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For both the recording and PowerPoint slides of our September 21st

A Startup Checklist for the School Health Office educational program 

Presented by Dr. Laura Jannone, R.N., EdD, FNASN, CSN-NJ,

New York Academy of  Medicine Fellow,

Standards & Practice Chair, NJSSNA


Giuseppina Pagnotta, MSN, RN, NCSN

Monmouth County School Nurses Association President

please sign into the website and click here.

If you would like to only download the PowerPoint slides without viewing the recording, please click here.

Welcome back letter from our Co-Presidents: Laura Sacks & Dr. Denise Makri Werzen,


It continues to be a very challenging time for school nurses. The Essex County School Nurses Association (ECSNA) is here to support and guide you throughout the school year. As described in our Vision Statement, we will provide leadership and guidance for school nurses. We plan to have monthly meetings, as well as share our website which is a great resource for the latest information, resources, and events. 


The mission of the ECSNA is to uphold the practice of the American Association and the National Association of School Nurses. The association is also guided by the Statutes and Regulations of the New Jersey Board of Nursing and the New Jersey State Department of Education. 

We appreciated the responses to our ECSNA 2022/2023 Planning Survey. There was overwhelming support for virtual meetings. Thus, our meetings will continue to be virtual. There were great suggestions for topics for meetings. We learned half the respondents have their district’s documentation system interfaced with NJIIS so immunization records can be downloaded. And, there were excellent suggestions about what nurses think should be revised in their districts. We hope to offer support for leadership roles so some of these can be implemented.


Please try to attend the 31st Annual School Health Conference on Wednesday, October 19, 2022 in Somerset, New Jersey. If you register by 9-19-2022, the cost is $225, which includes membership for one year to the New Jersey American Academy of Pediatrics, and the registration fee for the conference. It is a very informative conference for school nurses. The goal for participants is to learn “evidence-based tools and/or strategies to utilize in the pediatric setting.” There will be updates on COVID, and presentations including: “E-Cigarettes and Vape Devices: How the Vaping Industry has Addicted our Teens,” “Resilience in the Classroom and Beyond,” and “Moving from the New Normal to Healthy Students.” 


We have a very hard-working Executive Board this year. The members are Dr. Denise Makri Werzen - Co-President; Laura Sacks - Co-President, Lila Kurzum - Treasurer, Recording and Corresponding Secretary; Lisa Farrar - Membership Coordinator; Nancy Weinstein - Scholarship Coordinator.  Dr. Cynthia Samuel has also been giving us guidance as we plan the year. Carolyn Ruderman continues to maintain our website. Some of the meetings planned include: opening our health offices; the latest updates about diabetes; and self-care. Other meetings, including topics suggested in the survey, are being considered. 


The final question in the survey was to provide comments and/or questions. Some answers included: “We must be the voice of NJ’s School 21st Century Nursing and remain on the cutting edge of technology.” “Our collaboration as colleagues is sorely needed and encouraged.” It would be nice to get more members from other schools in Essex County in ECSNA for more opinions and share what is working/not working in their districts.”


Please encourage your colleagues to pay their membership dues and attend the meetings. And, ask your friends in other districts to join, as well.  We hope to see you (virtually) at our upcoming meetings. Stay healthy, and have a very meaningful, successful year.

Thursday, September 22, 2022 at 2:30 pm
COVID-19  School Guidance for K-12 Schools and Childcare Centers

Keeping Students Safe & Healthy - A Review of Current Immunization and School Guidance

  • The DSH team will be partnering with VPDP and DOE to present a webinar for school nurses, school administrators, early childhood education providers, and public health professionals.  

  • This free webinar will answer common questions regarding NJ school immunization requirements, COVID-19 prevention guidelines, and questions surrounding student health during this back-to-school season. 

  • The webinar will be hosted by NJIN (The New Jersey Immunization Network) and  CECHs, CMEs, CNEs, public health credits and childcare facility clock hours will be available to attendees.

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There's also a recording of the DSH team's most recent webinar on the webpage:

Prevention and Mitigation of Common Infectious Diseases in Childcare Centers and Schools.  

  • This webinar was presented on 8.16.22 and discussed the recent changes to NJDOH’s school exclusion list and some of the most common childhood illnesses that are typically seen by childcare centers and schools in New Jersey.

  • Please make sure to submit any topical questions that you would like to see addressed in the proper space when you register for the webinar.

