OSPI Update School Nurse Organization of Washington conference

OSPI Update School Nurse Organization of Washington conference

OSPI Update Children with Special Health Care Needs ROBIN FLEMING, PHD, RN, NCSN JANUARY 12, 2017 Assessment of District Student Health Services 2015-16 Collects statewide data on health services In 2015-16, 931,566 Washington State students, and 92% of districts were represented Health concerns: 454,167

Life-threatening health concerns 54,372 Student health conditions and RN hours for 2002-3 through 2015-16 All reporting districts 500000 450000 400000 350000 300000 250000 200000 150000 100000 50000

0 2002-032003-042004-052005-062006-072007-08 2008-092009-102010-112011-122012-132013-142014-152015-16 Department of Commerce Grants: Homeless Student Stability and Opportunity Gap Act (2016) School districts must partner with eligible organizations within their area that offer housing services and case management Grants will be awarded in increments of no more than $500,000 per district / $100,000 per school Monitoring through OSPI will take place every two years as of the

2016-17 school year 4 OFFICE OF SUPERINTENDENT OF PUBLIC INSTRUCTION 02/25/2020 Support for Homeless Students OSPI Grants: Homeless Student Stability and Opportunity Gap Act (2016) Sub grant selection: Competitive grants based on the identified need of the school district and quality of the application Preference for districts that demonstrate a commitment to serving the needs of

unaccompanied youth May not supplant existing federal, state, or local resources for homeless student supports Everett Public Schools, partnering with YWCA Seattle/King/Snohomish, $198,750 Ocean Beach, South Bend and Raymond School District consortium, partnering with Coastal Community Action Agency, $200,558 Bellingham Public Schools, partnering with Opportunity Council and Northwest Youth Services, $100,692

Evergreen School District in Clark County, partnering with the Council for the Homeless, $500,000 6 OFFICE OF SUPERINTENDENT OF PUBLIC INSTRUCTION 02/25/2020 Department of Commerce Grants: Homeless Student Stability and Opportunity Gap Act (2016) Informed Consent for Health Care (2016) 3SHB 1682 Homeless liaisons, school nurses, and/or school counselors will be authorized to provide informed consent for health care needed by students under legal age

This now includes underage children that meet the definition of a homeless child or youth under the McKinney-Vento Act The district and the liaison will not be held liable for costs and/or claims OFFICE OF SUPERINTENDENT OF PUBLIC INSTRUCTION 02/25/2020 7 HB 1999 Coordinating services and programs for foster youth in order to improve educational outcomes As of December 10, 2016, all foster students have

right to immediate school enrollment The enrolling school shall immediately contact the school last attended by any such child to obtain relevant academic and other records Contact social worker or foster parents to obtain necessary records and documents, such as emergency health care plans, medications, immunization records FOSTER CARE INFORMATION School districts that receive Title I funds (284 out of 295) are required to designate a foster care liaison. The law does not require building level contacts, but a district level contact is required. You can find the list here:

http://www.k12.wa.us/FosterCare/ContactInf ormation.aspx School Immunization Program Supervisor position at OSPI Provide technical assistance, resources, and supports to schools, students and families to increase school district compliance with state laws and rules for school immunization Assist DOH with implementation of the School Module Currently funded through June 30, 2017

https ://www.governmentjobs.com/careers/washington/jobs/ 1534991/school-immunization-program-supervisor DOH SMILE SURVEY RESULTS 2014-15 PURPOSE To assess the oral health status and treatment needs of Washington state children. To determine oral health disparities by race and ethnicity POPULATION 13,000 STUDENTS IN GRADES K, 2, 3 76 PUBLIC SCHOOLS 1,000 PRE-K CHILDREN IN 43 HEAD START, ECEAP PROGRAMS DOH SMILE SURVEY RESULTS

