Health Network for Rural Schools

Agenda Items

§ Welcome and introductions

· Nancy welcomed everyone and introduced Michelle Jones. Michelle is the new school nurse at Cove, Union and North Powder. Michelle will also work two days a week on the Ford Grant. Selina Shaffer’s schedule will be changing. She will also be working on the Ford Grant and as the school nurse for Elgin and Imbler.

§ Schedule Changes

· Nancy asked that everyone keep schedule changes to a minimum

§ Try to schedule time off when school is not in session.

§ If you must take unplanned time off, try to cover the hours or make-up time in that school.

§ Communicate with the schools and Nancy if your schedule changes. It is best to leave a written message for the Superintendent if you will not be at the school during your regular scheduled time. If you will be absent because of illness, you should also contact Sandy Clausen at the School of Nursing (962-3647).

§ Clinical Policies

· Vicki distributed copies of the HNRS Policies and reviewed the new Clinical Policies.

· Highlights of the Clinical Policies and discussion:

§ Billable Health Care Procedures

· School staff and community members will be billed for appointments with the School Health Clinic Nurse Practitioners. (Vicki will draft a letter to all school staff and faculty.)

· The prices for billable procedures will be the same as the Union and Elgin Clinics. A copy of the Union and Elgin Clinics fee schedule is in the policy manual.

· The School Health Center NP or RN is responsible for the money at the school clinics.

· A receipt should be made out for any money received. Each receipt should be stamped with the appropriate clinic stamp. (Receipt books and stamps were distributed.)

· All money will be placed in the locking cash box at the school clinic. (Locking boxes were distributed at the meeting.)

· Monies collected at the school clinic will be delivered to the HNRS program director or other appropriate agency by Friday of each week.

· All money received must be transported in a locked box/bag. (Lee will check into getting locking bags. NOTE: Lee has checked on these & costs are very high so we’ve decided to forego this requirement. Please use a ziplock bag or envelope to transport the money.)

· Completed billing forms will be transported at least weekly to the School of Nursing Health Clinic Office Manager for processing.

· Currently the Nurse Practitioners will be the only practitioners billing for services.

§ Laboratory Quality Assurance Procedures

· All on-site laboratory tests must have the date, patient name and results recorded in the logbook. (The logbook is included in the policy manual that was distributed at the meeting.)

· Any reportable conditions must be recorded on the “Log of Reportable Conditions” which is kept with the laboratory test logbook.

· The logbook must be locked in the cabinet or file drawer with the student records.

§ Quality Assurance Review for Patient Care

· HNRS Client records are reviewed at least once a year.

· Mental Health, Family Resource Center and Health records will be reviewed.

· Nancy will set a date for the internal record review sometime in early January.

· Vicki and Sue will ask the volunteers and student nurses to organize the current files and create new files. Lee will order and distribute metal prongs and punches for use in file making at the school clinics.

§ Melissa suggested that rules for reporting abuse be included in the policies. Lee mentioned that these rules are included in the OHSU Clinic Policies. Lee will send a copy of the policy to Melissa, Vicki and Nancy.

§ Consent for Service

· There was general discussion about what procedures (height/weight, vision, hearing) need parental consent. Nancy will speak with the superintendents about this.

§ December Retreat

· The next HNRS meeting will be a retreat at Aylee’s home on December 9, 2002.

§ Medicaid Administration Training was presented by Lasa Baxter.

§ Building Assets personnel met following the Med Admin training.

Announcements and Open Discussion

· Vicki will distribute patient registration forms and encounter forms to the schools.

· Sue will ask for a secure place to store confidential student information in the Union School Clinic.

· Diane mentioned that Larry Glaze would pay for a cell phone for use at Imbler School. Nancy will follow-up on this.

*Names in bold indicate that an action is required by that person.