School Nursing

Lois Mulhern, RN
203-574-6880

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The Waterbury School Nurses post a video or other school health news item every Friday at 9:00 am. Like & Follow Waterbury Health Department on Facebook: https://www.facebook.com/waterburyhealthdepartment/
See past messages at #WaterburyCTSchoolNurses or on YouTube at:
https://www.youtube.com/playlist?list=PLd45RBiAWhHJ5zH9CMnmmtS11zTAKMdLl 

Waterbury School Nursing

Waterbury School Nurses and Public Health Aides

“Waterbury School Nurses and Public Health Aides ensure that our City’s 23,000 school children are healthy, safe and ready to learn.”

The City of Waterbury was an early adopter in 1904 of the School Nursing Innovation. The Waterbury Department of Public Health has been providing school nursing services ever since 1904, to ensure that Waterbury school children are healthy, safe and ready to learn. Our Registered Nurses provide comprehensive school health services to 23,000 students, preschool through high school, at 40 Waterbury Public, parochial and private schools. Services are provided within the laws of the State of Connecticut Department of Education.

The following statistics illustrate the high volume of procedures performed by Waterbury School Nurses annually:

Treatment Provided

Total # for School Year 2013-2014

Total # for School Year 2014-2015

Total # for School Year 2015-2016

Total # for School Year 2016-2017

Daily Medications

24,752

28,991

32,262

27,811

PRN Medications

10,309

10,753

14,207

15,207

Gym Medications

4,841

4,387

4,444

4,241

Nebulizer Treatments

236

159

321

260

Tube Feedings

1,669

2,425

2,915

2,023

Catheterization

1,879

1,235

874

1,020

Blood Glucose Testing

20,105

18,930

21,834

18,619

Illness/First Aid Visits

187,253

187,204

197,054

189,658

# Returned to class

177,594

177,748

185,767

178,020

# Excluded

11,581

9,311

11,176

11,535

911 Initiated

91

99

115

98

Pediculosis Inspections (Lice)

9,446

9,353

5,953

5,708

# Excluded

704

392

381

315

W136 Initiated/DCF Referrals

37

46

42

26



Specialty Services for Students with Asthma


Asthma is the number one chronic illness of students in the Waterbury School District. There are currently 4,332 students diagnosed with asthma in Waterbury schools. Last year Waterbury School Nurses administered asthma rescue inhalers to students 10,241 times and nebulizer treatments 260 times. However Waterbury School Nurses have insufficient Asthma Action Plans on file for each student diagnosed with asthma. In fact, in March 2018 the Waterbury School Nurses had only 168 Asthma Action Plans, and only 1,264 asthma inhaler orders on file for the 4,332 total students with a diagnosis of asthma.

CDC  According to the CDC, all people with asthma should have an asthma action plan(https://www.cdc.gov/asthma/tools_for_control.htm). An asthma action plan (also called a management plan) is a written plan that is developed by your doctor to help control asthma. The asthma action plan outlines daily treatment, such as what kind of medicines to take and when to take them. The Asthma Action Plan describes how to control asthma long term AND how to handle worsening asthma, or attacks. The plan explains when to call the doctor or go to the emergency room.

If your child has asthma, all of the people who care for him or her should know about the child’s Asthma Action Plan. These caregivers include other family members, babysitters and workers at daycare centers, schools, and camps. These caretakers all can help your child follow his or her action plan.

To address this, the Waterbury School Nursing program has introduced the following measures to better care for students with asthma:

1. New Standard Form: Asthma Medication Authorization & Asthma Action Plan

CT State Department of Education
CT Department of Public Health 
The Waterbury School Nurses have adopted new standardized forms developed by the Connecticut Department of Education and the Connecticut Department of Public Health specifically designed to help provide quality care for students with asthma. The new forms combine authorization by the student’s health care provider for up to 3 asthma medications in school with an Asthma Action Plan.

If your child has asthma, please be sure that your healthcare provider uses one of these forms when prescribing asthma medications for use by your child in Waterbury schools. Either form may be used. Each form will provide the Waterbury School Nurses with the information needed to provide your child with quality care while at school.

