This Question and Answer (Q&A) article addresses practice issues related to school health records and school nursing documentation that were posed by school nurses in the field. Specifically, the questions addressed concern the following: education records, medication privacy issues, sharing of sensitive health information, privacy of individual student logs, use of record access logs, and the use of spreadsheets and home computers for creating student records. The Health Insurance Portability and Accountability Act (HIPAA), the Family Educational Records and Privacy Act (FERPA), and other laws are addressed as appropriate.
American Nurses Association. (2001). Code for nurses with interpretive statements.Washington, DC: American Nurses Publishing.
2.
BergrenM. D. (1999a). Criteria for software evaluation: Legal issues. Journal of School Nursing, 15(2), 32–33.
3.
BergrenM. D. (1999b). Legal issues: Office management practices. Journal of School Nursing, 15(3), 40–41.
4.
BergrenM. D. (2001). Electronic records and technology. In SchwabN. & GelfmanM. (Eds.), Legal issues in school health services: A resource for school nurses, administrators and attorneys.North Branch, MN: Sunrise River Press.
5.
CheungO., ClementsB., & PechmanE. (1997). Protecting the privacy of student records: Guidelines for educational agencies.Washington, DC: National Center for Health Statistics.
Microsoft Excel2002[Computer software]. Redmond, WA: Microsoft.
8.
National Association of School Nurses (NASN) and American Nurses Association (ANA). (2001). Scope and standards of professional school nursing practice.Washington, DC.American Nurses Publishing.
9.
National Association of School Nurses (NASN). (1995). Position statement: Caseload assignments.Scarborough, ME: NASN. Retrieved May 31, 2004, from http://www.nasn.org/positions/caseload.htm
10.
National Task Force on the Confidentiality of Student Health Information. (2000). Guidelines for protecting confidential student health information.Kent, OH: American School Health Association.
11.
National Center on Education Statistics (NCES). (2004). Forum guide to protecting the privacy of student information: State and local education agencies (NCES 2004-330). Washington, DC: NCES.
12.
SchwabN., & PohlmanK. (2004). Records—The Achilles’ heel of school nursing: Answers to bothersome questions. Journal of School Nursing, 20(4), 236–241.
13.
SchwabN. C., & PohlmanK. P. (2000). Managing risks in professional and clinical performance dilemmas: Part II. Journal of School Nursing, 16(3), 47–52.
14.
SchwabN., RubinM., MaireJ. A., GelfmanM., BergrenM. D., MazyckD., & HineB. (2004). Protecting and sharing student health information: Guidelines for developing school district policies and procedures.Kent, OH: American School Health Association.
15.
U.S. Department of Health and Human Services (USDHHS). (2000). Healthy People 2010: Understanding and improving health. Educational and community based programs. School setting, 7-4.Washington, DC: Office of Disease Prevention and Health Promotion, USDHHS. Retrieved May 31, 2004, from http://www.healthypeople.gov/document/html/objectives/07-04.htm
16.
VesseyJ. A. (2002). Evaluation of commercial school health software for use in multisite research studies. Journal of School Nursing, 18, 95–100.
