Page 44 - MMP-N-NJ CCN 21st Century School Nurse Leadership Book

Steps to Gaining Buy-in and Leading Change and Transformation (Kotter, 2007).
See Making Change Happen (p.7:

1. Establish sense of urgency.

• Motivating statement (often communicated to key school administrative
decision maker(s)):

Dear Mr. /Ms. Administrator:

I am proposing developing and implementing a school policy for the
emergency administration of naloxone in our school and/or district. Opioid
and drug abuse continues to rise. In our own community, the use of heroin
and a more dangerous drug, fentanyl has increased (cite your own statistics:
you can find them HERE or at https://www26.state.nj.us/doh-shad/home/
Welcome.html). This is a problem that crosses all spectrums of our school
community including students, staff and parents (Apa-Hall, Schwartz-Bloom,
& McConnell, 2008; Clark, 2014). While there has not been a known need
for this life-saving medication in our school to date, we know that when we
prepare for emergencies, the outcomes improve. Having naloxone available
will provide life-saving emergency medication available should a student,
staff member, or school visitor require it (Friedman & Manini, 2016; King,
2016). Other school districts in New Jersey have implemented policies and
procedures for naloxone. I have researched the issue and have located several
policies that we can use to guide our decisions about this important medication
becoming available in our district. I would like to develop a team of school and
community partners to review and develop our own policy (Dwyer, Osher,
Maughan, Tuck, & Patrick, 2015). As the school nurse, I think it would be logical
for me to be one of the team leaders on this project. I am ready to start.

• Examine the literature and community assessment: In addition, the following areas
related to this are:

School Community Health Problem/Needs Assessment:
• Obtain district and school-based obesity data, need benchmark.
• Start here for data: Obtain county and community local health assessment data at
New Jersey State Health Assessment Data (https://www26.state.nj.us/doh-shad
/home/Welcome.html) See Essex County Community Health Improvement Plan
(CHIP) Example
• Identify available resources that may already have templates, guides, resources.

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