Please complete and return before May 10
California State University, Fresno
School of Nursing
SCHOOL NURSE SERVICES CREDENTIAL PROGRAM
KNOWLEDGE BASED QUESTIONNAIRE 2019-2020
(Place an X in appropriate box)
☐ PRE-PROGRAM ASSESSMENT ☒ POST PROGRAM ASSESSMENT
| Student Name | Semester/Year |
|---|---|
Please rate your level of knowledge/skill on a scale of 1 to 5
(l = No knowledge and 5 = very knowledgeable)
| 1. Philosophy of school nursing | |
|---|---|
| Personal understanding of function and role of the school nurse…. | |
| CA School Nurses Organization, philosophy, contribution to SN..... | |
| National Assoc. of School Nurses, philosophy, contribution to SN... | |
| 2. History/Future of School Nursing | |
| School nurse role development………………………………………. | |
| History and future issues in school nursing…………………………. | |
| Role of the school nurse practitioner ………………………………… | |
| 3. Current Issues in Education | |
| Understanding for how school nurse fits into educational setting … | |
| Knowledge of political issues related to education ………………. | |
| Insight into school-linked, school-based health services…………. | |
| Knowledge of Budget issues/organization of school districts…… | |
| Insight into working with school boards/administrators…………… | |
| 4. Coordinated School Health Programs | |
| What a comprehensive school health program entails……………... | |
| Insight into planning the school nurse’s school year……………….. | |
| Integrating health education into the educational picture………….. | |
| School-based clinics, management and services………………….. | |
| 5. Standards of School Nursing Practice | |
| The Nursing Practice Act in the school setting……………………… | |
| Professional Standards of School Nursing Practice………………... | |
| California law related to school nursing practice……………………. | |
| School district policies and their development ……………………… . | |
| 6. Nursing Models/Theories | |
| Basic principles of Betty Neuman’s Systems Model……………...… | |
| Application of Betty Newman’s Model to school nursing………….. | |
| Dorothea Orem’s Theory Applied in Ambulatory Setting…………. | |
| The Roy Adaptation Model in the school setting………………….. | |
| 7. Families at Risk | |
| Work experience with families with multiple problems……………… | |
| Articles/literature related to families at risk, resiliency……………… | |
| Empowerment strategies for families…………………………………. | |
| Issues related to poverty and homelessness………………………… | |
| 8. Cultural Tools/Assessment/Concepts | |
| Experience working with multicultural populations………………….. | |
| Leininger’s Multicultural Model……………………………………....... | |
| Articles/literature relating to multicultural differences………………. | |
| 9. Gifted and Talented Children | |
| Current information on assessment/problems of gifted……………. | |
| Experience working with gifted children……………………………… | |
| Health problems associated with gifted children……………………. | |
| 10. School Phobia/School Refusal | |
| Current information/knowledge on assessment/problems………… | |
| Work experience with children who exhibit school phobia ……….. | |
| 11. Learning Disabilities | |
| Current information on symptoms/diagnosis/treatment……………. | |
| Nursing assessment of learning disabled children…………………. | |
| Experience working with learning disabled children………………. | |
| 12. Attention Deficit Disorders | |
| Current research/information on ADD, ADHD……………………… | |
| Current medication/treatment regimens……………………………. | |
| Experience in management of children with ADD, ADHD………… | |
| 13. Drug-Exposed Infants | |
| Current information for implications related to learning…………… | |
| Experience working with prenatal exposed children………………. | |
| 14. Neurological Screening Tests | |
| Insight into methods used in testing/screening for problems.......... | |
| Administration of QNST (Quick Neurological Screening Test)……. | |
| Administration of HANDS-ON (CSNO)or other type screening tool... | |
| Write up/presentation of results of test to Student Study Team….. | |
| 15. Legal/Ethical Issues | |
| Knowledge of liability issues in school nursing…………………….. | |
| Ethical issues r/t records, confidentiality, other……………………. | |
| Policies/Procedures in school districts………………………………. | |
| Conflict between laws relating to health and education…………… | |
| Supervision of UAP (Unlicensed Assistive Personnel)……………. | |
| Laws relating to care of minors…………………………………….... | |
| Laws relating to education on reproductive issues………………… | |
| Ethical/legal issues relating to “Do not Attempt to Resuscitate”.... | |
| 16. Child Abuse | |
| Reporting laws r/t who reports, what, when, to whom……………... | |
| Reporting laws specific to sexual activities of minors……………… | |
| Signs/symptoms of abuse/follow-up ………………………………… | |
| Prevention of child abuse……………………………………………... | |
| 17. Violence | |
| Spousal/dating relationships/domestic abuse ……………………… | |
| School violence/weapons…………………………………………….. | |
| Health education/prevention of violence/bullying…………………... | |
| 18. Health Promotion | |
| Health fairs/community involvement in health education…………... | |
| Employee wellness programs………………………………………… | |
| Teaching/Learning theories ………………………………………...... | |
| Health Framework/Health Ed Standards for CA Public Schools.... | |
| 19. Children with Special Needs | |
| Asthma management, medications, inhalers, Peak Flow Meters…. | |
| Diabetes management in school, pumps, administration of insulin | |
