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SPRING 2015 LACSNA Newsletter
Your LACSNA Board For 2013-2015
President
LISA MCINTIRE [email protected] 951/453-3278
1st
Vice President
KYM JARNOT [email protected] 818/241-3111, x 407
Treasurer
MICHELLE GREEN [email protected] 626/943-3445
Recording Secretary/Historian
HILDE GARRISON [email protected] 626/579-0666
Arrangements
SHERRY DAVIS [email protected] 626/926-5861
Corresponding Secretary / Parliamentarian:
LYNDA BURLISON [email protected] 818/248-7991, x 407
CHAIRPERSONS:
Membership / Education
SHERI RUETER [email protected] 626/451-5483
Newsletter
NADINE WILCOX [email protected] 626/312-2900, x 228
LACOE Liaison to LACSNA
SUSAN CHAIDES [email protected] 562/922-6473
Other vacant positions: - Legislative Chair - Members- At – Large
The President's Message...... from Lisa McIntire, MEd, BSN, RN, PHN
Hello LACSNA Members,
What a year! We are working very hard to support student learning, health and safety.
This year has brought a multitude of changes in the practice of school nursing, more than
any other year. Education in California is going through a metamorphosis and we are part
of this process. We support our students and learning! We support our classroom
teachers!
Vision screening now takes place in grades TK, K, 2, 5, and 8 (CEC 49455). As of
January 1, 2015, far and near vision screening is now required for the students in a
California School District (public and charter schools). We’ve held and attended
conferences; re read our State of California Vision Guidelines (2005) and enacted the
changes. Please see summary of new requirements in this newsletter.
Stock Epinephrine Auto Injectors (EAI’s) are now in our schools. If you have not yet
read the information relating to this requirement (SB 1266) and the related documents,
please do so. Compliance of the law is the responsibility of the school nurse. Please refer
to the section of the newsletter pertaining to the new law.
Look for many more changes in your clinical practice. The California Legislature is
busy at work with possible modifications/clarifications of SB 1266 (EAI’s), vision
screenings in the schools (SB 402) and there are numerous bills related to smoking/e
cigarettes. Keep an eye on the CSNO Advocacy page to watch the progression of the
proposed legislation. This is news and updates on potential new laws, what the legislature
is currently introducing and modifying with the hopes to have it enacted into law. We
want to have a voice, if you have comments or suggestions, send them forth to CSNO.
LACSNA is very pleased to announce lacsna.org! Our website will shortly be up and
running with information on the Organization. The website will host resources such as
Conferences, Membership, Calendar and Documents. Please utilize the resource!
Starting Fall of 2015, all information will be available on the web! We are moving
forward to benefit our membership!
Year end is a very busy time. It is a time to connect with other school nurses.
Mentoring is an important part of what we do and who we are. If you are new to school
nursing, reach out to experienced school nurses in an effort to build trust, identify someone
who listens, positively encourages you, is reliable and who enjoys their work! For the
experienced SN, make yourself available, we are each other’s best resource!
Have a wonderful Spring and a fantastic year end! Thank you for all you do to support
the students and parents in our schools! LACSNA wishes you a wonderful summer filled
with fun, family and friends!
Best wishes to all, Lisa
SAVE THE DATEs! LACSNA Fall Conference October 7, 2015
LACSNA Winter Conference January 20, 2016
Membership Application
August 2015- July 2016
PRINT CLEARLY Name____________________________________________ Address__________________________________________ City__________________________Zip_________________ Home Phone______________________________________ Cell _____________________________ Email ___________________________________________ (All newsletters will be sent via email) RN License _____________________________ School District____________________________________ Wk. Cell__________________________ Membership Type:
Active/Associate/Student LACSNA Member $25 _____ Retired School Nurse Member $10 _____ Make checks payable to: Los Angeles County School Nurses Association (LACSNA) Mail to: Sheri Rueter
1042 Heritage Oaks Drive
Arcadia, CA 91006
Vision Screening CEC 49455 (SB 1172 & AB 1840)
Vision screening required in grades K, 2, 5, 8 (K includes TK, TK is the first year of a 2 year K program,
as defined by the CDE). If newly enrolled and first enrollment or entry occurs in grade 4 or 7 the pupil
shall not be required to be appraised in the year immediately following the pupil’s first enrollment or
entry. Hearing screening is mandated in grades K, 2, 5, 8, 11.
Visual acuity, includes far and near vision; color vision(beginning in 1st grade)
Exam may be waived by their presenting of a certificate from a physician and surgeon, a
physician assistant an optometrist setting out the results of a determination of the pupil’s vision,
including visual acuity and color vision.”