Downloaded from the NJSSNA Discussion List,  posted by Sheila Caldwell, BSN, RN, CSN, FNASN ~9/15/22 & 9/19/22


NEW: 22-23 School Year - NJDOH/NJDOE Information

  • NJDOE Mandatory Identification and Recruitment of Migrant Students (9/14) - click here

  • NJDOH National Suicide Prevention Month (9/14) - click here

  • NJDOH Recommendations for Pooled Screening Testing in K-12 Schools (9/15) - click here

  • NJDOH Recommendations for Implementing COVID-19 Over the Counter (OTC) Testing in K-12 Schools (9/16) - click here

  • NJDOH At-a-Glance School Testing Considerations (9/16) - click here

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The benefits of NJSSNA membership are great.
Want to attend FREE. Sign up to join
NJSSNA here.
Please encourage your colleagues to join in NJSSNA membership to attend to attend these free/member only events.
Have questions? Email

From the NJSSNA Discussion list posted by Patricia Lozito:
Virtual Schwartz Rounds are back! Thursday, September 29, 2022 4-5pm

More information to follow


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The Relentless School Nurse: Our Last Layer of Protection – Boosters

Robin Cogan, MEd, RN, NCSN, FNASN, FAAN

(Please click on the title above to read Robin Cogan's full blog
Please see the excerpt below:

"The Department of Health and Human Services (HHS) has developed a national campaign to promote vaccine confidence. There are specific toolkits available for many communities, but one specifically for schools! The resources are free to download and available in multiple languages. Let’s do this!

This toolkit has resources for school district leaders, teachers, parent leaders, and school supporters that want to help increase confidence in and uptake of COVID-19 vaccines in their school communities, answer questions, and outline school guidance about COVID-19. It includes information from CDC and new, tailored materials from the HHS COVID-19 Public Education Campaign."

HHS School Communities Toolkit


The Relentless School Nurse: A Return to School Toolkit Centered on The #UrgencyOfEquity
Robin Cogan, MEd, RN, NCSN, FNASN, FAAN

(Please click on the title above to read Robin Cogan's full blog)

Please see the excerpt below:

"The contents of this blog post were retrieved from The Urgency of Equity

The #UrgencyofEquity Toolkit was developed by a coalition of public health experts and grassroots organizations to help educators, parents, and communities advocate for safer, equitable schools, and separate fact from fiction about COVID-19 protections. 





Who is this toolkit for?

The toolkit was designed with educators, administrators, parents, students, and community members in mind. It was developed by public health experts and informed by the latest research and guidance from leading health organizations. It contains practical, up-to-date information; research summaries; and graphs and visuals to aid in making decisions that result in a healthy and safe school environment for everyone.

What is #UrgencyOfEquity?

More than two years into the pandemic, we have the knowledge and means to effectively reduce viral transmission and to keep our communities as safe as possible. Yet we’ve fallen far short. 

We cannot accept a “normal” that includes continued, inequitable COVID-19 illness, disability, and death. Instead, we can and must keep schools and communities safe while establishing an ethical “normal”: one that values the lives of our most vulnerable neighbors.

The Urgency of Equity toolkit provides accurate, up-to-date, substantiated information to help schools and communities make decisions that will keep ALL members of school communities safer. It recognizes that collective, not individual, approaches are necessary to protect our communities."

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From: SHEILA CALDWELL, BSN, RN, CSN, FNASN downloaded from the New Jersey School Nurses Association Digest for Saturday September 3, 2022
22-23 School Year - NJDOH/NJDOE Information
Just released (9/2). Click on the image below to read all 15 pages

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Page 1 of 15

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Knock Out Opioid Abuse Day in New Jersey will be held on October 6!


You can be part of this effort and make a difference by sharing information about opioids with your family, friends and neighbors. 

Take one of these simple steps to participate in #KnockOutOpioidAbuseDay:

Go to KnockOutDay.DrugFreeNJ.org to access toolkits, messages, images, sample letters and proclamations to help you complete any of the tasks listed above. For updates click here 


The Relentless School Nurse: Thank you Good Morning America for Featuring School Nurses!

Robin Cogan, MEd, RN, NCSN, FAAN

(Please click on the title above to read Robin Cogan's full blog)

Robin Cogan contributed to the Good Morning America article: School nurses share 5 tips to keep kids healthy at school by Katie Kindelan & Will Linendoll. Robin also participated in the accompanying video along with Holly, Sandy Braymer, and Gail M. Smith. Please click on the image below to be directed to the excellent video:

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(Please click on the image above for additional information)

Governor Murphy Unveils Statewide School Security Initiative
(Please click on the title above to read the entire document and see the excerpt below)



$6.5 Million in American Rescue Plan Funds Will Further Strengthen Efforts to Protect Students and Teachers

"PARAMUS – Governor Phil Murphy visited East Brook Middle School today to announce a $6.5 million investment in American Rescue Plan funds toward a statewide school security initiative to collect and digitize school building blueprints and make them available to first responders. Accurate and uniform maps are critical to enable law enforcement personnel to swiftly respond to emergencies in unfamiliar environments. 

