http://allergy.hyperboards.com/action/view_topic/topic_id/9277 (http://allergy.hyperboards.com/action/view_topic/topic_id/9277)
Opeining Posts (CMdeux)
Quote
This one is a gem...There is buried GOLD in here.
http://www.ode.state.or.us/groups/supportstaff/hklb/schoolnurses/findingsrecommendations.pdf (http://www.ode.state.or.us/groups/supportstaff/hklb/schoolnurses/findingsrecommendations.pdf)
Highlights:
Defines 'medical fragile;'
QuoteStudents face daily the possibility
of a life-threatening emergency
requiring the skill and judgment of
a professional nurse.
and the task force recommends a MAXIMUM ratio of 1FTE: 125 students when the population includes such children...
The map on page 33 should be particularly horrifying, however.
The 'green' districts have nursing ratios which are </= 1 FTE: 750 students. So, umm.. 'green' just means that those districts are meeting the demands of the 'general school population.' That is, those without known medical conditions requiring nursing care.
Red means there are NO school nurses for the district.
Oregon ranks 49th in the nation for school nursing ratios.
Wonder who is 50th? :misspeak:
I'm using it for another.... purpose. Leverage on the state BOE... :evil:
Wowie-o, though.
ETA: This document goes with the one linked above..... printing.... I am printing.... :coffee: There are some pretty STERN warnings here about not delegating tasks that require nursing skills. I predict that this will be useful...
http://www.ode.state.or.us/groups/supportstaff/hklb/schoolnurses/appendix.pdf (http://www.ode.state.or.us/groups/supportstaff/hklb/schoolnurses/appendix.pdf)
QuoteStill digging...
QuotePrograms to Treat Allergic Response or Hypoglycemia.
(6) The Registered Nurse may teach and delegate a task of nursing care to one
unlicensed person, specific to one client, under the following conditions:
(a) The client's condition is stable and predictable.
(b) The Registered Nurse considers the nature of the nursing care task to
be provided, its complexity, the risks involved, and the necessary skill
needed to perform the task;
(c) The Registered Nurse assesses the client's condition and determines if
the unlicensed person is capable to perform the task in the absence of
direct Registered Nurse supervision;
(d) The Registered Nurse determines how frequently the client's condition
shall be reassessed to determine the appropriateness of the continued
delegation of the task to an unlicensed person;
(e) The Registered Nurse evaluates the ability of the unlicensed person to
perform the nursing care task; and
(f) The Registered Nurse documents the rationale for deciding that this task
can be delegated to the unlicensed person.
And later on...
Quote
(9) Under no circumstances may the Registered Nurse delegate the nursing
process in its entirety to an unlicensed person. Selected interventions or tasks
of nursing care may be delegated.
...
Quote
If no school nurse is available, the school administrator/special
education director will formulate a plan to provide for a health assessment of the
student's needs by a person working within the scope of his or her practice.
...
Quote
Nursing is both an art and a science and is based on the nursing process, which is a
systematic problem-solving method used by nurses in providing nursing care. The
nursing process is a five-step process that includes:
• Assessing a client's condition based on assessment,
• Making nursing diagnoses based on assessment,
• Planning care,
• Intervening (treatment), and
• Evaluating the effectiveness of the care provided.
Quote
At no time can a registered nurse delegate assessment or all aspects of the
nursing process to an unlicensed person.
So... em... correct me if I'm wrong here, but an assessment of possible ANAPHYLAXIS pretty much requires 'assessment' in this context, yes? (I hear angels singing. :thumbsup: )
From:
http://www.ode.state.or.us/groups/supportstaff/hklb/schoolnurses/medicallyfragile.pdf (http://www.ode.state.or.us/groups/supportstaff/hklb/schoolnurses/medicallyfragile.pdf)
That really seems to run counter to the information in this document:
http://www.ode.state.or.us/groups/supportstaff/hklb/schoolnurses/injectablemeds.pdf (http://www.ode.state.or.us/groups/supportstaff/hklb/schoolnurses/injectablemeds.pdf)
At least for children who have had atypical presentations of anaphylaxis. KWIM?