Students may be appraised by using an eye chart or may use Photoscreening under an agreement with, or the supervision of, an optometrist or ophthalmologist, by the school nurse or a trained individual. (Title 5 is where functional vision assessment is authorized for Special Education students.) Regular observation is performed by the school nurse and the classroom teacher.Parents may provide statement in writing that they adhere to the faith or teachings will waive requirement. CDE Guidelines for Vision Practice 2005 is the current resource for vision screening; www.cde.ca.gov/ls/he/hn/documents/visionreport.pdf
Referral Criteria; Under age 6; 20/40 or lower = Pass 20/50 = Referral
Over age 6; 20/30 or lower = Pass 20/40 = Failure
A difference of 2 lines read or greater = referral
Pass means you read the majority of the letters on a line. (Sloan 3 out of 5)
Significant signs and symptoms that are noted through a student’s behavior, complaints, appearance, performance. Or physical activity that suggest a visual difficulty.
http://leginfo.legislature.ca.gov/faces/codes_displaySection.xhtml?lawCode=EDC§ionNum=49455. (link to full context of the Ca. Education Code for vision screening)
Stock Epinepherine (SB 1266)
CEC 49414
CSNO offers an Epi Pen Auto Injector Training Package. The package includes an administrative overview as well training PowerPoint specifically designed to meet the SB1266 guidelines. Additionally, template materials such as Board Policy, Administrative Regs, Memorandum of Understanding, Sample Physician Standing Orders, indemnification statements, and volunteer notices are included in the package. Please visit the CSNO products page purchase your Epi Pen Package. This is comprehensive and is important for compliance with CEC 49414.
http://leginfo.legislature.ca.gov/faces/codes_displaySection.xhtml?lawCode=EDC§ionNum=49414. (link to full context of the Ca. Education Code for Epinepherine Auto Injectors)
AB 1667 TB Screening
http://www.csno.org/uploads/1/7/2/4/17248852/faq_ab1667_revised_20150303.pdf (Best resource; FAQ’s)
ARE YOU READY FOR NATIONAL SCHOOL NURSE DAY?
MAKE A PRESENTATION, LET STAFF AND PARENTS KNOW
BELOW IS THE 2015 POSTER FROM NASN.
GO TO NASN.ORG TO FIND RESOURCES TO SHARE AT YOUR SHOOL SITES OR WITH YOUR DISTRICT.
INTERESTED IN MAKING A DIFFERENCE AT THE STATE LEGISLATIVE LEVEL?
Here is info from our CSNO Government Relations Committee
From the CSNO e-newlsetter and webpage:
LEA Medi-Cal Billing Option Expansion of NON IEP services
CSNO in Partnership with Senator Lois Wolk is sponsoring SB 276 and needs you to send a letter of
support (sample below). Many School Nurses spend time providing medically necessary non-IEP services to
students with chronic health care conditions including asthma, diabetes, seizure disorders, allergic reactions as well
as other health issues. SB 276 supports Medi-Cal Billing option billing of Non-IEP Medically necessary services.
Letter sample:
_______, 2015 Senator Ed Hernandez Chair, Senate Health Committee State Capitol Room 2191 Sacramento, CA 95814 RE: SB 276 (Wolk) – Medi-cal: local educational agencies - SUPPORT Dear Senator Hernandez: (Your organization name) supports SB 276 (Wolk), a measure that will now allow LEAs to seek reimbursement for all services provided to Medi-Cal eligible students regardless of whether they are covered by an IEP or IFSP. This long sought change in CMS regulation will allow qualified LEAs to increase federal financial participation supplementing existing programs and services. This increased funding will allow schools to be more actively involved in the management of health and social conditions affecting our students, thereby impacting the issues that will assist them in achieving success in the educational environment. We further anticipate the increased funding will allow the hiring and accessibility of appropriately licensed and trained health providers. [Add your organization’s reasons for support – 2-3 sentences]. For these reasons, we strongly support SB 276 and ask for your “aye” vote when this issue comes before your committee. Sincerely, Name , Title C: Senator Wolk
Here are some additional bills that CSNO’s GRC is monitoring for the Spring session of the CA
State Legislature. You may find more information at: http://www.csno.org/advocacy.html
SB 402 (Mitchell) Pupil health: vision examinations. Bill Status: active Last Action: Mar 26, 2015. April 8 set
for first hearing canceled at the request of author. 1st SEN EDUCATION (Apr 15)
Current Location: SEN EDUCATION, Apr 15, 12:00 a.m.
