2021-2022 Georgia Every Student Counts Survey
We know it has been an unprecedented school year, but we need your participation. Please complete the 2021-2022 Georgia Every Student Counts Data Survey in its entirety. Complete the survey even if you cannot answer every question or section.  The following is more information about the survey and please follow the tips to make sure you complete the survey correctly.

Before you begin, start by knowing the data points you need to collect-and their definitions: For more information and complete list of data points and definitions go to https://www.nasn.org/research/everystudentcounts.

***Please note this year the National Association of School Nurses (NASN) has added two important data sets to the survey:

1. The number of students reflected in the data submitted
2. Free/reduced lunch percentage of the students reflected in the data submitted

Important Tips to Remember:
1. Do not guesstimate.
2. Submit only one report per district/county/system or school (private, parochial, charter).
3. Do not count the same data in more than one category.
4. Complete the survey in its entirety.
5.  If you do not have data for a question, enter "0".  Please do not leave any questions or fields blank
6.  Please make sure you know the total number of schools and students you are reporting for this report

Thank you for participating and ensuring your students and school health services team are included in the state and national data set! If you have any questions or need additional assistance, please contact Lynne Meadows at meadowsl@fultonschools.org or Kim Conley at Kim.Conley@doe.k12.ga.us.
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Email *
Name of District/System (Public, Private, Parochial or Charter)
Name of School (Public, Private, Parochial or Charter)
Type of School or District *
Required
Entering Data for *
Required
Enter the number of Schools reflected in data submitted *
Enter the number of students enrolled in district or school reflected in data submitted *
Enter the percentage of total students receiving free/reduced lunch in district or school reflected in data submitted *
Name of Contact Person entering data *
Contact Person's telephone number *
Contact Person's email *
SCHOOL HEALTH STAFFING
If you do not have data for a question, enter "0".  Please do not leave any question blank.  
1. Total number of RN FTEs with an assigned caseload providing DIRECT SERVICES *
2. Total number of LPN/LVN FTEs with an assigned caseload providing DIRECT SERVICES *
3. Total number of HEALTH AIDES (non-RN, non-LPN/LVN) FTEs with assigned caseload providing DIRECT SERVICES *
(e.g., give medication, staff health office, perform specific health procedures)
4.  Total number of SUPPLEMENTAL/FLOAT RN FTEs *
5.  Total number of SUPPLEMENTAL/FLOAT LPN/LVN FTEs *
(e.g., give medication, staff health office, perform specific health procedures)
6.  Total number of SUPPLEMENTAL/FLOAT HEALTH AIDES (non-RN, non-LPN/LVN) FTEs *
(e.g., give medication, staff health office, perform specific health procedures)
7. Total number of RNs with SPECIAL ASSIGNMENT FTEs *
(e.g., Special Education Nurse, Contract Nurse)
8. Total number of LPN/LVNs with SPECIAL ASSIGNMENT FTEs *
(e.g., Special Education Nurse, Contract Nurse)
9. Total number of HEALTH AIDES (non-RN, non-LPN/LVN) with SPECIAL ASSIGNMENT FTEs *
(e.g., assigned to special education student)
10. Total number of RN FTEs providing ADMINISTRATIVE or SUPERVISORY school health services *
11. Total number of LPN/LVN FTEs providing ADMINISTRATIVE or SUPERVISORY school health services *
12. Total number of ASSISTANT FTEs providing ADMINISTRATIVE SUPPORT services to RNs or LPNs/LVNs *
CHRONIC HEALTH CONDITIONS
If you do not have data for a question, enter "0".  Please do not leave any question blank.  Some of this data maybe requested more than once in the survey.
13. Number of students with an ASTHMA diagnosis by healthcare provider *
14. Number of students with TYPE I DIABETES diagnosis by healthcare provider *
15. Number of students with TYPE 2 DIABETES diagnosis by healthcare provider *
16. Number of students with a SEIZURE DISORDER diagnosis by healthcare provider *
17. Number of students with a LIFE THREATENING ALLERGY (anaphylactic reaction) diagnosis by healthcare provider *
18. Number of students with a MYALGIC ENCEPHALOMYELITIS/CHRONIC FATIGUE SYNDROME (ME/CFS) diagnosis by healthcare provider *
19. Number of students who were CHRONICALLY ABSENT (missing at least 10% or more of school year including excused and unexcused absences) during the 2021-2022 school year. *
STUDENT HEALTH OFFICE VISITS (HOV) AND DISPOSITION during the 2021-2022 school year
If you do not have data for a question, enter "0".  Please do not leave any question blank.  Some of this data maybe requested more than once in the survey.                                                
20. Number of STUDENT HOV to RN resulting in the STUDENT RETURNING TO CLASS or staying in school *
21.  Number of STUDENT HOV to the RN resulting in 911 BEING CALLED or regionally appropriate equivalent *
22. Number of Student HOV to RN resulting in the STUDENT BEING SENT HOME *
23. Number of Student HOV to the LPN/LVN resulting in the STUDENT RETURNING TO CLASS or staying in school *
24. Number of Student HOV to the LPN/LVN resulting in 911 BEING CALLED or regionally appropriate equivalent *
25. Number of Student HOV to LPN/LVN resulting in the STUDENT BEING SENT HOME *
26. Number of Student HOV to HEALTH AIDE/UAP (non-RN, non-LPN/LVN)  resulting in the STUDENT RETURNING TO CLASS or staying in school *
27. Number of Student HOV to HEALTH AIDE/UAP (non-RN, non-LPN/LVN)  resulting in 911 BEING CALLED or regionally appropriate equivalent *
28. Number of Student HOV to Health Aid/UAP (non-RN, non-LPN/LVN) resulting in the STUDENT BEING SENT HOME *
BEFORE YOU SUBMIT YOUR SURVEY, please check and review your data!                                                                   THANK YOU for participating in the 2021-2022 Georgia School Nurses Data Survey.  If you want a copy of your completed survey, PRINT THIS PAGE NOW. *
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