���Nursing Services Updates��3-28-2024��
Deitrich Drayton
Medicaid and Nursing Administrator
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Agenda
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Purpose of this Nursing Training
Note: This is not a comprehensive nursing training session.
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Staff Credential Verification Process
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Example of a Staff’s SCLLR license
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Example of an OIG �Staff Report
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Nursing Services for Children Under 21 Year
Nursing services for children under 21 years are those specialized health care services including:
An RN as allowed under state licensure and regulation must perform acts of nursing diagnosis or prescription of therapeutic or corrective measures. The need for services must be appropriately documented in an IEP, IFSP, IHP, or ITP or clinical service notes, when appropriate.
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Nurse’s Role in the School
The nurses play an important role in the school. When a new student is enrolled, a nursing packet should be included in the student enrollment packet.
The nurse should discuss with the parents the child’s medical care and prepare consent forms, an emergency care checklist, immunization checklist, and receive medical documents from the previous school. This information is vital in preparing for the health care of the child.
At the end of the year, the nurse is responsible for checking all medications and documenting services. If school is not held during the summer, all medication should be sent home with the child in the original container. The parent should sign to document that they have received the medication.
Note: Ms. Ladd developed a nursing guidebook for setting up a Nurse’s office. The link is at New School Nurse Guide-Book - SCDE Nurse's Guidebook 2023-24
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Nursing Services to Review at the End of the Year
School-based health centers (SBHCs) provide a variety of health services beyond the first aid treatment provided by a school nurse;
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Medicaid End-of-the-Year Check List
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Family Educational Rights and Privacy ACT (FERPA)/Healthcare Insurance Portability and Accountability Act (HIPAA) of Medical Records
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Medical Documentation
Medical documents must be completed annually for new students entering school.
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Consent to Render and Bill for Nursing Services
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Medical Permission and Medical Contact Documents
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A copy of the Medicaid General Consent to render All services.
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What are Medical Orders
A medical order is a written order by an authorized licensed prescriber for the following services:
Note: Medicaid does not require medical orders for over-the-counter (OTC) medications. A parental medical permission form for all OTCs must be signed.
Who Can Prescriber of Medical Orders:
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What must be included in the Medical Order?
The documentation must include:
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A copy of Medical Orders
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Treatment Plan Components
The treatment plan must include the following components:
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Medical Criteria to Develop a Treatment Plan
Students with special health care needs are defined as students with health conditions requiring treatments, medical procedures, medications, and/or monitoring that must be performed by school personnel and meet one or more of the criteria below.
(a) are complicated and/or lengthy,
(b) require several contacts with the nurse or health assistant during the school day,
(c) are needed to prevent death or disability on an emergent basis,
(d) are needed for students who have medically fragile health conditions, and/or
(e) are prescribed for treatment, medical procedures, medications, and/or monitoring
Administered at school for more than fourteen consecutive days.
Additionally, students who have been granted permission to self-medicate and/or self-monitor in accordance with the school district’s policy are also considered to have special healthcare needs an IHP or ITP must be established in order for a student to be allowed to self-medicate and/or self-monitor. Only an RN can write the treatment plan.
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A copy of an ITP or IHP.
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Copy of the IHP/ITP – Last Page
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CSN Requirements
Clinical Service Notes must include a narrative summary of the medical encounter.
Clinical Service Note requirements:
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A Copy of a CSN from SNAP – with Medical Order
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A copy of a CSN from �SNAP – General Medical Encounter
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A copy of the Nursing CGM CSN.
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�Nursing Supervision - Updates
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Supervision (Cont.)
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Medicaid Signature Page
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Providers must maintain a signature sheet that identifies all staff names, signatures, and initials. This document must be submitted to the Medicaid office at the beginning of the school year and when new staff are added. This must be done for all Medicaid services.
LPN Supervision Log
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�Medicaid Clinical Records and Maintenance
Requirements for Clinical Records and Maintenance
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Example of the Medicaid Eligibility Form –with the date and time stamp
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Nursing Services Fee Schedule
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SNPAC and Charter/PIPSN - Newsletter
Victoria Ladd, MSN, RN - State School Nurse Consultant
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COVID - Updates
Information from the CDC. March 22, 2024, 4:30 PM EDT
What CDC knows�
Improving ventilation, whether natural or mechanical (air flow, filtration, and air treatment), reduces the number of small respiratory virus particles in indoor air, helping lower the risk of transmission. Ventilation is one of many tools available to help protect people from respiratory viruses.
What the CDC is doing:
COVID-19
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Resources
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Contact Information�Deitrich (Dee) Drayton�ddrayton@sccharter.org�(803) 212-5482�
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