FINDINGS (NOT for public release) 2014-15 SELECT KEY FINDINGS Washington is meeting or exceeding the HP 2020 Oral Health objectives for 6-9 year olds Use of dental sealants has nearly tripled for kindergartners since 2005 and disparities are narrowing The majority of children are getting needed care. Rates of untreated tooth decay have remained much lower than 2005 Large gaps in oral health equity exist, with low income children and minority children having the highest rates of tooth decay, higher rates of severe tooth decay, and higher rates of children needing treatment ESSA Consolidated Draft Plan to be released for public comment November 14, 6:30-8:30 pm: Highline Performing Arts Center, Burien, WA November 15, 6-8 pm: Selah Performing Arts Center/Selah Middle School, Selah, WA

November 16, 6-8 pm: Spokane Convention Center, Spokane, WA November 28, 6-8 pm: Webinar, (registration required) Visit http://www.k12.wa.us/ESSA/ for more information Newly Revised Illness & Injury Guide soon available online (DOH & OSPI) OSPI K-20 October 19, 1-4 pm PREVENTION AND TREATMENT OF OPIOID SUBSTANCE USE DISORDER: WHAT SCHOOL NURSES NEED TO KNOW PRESENTED BY THE UW CENTER FOR OPIOID SAFETY EDUCATION CALEB BANTA-GREEN and SUSAN KINGSTON BROADCAST FROM ESDS AND THE CLOVER PARK, KENT, BETHEL,

OCEAN BEACH, AND WOODLAND SCHOOL DISTRICTS THREE FREE CLOCK HOURS Register at: https://www.pdenroller.org/Catalog/Event/13067 Coming Attractions Diabetes Manual Staff Model for the Delivery of School Health Services School-Based Vision Screening Rule Revision School Nurse Association of Washington

October 14, 2016 SIERRA ROTAKHINA, STATE BOARD OF HEALTH IN PARTNERSHIP WITH THE DEPARTMENT OF HEALTH ELLEN SILVERMAN & CORI TARZWELL School-Based Vision Screening Rules Chapter 246-760 WAC Only SNELLEN was allowed as a distance screening tool Consulted the literature on vision screening tools Met with content experts

Worked closely with OSPI Nurse Corps Developed draft Legislature mandated near vision testing (SB 6245) Modified draft to include mandatory near vision testing Sent preliminary draft out for feedback Filed the CR 102 Timeline

Key Dates/Activities Stakeholder Input DRAFT Rules Board Briefing Board Hearing SNOW Briefings CR 101 CR 102 CR 103 Final Rule Implementation 2014 - 2015 March 2016 June-July 2016 August 2016

Sept-Oct 2016 Nov 2016 Jan 2017 July 2017 Highlights of the Proposed Rule: Outlines the appropriate optotypes Includes provisions for instrument based vision screening devices Allows for optional screening

Provides criteria for referral Streamlines referral process Vision Screening Tools and Referral Criteria At-A-Glance Grade Screening Tools Rescreening and Referral Criteria Kindergarten LEA vision test: Single LEA symbol (at 5 feet), or

HOTV letter Visual acuity worse than 20/40 in either eye Distance Vision Grade one LEA vision test: Single LEA symbol (at 5 feet), or HOTV letter Visual acuity worse than 20/32 in either eye Distance Vision Grades two and above

LEA vision tests: LEA symbols or numbers, or HOTV letters, or Sloan letters Visual acuity worse than 20/32 in either eye Near Vision Acuity Kindergarten LEA vision tests: LEA symbols near vision, HOTV, or Sloan letters Visual acuity worse than 20/40 in either eye

Near Vision Acuity Grade one and above LEA vision tests: LEA symbols near vision, HOTV, or Sloan letters Visual acuity worse than 20/32 in either eye Purpose of Screening Distance Vision Implementation Exploring a cost-effective WA state kit

Potential options for bulk purchasing For questions about training see OSPIs Robin Fleming Contact Information To comment on the proposed vision screening rule (WAC 246-760): Written comments: https://fortress.wa.gov/doh/policyreview/ In-person testimony: November 9th in Richland: http://sboh.wa.gov/OurMeetings/Schedule For questions contact:

Sierra Rotakhina 360.236.4106 [email protected] Ellen Silverman 360.236.3580 [email protected]

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