INLAND EMPIRE SCHOOL NURSE ORGANIZATION: LET’S ZOOM THROUGH 2020!

INLAND EMPIRE SCHOOL NURSE ORGANIZATION: LET’S ZOOM THROUGH 2020! THURSDAY, AUGUST 27, 2020 Nursing Assessments in Times of Crisis Michele Beckman, MS, RN, PHN, CSN San Bernardino City USD

TO EARN 1 CEU FROM RIVERSIDE COUNTY OFFICE OF EDUCATION CEP#12145 IESNO Members: Please add your name and school district into the CHAT Room to verify today’s attendance Complete the Survey Monkey Evaluation after the end of today’s session – link will be posted in the CHAT Room Look for your emailed CEU certificate – MAY TAKE UP TO 1 WEEK

ZOOM THROUGH 2020! SERIES IESNO Zoominar 2 - Interim Isolation Room Guidance Thursday, September 17 2:00 – 3:00pm Presenter:: Del Grace, DNP, PNP, RN Moderator: Leticia Esau, MSN, RN, PHN Chat Monitor: Candy Jonasson, MSN, RN, PHN

ZOOM THROUGH 2020! SERIES IESNO Zoominar 3 Well-Being Initiative: Why Mindfulness? Thursday, October 8 2:00 – 3:00pm Presenter: Anna Ferreira, MSCIH, BSN, RN Chat Monitor: Candy Jonasson, MSN, RN, PHN, CSN Moderator: Michele Beckman, MSN, RN, PHN, CSN

OBJECTIVES By The End of Today’s Session, attendees will be: 1. To determine how school nurses are complying with nurse assessment requirements when students are distance learning. 2. Learn 2 methods for performing a nursing assessment during distance virtual schooling.

39 SURVEY RESPONSES ARE YOU ENJOYING WORKING FROM HOME? 70% said YES -- some go into site; some hybrid; some only at home IS YOUR DISTRICT HAVING YOU COMPLETE IEP ASSESSMENTS 90% said YES SELPA Guidance received? 12% said YES -- some received: district legal; special ed director (who checked with SELPA) IS THERE A REQUIREMENT FOR VERIFICATION THE AP WAS SIGNED 78% said YES

GETTING READY TO ASSESS COMMUNITY RESOURCE LISTS FOOD LUNCH OPTIONS THROUGH YOUR DISTRICT IEHP Navigator resource CLINICS MENTAL HEALTH TECHNOLOGY SUPPORT SCHOOL SITE INFO DATE OF UPCOMING MEETING – if known FORMS– medications, specialized procedures VSP certificates DISTRICT PROTOCOLS if in person Remember Maslow’s Hierarchy of Needs

IEHP NAVIGATOR Referral to an IEHP Health Navigator Need to be an active IEHP member or be eligible Email [email protected] the following: Subject: HSI referral – (Name of School) Criteria requesting in body of email: Childs name Parent/Guardian name Contact number Best time to call Preferred Language * To protect families PHI please do not add a reason for referral, only the information requested above. *

HOW WILL YOU PERFORM THE ASSESSMENT WHAT METHODS ARE DISTRICT NURSES UTILIZING TELEPHONE INTERVIEWS 84% QUESTIONNNAIRE 44% CHART REVIEW ONLY 34% - not sure if this is accurate EMAIL OR TEXT 34% IN PERSON AT THE DESIGNATED SITE 26% -- using SPOT VIDEO INTERVIEW WITH PARENT 13% WITH STUDENT 7% OBSERVING STUDENT IN THE ZOOM CLASSROOM None 7%

RIVERSIDE COUNTY 1:1 ASSESSMENT PROTOCOLS IN PERSON – RIVERSIDE COUNTY ONLY? – https://www.rivcoph.org/coronavirus see next slide Prior to the day of testing At least 24 hours prior to the first day of assessment, the assessor sends the family the Assessment Appointment Letter with the attached acknowledgement, and copy of the Assessment Checklist that will be used each day of testing. Each Day of testing Parent/guardian and student are to remain in the car. Assessor exits the testing center to meet the family in the parking lot. While maintaining social distance, the assessor uses the parent/guardian checklist to assess for risk factors. Once the checklist is completed, including the student’s temperature the student is provided hand sanitizer, the student and staff walk to testing room. If necessary, provide the student a disposable mask.

