SNOM Board of Directors Board Agenda Date: August 6, 2008 Place: Historic Como Streetcar Station Time: 9:00 AM to 3:00 PM 15 Members attended. Member attended: Ann Hoxie, Cindy Hiltz, Cheryl Smoot, Mary Aaarness, Lilian Levine, Patty Rezabek, Mary Swanson, Sheila Davies, Carmen Teskey, Stacey O‟Leary, Mary Heiman, Sue Nokelby, Sandy Munson, Julia Bennett, Martha Arnold AGENDA: I. Call to Order (Hiltz) Review meeting agenda Introduction of attendees Upcoming Workshops School Nurse Orientation August 18 and 19 at MDE. S.C.O.P.E. August 19 at MDE. Space still available. SNOM Fall conference October 16 &17. Preconference offerings Oct. 15th Paraprofessional workshop October 3-4th in Hutchinson. LSN presenters needed, topics of interest link education & health. Contact Cheryl Smoot. Diabetes in-a-back pack. Info on SNOM website. Asthma Educator class. Info available at the ALAMN website. Rare Genetic Syndromes workshop sponsored by PACER in Bemidji & Thief River Falls, August 18-19. HennCounty School Nurses Workshop September 29th @ Ridgedale Library. MDH Vision and Hearing Screening Trainings. See MDH website Healthy School Conference, October 29th for school bd members, and school administration ● Announcements including joys and sorrows: NASN gifts for Eastern office staff were given from SNOM. Thank you Sue Will, Wanda Miller, Mary Swanson, and Patty Rezabeck for arranging a piece of pottery from MN artists per SNOM executive board approval. Cindy Silkworth‟s mother died earlier this summer. Anne Conklin & husband brought home adopted twin Chinese daughters. II. President/Vice-President/Past -President Report (Hiltz/ Hoxie) SNOM sent a letter of support for the Food Allergy and Anaphylaxis Network brochure titled “Five Steps Forward for Food Allergy”. Cindy Hiltz wrote an article for the MN School Board Association July issue titled “School Nurses and Health/Wellness Concerns in Minnesota Schools”. Article may be posted on SNOM website depending on copyright laws. Women‟s Consortium working on health needs of mother‟s and children. Consortium would like SNOM representative to attend meetings. (Hoxie) Mary Jo Martin will represent SNOM on MDH scoliosis training advisory board. Karen Folkman resigned from Nutrition Committee. Replacement will be sought.

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Discussion on current committees and task forces around prevention of disease and chronic health condition as noted in current SNOM Bylaws followed. Discussion included: o How to organize and name the committees and task force work around chronic health condition and preventable diseases; o Should committee chair be expected to attend annual meeting when budgeting is determined; o Committee chair should submit report to SNOM Board meeting that coincides with discussion of Strategic Goal(s) that includes committee / task force work. o May consider beginning with Diabetes Task Force lead, Tara Kaup as she now represents SNOM in many diabetes venues; Obesity, immunizations, asthma, ADHD are additional conditions to discuss for educational needs and legislative funds / grants. o Guidelines for representing SNOM, dated Oct 2003, state expectations. Plan to publish in Fall SNOMemo. Guidelines reviewed by mtg attendees, no revisions. Lilian Levine motioned to establish and name a special committee titled: Chronic Health Conditions and Preventable Disease. Second by Patty Rezabek. Motion passed. Discussion: Committee chairman and subcommittee members will be named by the President. III Old Business (Hiltz) Update on MN2020 survey. Survey titled, Where is the School Nurse? Key findings read by C. Hiltz. Objective is to create an awareness of the health needs of MN students to state legislators. A press release is planned. MN Student Survey Analysis update read and discussed by researcher Pat Splett. Goal is to review survey questions (selected in March 2008) that may link the school nurse with academic and school performance. o Overall purpose of analysis is to prepare a broad „take home‟ messages for LSN‟s to speak to school boards and administration. Survey will not address services provided in the health office but rather link LSN school areas such as attendance, performance. Splett will have report available by October meeting. NASN membership. Applications (on line/mail-in) differ. Mail-in application is old version. C. Teskey sent NASN office examples of credentialing concerns, ie ADN‟s are not qualified to be members in MN. Separate donation to SNOM scholarship fund is not on NASN membership form. Discussion included adding area on SNOM educational brochures to make a donation to fund; or, place scholarship donation information in Fall conference folder & include description of past year‟s winners.

