Professional Standards

  • School Nursing Services

    Professional school nurses in the Fairbanks North Star Borough School District are essential members of the educational team who support the normal growth and development and the academic achievement of all students through the promotion of health and wellness in a safe learning environment.

    Role of the School Nurse

    "School nursing a specialized practice of nursing, promotes student health, facilitates optimal development, and advances academic success.  School nurses, grounded in ethical and evidence-based practice, are the leaders who bridge healthcare and education, provide care coordination, advocate for quality student-centered care, and collaborate to design systems that allow individuals and communities to develop their full potential."  (National Association of School Nurses 2017)

    "School nursing is a specialized practice of nursing that promotes health and well being and academic success of all students.  Services provided by school nurses create a learning environment by managing common health complaints and chronic conditions during school hours and providing interventions necessary to return students to the classroom.  School nurses provide families with community resources that help facilitate health and wellness and timely return of students back to school."  (American Nurses Association, 2011)

    Role of the LPN in the School Setting

    The Board of Nursing for the State of Alaska officially adopted the School Health Nursing Advisory Committee Proposal for the Role of the LPN in the School Setting

    Nursing Scope and Standards of Practice

    Nursing Ethics

    The Code of Ethics for Nurses with Interpretive Statements are the ethical standards for the practice of nursing and are the profession's guide for ethical analysis and decision-making.  The code of ethics for nursing is non-negotiable in any setting including school nursing practice settings.  (American Nurses Association, 2015)

    Job Descriptons

     

Individualized Health Care Plans

  • The Individualized Health Care Plan (IHCP) is an integral part of nursing delegation.  When a student is assessed and the nurse determines that the task can be delegated, it is the IHCP that guides the unlicensed assistive personnel (UAP) in performing the delegated task.  It is an essential tool used by the School Nurse to coordinate and evaluate the care given to the student.  The IHCP documents the nursing process. “The creation of an IHP demonstrates use of the nursing process in student care and provides a legal document demonstrating that the school nurse provided minimum standard of care for the student” (Galemore & Sheetz, 2015).

Delegation

  • Delegation of Nursing Duties

    Delegation is the transfer of responsibility of the performance of a task to another person.  Accountability for the outcome of the task remains the responsibility of the person who delegates.  The Alaska Nursing Statutes and Regulations define the guidelines for which registered nurses may delegate nursing treatments/procedures.  Registered nurses may only delegate a task that is within their scope of practice. The Registered nursed do not delegate the nursing process, including professional nursing judgement.  The decision to delegate is based on nursing judgment, taking into account the condition of the patient, the competence of the person to whom the task will be delegated, and the degree of supervision required for the task being delegated.

    Medication Delegation

    The medication Delegation Decision Tree gives guidance to school staff and school nurses in order to provide consistent and safe administration of medication when a school nurse is not immediately available.  It is the responsibility of the school nurse to train those staff members who have been identified as the persons giving routine medications and/or medications delegated by the parent/guardian, in the nurse's absence. Consistent training using Medication Administration Delegation Protocol and the State of Alaska e-Learning Module, Medication Administration:  Training for Unlicensed School Staff will be used for this training.  All training must be documented and sent to the Human Resources Training Specialist and the Director of Nursing Services. Evaluation of training must be completed and documented every 90 days.

    • Medication Administration Delegation Protocol
    • Non-Delegable Medication Administration
      • Medications not delegable by the school nurse include PRN controlled substances and injectable medications, including insulin and glucagon.  Epi pen administration can be delegated for students with known life threatening allergies who have epi pen prescriptions.  The parent (12 AAC 44.975 who is under other legal authority) may delegate non-delegable medication to an unlicensed staff.  The school nurse trains staff for the particular student for whom the task is delegated.

    Specialized Nursing Treatmlents/Procedures that may be delegated include:

    • See Medication Delegation for medication administration that may be delegated
    • Obtaining blood glucose levels
    • Assisting with self-administration of medication
    • Tube feedings for established gastrostomy tubes
    • Ostomy care
    • Toileting

     

Last Modified on January 22, 2020