IMMUNIZATIONS The California Immunization requirements for admission to schools for the 2020-2021 school year have not been changed (CHDP). NO SHOTS NO SCHOOL. Per guidance from SBCPHD: during distance learning, the decision on how to handle immunizations is up to individual district; however, immunizations are still required, and students cannot attend school when it re-opens including all on- site programs. Riverside County – what are you requiring? Health & Human Services PREP Act: 6/4/2020: Therefore, the Secretary amends the Declaration to identify State-licensed pharmacists administers vaccines to individuals ages three through 18 pursuant to the following requirements: The vaccine must be FDA-authorized or FDA-licensed The vaccination must be ordered and administered according to ACIP’s standard immun-ization schedule

INTERVIEW & REPORT TEMPLATE Based on your comments of what you include in your report WebIEP EV-20 and a form created – per comments, this school nurse will share Health Report Student Name: Student ID#: School: Grade: Date of Birth: Age: Vision and Hearing Screenings: unable due to COVID-19 restrictions and home virtual schooling. Plan to screen once in person schooling re-opens. Parent concerns regarding vision or hearing: History of school screenings (date): vision: puretone hearing: dental: Ht: Wt: BMI:

Reason for Referral: IEP assessment- Triennial Contact: Date of Interview: Records Review: Attendance Health Concerns for School: Current Health Status: Historians are: Diagnoses Transportation; nursing services; treatments/medications at school; disaster special precautions Medical provider: Per SB98, include in structured notes (if applicable): Specialized Healthcare Services are provided when the student is on campus Immunizations Allergies Medication/vitamins/supplements Health Exams: Physical Dental Optometrist

Sleep Diet/food intake/access to food Exercise/mobility Self-care tasks/daily routine Safety/ mask wearing Family/who lives with: Social connections/activities like to do Dating Behavior concerns Mental Health Status: (SSHADESS Screen) -- Lynn Massey Current thoughts on returning to in-person schooling:

Medical Insurance PAST MEDICAL HISTORY: HOSPITALIZATIONS: PREGNANCY: BIRTH: NEONATAL (first 30 days of life): DEVELOPMENT:

SSHADES RISK ASSESSMENT Lynn Massey San Bernardino City USD S-Strengths S-School H-Home A-Activities D-Drugs/Substance Use E-Emotions/Eating/Depressioin S-Sexuality S-Safety

BILLING FOR YOUR IEP ASSESSMENT Are you planning to screen vision, hearing, dental and acanthosis nigricans when we return to in person schooling (if not done during your health assessment)? 82% said YES --one comment: health aides will do this Per Katie Nilsson, MSN, RN, CPN Medicaid Compliance Director at San Joaquin County Office of Education When I have a health interview but no vision/hearing screening, I can't bill. You are correct, all parts of the requirements need to be met to bill for an assessment. Current assessments: You can mark it as “other” and in the comment section, you can write something to the effect of “Covid-19” for tracking purposes. That way the assessment is tracked but won’t be sent for billing. Once the opportunity arises to bill the assessment, you could go back in and change the assessment type and date and it will then be billed. Is there a time limit for this health interview to be valid before having an opportunity to do the vision/hearing? The assessment can be billed up to one year so when you are able to complete the vision/hearing you can submit the claim. Does there need to be another iep meeting to be able to bill once I obtain the vision and hearing? You do not need to hold another IEP.

DO I ATTEND THE IEP MEETING? KNOWN HEALTH CONDITIONS HEALTH PLAN ON FILE OHI MEDICAL DIAGNOSIS THAT IMPAIRS ABILITY TO FUNCTION AT SCHOOL, LEARN OR HAS MULTIPLE MEDICAL PROCEDURES TRANSITIONING TO ANOTHER SITE NEW TO THE DISTRICT Wide variety on whether to attend all iep meetings if health conditions exist.

OBJECTIVES & EVALUATION By The End of Today’s Session, attendees will be able: 1. To determine how school nurses are complying with nurse assessment requirements when students are distance learning. 2. Learn 2 methods for performing a nursing assessment during distance virtual schooling. PLEASE COMPLETE THE EVALUATION ON SURVEY MONKEY FOR CEU https://www.surveymonkey.com/r/L3GCYP8