CSNO: Oppose • This bill's history has recently been updated. (March 26, 2015) Summary: Deletes the school vision screening
program and requires exams by optometrist, physician or ophthalmologist Tracked since Mar 1, 2015.
SB 738 (Huff) Pupil health: epinephrine auto-injectors: liability limitation. Bill Status: active Last Action:
Mar 23, 2015. Withdrawn from committee. Re-referred to Com. on JUD. 1st SEN JUD
Current Location: SEN JUD.
CSNO: Watch. Summary: This bill would prohibit an authorizing physician and surgeon from being subject to professional
review, being liable in a civil action, or being subject to criminal prosecution for any act in the issuing of a
prescription or order, pursuant to these provisions, unless the act constitutes gross negligence or willful or
malicious conduct. Tracked since Feb 28, 2015.
SB 744 (Huff) Pupil health: epinephrine auto-injectors. Bill Status: active Last Action: Mar 19, 2015. Referred
to Com. on RLS. 1st SEN RLS Current Location: SEN RLS.
CSNO: Watch. Summary: spot bill to clean up SB 1266 from last year Tracked since Feb 28, 2015.
SJR 1 (Beall) Social security: retirement benefits: public employees. Bill Status: active Last Action: Mar 25,
2015. Set for hearing April 13. Last amended: Jan 12, 2015. Author changed: Jan 12, 2015. 1st 2nd SEN PUBLIC
EMPLOYMENT AND RETIREMENT (Apr 13) Current Location: SEN PUBLIC EMPLOYMENT AND
RETIREMENT Apr 13, 12:00am.
CSNO: Watch. Summary: This measure would request the President and the Congress of the United States to
pass legislation repealing the Government Pension Offset and the Windfall Elimination Provisions from the Social
Security Act. Tracked since Jan 16, 2015.
SB 277 (Pan) Public health: vaccinations. Bill Status: active Last Action: Mar 10, 2015. Set for hearing April 8.
1st SEN HEALTH (Apr 8) Current Location: SEN HEALTH, Apr 8, 12:00 a.m.
CSNO: Support Summary: deletes PBEs, maintains medical exemption and mandates schools also notify parents
of the schools' IZ rate Tracked since Feb 20, 2015.
School Medicaid claims rejected again by Tom Chorneau,
CABINET REPORT: Trusted Source for What’s News in Education
MARCH 19, 2015
(Calif.) After several years of negotiations, federal administrators of a school-based Medicaid program
appeared this week to issue a final rejection of some $460 million in claims for services provided by California schools
dating back to 2009.
Although state officials and advocates representing local educational agencies say they will continue to press
the federal Centers for Medicare and Medicaid Services for higher reimbursements, a letter from the agency’s acting
director to the California Department of Health Care Services suggests it has made its best and final offer.
That offer, which covers as many as 972 LEAs statewide, would pay 100 percent of claims submitted for less than
$25,000; 75 percent for claims between $25,000 and $50,000; and 40 percent for claims above $50,000.
Hellan Roth Dowden, an advocate representing a coalition working with Local Education Agencies said the
state has been given until April 1 to come up with a plan for reconciling the pending claims with the federal
reimbursement offer.
“I’m sure there are going to be some meetings in the next week or so with the (state) department and the
various stakeholders in the education community to develop some sort of strategy for dealing with this,” she said. “We
don’t know what they want to do with this.”
Dowden noted that it is the largest districts – which serve the highest numbers of low-income students – who
would be the biggest losers if the federal payment plan remains unaltered.
In some cases, LEAs would not only lose out on a big percentage of their federal claim but would end up owing
the state moneyas well. Because federal money generally passes through the state before going to districts, a number
of LEAs received their full reimbursement before claims payments began to be deferred.
Medicaid, known in California as Medi-Cal, is the nation’s primary program for providing health care to low-
income families, the elderly and the disabled. It is a critical source of health care coverage for children and provides a
range of care directed at K-12 students including medical screenings as well as dental, vision and hearing services.
Schools also serve as funnels for getting families and children into the system and typically incur significant
expenses performing outreach, making eligibility determinations and other administrative duties. Federal auditors
raised questions about some claims submitted by California districts dating back to 2009, prompting Medicaid
administrators to begin withholding reimbursements in 2012.
State officials have argued that not all districts have filed improperly. Most districts attempted to keep the
services going by using general fund money but last year some were unable to keep up and it resulted in layoffs for
school nurses, speech pathologists, counselors and psychologists.
It is unclear what impact the federal payment plan will have statewide but for some LEAs the funding dispute
will pose a significant fiscal challenge. Dowden said districts in Alameda County – which received full payment from the
state – would not see 95 percent of the owed by CMS to the schools money owed since they will have to pay back
money that was extended by the state prior to the deferral.
