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1. Assists or participates in developing an adequate health program for workers and laborers, which should include sound health education activities. 2. Encourages periodic physical examination and provides guidance or direction in obtaining his/ her service. 3. Cooperates with occupational medical programs in the prevention of accidents and in the promotion of good working atmosphere and relationships in the place of work. 4. Determines resources for rehabilitation of the laborers and employees whenever indicated. 5. Assists the under- served small scale industries to maintain health and safety of workers. 6. Interprets to management of the Provision of Rep. Act 1054 in which the employer shall maintain and keep. Republic Act No. 1054- An Act To Revise And Consolidate the Provisions of Act Numbered Three Thousand Nine Hundred Sixty- One, As Amended, Relative To Free Emergency Medical Treatment, And Republic Act Numbered Two Hundred Thirty- Nine, Relative To Free Emergency Dental Treatment, For Employees And Laborers Of Commercial, Industrial And Agricultural Establishments 7. Inspects commercial and industrial establishments to check the sanitary conditions and to detect the presence of industrial and occupational hazards and to report same to the Chief of the Service. 8. Gives health teaching on how to detect and prevent risks and occupational related diseases. 9. Guides and helps an industrial or nurse with the view of improving the services in Occupational Health Understanding of the nature of risks and how the workers are exposed Meeting emergency cases promptly and adequately Applying up to date techniques and procedures and translating to employees the safety policies of the company Assessing, developing and implementing control measures among employees and their families.

Counseling to help employees meet their simple records Utilization of the community resources for the benefit of the employees

10.Prepares and submits daily, monthly, and annual reports of accomplishments 11. Keeps himself abreast of modern trends in nursing through active participation in professional and scientific conferences, seminars, workshops or formal education 12. Works cooperatively and closely with other health and nursing agencies for a common goal health of the community such as immunization and sanitation programs SCHOOL NURSE A specialized practice of professional nursing that advances the well- being, academic success, and life- long achievement of students. To that end, the school nurses facilitate positive student responses to normal development; promote health and safety; intervene with actual and potential health problems; provide case management services; actively collaborate with others to build student and family capacity for adaptation, self management, self advocacy, and learning. Inherent in this definition is the framework that school nurses in professional nursing practice, use the nursing process for decision- making, document the care they provide, and assure confidentiality. Professional nurses address the physical, mental, emotional, and social health of their clients. In addition, professional school nurses have as the ultimate outcome of their practice, the support of student success in the learning process. In this context the school nurse provides services to the entire school population, which may include infants, toddlers, preschoolers, children with special needs, traditional school populations, and to a limited degree, adults within the school community. ROLE OF THE SCHOOL NURSE Seven roles of the school nurse have evolved from this definition The school nurse provides direct health care to students and staff. The school nurse provides care to students and staff who have been injured or who at present, with acute illnesses. Care may involve treatment of health problems within the scope of nursing practice, communication with parents for treatment, and referral to other providers. The school nurse uses the nursing process to assess, plan, implement, and evaluate care for students with chronic health conditions. This care should begin with the development of a nursing care plan ( also known as an individualized health care plan) that should include an emergency action plan. The school nurse is responsible for medication administration and the performance of health care procedures that are within the scope of nursing practice and are ordered by an appropriately licensed health care provider. The school nurse also assists faculty and staff in monitoring chronic health conditions. As the scope of nursing practice expands to utilize the increasingly complex technology needed to provide up- to- date care for clients, the school nurses body of knowledge grows though personal professional development.

The school nurse provides leadership for the provision of health services. In addition to providing health services directly, the school nurse must take into account the nature of the school environment, including available resources. As the health care expert within the school, the school nurses assesses the overall system of care and develops a plan for assuring that health needs are met. This leadership role includes developing a plan for responding to emergencies and disasters and training staff to respond appropriately. It also involves the appropriate delegation of care within applicable laws. Delegation to others involves initial assessment, training, competency validation, supervision, and evaluation by the school nurse.

The school nurse provides screening and referral for health conditions. In order to address potential health problems that are barriers to learning or symptoms of underlying medical conditions, the school nurse often engages in screening activities. Screening activities may include vision, hearing, postural, body mass index, or other screening. Determination of which screenings should be performed is based on several factors, including legal obligations, the validity of the screening test, the cost- effectiveness of the screening program, and the availability of resources to assure referral and follow- up. The school nurse promotes a healthy school environment. The school nurse provides for the physical and emotional safety of the school community. The school nurse monitors immunizations, assures appropriate exclusion from and re- entry into school, and reports communicable diseases as required by law. The school nurse provides leadership to the school in implementing precautions for blood borne pathogens and other infectious diseases. The school nurse also assesses the physical environment of the school and takes actions to improve health and safety. Such activities may include an assessment of the playground, indoor air quality evaluation, or a review of patterns of illness or injury to determine a source of concern. Additionally, the school nurse assesses the emotional environment of the school to decrease conditions that may lead to bullying and violence and/ or an environment not conducive to optimal mental health and learning.

