Exhibit_A_-_Scope_of_Practice.pdf

Exhibit A - Scope of Practice LPN Nursing Services

1. Objectives:

a. To contract vendors that can provide Licensed Practical Nurses for the Health Services Division to maximize health and well-being to our students requiring nursing skills while attending Seminole County Public Schools.

2. General

a. The successful bidder(s) must be able to immediately provide licensed nursing professionals in the various disciplines in sufficient numbers to accommodate the service needs of the District.

b. The District’s Health Services Coordinator shall be allowed to review and approve Contractor staff prior to placement.

c. Contractor staff shall dress in a professional manner that is reflective of the school environment.

d. Contractor staff should have the skillset to take care of studen's with complex medical conditions including, but not limited to tracheostomies, suctioning, ventilator management, medication administration, G-tube feedings, and administration of emergency medications common in the school health realm.

e. The Contractor must identify a full-time liaison/supervisor who will serve as the primary contact with the District regarding this contract.

f. The District may issue purchase orders as required for services. Services performed without an issued purchase order will not be accepted and no cost shall be incurred by the District as a result.

g. The Contractor’s Staff will collaborate with Health Services Team to meet the needs of all students under our care throughout the district.

h. The Contractor’s staff shall follow schedules for assigned schools.

Schedules should be reflective of the individual students’ medical needs as outlined in their plan of care.

i. The Contractor’s Staff shall be articulate in oral and written English.

j. The Contractor’s Staff shall follow procedures for completing required documentation for student medical care, medication administration, clinic office visits, reimbursement for Medicaid funding, and other procedures as indicated in District documentation.

k. District administrative and support personnel shall be authorized to review all the Contractor’s required documentation and observe all provided services.

l. The Contractor’s Staff shall follow all District rules and procedures.

m. The Contractor shall complete and maintain all required records while providing services.

n. The Contractor’s Staff will ensure the proper usage and care of a variety of equipment, materials, devices (including district provided laptops) and aids necessary to the delivery of services

o. Services shall be provided up to eight (8) hours per day on regular student attendance days. Contractor’s staff will not work or be compensated on days that are non-student attendance days.

p. Health Services Coordinator reserves the right to dismiss any Contractor’s Staff who do not have the current skillset or knowledge to safely care for the student they’re assigned to.

q. The Contractor’s Staff must notify Health Services Coordinator a minimum of ten (10) days in advance to obtain approval for time off. Any time off approved during the contractual agreement will be unpaid for the contactor’s staff.

3. Certification Requirements

a. Current Florida Practical Nursing License

b. CPR/AED & First Aid Certification

c. Recommend three years as an LPN, preferably in pediatrics

d. The Contractor is responsible for all oversight of certification/continuing education/documentation requirements.

4. Knowledge and Demonstrated Skill Requirements:

a. Knowledge of LPN scope of practice as defined by the Nurse Practice Act.

b. Knowledge of normal and altered human growth and development of children 5-17 years old.

c. Knowledge of normal and altered pediatric anatomy and physiology.

d. Knowledge of common and less common pediatric health problems.

e. Knowledge of current treatments and medications for pediatric health problems.

f. Skills in physical assessment, suctioning, trach care and management, G-tube feeds (continuous and bolus), and glucometer.

g. Skills and certification in CPR, AED, and basic first aid.

h. Skills in Word, Excel, and the Internet.

i. Ability to work independently under the supervision of the district School

Board Nurse.

j. Ability to use critical thinking skills to assess, plan, implement, and evaluate plan of care or intervention under the supervision of the district School Board Nurse

k. Ability to be self-directed, autonomous, flexible, organized, and to prioritize.

l. Ability to set and meet deadlines.

m. Ability to communicate with children, parents, teachers, administrators, and health care providers.

5. Essential Physical Requirements:

a. Consistent lifting and exerting up to 100 pounds of force with assistance

b. Repetitive motion, bending, squatting, kneeling, standing, reaching, sitting, walking and stooping

c. Vision requirements include close vision and ability to adjust focus.

d. Possible exposure to body fluids

e. Possible exposure to some noise, dirt/dust

f. Noise level may vary from very quiet to quite loud depending on the activity in the area and time of day.

6. Licensed Practical Nursing (LPN)

Scope of services includes, but is not limited to, providing direct 1:1 medical care to student's requiring nursing support throughout the school day, as well as on district transportation to and from school, administration of medications in accordance with physician orders, and complete necessary documentation based on interventions provided.

A. Work under the direction of the professional Registered Nurse B. * Assist in the planning of health care for special needs students.

C. * Consult with students, school staff, parents, and the School Board Nurse assigned to that school concerning individual health problems and the solutions.

D. Implement student specific nursing measures to perform medical treatments/procedures for students.

E. * Participate as a member of multi-disciplinary team when assigned by the Health Services Coordinator and/or Designee

F. * Manage, independently, all materials, paperwork, and equipment required for completion of medical tasks to include lifting medical supplies, and medical instruments.

G. * Maintain accurate health records for students including requested documentation of specialized student procedures in accordance with guidelines of the Medicaid School Match Program, SCPS Student Health Services Manual and/or other School Board procedure manuals.

H. * Participate in educational programs designed to increase knowledge and enhance the quality of practical nursing care.

I. * Ride the school bus when necessary to provide nursing care at the request of the Health Services Coordinator

J. * Maintain current CPR and First Aid certification.

K. * Assist with physically transferring students from wheelchairs, mats, positioning tables, toilets, lifts or other positioning equipment.

L. * Assist students with activities of daily living.

M. * Adhere to all policies and procedures of the school district.

N. Perform other duties as assigned by the Health Services Coordinator and/or

Designee.