Currently, New Jersey first responders have access to Collaborative Response Graphics (CRG) for approximately 1,500 of the state’s 3,000 public and private schools. The initiative unveiled by Governor Murphy today will help the New Jersey Office of Homeland Security and Preparedness (NJOHSP) and the New Jersey State Police (NJSP) map the remaining 1,500 schools in an effort to further safeguard New Jersey students and educators. "

Governor Murphy Signs Legislation Requiring NJ Public Schools to Develop Threat Assessment Teams

(Please click on the title above to read the entire document)


This law will take effect immediately for the 2023-2024 school year.

The Relentless School Nurse: A Parent’s Back to School Question for 2022-2023

August 27, 2022 
Robin Cogan, MEd, RN, NCSN, FNASN, FAAN

(Please click on the title above to read the entire blog and see the excerpt below):

"I was tagged in this Tweet and when I read the content, my heart rate soared and my mind raced. A school nurse was asked by a parent at her elementary school’s open house if she was trained to respond to COVID, Monkeypox, and an active shooter. I sent the nurse a message to see if she would share her response. In the meantime, I am posting this valid question from the parent. Are we trained, are we ready, and what do we need?"

The question that troubles me most is if we are ready for an active shooter. I do not believe that we have systems in place to stop the shooters before they shoot. Many of the school shooters have connections to the schools they target. Everytown for Gun Safety just released a comprehensive document that includes actionable solutions. I encourage everyone to digest this important information and share it with your school districts. 

How To Stop Shootings and Gun Violence in Schools A Plan to Keep Students Safe:

  1. Enact and Enforce Secure Firearm Storage Laws

  2. Pass Extreme Risk Laws

  3. Raise the Age to Purchase Semi-automatic Firearms

  4. Require Background Checks on All Gun Sales

  5. Foster a Safe and Trusting School Climate

  6. Build a Culture of Secure Gun Storage

  7. Create Evidence-Based Crisis Assessment/Prevention Programs in Schools

  8. Implement Expert-Endorsed School Security Upgrades: Entry Control and Locks

  9. Initiate Trauma-Informed Emergency Planning

  10. Avoid Practices That Cause Harm and Traumatize Students

Let’s talk about solutions and share resources. Based on the recommendations from Everytown, 

there are specific actions that schools can take to address the following:

  5. Foster a Safe and Trusting School Climate

​  7. Create Evidence-Based Crisis Assessment/Prevention Programs in Schools

​  9. Initiate Trauma-Informed Emergency Planning

10. Avoid Practices That Cause Harm and Traumatize Students

One of the programs that I am determined to bring to my school district is called:

HELPme – a healing-centered approach to school safety!


Learn more about how HELPme works and download the guide through this link:

Connect, Help & Prevent – A Guide for K-12 Mental Health and Wellness Support for Students, Staff, and Families"

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Please click on the above image to register

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Please click on the image above to view the training


Please click on the image to register for the program.

From the Whitehouse

Public Service Loan Forgiveness

(please click on the title to read the document)


If you have worked in public service (federal, state, local, tribal government or a non-profit organization) for 10 years or more (even if not consecutively), you may be eligible to have all your student debt canceled.  Now, for a limited time, it is easier than ever to receive that forgiveness, or get credit toward forgiveness, if you have not yet served 10 years.  

But you must apply before October 31, 2022.

Apply Now

“Dedicated public servants are the lifeblood of democracy. They do the hard work that is essential to our country’s success – protecting us, teaching our children, keeping our streets clean and our lights on, and so much more.”


Addendum: Our Co-President, Dr. Denise Makri Werzen reported that the deadline for applying for public service loan forgiveness has been extended until December 31st, and that a document from the district of employment must be filed annually to maintain eligibility, once your application has been accepted

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Please click here or above for the fact sheet released by the Biden Administration. This document contains information to help school nurses and others in the school community manage and mitigate the risks of COVID-19 spread.

FYI - Addressing Equity for Black Children and Youth with Special Health Needs (CYSHCN) PediaLink "on-demand" Course

From Sheila Caldwell, BSN, RN, CSN, FNASN via the NASN All Member Forum Digest 8/13/22

This is an important "on demand" online course that every school nurse and, actually, healthcare practitioner should take. If you do not have a PEDIALINK account, open one. There are a number of free offers that can be taken without AAP membership, but this one is a must...


available: 8/04/2022 - 8/03/2025

Addressing Equity for Black CYSHCN

Shop AAP Link: https://shop.aap.org/addressing-health-equity-for-black-cyshcn-enduring/


The National Resource Center for Patient/Family-Centered Medical Home (NRC-PFCMH) is offering a FREE PediaLink course that examines factors impacting equitable health care for Black children and youth with special health care needs (CYSHCN). This 2-hour course covers the following topics:

This activity has been approved for AMA PRA Category 1 Credit™.

  • Historical Trauma of Racism and Ableism in Pediatric Medicine

  • Increasing Equitable Care for Black CYSHCN Through Medical Home

  • Intentionally Engage Black Fathers in their Children's Care

  • Systems of Care for Black CYSHCN

National Pediatric Disaster Coalition (NPDC) - A Must View" Children and Disaster Symposium recordings and slide sets now available!

