UPR003526-15 Manual 2942.0 SHSM Vol I DRAFT master

88 / 138

88
DoDEA School Health Services Manual 2942.0 Volume 1 Revised: 2016 DRAFT
2. Have the student stand with their back straight against the wall, eyes
forward, chin parallel to the ground. Check for four points of contact
against the wall (heels, buttocks, shoulders, and head).
3. The screener’s eyes should be eyelevel with the top of the student’s head,
parallel with the headpiece.
4. Student should step on the scales, standing still while screener measures
the weight. If a beam scale is being used, return the weights to zero after
recording the weight.
5. Measure weight in quarter-pound increments. Measurement is entered in
the SIS using decimals not fractions.
Rescreening
Current literature does not support rescreening. However, should the
school nurse have reason to doubt results, a rescreening may be necessary.
School nurses must make every effort to assure the privacy and confidentiality of
the student being rescreened.
Reference:
Centers for Disease Control. Healthy Weight, About BMI for Children and Teens.
Available at:
School Nursing A Comprehensive Text, Second Edition, 2013. Selekman, Janice,
Editor. F. A. Davis Company, Philadelphia, PA.
F-6-9 Postural Screening
A student who is already being treated for scoliosis should not be
screened.
Recent studies and some systemic reviews as well, contradict and question the
effectiveness of routine scoliosis/postural screening among asymptomatic adolescents.
The rational for opposing scoliosis screening is focused on concerns about the low
predictive value of screening, the accuracy of most common screening methods, and
the possibility of unnecessary treatment including brace use, and the effect of exposure
to radiation when x-rays are obtained. Other concerns are about cost effectiveness of
referrals.
Abolishing routine mass scoliosis screenings for asymptomatic adolescents within
the school appears to be justified based on the supporting evidence.