Prepared by : MARIA JESSA T.

GAN SEE
Introduction
The Health and Nutrition Center (HNC) of the Department of
Education(DepEd) is mandated to safeguard the health and
nutritional well-being of the total school population.

The concept of integrating the programs, thrusts and activities in

school heath necessitates the development of policies and
guidelines that should give all school health personnel a guide in
order to fulfill their roles in the provision of effective services.
School Nursing
A type of public health nursing that focuses on the

promotion of health and wellness of the pupils/students,

teaching and non-teaching personnel of the schools.

School Nurses
Assist young people in making choices for a healthy
lifestyle, reduce risk taking behavior and focus on issues
such as prevention of drug and substance abuse, teenage
pregnancy, sexually transmitted infection, malnutrition,
and communicable and non-communicable diseases.
Objectives of School Nursing
General : To promote and maintain the health of the
school populance by providing comprehensive and quality
nursing care.
Objectives of School Nursing
Specific :

1. Provide quality nursing service to the school population

2. Create awareness among school children, personnel

and administrators on the importance of the promotive

and preventive aspects of health through health
education.

3. Encourage the provision of standard functional facilities

 4. Provide nursing personnel with opportunities for

continuing education and training

5. Conduct and participate in researches related to nursing

care

6. Establish/strengthen linkages with government and

non-government organization/ agencies for school

community health work
 Duties & Responsibilities of School
Nurses
1. Health advocacy.

2. Health and nutrition assessment.

3. Supervision of the health and safety of the school plant.

4. Treatment of common ailments and attending to emergency cases

5. referral and follow-up of pupils and personnel

6. Home visits.

7. Community outreach

8. Recording and reporting of accomplishments.

9. Monitoring and evaluation of programs and projects

Skills needed
Assessment and Screening Skills

Health Counselling Skills

Social Mobilization Skills

Good Oral and Written Communication Skills

Basic Management Skills

Life Skills
I. School Health and Nutrition Survey

a. Current health

b. Nutritional status

c. Health facilities situation

d. Actual status of health education activities

II. Putting up a Functional School Clinic

R.A. 124 mandates that all school are to provide school

clinics for the treatment of minor ailments and
attendance to emergency cases.
III. Health Assessment

Aims to discover the signs of illness and physical defects

Health habits checking

This examination must be thorough

Health Assessment should include:
a. Interview

b. Nutritional assessment

c. Vision acuity test/ hearing test

d. Four methods of physical examination

e. Vital signs taking

f. Appraisal of the general physical and mental condition

g. Recording of findings
Health Assessment
Preparation- The following should be ready to use:
a. Well- lighted, ventilated, screened room
b. Two or three chairs
c. Waste basket
d. Hand washing facilities
e. Tongue depressor, penlight
f. Stethoscope and sphygmomanometer
g. Forms/records
Health Assessment
Frequency- Every school child should be examined once a
year and as the need arises like during epidemics.
Important reminders:
a. If the health personnel is of the opposite sex, it must be
done in the presence of other school personnel preferably
of the sex.

b. Discuss with the teacher and the pupil concerned the

results of the findings and what be done after the
assessment is finished.
c. Treat cases needing treatment during the special
treatment periods and not during inspection except in case
of emergency.

d. Refer cases which cannot be handled by the nurse

promptly.

e. Parents must be informed of the findings.

IV. Standard Vision Testing for School
Children
This procedure aims to:

Screen students with poor visual acuity and identify

other ocular problems

Refer students with eye diseases and errors of

refraction for further examination and management.
V. Ear Examination
The main responsibility of nurse with respect to

auditory health services to detect hearing difficulties as

early as possible which can be accomplished through the
following means:
Observation

Examination

Screening test (whisper test, conversation voice test, ball

pen click test, use of tuning fork)
 Treatment

Referral, health counselling, follow through program

to correct defect
VI. Height and Weight Measurement and Nutritional
Status Determination

Is a procedure for evaluating the tallness or shortness

and the heaviness of the pupil.

Most acceptable parameter and is the simplest way to

determine the nutritional status of the children.

VI. Height and Weight Measurement and Nutritional
Status Determination
In the DepEd,

Weight-for-age and height-for-age indicators for

children below 10 years is used.

