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Lee Ann Harter Interview

Lee Ann Harter Interview

 

Lee Ann Harter Interview

1. Name and Title as you would like it presented:

Lee Ann Harter RN ADN BSN MSN               

2. School Name where you work:

Peoria High School  9-12 grade and  Peoria Flex Academy 10-12 grades . 1750 students 

3. How long have you been a school nurse?

12 years    K-12

4. Nurses have a lot of options when deciding where to work. How did you choose to work for a local school and what has kept you in school nursing so many years?

I  Love Kids!  Primary health promotion is a successful foundation to practice healthy behaviors. So school nursing allows a nurse to promote healthy practices early on.

5. What motivates you to make a difference for your students and community?

Access to education is  gaining the gift knowledge that allows us to become closer to our dreams

6. What is one thing you’d like the community to know about school nurses?   

School nursing  makes a difference, it has a long history, and the reason is best stated in a quote by Joycelyn Elders. “You can't educate a child who isn't healthy, and you can't keep a child healthy who isn't educated.” .

Karen Reuter Interview

Karen Reuter Interview

 

 Karen Reuter Interview

1. Name and Title as you would like it presented:

Karen Reuter, MSN, RN

Co-lead Nurse

2. School Name where you work:

Shadow Mountain High School

Paradise Valley Unified School District

3. How long have you been a school nurse?

48 years  this happens when your profession is your passion

4. Nurses have a lot of options when deciding where to work. How did you choose to work for a local school and what has kept you in school nursing so many years?

Worked in 2 school districts within my community, Glendale Elementary SD, PVUSD

How came to School Nursing: more compatible with family, once understood specialty, became a passion. Involved in other programs within the school, developed diversity program based on model. Trained students to facilitate positive diversity. Wrote grant to take kids to Prescott for leadership immersion in this area.

Team with social emotional interventionists to train teachers how to be supportive of kids especially with anxiety.

Being a school nurse became a passion, lead to getting a Master’s in public health.  Helped start AZ school consortium,  help develop courses for state  when AZ had a state school nurse certification.

5. What motivates you to make a difference for your students and community?

If we don’t educate children we pay for it later in the way of welfare services or within the prison system. Children deserve our best from our education system. Nurses can help by getting involved, look at grades and health, talk with counselors to get on top of issues. If we don’t do this we fail these children, and our community pays for it in the long run.

6. What is one thing you’d like the community to know about school nurses?

School nurses are advocates of their children, not only in health but as it relates to their future, education and for those in need we do our very best to point them to services that will help them with their health or social services concerns.  We are the hub to their child’s health in the community. 

Shannon David Interview

Shannon David Interview

 

Shannon David Interview

1. Name and Title as you would like it presented: 

Shannon M. David, BSN, RN, NCSN 

2. School Name where you work: 

Our Lady of Mt. Carmel Catholic School

3. How long have you been a school nurse?

15 years

4. Nurses have a lot of options when deciding where to work. How did you choose to work for a local school and what has kept you in school nursing so many years? 

Though the days can be long and, at times, stressful, there is not a single day that I have regretted my decision to transition to school nursing (I was an ER nurse for 15 years!). The true blessing of being a school nurse is the opportunity to build lasting relationships with the students and families I serve. So many of “my kids” begin attending the school in preschool and will continue through the completion of 8th grade. I get to know them, their parents, their siblings and, in many instances, grandparents and extended family. Also, I am blessed to work in an environment where my expertise and knowledge are valued by my Principal, the teachers and the staff.. 

5. What motivates you to make a difference for your students and community?

I truly believe that there are very few reasons a child cannot attend school. When children with unique health challenges, who previously may have been excluded from traditional classrooms, are welcomed into the school environment, overcome challenges and thrive among their peers, I am inspired to continue to work with administrators and educators to create systems where all children have the opportunity to reach their full potential in an environment where they are loved!

6. What is one thing you’d like the community to know about school nurses? 

Among the metrics used to monitor the response to the COVID outbreak has been the number of ICU beds available. What has not been communicated as effectively, however, is that an “ICU bed” is only an ICU bed when an ICU nurse stands at its side. Similarly, in the school setting, a “nurse’s office” is only truly a “nurse’s office” when a fully trained, licensed nurse is in the position of school nurse. Too often the role of “school nurse'' is filled by a volunteer, ancillary staff member, or some other school employee. I would like the community to know that school nursing is a separate and distinct specialty within the broader practice of nursing. School nurses must have a breadth and depth of knowledge and clinical expertise that encompass many other specialities. School nurses are experts in communicable disease, management of chronic diseases like asthma and diabetes, acute care for injuries and illness, health education of students and anticipatory guidance for parents. I would encourage parents to find out more about the provision of health services at their school.