The school nurse promotes health. The school nurse provides health education by providing health information directly to individual students, groups of students, or classes or by providing guidance about the health education curriculum, encouraging comprehensive, sequential, and age appropriate information. They may also provide programs to staff, families, and the community on health topics. Other health promotion activities may include health fairs for students, families, or staff, consultation with other school staff such as food service personnel or physical education teachers regarding

healthy lifestyles, and staff wellness programs. The school nurse is a member of the coordinated school health team that promotes the health and well- being of school members through school health team that promotes the health and well- being of school members through collaborative efforts. The school nurse serves in a leadership role for health policies and programs. As the health care expert within the school system, the school nurse takes a leadership role in the development and evaluation of school health policies. The school nurse participates in and provides leadership to coordinated school health programs, crises/ disaster management teams, and school health advisory councils. The school nurse promotes nursing as a career by discussions with students as appropriate, role modeling, and serving as a preceptor for student nurses or as a mentor for others beginning school nursing practice. Additionally, the school nurse participates in measuring outcomes or research, as appropriate, to advance the profession and advocates for programs and policies that positively affect the health of students or impact the profession of school nursing. The school nurse serves as a liaison between school personnel, family, community, and health care providers. As case manager, the nurse communicates with the family through telephone calls, assures them with written communication and home visits as needed, and serves as a representative of the school community. The school nurse also communicates with community health providers and community health care agencies while ensuring appropriate confidentiality, develops community partnerships, and serves on community coalitions to promote the health of the community.

Summary: The primary role of the school nurse is to support student learning. The nurse accomplishes this by implementing strategies that promote student and staff health and safety. The nurse takes a leadership role in serving as the coordinator of all school health programs in the following manner: Health Servicesserves as the coordinator of the health services program and provides nursing care Health Educationprovides health education to students, staff and parents

Healthy Environmentidentifies health and safety concerns in the school environment and promotes a nurturing social environment National Servicessupports healthy physical education, sports policies and practices Counselingprovides health counseling, assesses mental health needs, provides interventions and refers students to appropriate school staff or community agencies Parent/ community involvementpromotes community involvement in assuring a healthy school, serves as school liaison to health advisory committee. Staff Wellnessprovides health education and counseling, promote healthy activities and environment for school staff

HEALTH HAZARDS 1. BIOLOGICAL/ INFECTIOUS HAZARDS Infectious/biological agents such as bacteria, viruses, fungi, or parasites, which may be transmitted via contact with infected clients. 2. CHEMICAL HAZARDS Various form of chemical, including medications, solutions, gases, vapors, aerosols, and particulate matter that are potentially toxic or irritating to the body system 3. ENVIRONMENTAL/ MECHANICAL HAZARDS

Factors encountered in the work environment that cause or potentiate accidents, injuries, strain, or discomfort 4. PHYSICAL HAZARD Agents within the work environment such as radiation, extreme temperatures, and noise tha can cause tissue trauma 5. PSYCHOSOCIAL HAZARD Factors and situations encountered or associated with ones job or work environment that create or potentiate stress, emotional stress, and/ pr interpersonal problems

SCOPE OF WORK OF THE PUBLIC HEALTH NURSE The Public Health Nurses, with their experiences and knowledge of the changing growth and behavioral patterns of children are in a unique position in the school setting to assist the children in acquiring health knowledge, in developing attitudes, and practices conducive to healthful living. The duties and functions of the Public Health Nurses can be well stated through the four components of the school health program. A. HEALTH AND NUTRITION INSTRUCTION 1. Give health instructions to classes or pupils before and after doing any health activity or procedures. 2. Explains to the teachers the kind of follow- up needed by the pupils.

3. Gives demonstrations to teachers on weighing and measuring and vision testing. 4. Assists teachers in the selection of authentic materials. 5. Confers with parents concerning the health of the pupils. 6. Serves as a resource person in health education classes, health celebration or health programs in the schools and community. 7. Initiates or assists in the planning, organizing health organizations, in- service trainings, seminars for teachers, student leaders, etc in the current educational thrusts like drug education, environmental educ. 8. Participates in faculty meetings and other meetings of professional organization 9. Provides health counseling and guidance to pupils parents and school personnel. 10. Participates in the evaluation of the school health program as well as in the evaluation of her own job performances and professional development. 11. Prepares appropriate bulletin board displays and other visual materials 12. Disseminates health information, new trends and issues. B. HEALTH AND NUTRITION SERVICES 1. Conduct individual health inspection/ assessment. 2. Makes rapid classroom inspections. 3. Assists the physician in conducting health examinations. 4. Treats common ailments with herbal medicines, acupressure and drugs. 5. Isolates cases of communicable diseases and refers them to the school physician or any health agencies for proper diagnosis and management. 6. Gives first aid and emergency care. 7. Refers pupils and other school personnel to the physician and other cooperating agencies for further evaluation and management. 8. Gives immunizations to pupils. 9. Coordinates with special education teachers in the care and management of exceptional children. 10. Conducts research studies in relation to school health and health education like nutrition feeding program, use of herbal medicines, acupressure, incidence of common ailments, etc..

11. Coordinates with MHD, DOH and other NGOs in the implementation of various health agencies. C. HEALTHFUL SCHOOL LIVING 1. Assists in promoting and maintaining safe, healthful and sanitary conditions of the school and makes recommendations for the improvement of these conditions if necessary. 2. Supervises the cleanliness of the school plant. 3. Supervises the sanitation of the lunch counter and the selection, preparation and serving of foods. 4. Ensures the continuous supply of medicines and maintenance of equipment. 5. Encourages the promotion of wholesome and interpersonal relationship. 6. Encourages the school administrator in providing safe and sanitary health facilities. D. SCHOOL COMMUNITY COORDIANTION FOR HEALTH AND NUTRITION 1. Interprets the school health program to families and the community in general 2. Establishes linkages with the community resources to improve delivery health care