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NASN School Nurse

Elizabeth Barnby, Mark Reynolds, Pamela O'Neal
Genetic science has made remarkable advances in the 21st century. As genetic and genomic sciences continue to expand, school nurses will become thoroughly immersed in data, information, and technology. As new diseases, treatments, and therapies are discovered, school nurses will need to implement and assess best practices for the complex and medically fragile student population. This article will discuss the top 10 recent discoveries in genomic science and how school nurses can use this information in clinical practice...
November 1, 2018: NASN School Nurse
Jennifer Latham
The hybrid closed-loop insulin delivery system, a form of "artificial pancreas," is composed of an insulin pump, a standardized algorithm, and a continuous glucose monitor. The system streamlines insulin delivery by connecting continuous glucose monitor data with an insulin pump and an algorithm to drive basal insulin delivery. The hybrid closed-loop insulin delivery system, approved by the Food and Drug Administration in 2016 for children older than 7 years, is a major improvement in the management of type 1 diabetes...
November 1, 2018: NASN School Nurse
Kristy M Rogers
Immunization noncompliance is a public health issue. Vaccines have been noted as one of the most effective public health interventions against the spread of infectious disease. However, there is an increase in the number of nonmedical exemptions and vaccine hesitancy. This has been linked to a decrease in the fear of contracting vaccine preventable diseases to public concerns regarding vaccine safety. Research has shown that decreased vaccine coverage lessens the effect of herd immunity placing those who are unvaccinated or unable to be vaccinated at increased risk of contracting vaccine preventable diseases...
October 18, 2018: NASN School Nurse
Tami L Jakubowski, Tracy Perron
The Assessment Refresher for School Nurses series will review the health assessment and interventions of common complaints of children in the school health setting, making it easier for school nurses to determine whether children should stay in school or be sent home. Initial topics to be covered include asthma and allergies, immunizations, bullying/depression, and diabetes.
October 1, 2018: NASN School Nurse
P Kay Nottingham Chaplin, Kira Baldonado, Susan Cotter, Bruce Moore, Geoffrey E Bradford
Current evidence-based and best-practice vision screening and eye health approaches, tools, and procedures are the result of revised national guidelines in the past 3 years and advances in research during the past 18 years. To help the busy school nurse with little time to keep up with changes in children's vision practices and a growing body of literature, the National Center for Children's Vision and Eye Health at Prevent Blindness is providing answers to seven questions that are often received from the field...
October 1, 2018: NASN School Nurse
Dane Menkin, Dalmacio Dennis Flores
Transgender individuals are disproportionately affected by negative mental and sexual health outcomes. School nurses have prime opportunities to combat these outcomes through affirming nursing care, especially when transgender students are socially transitioning. Examples of affirming practice include recognizing students' gender-affirming names, using their pronouns, ensuring safe locker rooms, advocating for student's clothing choices, stopping bullying and harassment, and refraining from making assumptions about their transgender students' sexual orientation...
October 1, 2018: NASN School Nurse
Ted Cross, Erin D Maughan, Donna Mazyck
As a district, Mansfield Independent School District wanted to validate that Health Services was performing at the highest level possible, implementing evidence-based practices, and achieving the highest outcomes with our students and staff. NASN (2016) had developed the Framework for 21st Century School Nursing Practice to illustrate the practice of school nurses; and sought ways to operationalize the Framework for local school nurses and district level use. This article will explain how the two groups partnered together to develop a tool and assessment program...
October 1, 2018: NASN School Nurse
Suzanne Evans, Jennifer Cecere
School nurses play a major role in the care of students with food-related diversities balancing responsibilities such as providing a safe environment, encouraging leadership and community outreach, giving guidance to family and peers with care coordination, and providing needed accommodations so that all students may thrive in the school setting. It is essential that school nurses share their understanding of what it is like to live with the serious genetic autoimmune disorder known as celiac disease. With improved knowledge, the school education team, nutritional staff, and guidance counselors will have a better understanding of what the student is facing and the unique challenges it presents, because celiac disease is not a food allergy, but much more...
October 1, 2018: NASN School Nurse
Kathleen H Johnson, Lynne P Meadows, Martha Dewey Bergren, Erin D Maughan
The National Association of School Nurses (NASN) has launched the National School Health Data Set: Every Student Counts! Building on the success of previous school health data collection, this article describes the steps that the Georgia Association of School Nurses takes to promote the collection of data to support the health of Georgia's school-age children. Building a team, engaging stakeholders, mapping a plan of action, and developing the message are described as ways to build the capacity for data collection...
