fe ssio na lly a c c o unta b le fo r pro fe ssio na l vig ila nc e a nd

re c o g nitio n o f the pro b le m so tha t suita b le a c tio n c a n b e ta ke n.”.

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Vig ila nte Obse rva tion

T

he le ve l o f vig ila nc e a nd o b se rva tio n e xpe c te d a re o b vio usly linke d to the c a te g o ry o f nurse , sc o pe o f pra c tic e a nd e duc a tio na l pre pa ra tio n tha t the y ha ve re c e ive d

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Vig ila nte timing

Co mmunic a tio n to a ppro pria te re fe rra ls T

ra nsfe rring o f Stude nts fro m 1 fa c ility to a no the r

I

nte rpro fe ssio na l c o mmunic a tio n (te a c he rs, princ ipa ls, pe dia tric ia ns, pa re nts)

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L E ADE RSHIP: L E ADING WIT H VIGIL ANCE

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If you are Leading and no one is following you are just taking a stroll.

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L e a ding with a Vig ila nc e

 Co mmunic a tio n skills  Cultura l c o mpe te nt  K

no wle dg e a b le o f la ws a nd po lic ie s

 Pro mo tio n o f g o o d he a lth  Ac tivist a nd Advo c a te fo r c hildre n

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Sc hool Nursing le a de rs. Vig ila nt? How?

F

  • ste r c hild a nd

a do le sc e nt he a lth a nd e duc a tio n suc c e ss Pro vide s dire c t c a re to stude nts Pro visio n o f sc ho o l nurse he a lth se rvic e s Sc re e ning a nd re fe rra ls fo r he a lth c o nditio ns Pro mo te s a he a lth sc ho o l e nviro nme nt

Pro mo te s He a lth

L e a de rship ro le fo r he a lth po lic ie s pro g ra ms

L ia iso n b e twe e n sc ho o l pe rso nne l, fa mily a nd HCP

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Just Culture :

SUPPORT

SCHOOL NURSING

IDE

NT IF IE S WE AKNE SS WIT HIN T HE SYST E M

IMPROVE

S PRACT ICE

PROMOT

E S COL L ABORAT ION

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NURSE S E AT ING T HE IR YOUNG

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Sta ff Growth a nd De ve lopme nt

Pro fe ssio na l de ve lo pme nt Culture c o mpe te nc e K

no wle dg e

L

e a de rship

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E xpe c ta tion of E xc e lle nc e IN T HE SCHOOL S

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VIGIL ANCE IN T HE SCHOOL S:

RE

COGNI ZE

RE

SPOND

RE

ACT

WAT

CHF UL E YE

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Re c og nize , Re a c t a nd Re spond

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VIGIL ANCE IN T HE SCHOOL S

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Vig ila nc e in the Sc hool

 1. E

a rly I de ntific a tio n a nd tre a tme nt fo r visio n pro b le ms

 2. Ab use a nd ne g le c t e a rly no tific a tio n to a ppro pria te pe rso ns  3. Co mmunity pa rtne rs fo r he a lth e ve nts

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Cate gor ie s of e ve nts le ading to F ailur e to Re sc ue

 Asse ssme nt o f he a lth c o mpla ints, me dic a tio n a dministra tio n a nd c a re o f stude nts with

spe c ia l ne e ds (T ime ly re spo nse (pro mpt re c o g nitio n o f c o mplic a tio ns)

 A syste m fo r ma na g ing e me rg e nc ie s a nd urg e nt situa tio ns (Appro pria te re spo nse (c o rre c t

ma na g e me nt a nd tre a tme nt)

 Ma nda te d he a lth sc re e ning pro g ra ms , ve rific a tio n o f immuniza tio ns a nd infe c tio us

dise a se re po rting ( fa il to no tic e re c o g nize / inte rpre t o r re spo nd (tre a t) whe n a stude nt is in tro ub le

 I

de ntific a tio n a nd ma na g e me nt o f stude nts with c hro nic he a lth c a re ne e ds tha t a ffe c t e duc a tio na l a c hie ve me nt

 Be tte r nurse to stude nt ra tio s a sso c ia te d with impro ve d stude nt a c a de mic suc c e ss

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Vig ila nc e in the Community

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Nurse s must be :L

  • ud Voic e for

He a lthc a re re form

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Unsa fe Childre n Issue

 I

mmuniza tio ns

 Child Ab use  Ho me le ssne ss  Se x T

ra ffic king

 Runa wa ys  Child la b o r la ws

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T he Issue :

 Ho usto n is the Hub fo r T

ra ffic king

 6.6 Billio n in se x a nd la b o r tra ffic king a ye a r  600 c hildre n/ da y a re fo rc e to ha ve se x

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In Summa ry

Vig ila nc e is the e sse nc e o f c a ring in nursing . We

must b e a b le to na me this vig ila nc e , de sc rib e it, a nd c o mmunic a te it, o r risk ha ving this uniq ue a spe c t o f o ur wo rk b e invisib le to o the rs.

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Re fe re nc e s

 Na tio na l Asso c ia tio n o f Sc ho o l Nurse s: De finitio n o f Sc ho o l Nursing . Silve r Spring MD.

Na tio na l Asso c ia tio n o f Sc ho o l Nurse s re trie ve d fro mwww.na sn.o rg 10/ 25/ 2017

 Co unc il o n Sc ho o l He a lth ; Ro le o f the Sc ho ll Nurse in Pro viding Sc ho o l He a lth Se rvic e s;

Pe dia tric s (2008) 121:1052

 2. Me ye r G, L

a vin AN. Vig ila nc e : T he e sse nc e o f nursing . T he Online Jo urna l o f I ssue s in Nursing . [ho me pa g e o n the I nte rne t]. 2005. c 2015. Ava ila b le fro m: http:/ / www.nursing wo rld .o rg /