Children and Disasters Research 

2022 The Action Collaborative on Disaster Research: Symposium on Pediatric Disaster Science (NASEM) virtual workshop: videos and reports https://www.nationalacademies.org/event/08-01-2022/the-action-collaborative-on-disaster-research-symposium-on-pediatric-disaster-science

All 11 sessions from the symposium are also posted on YouTube: https://tinyurl.com/3m5947t6 


These session are must view for all of you who are trying to promote pediatric disaster capability in your community. Strongly encourage you to take the time to view.

From: SHEILA CALDWELL, BSN, RN, CSN, FNASN downloaded from the NASN All Member Forum Digest, ~Friday, August 12th:

CDC's NEW COVID-19 School Guidance and more!
There had been the buzz for a couple weeks now that the CDC was going to release new COVID-19 school guidance. 
Well, they just released it along with a number of other documents concerning COVID-19.
All of the below were just released today, August 11, 2022















Robin Cogan has brilliantly analyzed and summarized the new guidelines in her blog, (to read the blog in its entirety, please click on the title) which is excerpted below. Her important advice is listed (also in red) at the end of her blog, and is emphasized in large bold type:

"The Relentless School Nurse: The CDC Chooses the Path of Least Resistance

Robin Cogan, MEd, RN, NCSN, FAAN

Aug 13


The CDC has chosen the path of least resistance as schools are about to reopen, or are in their first few weeks of the new school year.


  • They removed the recommendation to cohort, that will increase class sizes, removing a layer of mitigation.

  • The CDC changed recommendations to conduct screening testing to focus on high-risk activities during high COVID-19 Community Level or in response to an outbreak. It has been mostly left up to individual districts to determine what constitutes an outbreak, with little guidance from local health departments.

  • They removed the recommendation to quarantine, except in high-risk congregate settings. I would suggest that schools are congregate settings, perhaps we can quibble about high-risk, but we certainly have high risk staff, students, and community members who deserve to be protected. 

  • The CDC removed information about Test to Stay, so we will not know who is safe to be in school each day. No more pooled testing either. 

  • It seems that contact tracing is off the table unless there is a school-based outbreak with no indication of community spread. 

Here is the exact quote: 

Quarantine is a key component to Test to Stay programs. Since quarantine is no longer recommended for people who are exposed to COVID-19 except in certain high-risk congregate settings, Test to Stay (TTS) is no longer needed. 

But there is one statement from the CDC that reveals how deeply divided this country is where masking has been banned in some states. 


Schools and ECE programs should consider flexible, non-punitive policies and practices to support individuals who choose to wear masks regardless of the COVID-19 Community Level." I can't move beyond this statement from the CDC in their new guidelines released just in time to create more confusion as we return to school. -  CDC

They actually had to say this out loud! The language of "should consider" will be easy for those states/districts to disregard. But this one sentence illustrates what happens when public health is politicized. Punitive actions can be taken for those who choose to mask during a pandemic.


It seems that most of our layered mitigation strategies are now being lifted. With the only line of defense a “well-fitted mask.” If an outbreak is determined or if a school decides to implement in-door masking during  high transmission, do school administrators know this means a KF94/KN95/N95, and are we providing them?  Just because you sprinkle a document with the word equity does not mean it exists...


My final observation is the suggestion that local health departments are readily available to help schools prioritize protective strategies. As the COVID school years have piled up, direct guidance from local health departments has waned. Some school nurses have been barred from contact their health departments. Decisions are at the discretion of each school district in most cases.


Schools and ECE programs, with help from local health departments, should consider local context when selecting strategies to prioritize for implementation. - CDC

I did find one helpful document though, buried in the new guidelines. There is a standardized definition of clusters and outbreaks! 


Standardized COVID-19 K-12 School Surveillance Guidance for Classification of Clusters and Outbreaks


Sending best wishes to my amazing colleagues, those legions of Relentless School Nurses who are about to enter (or are already there) our 4th school year impacted by COVID!

Stay in touch, stay connected, circle your wagons, we will make it through. Please remember to set healthy boundaries and do your best not to fall into the traps of previous schools years. Do not tolerate intolerable work conditions." 

CDC Activates Emergency Operations Center for Monkeypox Response
(Please click on the title to read the media statement)
Excerpt below:

Tuesday, June 28th
"Today, CDC continues to lean forward with an aggressive public health response to the monkeypox outbreak by activating its Emergency Operations Center (EOC). This action stands up the CDC’s command center for monitoring and coordinating the emergency response to monkeypox and mobilizing additional CDC personnel and resources."  

Many thanks to Rick Hager 

Community Outreach Coordinator

Office of Communications, Legislative and Public Affairs

New Jersey Department of Children and Families (DCF)
for sharing this important graphic for summer safety.