October 1, 2018: NASN School Nurse
Erin D Maughan, Claire Molner
This is the companion interview to the "data and school nursing" articles series, sharing practical examples of how frontline school nurses use data. This interview is with Claire Molner who not only shares how she used data for her practice but also addresses how she shares the importance of data with school nursing colleagues.
September 28, 2018: NASN School Nurse
Lindsey Minchella, Nina Fekaris, Laurie G Combe
For Part 3 of the NASN School Nurse series exploring NASN's past, present, and future, Lindsey Minchella interviews NASN President, Nina Fekaris and President-elect, Laurie Combe to discuss their school nursing perspective and philosophies. These three school nursing leaders discuss what is responsible for their long tenure as school nurses, changes witnessed in student health over the years, how NASN makes a difference for students and school nurses, the future of school nursing, and the power of NASN members' voices to improve student health and academic outcomes...
September 28, 2018: NASN School Nurse
Kathleen Klein, Michelle Wheeler, Catherine F Yonkaitis
Transition planning is mandated for students who receive special education services; however, it is not required for students with chronic conditions. Students with chronic conditions nearing graduation would benefit from more intensive attention to their post-high school self-care needs and responsibilities. Students with type 1 diabetes must be able to understand the necessary self-care of one of the most complicated and intensive chronic conditions yet there are no evidence-based strategies for how to help students transition from the support provided at school to independence at graduation...
September 18, 2018: NASN School Nurse
Christy Weaver, Karen Rogers, Michael Gomez, Richard Gilder, Patricia S Yoder-Wise
The number of children diagnosed with mental and behavioral health issues is increasing each year. Early identification and intervention for these issues are vital to improving long-term outcomes. School nurses are among the frontline healthcare providers for school-age children, screening and coordinating care for multiple physical and mental health conditions. This article describes the implementation of a national mental health online training program at a local district. Outcomes of the implementation project and implications for school nurses are discussed...
September 15, 2018: NASN School Nurse
Ellen M McCabe, Cynthia Connolly
Nurses are familiar with policy at the federal, state, local, and institutional levels, but drafting a policy memo might be new to some. School nurses may have an interest in writing a health policy memo on their own, with colleagues, as part of a nursing organization, or with students who are interested in learning about policy development, school health, and safety. The intention of writing a policy memo is to offer a concisely written analysis of an issue, including background, landscape, and available options, along with recommendations for action to persons in authority, such as congressmen, senators, local officials, or school boards...
September 15, 2018: NASN School Nurse
Kenneth J Friedman, Beth Mattey, Faith Newton
Myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) is a chronic illness that is defined and diagnosed by its symptoms: extreme fatigue made worse by physical and mental activity, pain and decreased mental stamina, among others. A long-held, erroneous belief that ME/CFS is not a physiological illness has persisted among some clinicians, leading to the denial of a patient's physical illness and attributing the symptoms to other causes. The debilitating effects of ME/CFS in the pediatric population can affect all aspects of academic, social, emotional, and physical development...
September 15, 2018: NASN School Nurse
Nina Fekaris
No abstract text is available yet for this article.
November 2018: NASN School Nurse
Angela M Lepkowski, Erin D Maughan
No abstract text is available yet for this article.
November 2018: NASN School Nurse
Timothy Gay, Robert P Olympia
Occasionally, students present with chest pain in the school setting. Therefore, it is important to develop a differential diagnosis for chest pain, to initiate stabilization of the student with life-threatening symptoms, and to triage these students to an appropriate level of care (back to the classroom, home with their guardian with follow up at their primary healthcare provider's office, or directly to the closest emergency department via emergency medical services). This article describes the initial assessment and management of a student presenting with chest pain...
November 2018: NASN School Nurse
Erin D Maughan, Elizabeth Liz Zeno
As part of the "data and school-nursing" articles series, we will include an accompanying interview with practicing school nurses regarding the same topic and how it applies to the real life of school nurses. Our hope is that the practical application found in the interviews will provide readers with an increased understanding that will assist them on their own data journey.
September 2018: NASN School Nurse
Jeanne Kiefner, Robin Cogan, Sharon M Conway
The July 2018 issue of the NASN School Nurse, featured the first in a series of articles exploring the history, examining the present, and visioning the future of our organization in celebration of NASN's 50th anniversary. Part 2 of our historical account reflects on the leadership of a new generation of clinicians, reviewing the major emphases and accomplishments of NASN presidents serving from 1993 to today.
September 2018: NASN School Nurse
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