IV. New Business (Hiltz) Discussion about place and dates of annual SNOM conference. Should it be outstate instead of in metro area? Continue to hold on alternate schedule of MEA (Thursday / Friday) conference with November dates? o Discussion included: Summer SCOPE training now has fewer registrants than expected. Winter has many weather factors. Concentration of members is in metro area, relocating to outstate may decrease attendance; consider future web simulcasts; make sessions available on DVD; download presentation to SNOM webpage. o See conference attendance from the past 5 years within 8-6-08 program committee report. 2

o Motion: Leave annual fall conference in the metro area. Amended motion, Leave annual fall conference in the metro area and continue the alternate current schedule of MEA and November date. (Hoxie, Munson second) Motion passed. Disaster Preparedness For School Nurses Course. Discussion introduced by Julia Bennett, should SNOM continue to sponsor the pre conference offering due to the costs associated with the curriculum? Currently offered 1x/year as preconference, no trainings done last year at a district level. Need 68 participants to break even. Motion: Offer annual NASN Disaster Preparedness as a pre conference offering to SNOM members for a cost of $125. Minimum of 24 participants to offer the class. Motion passed. MN Statewide Disaster Preparedness (R. Lehr) School Safety Center. Manual revised in August will include fire /chemical release / anaphylaxis. C. Teskey had input into manual. Manual does not include pandemic focus. Patty Rezabek attended national Standards Committee meeting at NASN conference in New Mexico. Discussion included what are developmental competencies and expectations for LSN‟s? Can SNOM develop standards for mentoring, continue orientation / follow up planning? Key issues are to differentiate LSN role from paraprofessional roles. Components of mentor program for nurse leads and LSN‟s should be developed and detailed. SNAY and SNOY for 08/09. Not ready for Board Discussion. Sunshine Fund. Envelope passed. Installation of New Officers (Hiltz). New officers include: o Treasurer; Stacie O‟Leary o Secretary: Anne Conklin (elected for second term) o Vice President: Mary B. Heiman o President: Ann Hoxie Thanks and congratulations expressed to Cindy Hiltz for serving 2 terms in the role of President. V. Secretary‟s Report (Conklin) Secretary‟s report accepted in her absence VI. Treasurer‟s Report (O‟Leary)

BALANCE SHEET AS OF 7/23/07

ASSETS Checking/Savings Wells Fargo Checking Wells Fargo Savings Total Current Assets LIABILITIES & EQUITY Equity Opening Balance Equity Restricted Net Assets Legislative Fund Research Fund Scholarship Fund Total Restricted Net Assets Unrestricted Net Assets Net Income Total Liabilities & Equity

1,204.84 61,320.58 62,525.42

.21 320.84 1,540.00 4,565.00 6,425.84 46,181.74 9,917.63 62,525.42 3

Points of Interest: SNOM financial records are up to date and continue to be maintained on QuickBooks. The mileage reimbursement rate has increased to 58.5 cents per mile. The Finance Committee continues to work with Frank Potocnik & Company, LLC Certified Public Accountants and Consultants in regards to QuickBooks budget set-up, record keeping, form 990 tax preparations and filing. The Treasurer‟s position is in the process of being transferred to new Treasurer, Stacie O‟Leary. Welcome Stacie! Mary Jo Martin will continue to sit on the Finance Committee as a committee member and a resource person.

VII. NASN Director‟ Report (Teskey) The National Association of School Nurses (NASN) Board of Directors met in Albuquerque, New Mexico in June before the annual conference. Below are some of the highlights of work accomplished and information we received. 1. A new company (ISSI) was hired in March to develop a software system for NASN as the former company was unable to deliver a product to meet the needs of NASN. The new system is already ready to begin the testing period before full implementation. 2. NASN is pleased to report that H.R. 6201 was introduced on June 5, 2008 by Representative Carolyn McCarthy (D-NY). It would amend the Public Health Service Act to authorize an HHS grant program for the purpose of reducing the student-to-school nurse ratio in public schools. 3. Membership cards will now be printed internally and sent out upon confirmation of payment instead of the 2-3 week turn around time from the company they had been using in Colorado. 4. There will no longer be a “grace period” for renewals, but NASN is concentrating on notifying members 3 months prior to their anniversary date and then send e-mails and brightly colored post card reminders 30 days before renewal date and also 15 days after renewal date. 5. Board members voted to approve a new Vision Statement: “NASN is the leader in advocacy for student health and professional development of school nurses. Every child deserves a school nurse.” and a new Strategic Plan. The overall goal is: “NASN will work with affiliates to strengthen and solidify a membership that is driven toward excellence in school nursing practice”. o Unify with affiliates o Provide high quality member services o Support affiliate organizational growth and development o Increase NASN visibility in states 6.