Body Mass Index (BMI) is used for children 10 years and

above.
VII. Medical Referrals

The school nurse may recommend that a student with an

existing condition be referred for further assessment and
intervention by the appropriate professional/agency.

This helps to ensure the proper follow up planning and care

of the returning students.
VIII. Attendance to Emergency Cases

It is incumbent upon the nurse to attend to emergency

cases while they are in school.

In there absences, the school authorities and the clinic

teacher have the responsibility of attending or referring
them promptly.
IX. Student Health Counselling

School nurses welcome the opportunity to help concerned

parents and guardians of students in any form of individual
health counselling.

Also helps to make appropriate referrals either to school

provided or outside counselling services whenever
necessary.
X. Health and Nutrition Education Activities

It is considered a great privilege to help improve the health

knowledge and the behavior of students, teachers and
parents and help enhance the quality of the lives by the way
of the following:
1. Plans/conducts training programs, conferences/workshops

on health and nutrition for clinic teachers, other teachers,

pupils and parents.
 2. Acts as resource person on any health/nutrition related
activities.

3. Disseminate to teachers health and nutrition

messages/health and nutrition assessment findings and
their prevention and control during meetings.
XI. Organization of School-Community Health and
Nutrition Councils

The school nurse shall initiate/encourage the

organization/reactivation of School-Community Health
Council, the membership of which shall come from both
school and community.
XII. Communicable Disease Control

The school nurse encourages immunization requirements,

aids in early detection , help to provide parental
notification and information , and makes any medical
referrals necessary.
XIII. Establishment of Data Bank on School Health and
Nutrition Activities

Accurate and up-to-date health records are essential in

helping monitor the health of students while they are in
schools.
XIII. Establishment of Data Bank on School Health and
Nutrition Activities

Data bank shall include the following:

Treatments in the school clinic

Records of the school visit

Health Assessment Report of the School Health Personnel

Health and Nutritional Status of students

Form 86 of teaching and non-teaching personnel

Teachers Health Profile

Records of health emergency cases attended to

 Records of referral made

Inventory of clinic equipment and supplies

Health and Nutrition activities in school

Records of accomplishments of school health services

Records of officers/officials of the School-Community Health

Council and their accomplishments

Action Plan

Performance Contract
XIV. School Plant Inspection for Healthy
Environment

The school plant shall be inspected in order to provide a

healthful environment and safety in schools.

Aside from the minimum standards for schools in relation

to school site, area, location, space and sanitation,
classroom and other rooms and facilities shall be inspected
for size, lighting, ventilation and arrangement of seats.
XV. Rapid Classroom Inspection

It is done as a routine procedure when frequent and regular

visits can be made to a school during the year, in addition
to the individual health assessment.

May be made after holidays and between health

assessments but should not be done more than once a
month, except when there is an actual or impending
epidemic.
XV. Rapid Classroom Inspection

This aims to:

Detect cases of communicable diseases

Note corrections that have been made

Note if eyeglasses are correctly adjusted

Note for general cleanliness of pupils

Note new ailments

XVI. Home Visitation

It is necessary in the effective implementation of the

total school program particularly Integrated School
Health and Nutrition Program(ISHNP).

It is a social, educational, and preventive work and

should not be regarded as remedial or curative.
 Before home visitation, safety has to considered, hence, all
precautionary measure should be observed.
Home visit
The following are some cases needing home visitation:

1. Pupils whose parents are afraid of some medical

procedures.

2. Pupils who get re-infected because of home conditions.

3. Pupils suffering from communicable disease

4. Pupils who are absent frequently because of sickness

5. Pupils who are malnourished

The Clinic Teacher in the School
A. There should be at least one clinic teacher in each
school.

B. She should have undergone training by the school

nurse.
The Clinic Teacher in the School
C. Her duties are as follows:
1. Administer simple remedies and first aid.

2. Keep records on treatments given.

3. Responsible for the cleanliness and care of the medicine cabinet

and the school clinic.

4. Reports to the principal cases of emergencies and when the

supplies need replenishing.

5. Recommends suggestion for the improvement of service.