Public Health Intervention
Wheel-School Nurse Applications


Individual, School¾Community, and
System Interventions
Disease and Health
Event Investigation
·        Student assessments
·        Disease surveillance
·        Foodborne illness and environmental investigations
Outreach

·        Parent-teacher conference
·        Options for reproductive care
·        NASN eyeglass program
·        Dental¾Give a Kid a Smile
·        Newsletters
·        Community primary and specialty care providers
·        Community service organizations
Screening
·        Screening programs for students: hearing, vision, blood pressure, scoliosis, dental, and growth
·        Screening program for staff: blood pressure, cholesterol, blood sugar
Referral and
Follow-Up
·        Medical
·        Mental health
·        Dental
·        Child protection services
Case Management

·        Individualized Education Plans (IEP)
·        Section 504 evaluations
·        Individual and emergency action plans
·        Chronic disease management
·        Liaison between the school, parent, medical, and community health organizations
Delegated Function
·        Nursing tasks
·        Procedures
·        Medication administration
Health Teaching

·        Classroom presentations
·        Small groups (i.e. asthma, hygiene, and high risk groups)
·        1:1 nurse/student teaching
·        Presentation to parent teacher organizations
·        Newsletters, student newspapers, announcements, parent notifications
Counseling
·        1:1 nurse/student counseling
·        Small group
·        Parent-child counseling
Consultation

Consultation (continued)
·        Teacher referrals
·        Pupil Services staff
·        Student service teams
·        School’s medical advisor
·        Community medical providers and agencies
·        School nurse colleagues
·        School legal services
Collaboration

·        Pupil Services personnel
·        Local health departments
·        Student¾nurse preceptors
·        Nurse-to-new school nurse mentorship
·        Local Medicaid enrollment
Coalition Building

·        School personnel
·        Local health department
·        Wisconsin and National Association of School Nurses
·        Community agencies
·        First responders
Community Organizing
·        Local chronic disease chapters of the Wisconsin Asthma Coalition, Immunization Practices, Wisconsin Diabetes Association, Epilepsy Foundation
·        Service organization¾Lion’s Club, Optimist Club, Jaycees, etc.
·        Faith-based groups
Advocacy

·        School Nursing and Health Service Report to the school board
·        Accommodation for student with special health care needs
·        Wisconsin and National School Nurse legislative committees
·        Department of Health Services’ Health Service Report
Social Marketing

·        Email blast to students, staff, and parents
·        Facebook®, Twitter®, and You Tube®
·        Local Nursing and Health Service website design
·        Letters to the local newspapers
·        School district newsletter
Policy Development and Enforcement
·        Accidental injury and illness
·        Medication administration¾ records keeping, forms, and storage
·        Nursing procedures
Surveillance
·        Population assessment
·        Local disease prevalence
·        Chronic disease awareness
·        Local and statewide Youth Risk Behavior Survey data

Public Health Nursing Section: Public Health Interventions–Applications for Public Health Nursing Practice. St. Paul: Minnesota, Department of Health, 2001. Adapted by the Holmen School District School Nurses and Department of Public Instruction, 2010.
School nurses can identify the individual, community, and systems level interventions for each of these categories of public health intervention.
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