Board members approved changes to the requirements for SNY and SNAY applicants to be in effect for Oct 1, 2009 candidates for the 2010 awards. A motion to discontinue the above awards at the national level was postponed until the January 2009 board meeting and a task force will be studying this further. The rationale for the motion was to promote the state SNY/SNAY winners more at the annual conference.

7. NASN is providing more free continuing education credits online. The most recent additions are: How School Nurses Can Help Prevent Meningococcal Disease Through Education and Immunization and The Current State of Teenage Drug Abuse: Trend Toward Prescription Drugs. NASN has a goal to provide enough online CE modules at free or low cost to members to offset the cost of membership. More online courses can be found at: http://www.nasn.org/Default.aspx?tabid=111

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8. NASN has hired a new publisher for JOSN and Newsletter (SAGE Publishing). Both will have increased pages for the same cost and a new look starting with the August issues. NASN members will also receive a 15% discount on other SAGE publications. 9. The annual conference following the Board meeting was very successful. We had 24 members attending from Minnesota with Denise Herrmann, Tara Kaup, Karen Loewenson and Stephanie Kimmes as presenters at the conference or pre-conference. 10. Bylaw adoptions at the Annual Meeting included changing the NASN fiscal year from the current Sept 1 – Aug 31 to April 1- March 31 beginning in 2009. This will make it easier for all of the annual conference income and expense to be factored into future budgeting. 11. SNOM received the NASN Affiliate Membership Award in recognition of our increased NASN membership this past year. Mark your calendars for the 41st Annual Conference in Boston, Mass. from June 25-June 28, 2009.

VIII. Committee Reports Information/Technology (Teskey) Recent updates to the website include several new conference listings under Coming Events, (including brochure for SNOM Fall Conference), Job posting updates, Winter Board Minutes, etc. The website will be redesigned this coming year to include: A fresh new look with a homepage that includes content pulled from the events, jobs, and news pages to make it easier for people to see the most recent and relevant information in one place A revised events section with a calendar and the potential for people to add their own events, automatically take off old events, etc. A completely revamped job positing section with potential for people to add their own listings pending approval, listings displayed more like other job boards, automatic email reminders to people to check if position filled and auto take down of old listings An updated "In the News" page

Membership Committee (Levine) o 301 members. Atleast 6 members in question at this time due to credentials & eligibility. Breakdown of members: Retired 17; MVNA 1; Public Health Dept. 8; Home Health 1; MDE 1, NASN 1; Self Employed 1; Concordia Language Villages 1; Honoree 6; New 48. Program Committee (Aarness/ Heiman) o "School Nurses: The Hidden Asset" is the title of SNOM's annual fall conference on October 16 & 17. Conference will be the Minneapolis Sheraton West. Opening speaker will be Janice Selekman, editor of NASN's School Nursing: A Comprehensive Text. Her presentation is titled "School nurses know what they do, but does anyone else?" Presentation will build awareness and knowledge to create a health office practice built on evidence based practice and discuss strategies to demonstrate your role. The first day will end with a look at Mindful Practice, an inspiring reflective philosophy that looks at what is working in your school practice. On Friday, Holly Jones West will present the latest research that supports ADHD is not primarily a problem of attention. Denise Herrmann will share how the MPS Healthy Learner Model can become part of a practice when working with students with ADHD and their families. The awards will be Thursday evening with recognition of the School Nurse and School Nurse Administrator of the year, honoring the School Nurses who are retiring and other special 5

