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How Can I Best Facilitate the Transition of Health Office Staff from ...

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HOW CAN I BEST FACILITATE THE TRANSITION OF HEALTH OFFICE STAFFFROM USING WRITTEN STUDENT HEALTH RECORDS (SHRs)TO ELECTRONIC HEALTH RECORDS (EHRs) IN MMSDBackgroundJane ImholteHuegel Elementary and Memorial High SchoolI have been a school nurse in Madison for twenty years completing my first ClassroomAction Research in 2008 on elementary students needing to sleep during <strong>the</strong> school day. I haveworked primarily in <strong>the</strong> elementary and early childhood setting as a school nurse until four yearsago when <strong>the</strong> opportunity presented for me to practice at <strong>the</strong> high school level. I have had <strong>the</strong>opportunity to work at West High School and currently at Memorial High School. Since so much<strong>of</strong> my previous school nurse practice has been with younger children, I felt <strong>the</strong> need to look moreintensively at my high school practice.So, to try to increase my knowledge and improve my practice with high school students Iam again doing Classroom Action Research (CAR). At both <strong>of</strong> <strong>the</strong> high schools, I have had <strong>the</strong>good fortune to work in collaboration with two o<strong>the</strong>r school nurses. I value this collaboration asmy previous school nurse practice has been an isolated role being <strong>the</strong> “only school nurse” in <strong>the</strong>school. It is truly wonderful to work toge<strong>the</strong>r as a team.Developing a QuestionThere are many questions and topic areas to explore and learn more about for me at <strong>the</strong>high school level. My nurse colleague and I decided to work toge<strong>the</strong>r on CAR with <strong>the</strong> hope thatwe could learn toge<strong>the</strong>r and be able to make a difference for our students. We identified severalcommon problems as high school nurses. Initially, we questioned high school students’perceptions <strong>of</strong> health, wellness and prevention because we see so many students seeking healthcare on a “need to” basis by going to <strong>the</strong> Emergency Room, and many students don’t have aprimary care provider/clinic. Fur<strong>the</strong>r, when we arrange for students to go for physicals, withtransportation arranged outside <strong>of</strong> school hours, <strong>the</strong>y frequently do not keep <strong>the</strong>se appointments.We wondered what we could do to motivate high school students to seek primary, preventativehealth care.

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