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9

DoDEA School Health Services Manual 2942.0 Volume 1 Revised: 2016 DRAFT

A-3 Chain of Command

School nurses practice in professional isolation within their schools. Often,

school nurses need to collaborate with other professionals concerning DoDEA School

Health Services Program policy and procedures, school nursing practice protocols, or

data recording procedures in the approved DoDEA SIS. School nurses need school

nursing support at all staffing levels, from building administration to District

Superintendent Offices (DSOs), and DoDEA Headquarters (HQ).

DoDEA HQ has established a Nursing Instructional Systems Specialist (ISS)

position. The purpose of this position is to support school health services and school

nurses. The DoDEA HQ Nursing ISS manages student health services policies and

school nursing practice procedures.

Each DoDEA school district has an Education Student Services (ESS) ISS. ESS

includes school counselors, school psychologist, and Section 504 specialist. The ESS ISS

work closely with the superintendent and with the HQ Nursing ISS. The ESS ISS

leadership and support is invaluable as a liaison for and with school nurses, principals,

district superintendents, and HQ Nursing ISS on DoDEA School Health Services

Program.

At the DSO, an ISS (not necessarily someone with counselor/psychology/nursing

experience) is assigned to work with school-level SSS personnel. The DSO-level ISS

liaisons work with their district schools on DoDEA School Health Services Program

issues. School nurses should communicate any questions, concerns with the school

principal, and have direct access to the district-level personnel assigned to them.

School nurses must use the approved DoDEA SIS for documentation of all health

office events. The use of the approved SIS involves ongoing training and support.

Each area has a nurse SIS health module lead trainer; each DSO has an Instructional

Technology Specialist for SIS health module training support.

1.

School nurses should direct questions/suggestions about the SIS to their

district SIS trainer.

2.

District trainers should forward questions/suggestions to their area SIS

lead trainer.

3.

Area SIS lead trainers are to forward questions/suggestions to the HQ

Nursing ISS.

4.

Each SIS trainer collaborates with the Instructional Technology Specialist

in their district.