Lois Leon Interview

Lois Leon Interview

 

Lois Leon Interview

1. Name and Title as you would like it presented:

Lois Leon, R.N., B.S.N

2. School name where you work:

 Irene Lopez School

3.  How long have you been a school nurse?

I have been the school nurse at Irene Lopez School for 26 years.

4.  Nurses have a lot of options when deciding where to work. How did you choose to work for a local school and what has kept you in school nursing so many years?

I chose to work at a local school as my children were attending this school. I love providing nursing services to the students in my community. I am now servicing the children of previous students. I feel very connected to the families.

5.  What motivates you to make a difference for your students and community?

As a member of the community, I feel an obligation and passion to keep our students and families healthy. Trust has been built with community members. With this trust, families are more likely to follow through with recommendations to seek out health resources, such as the Phoenix Breathmobile which provides diagnosis and treatment for our asthmatic students.

6. What is one thing you’d like the community to know about school nurses?

School nurses are essential to keep students and families physically and emotionally healthy. Health education and promotion as well as chronic illness monitoring/treatment are vital to keep our students physically healthy and able to succeed academically. School nurses are also involved in monitoring the social emotional health of students/staff/community and linking them to resources on campus and outside of campus.

Kristi Torbenson Interview

Kristi Torbenson Interview

 

Kristi Torbenson Interview 

1.Name and Title as you would like it presented:

Kristi Torbenson, RN/BSN

2.School name where you work:

I split my time between Las Sendas and Red Mountain Ranch Elementary Schools in Mesa.

3.How long have you been a school nurse?

I have been a school nurse for the past 15 years, starting when my youngest went to kindergarten. He’s a college student now! 

4.Nurses have a lot of options when deciding where to work. How did you choose to work for a local school and what has kept you in school nursing so many years?

Having 3 children, and a husband with a very hectic schedule, it was hard to find a nursing job that fit our family’s lifestyle. A friend of mine told me about an opening at our local elementary school, and it seemed like the perfect fit. I have been able to continue my nursing career, while being involved in all my kids’ activities. Now that my kids are grown, I still cannot imagine leaving school nursing because I adore the students and staff that I work with. 

5.What motivates you to make a difference for your students and community?

I have always been passionate about making a difference in people’s lives, which is one of the reasons I chose nursing as a career. The wonderful relationships I have created with students and staff keep me motivated to continue serving our school community. 

6.What is one thing you’d like the community to know about school nurses?

There is so much more to school nursing than just putting Band-Aids on children. The focus of a school nurse is making sure that every student has what they need to learn and learn well, which often includes managing health conditions such as asthma or diabetes. School nurses care for acute and chronically ill students and develop care plans that may include medicine or procedures. We administer screenings for vision and hearing. School nurses must be ready to attend to first aid or emergency care at a moment’s notice for students and staff. We coordinate, verify, and document all state and district mandated student screenings and immunizations. Education is also an important part of our job. We train staff on emergency medication delivery, as well as educate students on several health principles. School nurses are responsible for helping our entire school population stay healthy, and we take immense pride in our job!

The PREPaRE Model: 3rd Edition

The PREPaRE Model: 3rd Edition

About the PREPaRE Model

PREPaRE is a crisis prevention and intervention model that prepares educators and school-based mental health professionals to feel confident in their abilities when they fill specific roles and responsibilities during a crisis event.

 

The PREPaRE Model: School Prevention and Intervention

PREPaRE focuses on the following activities: 

  • Prevent and prepare for crises
  • Reaffirm physical health & welfare, and perceptions of safety & security
  • Evaluate psychological trauma risk
  • Provide interventions
  • and
  • Respond to mental health needs
  • Examine the effectiveness of crisis preparedness

This model is informed by documents published by the U.S. Department of Education and Homeland Security. You can find these documents linked in the Additional Resources section below.

Workshop 1 is a one-day training for all staff. This workshop informs on how to build a school environment that focuses on comprehensive school safety efforts that encompass both physical and psychological safety. Participants will learn a brief overview of a school crisis team's roles and responsibilities, emphasizing crisis prevention and preparedness. 

Workshop 2 is a two-day training for crisis response staff. This workshop provides specialized information on the roles and responsibilities of school-based mental health professionals, specifically during crisis intervention and recovery. Participants in this workshop will develop skills to provide the necessary immediate mental health crisis interventions to the students, staff, and school community members who have been simultaneously exposed to an acute traumatic stressor.

Request PREPaRE Training

Request a PREPaRE workshop for your school or district by contacting us at [email protected].

