Agenda - 03-28-2001-1 - Laserfiche WebLink

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School Nurse Deployment Proposal Page 3 health aide is responsible for assisting with the Hepatitis B immunization program and assists both school systems in various screening and immunization tracking functions. The number of nurses for each system does not include Head Start, Hospital School, or specific nurses assigned to the severely and profoundly handicapped students. In both systems, those are accounted for separately. A full -time Health Coordinator provides administration and coordination in Chapel Hill - Carrboro Schools and is responsible for both health services and health education. This individual is a nurse. In Orange County Schools, the Director of Student Services and Personnel and /or a school nurse designee is assigned to coordinate the program. On -site supervision in both systems is the responsibility of the Principal of the individual schools. A nurse supervisor in the Orange County Health Department provides supervision, coordination, and liaison with both school systems at 30% time. Both school systems school nurses function under an annually developed Memorandum of Agreement. The Agreement, jointly developed between the individual school system and the Orange County Health Department, varies slightly for each system. The Memorandums of Agreement specify that the health services policies and protocols of each system are subject to the approval of the Orange County Health Department's Medical Director. Each Agreement details _areas of specific responsibility for both organizations. The table on the following page shows nurse /student ratios per school for each system in the current school year (2000 - 2001). This table shows that in the Chapel Hill - Carrboro School System there are 7.8 full -time equivalent nurses serving 9,648 students for a ratio of one nurse for 1,237 students. In the Orange County School System there are 7.4 full -time equivalents serving 6,168 students for a ratio of one nurse for 834 students. Eleven of the thirteen schools in the Chapel Hill - Carrboro Schools share a school nurse or have one less than full -time. Seven of the ten schools in the Orange County Schools share a school nurse or have one less than full -time. In addition, each school system is anticipating opening a new school during the 01 -02 school year. These newly opening schools are not considered in these numbers. Sharing a nurse between schools often means that a school may be without a nurse for a day or more at a time depending on the needs of each of the schools.