2018-2019 Georgia Every Student Counts Survey
You are invited to fill out the 2018-2019 Georgia School Nurse Data Survey. Please follow these tips for completing the survey.

1. Do not guesstimate.
2. Only one report should be submitted 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 blank.

Thank you for participating and ensuring your students are included in the state and national data set! If you have any questions or need additional assistance, please contact Debbie King at king.debbie@mail.fcboe.org or Lynne Meadows at meadowsl@fultonschools.org.
Email address *
Name of School or District (Public, Private, Parochial or Charter) *
Your answer
Type of School or District *
Required
If reporting for a District, enter the number of schools in the District
Your answer
If reporting for a District, enter the number of schools reporting data
Your answer
Name of Contact Person entering data *
Your answer
Contact Person's telephone number *
Your answer
Contact Person's email *
Your answer
SCHOOL HEALTH STAFFING
If you do not have data for a question, enter "0". Please do not leave any question blank.
1. Number of ENROLLED STUDENTS in District, Private, Parochial or Charter School or System in 2018-19 school year. *
Your answer
2. Total number of RN FTEs with an assigned caseload providing DIRECT SERVICES *
Your answer
3. Total number of LPN/LVN FTEs with an assigned caseload providing DIRECT SERVICES *
Your answer
4. 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)
Your answer
5. Total number of SUPPLEMENTAL/FLOAT RN FTEs *
Your answer
6. Total number of SUPPLEMENTAL/FLOAT LPN/LVN FTEs *
(e.g., give medication, staff health office, perform specific health procedures)
Your answer
7. Total number of SUPPLEMENTAL/FLOAT HEALTH AIDES (non-RN, non-LPN/LVN) FTEs *
(e.g., give medication, staff health office, perform specific health procedures)
Your answer
8. Total number of RNs with SPECIAL ASSIGNMENT FTEs *
(e.g., Special Education Nurse)
Your answer
9. Total number of LPN/LVNs with SPECIAL ASSIGNMENT FTEs *
(e.g., Special Education Nurse)
Your answer
10. Total number of HEALTH AIDES (non-RN, non-LPN/LVN) with SPECIAL ASSIGNMENT FTEs *
(e.g., assigned to special education student)
Your answer
11. Total number of RN FTEs providing ADMINISTRATIVE or SUPERVISORY school health services *
Your answer
12. Total number of LPN/LVN FTEs providing ADMINISTRATIVE or SUPERVISORY school health services *
Your answer
13. Total number of ASSISTANT FTEs providing ADMINISTRATIVE SUPPORT services to RNs or LPNs/LVNs *
Your answer
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.
14. Number of students with an ASTHMA diagnosis by healthcare provider *
Your answer
15. Number of students with TYPE I DIABETES diagnosis by healthcare provider *
Your answer
16. Number of students with TYPE 2 DIABETES diagnosis by healthcare provider *
Your answer
17. Number of students with a SEIZURE DISORDER diagnosis by healthcare provider *
Your answer
18. Number of students with a LIFE THREATENING ALLERGY (anaphylactic reaction) diagnosis by healthcare provider *
Your answer
STUDENT HEALTH OFFICE VISITS (HOV) AND DISPOSITION during the 2018-2019 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.
19. Number of STUDENT HOV to RN resulting in the STUDENT RETURNING TO CLASS or staying in school *
Your answer
20. Number of STUDENT HOV to the RN resulting in 911 BEING CALLED or regionally appropriate equivalent *
Your answer
21. Number of Student HOV to RN resulting in the STUDENT BEING SENT HOME *
Your answer
22. Number of Student HOV to the LPN/LVN resulting in the STUDENT RETURNING TO CLASS or staying in school *
Your answer
23. Number of Student HOV to the LPN/LVN resulting in 911 BEING CALLED or regionally appropriate equivalent *
Your answer
24. Number of Student HOV to LPN/LVN resulting in the STUDENT BEING SENT HOME *
Your answer
25. Number of Student HOV to HEALTH AIDE/UAP (non-RN, non-LPN/LVN) resulting in the STUDENT RETURNING TO CLASS or staying in school *
Your answer
26. Number of Student HOV to HEALTH AIDE/UAP (non-RN, non-LPN/LVN) resulting in 911 BEING CALLED or regionally appropriate equivalent *
Your answer
27. Number of Student HOV to Health Aid/UAP (non-RN, non-LPN/LVN) resulting in the STUDENT BEING SENT HOME *
Your answer
BEFORE YOU SUBMIT YOUR SURVEY, please check and review your data! THANK YOU for participating in the 2018-2019 Georgia School Nurses Data Survey. If you want a copy of your completed survey, PRINT THIS PAGE NOW. *
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