School Preparedness

School Preparedness

Emergency Operations Planning/Continuity of Operations Planning

Behavioral Threat AssessmentCrisis Prevention and Intervention

Welcome to the School Preparedness webpage!

What is Preparedness?

The National Incident Management System (NIMS) defines preparedness as “a continuous cycle of planning, organizing, training, equipping, exercising, evaluating, and taking corrective action in an effort to ensure effective coordination during incident response.” 

The Preparedness Cycle was created to illustrate the following steps: 

National Incident Management System Preparedness Cycle

 

  1. Plan

  2. Organize/Equip

  3. Train

  4. Exercise

  5. Evaluate/Improve

Each stage in the Preparedness Cycle relates to one or more of the five mission areas in the National Preparedness Goal, as outlined by the U.S. Department of Homeland Security (2015). 

 

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The National Preparedness Goal

The five mission areas of the National Preparedness Goal in the context of schools include:

  1. Prevention - To prevent, avoid, or stop a crisis event from happening in a school environment.
  2. Protection - To protect all individuals in a school environment against the greatest threats and hazards to them in their specific school's environment.
  3. Mitigation - To reduce the loss of life and property by lessening the impact of future potential crisis events in a school environment.
  4. Response - To respond to any crisis event on a school campus quickly to save lives, protect the school's property and environment, and meet basic human needs in the aftermath of a catastrophic event.
  5. Recovery - To recover through a focus on the timely restoration, strengthening and revitalization of infrastructure, housing and a sustainable economy, as well as the health, social, cultural, historic and environmental fabric of communities affected by a catastrophic incident.

 

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How does ADE support the five mission areas of the National Preparedness Goal?

The Arizona Department of Education supports education agencies across the state in preparing for emergencies of all types. Some activities in school preparedness that ADE supports include:

  • Emergency Operations Planning (EOP) tools and guidance

  • Continuity of Operations Planning (COOP) tools and training

  • Crisis prevention and intervention training

  • School-based threat assessment training

  • Training of the trainers

  • Mental health guidance

  • Suicide prevention training

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School Preparedness Resources 

      • Drills and Exercises: Guidance for Schools: Arizona Department of Education, 2024. 
      • CISA's Tabletop Exercise Packages help planners have coordinated discussions about the variety of safety issues that could arise and how to navigate them.
      • After Action Review and Improvement Template This template is to be used after any drills or incidents on campus.
      • FEMA Independent Study Online Courses The Arizona Minimum Requirements mandate that school employees who fill a role within the Incident Command System (ICS) structure are required to complete three FEMA online training: IS-100.a: Introduction to the Incident Command System, IS-200.C: Basic Incident Command System for Initial Response, and IS-700.B:  An Introduction to the National Incident Management System.
      • County Emergency Management On-site Training Upon completing IS-100.a, IS-200.c, and IS-700.b, district and school ERP teams are strongly encouraged to also complete the Multi-Hazard Emergency Planning for Schools course either through their local emergency management office or FEMA. Districts can schedule the two-day MAG-364 Multi-Hazard Emergency Planning for Schools course by submitting a DEMA (Arizona Department of Emergency and Military Affairs) training request form to the county emergency management office. There is no cost to the district for this training.
      • FEMA Training  E-361 Multi-Hazard Emergency Planning for Schools Course.
      • Advanced Training through DEMA Upon completing FEMA’s E-361 or DEMA’s G-364, key personnel on a district’s ERP team are encouraged to also complete MAG-300 (Intermediate Incident Command Station) and MAG-400 (Advanced Incident Command Station) through DEMA.

      *Please note: DEMA provides G-364 trainings by request only. You can request G-364 trainings by filling out DEMA's Training Request Form and submitting it to [email protected].

            • Safe and Sound Schools 
              • Especially Safe programming engages safety planners in best practice whole school community emergency planning and training that accounts for student developmental needs, including considerations for students with disabilities and access and functional needs. 
              • Straight A Safety Toolkit-provide school safety planners with resources to improve school safety and overall school community preparedness.
              • Annual State of School Safety Reports detail annual stakeholder priorities related to school safety and preparedness.
            • Sandy Hook Promise -to educate and empower youth and adults to prevent violence in schools, homes, and communities.

               

              Laws 

              Arizona School Nurse Access Program (ASAP)

              Arizona School Nurse Access Program (ASAP)

              Arizona School Nurse Access Program (ASAP) has concluded. This page is maintained for historical and reference purposes only. Information and resources associated with the Arizona School Nurse Access Program remain available for review by interested stakeholders.