Please click on the image below if you would like to download the graphic.

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Statement from U.S. Secretary of Education Miguel Cardona on:

New COVID-19 Vaccine Eligibility for Children Ages 5 and Younger

JUNE 18, 2022

Contact:   Press Office, (202) 401-1576, press@ed.gov

U.S. Secretary of Education Miguel Cardona issued the following statement regarding COVID-19 vaccine eligibility for children ages 5 and younger:

“Today, parents and families of about 20 million children in America under age five received news that their babies, toddlers, and preschoolers are now eligible for COVID-19 vaccines. This is a historic milestone in our nation’s recovery from the pandemic, and it will provide so many parents and families who have been waiting for this moment with more peace of mind about keeping their children safe and healthy. The Biden-Harris administration will take a whole-of-government approach to ensuring that every parent and caregiver who wants to secure a vaccine for their child is able to do so through pediatricians, primary care doctors, and other trusted healthcare providers, including community health centers and pharmacies. These vaccines are safe and will help save lives.”

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many thanks to Laura sacks for arranging a fabulous dinner for us

THE RELENTLESS SCHOOL NURSE BLOG  by the Robin Cogan, MEd, RN, NCSN, FAAN (Please click on the title to read the entire blog)

The Relentless School Nurse: Channeling Grief Into Action


As a school nurse and family member of both survivors and victims of two mass shootings, Robin Cogan considers herself honored to join this action this Friday, June 10th. She will be among the formal speakers, please join her and support this effort to demand that Senate TAKES ACTION to prevent gun violence. Our children's lives depend on it! 

From: Kathryn Bates, MSN, RN, NCSN-NJ & Sheila Caldwell, RN, BSN, CSN-NJ, FNASN downloaded from the New Jersey State School Nurses Association Digest for Friday May 27, 2022 to Monday May 30, 2022:
Resources which contain information districts can use to set up Opioid Training for staff:

ECSNA joins NASN and NJSSNA in sending our heartfelt sympathy to the families and community of the Robb Elementary School in Uvalde, Texas.

NASN has issued a statement including actions to address gun violence, which you can read by clicking here, and provided the following list of resources:

  • Psychological Impact of the Recent Shooting - This document from the NCTSN lists reactions people may have to a shooting and related experiences (such as loss of loved ones and disruption of routines). It describes grief reactions, depression, and physical reactions, and it highlights ways to cope effectively with reactions to a shooting.

  • Survivors and Witnesses After Traumatic Events - A product of Voices Center for Resilience, a nonprofit formed after the attacks of September 11, 2001, this tip sheet for the public provides basic information about common effects of exposure to acts of violence, civil unrest, or terrorism. It identifies steps disaster-affected individuals can take in the immediate aftermath of a crisis, common reactions to disasters, and tips for coping and asking for help.

  • Psychological First Aid: Teachers and Educators - Designed for personnel at schools that have experienced an incident of violence or a natural disaster, this tip sheet describes how teachers and educators may experience disasters and how PFA can help. PFA is an evidence-informed, modular approach that can be used to assist disaster survivors. The tip sheet offers ideas for teachers to take care of themselves and support others in the school community in coping and healing after disasters.

  • Parent Guidelines for Helping Youth after the Recent Shooting - In this 3-page tip sheet released shortly after a shooting, the NCTSN describes how such an event may affect children and teens as well as parents and other caregivers. The tip sheet lists reactions common among people of all ages, offers coping tips for caregivers, and suggests ways for caregivers to support children and youth in talking about and managing their reactions. 

    This resource is available in Spanish.


  • Talking to Children about the Shooting - In this tip sheet, the NCTSN provides suggestions to parents and other caregivers for talking with their children in ways that help them to make sense of and cope with their reactions to a shooting. The tip sheet also identifies reactions common in children and teens to shooting incidents.

  • Tips for Talking with and Helping Children and Youth Cope After a Disaster or Traumatic Event: A Guide for Parents, Caregivers, and Teachers - This SAMHSA tip sheet can help parents, other caregivers, and teachers recognize and address problems in children and teens affected by a disaster. The tip sheet describes reactions that are common in young survivors at different ages, as well as how to help children cope with these reactions.


  • Resource from Sheila Caldwell,  RN, BSN, CSN-NJ, FNASN:

National Center for School Crisis and Bereavement  - https://www.schoolcrisiscenter.org 

THE RELENTLESS SCHOOL NURSE BLOG  by the Robin Cogan, MEd, RN, NCSN, FAAN (Please click on the title to read the entire blog)

The Relentless School Nurse: Sign Up Today for the 2022-2023 School Year FLUency Program

Excerpt from this blog:
Kinsa’s school health program, FLUency, reduces the spread of contagious illnesses in schools. The program is completely free for public elementary schools. Last year Kinsa supported thousands of schools, make yours next!


