Biomedical subjects
Publications and source records attributed to Martha Dewey Bergren.
Frequently, a nurse's first and only contact with a graduate school, legislator, public health official, professional organization, or school nursing colleague is made through e-mail. The format, the content, and the appearance of the e-mail create a virtual first impression. Nurses can manage their image and the image of the profession by communicating electronically in a manner appropriate for the professional role.
School nurses are caretakers of a vast amount of sensitive student and family health information. In schools, older computer hardware that previously stored education records is recycled for less demanding student and employee functions. Sensitive data must be adequately erased before electronic storage devices are reassigned or are discarded. State and federal laws must be considered when permanently destroying personally identifiable student information. To fulfill their ethical and legal responsibilities, school nurses must be aware of record retention and data destruction policies and procedures for both paper and electronic records.
School nurses and health office staff have an ethical and legal obligation to protect the integrity of electronic student health records. Various sources, both accidental and malicious, can threaten student health data. School nurses must employ regular and reliable methods to back up student health data.
Since April 2003, school nurse and school health officials have been clamoring for guidance on how the Health Insurance Portability and Accountability Act (HIPAA) and the Family Education Rights Privacy Act (FERPA) interface in the school environment. This article provides an up-to-date explanation of how school health leaders are interpreting the practical implications of the federal privacy laws. With the attention and scrutiny given to personally identifiable health information in all settings, it is imperative for school nurses, school administrators, and school attorneys to revisit policies and procedures for protecting the privacy of student and family health information in schools.
School nurses and health office employees are the creators and caretakers of legal documentation. School nurses have an ethical and legal obligation to protect the integrity of electronic student health records. Although there are many threats to data integrity, from inadequate hardware to electrical surges, one of the most pervasive threats to data is computer viruses. There are many precautions that can be taken to protect electronic student health data from viruses in the school health office.
School nurses access an enormous amount of information through the Internet. Although most avid computer users are savvy to the threat of viruses to the integrity of data, many who surf the Web do not know that their data and the functioning of their computer is at risk to another hidden threat--spyware. This article will describe spyware, why it is a problem, how it is transmitted to a personal or business computer, how to prevent spyware infestation, and how to delete it.
This Question and Answer (Q&A) article addresses practice issues related to school health records and school nursing documentation that were posed by school nurses in the field. Specifically, the questions addressed concern the following: education records, medication privacy issues, sharing of sensitive health information, privacy of individual student logs, use of record access logs, and the use of spreadsheets and home computers for creating student records. The Health Insurance Portability and Accountability Act (HIPAA), the Family Educational Records and Privacy Act (FERPA), and other laws are addressed as appropriate.
There are many Web resources for health professionals seeking guidance to meet the mental health needs of their clients. Some of those resources are specifically designed for professionals working in schools. School nurses participate in assessment teams and contribute to individual education plans to enable students with mental health needs to achieve academic success. Mental health issues in a school setting involve preventive care, as well as providing and advocating for an environment and policies that promote healthy students and school employees. This article identifies valid and reliable mental health Web resources for school nurses.