School Health and Nursing

ND Board of Nursing

School Nursing Fact Sheet (2024)

School Health Guidelines

Emergency School Health Guidelines

Medication Administration

• School Nursing Evidence-Based Clinical Practice Guidelines: Medication Administration in Schools
  • If you are not a NASN member but would like access to this document, please contact hkapella@nd.gov for access to this resource.
• Model Policies
  • If you are not a NASN member but would like access to these documents, please contact hkapella@nd.gov for access to these resources.
• Delegation
  • Administration of Oral Medication
  • Medication Administration
    • If you are not a NASN member but would like access to this document, please contact hkapella@nd.gov for access to this resource.
• Documentation
  • Medication Reconciliation Form
  • Medication Error Procedure
    • If you are not a NASN member but would like access to these documents, please contact hkapella@nd.gov for access to these two resources.
• Emergency Medications
  • Emergency Medication Administration 1
  • Emergency Medication Administration 2
  • Model Procedure
    • If you are not a NASN member but would like access to these documents, please contact hkapella@nd.gov for access to these three resources.

Asthma and Allergies

• Asthma Law
• Asthma Action Plan
• Asthma Legislation: ND Century Code Chapter 15. 1-19
• Parent Consent Form for Asthma or Anaphylaxis Medications
• Food Allergy & Anaphylaxis Emergency Care Plan

Diabetes

• Diabetes School Laws - ND

• Training for School Staff

• Diabetes Toolkit from NASN

Delegation

• National Guidelines for Nursing Delegation

• The Five Rights to Delegation

Scope of the School Health Technician (SHT)

• SHT Fact Sheet

School Nursing: Documentation, Recordkeeping, & Confidentiality

FERPA/HIPAA

• Family Educational Rights and Privacy Act (FERPA)

School Board Association

School Health Referral Slips

School-required vaccines

• Schools and Childcare vaccine requirements
• North Dakota Immunization Information System (NDIIS)

Vaccine exemption information

Children may be exempt from immunization requirements for the following reasons:

• Medical Exemption: Requires a certificate signed by a licensed physician stating that the physical condition of the child is such that immunization would endanger the life or health of the child
• History of Disease: Requires a certificate signed by a physician stating that the child has a history of disease. History of disease exemptions may be claimed for measles, mumps, rubella, chickenpox, hepatitis A, or hepatitis B
• Personal Belief or Religious Belief Exemption: Requires a certificate signed by the parent or guardian who’s sincerely held philosophical, moral or religious belief is opposed to such immunization has context menu

Child Care and School Infectious Disease Exclusion Guidance

Head Lice

Reportable Diseases

By collecting accurate data regarding the health services provided to North Dakota children, this can give school nurses a voice to the role they play in removing health-related barriers to students’ education and the role school nurses have in promoting and protecting the health of North Dakota children. We share this data with the National Association of School Nurses.

• Data Collection Process

Top Reasons to Collect Data

• Develop a national database showing the true prevalence of health conditions of the 95% of U.S. children who attend school every day.
• Create reports for stakeholders that demonstrate the complexity and many roles of the school nurse (Dispel stereotypes, create an accurate
  school nurse narrative).
• Set yearly, dynamic school nurse goals and priorities based on the needs of students.
• Advocate for policy change, (i.e. improve immunization policies).
• Advocate for other changes, safety, injury reduction, additional resources, i.e. EHRs.
• Identify the safest, most effective school health care models that meet the needs of all students.
• Identify trends in complex students needing nursing care.
• Data to write grants or apply for community partnerships.
• Identify students at risk, for social determinants, substance abuse, etc.
• Create and maintain a culture of evidence based and data informed practice.
• Show the link between school nursing and academic success.
• And the #1 Reason School Nurses Should Collect Data…To Enhance the Well-Being of Our Students so they are Healthy, Safe, and Ready to Learn!

Templates for Data Collection

• Health office visits
• Data points

Section 504

IDEA/Special Education

Special Dietary Needs

2-1-1

9-8-8

The National Collegiate Athletic Association (NCAA) requires that all athletes at Division I and II schools be tested for sickle cell trait before competing or sign a written release declining the test. The North Dakota Newborn Screening Program (NDNSP) began screening for sickle cell disease and trait(s) in 2003. Athletes born in 2003 or after can request a copy of their newborn screening results, which includes sickle cell screening, at no cost.

NBS results can be requested in the following ways:

• The athlete can contact their hospital of birth directly to request a copy of their Newborn Screening results from their medical record.
• The athlete requesting the result could submit a request through their primary care provider (or sports medicine provider) and the results can be sent securely to them and then given to the athlete.
• Lastly, the athlete can request their Newborn Screening results from the NDNSP by emailing nbs@nd.gov. They must also attach a completed release of information form to the email. The link can be found here.