awards. Preconference offerings will include: NASN's S.C.O.P.E.(School Nurse Childhood Obesity Prevention Program), Disaster Preparedness, and Diabetes Pump Practicum on Oct. 15. o SNOM Board agreed to purchase a projector for use by the Program Committee or any other committee that may need to do a power point presentation. Dave Kelso has agreed to help in the purchase of this projector. o Committee is looking at having the annual conference the same time each year, either the first week-end of November or the third Thurs./Friday in October. This question was asked on the 2006 conference evaluation form. The results were 61 for the October dates and 25 for the November dates. o Attendance for the past 5 years was:2003 Friday 200 Saturday 170; 2004 Thurs. 156 Friday 106 (MPS 25, SP 13, A/H 3, Out Metro 32, Retired 5) 2005 Friday 136 Saturday 115 (MPS 15, SP 12, A/H 7, Out Metro 34, Retired 5) 2006 Thurs. 176 Friday 98 (Data not available) 2007 Friday 190 Saturday 150 (MPS 13, SP 8, A/H 5, Out Metro 53, Retired 16) The committee has also discussed location of the conference. For the 2009 conference, have confirmed location at the Minneapolis DoubleTree, Golden Valley. After discussion on the above issues, the Board voted to keep the same dates for the conference that we have been doing by rotating between the third week in October and the 1st week-end of November and to have the conference stay in the Metro area. o MPS=Minneapolis Public School, SP=St. Paul, A/H=Anoka Hennepin, Out Metro=outstate. Education Committee (Hudlow/Conklin) o Orientation conference for new nurses will be August 18 and 19 at MDE. Public Relations (Swanson) o Jeopardy Board Game activity at the Minnesota State Fair in August. o Press releases were sent to area newspapers for winners of the School Nurse, School Nurse Administrator of the Year, and Special Recognition Awards. o School Nurse Day activities included the design and distribution of SNOM magnetic bookmarks to the membership. o The development of a tri-fold brochure that advocates for and explains the role of Minnesota school nurses. The brochure would be accessible to SNOM members on the website in pdf format. Research (Hiltz). o No report at this time Standards (Silkworth) o No report at this time. Legislative (Herrmann/Zeno) o No report at this time Special Education (Yackle/J.Lowe) o No report at this time

VIII. Task Force/Special Committee Reports 6

Pediatric Emergency Education Project (Bennett) o October 15th Preconference offering information is included brochure and will be posted in SNOMemo. Scholarship (Arnold) o Recipients of the 2008 awards include: Sheila Davies Anoka Public Schools; Colleen Pudwill-ISD #196; Susan Palm, Little Fork , Big Falls Public Schools o The committee has reviewed all the application forms and will only make one editorial change to add the applicants cell phone to the documents. The deadline will continue to be July 1st, the recipients(s) will continue to be required to report back to the award committee in one year and submit a final written report at the end of the certificate or graduate program. A reminder email will be sent to last year‟s recipients, Denise Herrmann and Lillian Levine regarding her report due September 1, 2008. The forms will again be available on the SNOM web site and application reminders will be sent out periodically during the next year. Immunization Task Force (Hiltz) o June meeting not held. Temporary suspension for HIB vaccination after 12 months of age to attend child care settings due to a nationwide shortage.

Awards Committee (Sandstrom) o No report Historical (Nelson) o No report Bylaws (Heiman) o No report SNOM memo (Nokleby) o Fall Memo will be published pre fall conference date. Need new co-editor. o Future publications to include strategic goal discussed at Board Meeting and publish Guidelines for representing SNOM. Nutrition (Folkman) No report X. Organizational reports SSCEE (Student Services Coalition for Effective Eduction (Aarness, Rezabek): o Deb Loy, RN, LSN is Staff MDE contact MDH (Smoot) o o o o

[email protected] (new email); Scoliosis task force meetings to begin. Scoliosis training done by Gillette not MDH. Coordinated CDC school health grant received. Kathy Brothun & Deb Loy, MDH contacts Discussion to begin an Affiliate of National School Based Clinics Organization in MN has started. Fall 2008 workshop plans pending. o West Nile updated information, and hand hygiene fact sheet on MDH website. o 3rd party billing state school nurse discussions held. Will develop educational program based on discussions. 7

MDE (Luehr) o School Nurse August Orientation brochures sent out. To be held at MDE. MNA (Hoxie) o No report MOAPP (Gail McMahon, Chresand) o No report MAC (Minnesota Asthma Coaltion) (Levine) o Regional projects continue XI. Regional Reports o Northern(Munson) October 22nd meeting scheduled. o West Metro (Davies): No report o East Metro (Christiason): No report o East/Central (Mogensen): No report o West/S West (Bauerly): No report

Next Meeting ● 08/09 board and exc board meeting dates, place TBN ● 08/09 board meeting dates: o Oct 4, location TBD. Be prepared to review and update Strategic goal number 1. o January 10 o April 18 Next meeting to be held on Saturday, Oct 4, location TBD. Respectfully submitted, Mary B. Heiman, acting secretary.

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