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              The Arizona Department of Education with funding support from the Arizona Department of Health Services implemented the Arizona School Nurse Access Program (ASAP), an aptly named program to expediently increase the number of school nurses in Arizona. The ASAP idea started in Spring of 2021, and funded school nurses in Arizona for the 2022/2023 and 2023/2024 school year. The ASAP supported the professional growth and development of both new-to-practice school nurses as well as the incumbent workforce through a partnership with the Arizona Foundation for the Future of Nursing (AZFFN) and the Arizona State University (ASU). The goal of the ASAP was to foster a highly educated workforce that functions to the full extent of their license and education. 

               

              Mission of ASAP

              A Glimpse Into The ASAP: 49 Nurses Hired Serving Rural Schools In 13 Different Counties

               Key Partners

               

              ASAP

               ASAP Training Programs

              Mentor Program 

              The ASAP Mentor Program was established to partner experienced school nurses with new nurses hired through ASAP to increase new school nurses' job satisfaction, ability to demonstrate core competencies, and intent to stay. The ASAP Mentor will serve as a role model, teacher, coach, and advisor for the assigned newly hired ASAP school nurse for a year. Mentors attended monthly support sessions with mentee(s) and met with their mentee in between sessions.

              Eligibility

              • Arizona licensed Registered Nurse in good standing
              • BSN preferred
              • A minimum of 2 years of school nursing experience
              • A positive recommendation from your direct supervisor with your direct supervisor acknowledging and supporting your participation in this program, knowing time may be needed to attend meetings and take calls during work hours.
              • National Certified School Nurse preferred or willingness to become certified.
              • Able to attend monthly support sessions scheduled by ASAP and respond to mentee calls and emails in a timely manner.
              • Agree to participate in ASAP evaluation team activities during the ASAP Mentor Program including demographic and satisfaction surveys
              • Submits a completed ASAP Mentor Program Application and sign an ASAP Mentor Program Agreement Statement upon selection

              Mentor Requirements

              • Complete ASAP Mentor Program Orientation
              • Attend monthly support sessions with other mentors, mentees and ASAP staff
              • Participate in ASAP evaluation activities as requested
              • Provide mentee support, feedback and resources throughout the program, completing program mentee reviews as requested
              • Utilize the Arizona Nurses Association provided Online Forum for communicating with those participating in the ASAP Mentor Program
              • Make a one-year commitment to being matched with a mentee
              • Make at least weekly contact with your mentee
              • Participate in a positive manner during each interaction with your mentee and all program participants
              • Maintain open communication with program staff, informing program administration of any difficulties or areas of concern that may arise in the mentor/mentee relationship

              National Certification Training Program 

              The Arizona School Nurse Access Program (ASAP) National Certified School Nurse (NCSN) Program was established to support Arizona school nurses in successfully testing for and obtaining their national school nurse certification from the National Board for Certification of School Nurses. School nursing is a nationally recognized nursing specialty, becoming an NCSN demonstrates professional recognition of expertise in this specialty and commitment to lifelong learning and quality care. The ASAP increased the number of Arizona school nurses meeting nationally recognized standards for providing excellence in school nursing care as 104 nurses were certified throughout the ASAP.

              The ASAP covered the cost of each Arizona school nurse applicant in seeking and obtaining their NCSN following acceptance of their application to the ASAP NCSN Program.

              To learn more about the NCSN and the exam process, visit: https://www.nbcsn.org/

              ASAP NCSN Program Components

              • Study materials (School Nurse Certification Review Book)
              • Mileage reimbursement to and from test exam
              • Exam fee
              • An online support forum for Arizona School Nurses in the ASAP NCSN Program to use while preparing for the exam
              • Virtual study group sessions with an Arizona NCSN, guest speakers and others preparing for the exam to discuss prep questions and support one another to successfully complete the certification exam
              • An Arizona one-day Pre-Conference NCSN Review Course
              • $3,000 one-time stipend for each Arizona School Nurse in the ASAP NCSN Program who successfully completes the exam and becomes an NCSN

              Eligibility Criteria for ASAP NCSN Program

              • Meet eligibility to take the NCSN EXAM established by the National Board for Certification of School Nurses AND
              • Arizona licensed Registered Nurse in good standing required
              • A bachelor’s degree or higher in nursing from an accredited program required
              • No current certification by NBCSN as an NCSN
              • A minimum of 1 full time school year of school nursing experience in the past 2 years
              • A positive recommendation from your direct supervisor with your direct supervisor acknowledging and supporting your participation in this program, knowing time may be needed to attend meetings and take calls during work hours.
              • Able to attend virtual study group sessions scheduled by ASAP, a one-day Pre-Conference NCSN Review Course and respond to program related calls and emails in a timely manner.
              • Agree to participate in ASAP evaluation team activities during the ASAP NCSN Program including but not limited to demographic and satisfaction surveys
              • Submit a completed ASAP NCSN Program Application by deadline and sign an ASAP NCSN Program Agreement Statement upon selection
              • Agree to complete the exam within a year of application