NEW ASTHMA FORMS: Your healthcare provider may select from these forms OR another combination Asthma Medication Authorization & Asthma Action Plan:
 1. Asthma Medication Authorization and Asthma Action Plan
 2. Asthma Action Plan & School Medication Authorization
 3. Easy Breathing Generic Asthma Treatment Plan - School


2. Easy Breathing© for Schools

 CT Children's Medical Center
Easy Breathing for Schools

The Waterbury School Nurses are implementing the Easy Breathing© for Schools Program which was developed by asthma experts at the Connecticut Children’s Medical Center.  Easy Breathing for Schools is a nurse-centered school-based asthma program designed to identify students with asthma who are at high risk for adverse outcomes and to assist school nurses in better managing those students including by means of an Asthma Action Plan.

The goal of the program is to improve asthma control and reduce asthma-related school absenteeism.

The Easy Breathing for Schools program focuses on four main components:

  • Identifying students at risk for asthma problems during the school year by using a student asthma survey
  • Assessing asthma control by implementing an Asthma Control Test™
  • Assessing the technique students are using with their inhalers by incorporating an inhaler technique checklist
  • Communicating with clinicians and families through an asthma referral checklist  

Additional Resources


School Age Childhood Immunization Program
Location: Waterbury Health Department, One Jefferson Square, 2nd Floor Clinical Division
Tuesdays by appointment only
203-574-6780, ext. 7207

Children aged 3+ who will be attending school in Waterbury schools, including day-care, Pre-K, or K-12, may obtain missing immunizations from the School Age Children’s Immunization Program at the Waterbury Health Department.  This is a one-time-only service for a child who is missing shots and needs them to enter school.  Families using this Program are advised that they must obtain a healthcare provider for ongoing healthcare and needed immunizations.

  • Immunizations provided under this program are given at no cost.
  • PPD/tuberculosis skin tests provided under this program cost $20.00; only cash is accepted.

Immunization Requirements for Enrolled Students in CT Schools for 2018-2019 School Year


Healthy Active Lifestyle

 Career Academy students standing with Mayor O'Leary

Child and adult overweight and obesity are leading health risk factors nationally as well as locally.  Our Waterbury School Nurses collected data in School Years 2013-2014 and 2014-2015 that demonstrated that 40% of children entering Kindergarten and 47% of students entering high school are not at a healthy weight.  Other data show that 73% of adults living in Waterbury are not at a healthy weight. 

Three Career Academy High School students interning at the Waterbury Health Department have used this important data as the foundation for a healthy active lifestyle website and Facebook campaign named “It’s Not Just Babyfat.”  The campaign provides healthy recipes for families and local news about active fun.

Check their work online at :

 
Kickstart your health

 

Forms and Resources

In accordance with Connecticut General statutes, each student enrolled in the Waterbury school system is required to have a health assessment by a legally qualified practitioner of medicine (physician or osteopath licensed to practice in the United States), or by an advanced practice registered nurse, or Physician Assistant licensed to practice in Connecticut according to the following schedule:

  • Prior to initial entrance into preschool programs
  • Prior to initial entrance into kindergarten
  • In grades 6 and 10
  • For transfer students, prior to initial entrance into the Waterbury schools
  • For ungraded students, prior to initial entrance and whenever a health assessment is required for students of the same age cohort as the ungraded student

USE THIS FORM FOR ALL REQUIRED SCHOOL PHYSICALS & FOR ALL SPORTS PHYSICALS

Pre-K Early Childhood Health Assessment (For Pre-K3 and Pre-K4)

Grades K, 6 & 10 Health Assessment Record/Health and Education Sports Permission Form

Immunization Requirements for Enrolled Students in CT Schools for 2018-2019 School Year

 

FOR ASTHMA MEDICATIONS, SELECT FROM THESE COMBINATION FORMS FOR ASTHMA MEDICATION AUTHORIZATION & ASTHMA ACTION PLAN OR ANOTHER COMBINATION FORM

Asthma Medication Authorization and Asthma Action Plan

Asthma Action Plan & School Medication Authorization

Easy Breathing Generic Asthma Treatment Plan - School

 

USE THIS MEDICATION FORM FOR ALL OTHER NON-ASTHMA MEDICATIONS

Authorization for the Administration of Medication by School, Child Care and Youth Camp Personnel

 

LINKS FOR MORE INFORMATION ABOUT THE WATERBURY SCHOOL NURSES

Waterbury School Nurses BMI Data Analysis 2013-14 & 2014-15

Waterbury School Nurses Journal 2017

Waterbury School Nurses Magazine 2015