DEVELOPMENT

and maintaining a School Based Health Clinic

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Background information

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• Youth Development Strategy Aotearoa (2002)

• Youth 2000 national youth health survey series

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Guides and information to help with the setting up of School Based Health Services

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• Expanded School Based Health Services - Youth Health Care in Secondary Schools 2013

• National Youth Health Nursing Knowledge and Skills Framework 2014

• Successful School Health Services for Young People

• School Based Health Centre Annual Plan Template

• School Nurse Orientation Manual

• School Nurse job description

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Day to Day Management of a School Based Health Clinic

Patient Management Systems.

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• There are a variety of different options available to nurses working in schools:

•  ADHB and Waitemata schools use Medtech 32

• Counties Manukau Health funded schools use Pupilweb, this is a web based database which has been specifically developed for school nursing.  It is available at a cost to other school based health clinics. 

• For more information click here

• Some schools use the school managements systems such as KAMAR to document clinical notes - this can be done confidentiality through a pass word protected system.

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Documentation, communication and Assessment Tools

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• NZNO Documentation Guideline

• Privacy Commisioner - Do we have to keep a hard copy records of electronic information?

• The maintenance and retention of patient notes

• SOAP

• Old cart

• Pain assessment

• ISBAR communication tool

• Correcting inaccuracies in clinical notes guidelines - here

• Documentation audit tool and guide - here

      Medical enrolment form

ACC

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• As a Registered Nurse working in a secondary school you can register to be an ACC provider.

• Register to become an ACC provider

• A generic form to notify parents/caregivers that an ACC claim has been made (Bennetts P, 2005) Click here

• A letter outline to be adapted by the Registered Nurse when registering as an ACC provider to encourage schools that the funds generated from ACC are allocated to the SBHC budget for use as required by SHBC staff (Bennetts P, 2005) Click here

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Consent and Confidentiality
 

• Fraser Guidelines / Gillick Competency Checklist -  A guideline for practitioners to use in determining and recording whether a young person is mature enough to participate in and make decisions about their care - here

• Confidentiality guideline - here

• Informed Consent - here

• Disclosure of Information guideline - here

• Privacy Commissioner NZ

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Infection Control

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• Standard Precautions and Infection Control for School Based Health Clinics- procedures and guidelines

Medications

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• NZNO Medicines - Guidelines and Information

• NZNO Guideline: Guidelines for nurses on the administration of medicines, 2018 -(see pg 28 regarding over the counter medications)

• Ministry of Health guidelines for standing orders

• Controlled drug medication procedure/guideline

• Administration of prescription medications

• Access to bronchodilator inhalers for schools without prescriptions/standing orders

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Emergencies

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• Recommended Emergency bag contents for School Based Health Care

• Health Incident and Recording Form

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First Aid and Clinic supplies

These are a few examples of companies that schools have used to purchase equipment and supplies

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• Industrial First Aid Supplies

• EBOS

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