              Transition to Practice (T2P) Program

              The Arizona School Nurse Access Program (ASAP) School Nurse Transition to Practice (T2P) Program supported 20 Arizona school nurses hired within the past year and are new to school nursing by providing additional school nurse competency-based courses beyond a school health office orientation provided by the school/school district, a mentor for a year and ongoing support from school nurse experts through meetings and an online communication platform for T2P school nurses. School nursing is a nationally recognized nursing specialty, and competency-based coursework in this specialty area will guide the new school nurse in optimizing the health of school-aged children while also creating a supportive environment to increase school nurse retention.

              The program consisted of online school nurse coursework through the Maricopa County Community College District (MCCCD) and a mentor pairing for each T2P Program enrollee. The T2P school nurses were assigned an incumbent Arizona school nurse mentor for one year. The T2P school nurse was required to maintain open communication with their school nurse mentor and to attend monthly support meetings with ASAP staff and their school nurse mentor.

              When enrolled in the T2P Program, the ASAP covered the cost of registering for the MCCCD School Nurse Coursework. The T2P Program covered the cost of membership to the American Nurses Association (ANA)/Arizona Nurses Association (AzNA) and the National Association of School Nurses (NASN)/School Nurse Organization of Arizona (SNOA) for one year. 

               Other Components 

              Arizona School Nurse Advisory Council

              The Arizona School Nurse Advisory Council (AzSNAC) was established as part of the Arizona School Nurse Access Program (ASAP) with Arizona school nurses, health stakeholders, and key partners serving as members. The AzSNAC members guided and advanced the efforts of the ASAP while establishing steps to sustain the ASAP after the COVID-19 funding through the Centers for the Disease Control and Prevention (CDC) Workforce Development Crisis Emergency Cooperative Agreement ends.

              AzSNAC One-Pager

              Arizona School Nurse Workforce and Equipment Grant 

              In the Spring of 2024, ADE created a mini-grant opportunity to support Arizona school nurses and health offices. The FY24 Arizona School Nurse Workforce and Equipment Grant provided funding to support the needs of registered nurses (RN) for safe and supportive schools that foster student academic success and support COVID-19 response and recovery efforts. The application was open to K-12 Arizona public school districts or charter schools to request funds to support the purchase of health office equipment necessary to perform the duties of the school nurse position and/or invest in school nurse workforce development activities to augment school-based healthcare. Allowable use of funds included:  

              • Equipment for the school health office.
              • Health office supplies (stop the bleed kits, PPE, items for emergency go bags).
              • Funds to support professional development and training opportunities (conferences, train the trainer opportunities, related training curriculum in school nursing, mental health, emergency preparedness, or other related topics, NASN books, etc.).
              • Staff time to receive workforce development if it occurs outside of contract hours.
              • Conference registration and travel fees per ADOA guidelines, related to the school nurse profession (for attendance to conferences that occur before 6/30/2024).
              • Professional state and national memberships (e.g. National Association for School Nurses, School Nurses Organization of Arizona).

              1.3 million dollars was allocated to 36 districts in Arizona to support their school nurses and health offices.

              ASAP Sustainability Efforts 

              A focus of year 2 was placed on the sustainability of ASAP efforts. The Arizona Department of Education created the necessary tools and resources to support in sustainability planning efforts. These efforts focused on identifying funding sources, grants, opportunities, and avenues to support the school nurse position. Examples included:

              • Explore Medicaid Billing to bill for services and budget the school nurse's salary.
              • Present to the School Board to advocate for a school nurse in each school.
              • Locate community grants to generate funds to support the school nurse's salary.

              The intention was to collaborate as a team, involving the nurse, administrator, and other individuals involved in school health at your school. A sustainability action plan template and PowerPoint were created to support the necessary steps for making sustainable actions. 

              ASAP Sustainability Action Plan

              ASAP Sustainability PowerPoint

              Contact us!

              Have a question about the ASAP? Email Us! The ADE provides a webpage dedicated to School Nursing and Health Services, visit the homepage here. 

              School and Behavioral Health Partnerships Guide

              School and Behavioral Health Partnerships Guide

              September is Suicide Prevention Awareness Month

              Some 1,400 Arizonans die by suicide annually; it is the eighth leading cause of death in the state. And yet, we can all play a role in helping to decrease this number in our communities.