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

medication log. We also chart medication that we are giving in the cumulative medication log inthe SHR. Then, we also chart updates on student health conditions and some health office visitsin the SHR. As school budgets become tighter, allocations for school nurses and nurse’sassistants will most likely also be reduced; we are challenged to be as efficient as possible andstill provide the best quality care that we can. It is my assumption that that EHRs may decreasethe “paperwork” part of our jobs and allow more time to give more care to students. Finally, I amconcerned that transitioning school health office staff to the use of EHRs will be difficult withresistance to changing from written to electronic record-keeping. My research question became:How can I best facilitate the transition of health office staff from using written studenthealth records (SHRs) to electronic health records (EHRs) in MMSD? (See Glossary orTerms for definitions of all technical terms.)Literature ReviewIn the state of Wisconsin, there are several types of student records. It is important tounderstand the different types of student records as they each have different confidentiality,sharing and retention rules. Pupil physical health records means “ those pupil records thatinclude basic health information about a pupil, including the pupil’s immunization records, anemergency medical card, a log of first aid and medicine administered to the pupil, an athleticpermit card, a record concerning the pupil’s ability to participate in an education program, anylead screening records required under statue no. 254.162, the results of any routine screeningtest, such as for hearing, vision or scoliosis, and any follow up to such test, and any other basichealth information, as determined by the state superintendent.” (Wisconsin State Legislature)The student health record (SHR) is a “patient health care record (PHR) “ any pupil record thatrelates to a pupil’s physical health (excluding HIV testing records) and that is not a pupilphysical health record shall be treated as a patient health care record under statute nos. 146.81to 146.84” . (Wisconsin State Legislature)According to Schwab and Pholman (2004), school nurses have questions regarding theownership and storage location of student health records (SHRs). The school nurse functions as ahealth care professional and a student support person in schools. The school nurse isknowledgeable about what information from the student’s health record can and cannot be shared