| Management of seizures in the school setting………………………. | |
| Experience working with handicapped and special equipment……. | |
| Knowledge of genetic disorders and impact on education…………. | |
| Health Care Plans/Emergency Action Plans…………………………. | |
| Delegation of care……………………………………………………..... | |
| 20. Children with Psychiatric/Behavior Problems | |
| Knowledge of psychiatric problems affecting children/adolescence | |
| Experience with working with children with these problems……….. | |
| 21. Special Education | |
| IEP (Individual Education Plan) meetings, assessment……………. | |
| Laws r/t special education……………………………………………... | |
| “Green Book” and other resources r/t spec. healthcare procedures | |
| Section 504, school nurse role………………………..………........... | |
| Early intervention/family services……………………………............. | |
| Individual Health and Support Plans (IHSP) ………………………... | |
| Specialized Physical Health Care Procedures……………………… | |
| SELPA, definition and role......………………………………………… | |
| 22. Environmental Safety | |
| Schoolyard safety……………………………………………………… | |
| High school safety issues…………………………………………….. | |
| Health issues relating to lead, Asbestos, and mold ………………. | |
| OSHA, role in schools and community....…………………………. | |
| 23. State Mandated Screening | |
| Laws relating to vision, hearing, and Scoliosis screening…………. | |
| Vision testing experience: Distance vision testing…….…………… | |
| Near vision screening…………………. | |
| Muscle balance screening……………. | |
| Color vision screening………………… | |
| Hearing screening and Threshold testing…………………………… | |
| Skill with Otoscope/Tympanometry…. | |
| Referral process/follow-up …………… | |
| Scoliosis screening………………………………………………….... | |
| Diabetes II screening (Acanthosis Nigricans) …………………….. . | |
| HT/Wt Body mass index ……………………………………………… | |
| Required State reporting on mandated screening…………………. | |
| 24. Immunization Requirements | |
| Immunization Mandates………………………………………………. | |
| Insight into CSIR (California State Immunization Record)………… | |
| TB skin testing requirements for enrollment in schools....………… | |
| Insight into immunization report to required by county/state....... | |
| 25. CHDP (Child Health and Disability Program) | |
| Scope of program…………………………………………………….... | |
| 1st grade physicals requirement and timelines…………..…........... | |
| Annual report on CHDP physicals…………………………………… | |
| 26. Other | |
| Case-management techniques………………………………………. | |
| Children of alcoholics…………………………………………………. | |
| Community programs and resources for families/children……….. | |
| Computer programs in the health office…………………………….. | |
| Crisis intervention in the school setting……………………………... | |
| CTA (California Teacher Association)………………………………. | |
| Disaster preparedness in the school setting………………………... | |
| District organization and funding sources….……………………..... | |
| Drug abuse among adolescents…………………………………….. | |
| Grant writing/funding sources for research and programs.............. | |
| Medi-Cal billing/reimbursement……………………………………… | |
| Nutrition Assessment (growth charts/calipers)…………………….. | |
| Pediculosis/Scabies…………………………………………………… | |
| Preschool assessment………………………………………………… | |
| PTA (Parent and Teacher Association)……………………………... | |
| Research and its impacted school nursing…………………………. | |
| SARB (Student Attendance Review Board)………………………… | |
| School nurses as program managers in the school setting ……… | |
| Separation & loss, impact on children/adolescents/families…....... | |
| Sports injuries, emergency measures and treatment……………… | |
| STDs (Sexually Transmitted Diseases)…………………………….. | |
| Teen pregnancy programs…………………………………………… |
(To be completed with Post Program Assessment Questionnaire)
List the topics/experiences covered in this program that were most beneficial to you
in your
school nursing practice. Rate them according to value (1= least important, 5 = most
important).
List other topics you would like to see covered in this program. Rate them according
to interest
(1= least interested, 5= most interested).
Thank you! Your responses will be very valuable in planning for this program.
Information required for a Post-Program Survey:
Graduates are asked to share the following information so that a survey can be sent
out in one
year to employers asking them if the program adequately prepared the graduate to fill
the role of
the professional school nurse. It is NOT an evaluation of the graduate. This information
is
required by the California Commission on Teacher Credentialing to determine the program’s
effectiveness. No names are asked for, just comments on the effectiveness of the program.
Name and mailing address of a Principal of a school site at which you practice nursing:
Name and mailing address of the Director of Health Services:
Your own mailing address:
Your address is needed as you will also be sent a survey asking you have how well
you feel that
the program has prepared you to practice school nursing. You will also be sent a copy
of the
survey that will be received by your employer.
Thank you for sharing this information which is valuable to maintaining a quality program.
This PDF is provided as a print-only reference document and may not be fully accessible to users of assistive technology. For more information, please visit Title II Rule on Digital Accessibility page.