By participating, all families and staff in your school get a free award-winning Kinsa smart thermometer. School nurses also get a dashboard of aggregated, anonymous illness trends by grade, so you know what illnesses are going around." 


The recording of the tick-borne illnesses educational program, powerpoint presentation and pd certificate for watching the program can be found on the recordings dropdown under the events tab. 

In order to watch the program, please login to the website since the "Recordings" page is a members' only page.

Dr. Denise Makri Werzen, PhD, RN/MT(ASCP) CSN/HT shared a request from Jaclyn Headlam, MA, NCC, LAC, SAC, (who presented the excellent "Trends And Concerns Facing Teens Today-Stop the Stigma Let’s Talk About Holistic Teen Health" program for us last June) to complete the Essex County Substance Use Comprehensive Plan Survey to complete and share it with everyone in your network who lives or works in Essex County

About the Essex County Comprehensive Plan

The Essex County Division of Community Health Services, under the auspices of the Department of Health and Rehabilitation, are developing a comprehensive plan to assist with the allocation of funding for evidence-based substance use/co-occurring disorders prevention and early intervention programs, enhanced access to treatment programs, and opportunities for recovery support services. This survey is an effort to engage residents in the planning process and get your input on the needs of local communities throughout Essex County. Division staff members will use your input to develop the 2024-2027 Essex County Comprehensive Plan for the Organization and Delivery of Alcohol and Drug Abuse Services.

PLEASE COMPLETE THE FOLLOWING SURVEY: https://forms.office.com/r/CfqcFsWfxd


It's very important that they get as many individuals to complete this survey in order to get the most input to help with developing the County Comprehensive Plan on substance use services. 

Recommendations for Adenovirus Testing and Reporting of Children with Acute Hepatitis of Unknown Etiology (Please click on the title to read the article)
Distributed via the CDC Health Alert Network
Thursday, April 21, 2022, 11:00 AM ET
The Centers for Disease Control and Prevention (CDC) is issuing this Health Alert Network (HAN) Health Advisory to notify clinicians and public health authorities of a cluster of children identified with hepatitis and adenovirus infection.

New: "Recordings" page for recorded educational programs. 

  • This new page will be a "members only" page which can be viewed by hovering over the Events tab on the desktop site, where you will see the "Recordings" tab in the drop-down.

  • Members only pages can be viewed by signing into the website.

  • The recording of Dr. Matthew McCarthy's "Comprehensive Approach to Concussion Diagnosis and Management" educational program will be found on the "Recordings" page.

  • After listening to the recording, you can print out the Certificate for 1 PD credit.

We join NJSSNA in congratulating
NJSSNA Executive Board Member & ECSNA Member,
Dr. Cynthia Samuel PhD, RN
Newly inducted NASN Fellow &
NEA SISP Fellow,

for being honored at
The 14th Annual Diva and Don Gala
by the Institute for Nursing 
The Foundation of the New Jersey State Nurses Association

Honors men and women in nursing leadership across New Jersey who set high standards of excellence and make a notable difference in the lives of so many.



Divas Dr. Cynthia Samuel PhD. RN (left) & Sheila Caldwell RN, BSN, CSN-NJ enjoying the gala.

more Excellent News !!!

Dr. Beth Jameson PhD, RN, CNL, CSN-NJ (ECSNA member)
Sheila Caldwell RN, BSN, CSN-NJ
Robin Cogan MEd, RN, NCSN, FAAN
are being inducted as
Fellows into the National Academy of School Nursing (FNASN)
ECSNA congratulates the inductees and thanks them for their many contributions to school nursing practice. 

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*Many thanks to Dr. Werzen for sharing important information on public service loan forgiveness for student loans. To check your eligiblility for this opportunity please click here.

The NJSSNA Conference on Saturday, March 19th was truly amazing in every sense of the word.
Below we have listed two of the recorded programs from the conference which you can access by clicking

Presented by: Veronica Manlove MSL RN CEN presents Legal Aspects in School Nursing Practice for the New Jersey State School Nurse Association (NJSSNA) conference held on March 19, 2022. She discusses documentation and liability issues as well as some case studies.

Veronica Manlove MSL RN CEN is a certified emergency department nurse and expert witness with 27 years of inner-city emergency department clinical experience. She has been a certified school nurse since 1999. She received a Master of Science in Law from Champlain College in 2010 which she uses in combination with her clinical background as a legal nurse consultant, working with both plaintiff and defense attorneys on their medical malpractice lawsuits concerning school nursing and ER nursing. She is a frequent lecturer for hospital nurses concerning the pitfalls and issues concerning nursing documentation. Many important questions were answered by Veronica Manlove.

 Contact hours: 1                Cost $20               Length: 1 hour

Presented by Dr. Rose Hughes is also on the NEUSHA website along with many other excellent programs.