Other big districts such as San Diego Unified will lose millions of dollars that have been dedicated to providing
health services to children served by the district.
Last month, most of the state’s largest school organizations – including the California Teachers Association, the
state Department of Education and the California School Boards Association – sent a letter seeking help on the issue
to the California Congressional Delegation. A bipartisan group of California lawmakers made the same pitch.
CTA PRESIDENT INVITED TO VISIT LOCAL SCHOOL DISTRICT
By Nadine Wilcox, RN District School Nurse
LACSNA Newsletter Editor and
Rosemead Teachers Association President
As the local teachers’ union president for Rosemead Teachers Association (RTA) in Rosemead School District since June 2012, I have grown into this position and taking more interesting risks related to the leadership role as I have served. I really saw how many wonderful things our small district’s teachers accomplish with minimal support from the District. I had the seed planted to invite the CTA president when I was at a summer CTA training conference this past summer at UCLA. So I found the nerve to invite via email, and was pleasantly surprised that Dean Vogel, CTA president, accepted! I had not asked the permission of the RTA executive board nor the school district administrators. So I immediately scrambled to receive approval from both groups and the planning began. Once plans began, it was a delicate balance of working with the District and being sure only those teachers that wanted to share a visit in their classroom with the CTA president were involved. I thought it was very important to have the teachers volunteer, and have it be their moment. As far as the District was concerned I genuinely explained my rationale for the invitation and the positive nature of the visit. Dean Vogel was a joy as a guest to our local association and the District. He was gracious, open, and saw a great opportunity to speak to District leaders, union leaders and teachers in one forum. He was a great politician, but so approachable, it was amazing! He seemed less like our State Union President, and more like a colleague we work with daily! We had a dinner the night before his visit to the district at a local restaurant. The RTA executive board and some general members and some local CTA leadership joined us. It was a grand evening. The visitation day through the school district was full, and just as amazing as I thought it would be for the teachers, students and event the District. ALL the District Leadership was part of the visit! It is like they did not trust us, but we all handled it well, and Mr. Vogel was wonderful with them! He was able to verify his questions not only from the teacher’s perspective but also with the District. He was able to understand the dynamics or our District leadership without it being spelled out, he understood their behaviors through all the planning without any negative words being shared. He was a very insightful politician, but also very approachable. Below is a picture of Dean Vogel and myself at our RTA Board meeting dinner with him on March 3, 2015. This night and visit was a great experience for all of us on the RTA Board.
Calendar for School Year 2014-2015
Month Date Activity Location
April 25 San Bernardino Riverside Counties - Temecula (South School Nurse Organization (SBRCSNO) Coast Winery and Spa
Spring Conference – http://sbrcsno.org/wp-content/uploads/2012/02/Spring-Conf-brochure-4-25-15.pdf
May 8 SHPM #4 - LACOE, Downey Bldg. / RM ECW 606AB 9 CSNO-SS Spring Conference - Buena Park, CA (CSNOss.org) Knott’s Berry Farm Hotel 20 LACSNA Board of Directors meeting - TBD June 23 pre-Conference, NASN 48
th National Conference - Philadelphia, PA
24-27 NASN 48th
National Conference - Philadelphia, PA July 28-31 18
th Biennial School Nurse International Conf. - United Kingdom
Aug 7 Deadline of submissions for LACSNA Newsletter
Calendar for School Year 2015-2016
LACSNA Board of Directors September 9, 2015 (Wednesday) LACSNA Conference October 7, 2015 (Alhambra USD) LACSNA Board of Directors November 4, 2015 (Wednesday) LACSNA Board of Directors January 6, 2016 LACSNA Conference January 20, 2016 (BOD arrive @ 4 PM) Site TBA LACSNA Board of Directors March 9, 2016 LACSNA Board of Directors May 4, 2016
LACSNA needs YOU!
LACSNA Board Positions open for 2015-17: LACSNA is recruiting school nurses to step up and join
us! LACSNA has been an active Organization for over 50 years! Join us at our May our year-end meeting!
You are welcome to sit in! Please contact a board member for information on time and location of the
meeting. This is a great time to step up, be a part of a small local organization that is here to support school
nurses and retirees and their educational needs. Contact any board member – see contact info on our front
page. LACSNA is here to serve YOU, please consider joining the LACSNA BOARD. This is a great place
to network and to grow!
LACSNA Newsletter Nadine Wilcox, Newsletter Chair 200 W. Lime Ave., Unit G. Monrovia, CA 91016
SCHOOL Networking Address:
Unity
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