SGO*s and School Nurses

Presented Oct. 20, 2014
Bergen County School Nurse
Lorraine Borek RN CSN MEd MSN
DEAC- District Evaluation Advisory Committee
ScIP- School Improvement Panel
ANJAC - Achieve NJ Advisory Committee
SGO - Student Growth Objective
SGP – Student Growth percentile
All teachers working under an instructional
certificate, with an assigned roster of
students and teaching at least one course
must set SGOs
As an option, districts may choose to require
other certified staff such as school
counselors, media specialists, athletic
trainers, nurses, speech pathologists, and
others to also set SGOs.
Increasing SGO Quality
Moving from compliance to quality
SGO should be global and reach or affect as many students as
How much time is spent on the task?
1. Clarify what SGOs are and how it looks for nurses
2. Develop a foundational understanding of how to
develop and choose high quality measures of
effective school nursing practice
3. Investigate appropriate ways to set targets using
readily available student data.
4. Develop a series of concrete steps that will allow
you to develop your SGO’s
SGO”S are:
S… Specific
M… Measurable
A… Attainable/Achievable/Ambitious/Appropriate
R… Results driven/Realistic
T… Timed
A Student Growth Objective is an academic goal that teachers and evaluators set for
groups of students.
Think of it as a school health objective – it is a set that provides evidence of the value
of your practice.
It shall be specific and measurable, based on available student learning data, aligned
to Core Curriculum Content Standards (or other standards adopted or endorsed by the
State Board), and based on growth and/or achievement. It should be specific and
measurable based on student health data that is available to you and demonstrates
your effectiveness as a school nurse
SGOs provide a method by which teachers can improve their practice through high
quality goal setting while clearly demonstrating their effectiveness through the learning
exhibited by the students for whom they are responsible. SGO’s provide an opportunity
and method for nurses to demonstrate their effectiveness through the use of data.
SGO’s for school nurses can also identify program development.
SGOs should be a reflection of what effective teachers typically do. SGO’s are a
reflection of school nursing practice.
Outcomes Identification
Five priorities for writing SGO’s
1. Part of your daily practice integrated or reflective of what you do
(think about what you spend a significant portion of your time
doing that can be quantified)
2. Connected to standards of nursing practice not to NJCCCS
3. Provide evidence of need
4. Approach can be staff wellness, staff education, student health
care management, program development.
Document the Rationale
Staff Wellness Initiatives
Staff education, training, instruction
Student education regarding medical
Student medical/health care management
and interventions
Primary, secondary and tertiary prevention
Family/Community Initiatives
Blood pressure screening
Weight loss programs
Exercise programs – for example staff
walking club during lunch
Instructions and education related to
delegation or epinephrine via auto injector
Heart Health education - may include
information and education programs
recognizing early signs of heart attack or
Asthma knowledge assessment and education
Allergy/Anaphylaxis knowledge assessment
and intervention
Family life education
Disease prevention strategies including hand
Effective self assessment of pain with
appropriate response
Parent education programs (lice awareness
education, concussion awareness, sudden
cardiac death, dating violence)
Tracking of referrals with follow up by
appropriate health care provider (may
include, vision, scoliosis, hearing)
Injury statistics and intervention to reduce
Nutrition (breakfast in the classroom,
increase fruit and vegetable consumption, eat
all components of a healthy lunch)
Fitness – 60 minutes of activity a day.
staff, family, community
 SHO-Educating students,
staff, family, community
 Population (number of
 Time frame
 Assessment – tool for
 Medical/health interventions
and management
Scope and Standards of
School Nursing Practice
 Evidence based practice/
 School Nursing:
A Comprehensive Text
 NASN-Professional Nursing
What is your goal.
Determine the importance by examining – how much
time do you spend doing the activity (i.e.: screenings)
How many students are affected ( try to be as far
reaching as possible ( include the greatest number of
students as possible)
Provide information that is reliable and consisted – for
example when doing vision screening what screening
tool are you using? If doing vision screening or
hearing screening is the equipment calibrated? Are
results accurate? Are parameters for acceptable
results established? How are referrals handled.
Investigate appropriate ways to set targets using
readily available student data.
 Develop
a series of concrete next
steps that will allow you to
increase the quality of SGOs in
your district.
• SGO’s are approved by the principal or
• Some of the SGO process can be done
collaboratively with colleagues
• Determine starting point
• Track progress – how will you be successful.
What is your plan
• Health Screenings – height and weight, vision,
hearing, BP screening
• Number of visits – related to illness, injury,
non-nursing visit
• ????
• September 2014 – establish starting point and
goals for student growth.
• October 31, 2014– SGO submitted and approved
by principal.
• February 15, 2014 – SGO midyear review – check
progress and make adjustments to SGO target by
mutual agreement where the goals are too
rigorous or not rigorous enough
• End of Academic Cycle – (April/May) – review
results and score. Included in annual review.
Achieve NJ Website:
[email protected]
Or call
 609-777-3788
my contact information: [email protected]

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