Contact hours: 1                Cost $20               Length: 1 hour

Below are two important updates from the NJSSNA & NASN discussion lists:

New Jersey State School Nurses Association Digest for Friday March 18, 2022 to Monday March 21, 2022:

Kathryn E. Bates, MSN, RN, NCSN posted the following response to a question posed on the NJSSNA Digest regarding the delegation of Nayzilam 

Please see the NJDOE Broadcast Memo dated March 3, 2021: https://www.nj.gov/education/broadcasts/2021/mar/PaulsLawRequirementsToSupportStudentsWithSeizureDisorders.pdf

This is informative for training staff. We currently use the TRUST program. We keep track of who viewed the program and it is performed annually with all of the other annual trainings. 

As far as delegation, seizure medication cannot be delegated to laypeople. Only a nurse can administer. I have a student that has Diastat and when she attends a field trip, we request a substitute nurse. Contact your supervisor and let them know that only a nurse can administer the medication and it cannot be delegated. A nurse has to be available to administer the medication within the timeframe that the provider wrote (5 minutes-15 minutes).


NASN All Member Forum Digest for Friday March 18, 2022 to Monday March 21, 2022:

From Sheila Caldwell RN, BSN, CSN-NJ:

"A hard-to-read, but incredibly important read in APnews today. Because of COVID, kids are losing parents, social lives, and entire years. Yes, kids are resilient, but they can't go on like this. No one is this resilient."

-For kids with COVID-19, everyday life can be a struggle | AP News

Feel free to share your thoughts and what is taking place in communities as yours to support these families. What are you and/or your schools doing?"

DENISE MAKRI WERZEN PhD,  RN/MT(ASCP), CSN/HT on completing her doctoral degree.

We are so fortunate to have Dr. Werzen on our executive board and as a leader of our organization. 
If you would like to post your congratulations, please click here. 


Tweets from the COVID-19 Real-Time Learning Network (RTLN)
Visual guidance: "Antigen Test Algorithm for Community Settings"

& A vaccine safety infographic
(Please click on the image on the left for more information on testing, and the images below for a larger view)


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Antigen Testing Algorithm.png
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From: SHEILA CALDWELL, RN, BSN, CSN-NJ, NEA SISP Fellow downloaded from the New Jersey State School Nurses Association Digest for Tuesday, March 8, 2022:

  • NJDOE New Jersey Comprehensive School-Based Mental Health Resource Guide Release (2/9) - click here


  • NJDOE New Legislation Impacting School Security Drills (2/23) - click here


  • NJDOE 2021-2022 Testing for Lead in School Drinking Water (3/2) - click here

From: SHEILA CALDWELL, RN, BSN, CSN-NJ, NEA SISP Fellow downloaded from the NASN All Member Forum Digest, ~Friday, February 25th:


CDC COVID-19 Updated Guidance

The CDC just released new guidance messages including some for schools. To listen to the recorded 39-minute media brief from 2/25 please click here.

There is also a written transcript available (you can also read our summary of the guidance by clicking here).

 Sheila mentioned that she would encourage you to listen if you have time.Visit the CDC "What's New" webpage to read all the additional guidance posted February 28th and prior days - click here.

Our Educational Program from Wednesday, February 16, 2022 at 4:00pm to 5:30pm

on New Therapeutic Options to Manage Difficult to Control Asthma (Recording from the Asthma & Allergy Network) unfortunately did not go as planned. To view the recorded Asthma & Allergy Network program, you can use this link: https://allergyasthmanetwork.org/webinars-updates/new-options-to-manage-difficult-asthma/ which brings you directly to their website.
Our thanks to Sylvia Eppinger, MSN-Ed, RN, NJ-CSN, for posting the link in response to an inquiry from one of our members. If you have any questions about getting a certificate for viewing the recording, please click
here, and you will receive a prompt reply with instructions.

THE RELENTLESS SCHOOL NURSE BLOG  by the Robin Cogan, MEd, RN, NCSN, FAAN (Please click on the title to read the entire blog)

The Relentless School Nurse: A Moral Dilemma in School Nursing

This blog explores the moral dilemma of a school nurse confronted with a request to put together a PowerPoint on the "science" behind why some people can wear masks when some don't; while knowing that the decision is not based on science, but just giving up. 

This blog is a great resource for approaching moral dilemmas such as this.

2022 Institute for Nursing Scholarship & Grant Opportunities
Please click on the image for a list of all available scholarship and grant opportunities with links to their applications.


From: SHEILA CALDWELL, RN, BSN, CSN-NJ, NEA SISP Fellow downloaded from the NASN All Member Forum Digest, ~Thursday, February 17th:

 Mental Health/SEL and Nurses in Schools

"As we all know, there is the major concern of mental health in youth, in addition to the mental health of staff and even you. I have shared information with you over the past year or so about SEL (Social Emotional Learning) and will be sharing with you a few different resources that relate to mental health/SEL in schools. But first, I want to remind you that you play a major role in this area. In an article that is pre-pandemic it notes "roughly a third of all visits to school nurses have to do with mental health issues (and related psychosomatic symptoms, such as headaches and stomachaches)." -  ( Maughan, E.D. (2018). School nurses: An investment in student achievement. Phi Delta Kappan 99 (7), 8-14.) - click here, I'd encourage you to read this article, if you never have, in addition, we know that this stat has increased since the pandemic. Although we don't actually have the data available, you can just reflect on the visits to you office to draw on your own anecdotal data.

So, know your importance to the educational and mental well-being in the schools for the students and your school community and ensure that your administration, staff, parents and students know as well. You are one of the most important individuals in the school, who sees mental health concerns and can help to improve the health and well-being of the youth.

First I am going to share the updated State ACEs and Trauma-Informed Map from PACES.







Click the image to visit the website, then you can learn more about you individual state's information

Another recent release is Hopeful Futures Campaign's Report Card. Click the image to view the report card. (In this report card, I do wish that they provided data about nurses in schools)





Another report, this one from Child Mind Institute





Visit SAMHSA's MHTTC website to find your regional office that can provide more information. There have been grants and other resources available to states for schools.




You can visit the website to find various resources to share in your school and you can even view the states currently in the Alliance..




So, I must add that you must take care of you. I know to just speak about self-care isn't the best response, so sharing this image that you can click on to read the ethics. Provision 5 speaks to this information."






We thank Sheila Caldwell for your wisdom and sharing of important information.

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From: SHEILA CALDWELL, RN, BSN, CSN-NJ, NEA SISP Fellow downloaded from the NASN All Member Forum Digest ~ Tuesday, February 15th

Resources for Long Covid (PASC - Post-Acute Sequelae SARS CoV-2 infection) 

Sheila Caldwell's response to an inquiry about screening for "Long Covid":

"I would encourage you to reach out to a Post COVID Care Center (PCCC) , they are likely to have developed guidance and tools for schools for post-acute sequelae SARS-CoV-2 infection (PASC) in children. I mention PASC as clinically we are going to be more likely to see this language for "Long COVID".

Details, including a map to visit the website of PCCCs will be on our Covid Updates page which you can access by clicking


From: SHEILA CALDWELL, RN, BSN, CSN-NJ, NEA SISP Fellow downloaded from the New Jersey State School Nurses Association Digest for Feb 11, 2022 - Feb 13, 2022

NJDOE Human Trafficking Guidelines are published! Click
here to read it.

"The only concern I have related to school nurses is in the "Sample Policy", that notes school nurses to have staff emergency information. There is an option mentioned in regulation, not a MUST. It speaks to voluntary medical information option (that might include contacts).
General emergency information is a function of HR and/or administration. 

You can read the full press release "Announcement" by clicking the image below and further down is link to listen to the 30-minute podcast. I would encourage you to listen."


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From: Bianca Aniski MEd, RN, downloaded from the New Jersey State School Nurses Association Digest for Wednesday, February 9, 2022 & Thursday, February 10, 2022 (please click on the title to read the document):


New Jersey Department of Health COVID-19 Public Health Recommendations for Operating Childcare Programs
 (Updated February 8, 2022)

The slide set from the NJDOH K-12 Guidance Updates presentation of 2/1/22 is on this page.

THE RELENTLESS SCHOOL NURSE BLOG  by the Robin Cogan, MEd, RN, NCSN, FAAN(Please click on the title to read the entire blog)
The Relentless School Nurse: Add Your Pandemic School Nursing Perspective to a Research Project for Posterity
"This is a unique opportunity to archive the experiences of pandemic school nursing. We have all lived and worked through the most consequential time in modern school nursing history.  If you are interested in adding your voice to this research project, fill out the pre-participation survey to see if you are a candidate."

Get free at-⁠home COVID-⁠19 tests

Every home in the U.S. is eligible to order 4 free at-⁠home COVID-⁠19 tests. The tests are completely free. Orders will usually ship in 7-12 days.

Order your tests now so you have them when you need them.

If you need a COVID-⁠19 test now, please see other testing resources for free testing locations in your area.

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Resources for food banks/pantries, and meals for infants, children and families:
At this link: https://hungerfreenj.org/help/ you will find a comprehensive list of resources for food and meals as organized by the group “Hunger Free New Jersey”.  Note that the link for the 2-1-1 Directory has six options listed and these include “home-delivered meals” (see “Older Adults” and “Individuals with Disabilities”) and Formula/Baby Food (see “Immediate Food” and “Infants and Children”).
Many thanks to:

Rick Hager

Community Outreach Coordinator

Office of Communications, Legislative and Public Affairs

New Jersey Department of Children and Families (DCF)

PO Box 729

Trenton, NJ 08625     

C:  (609) 947-7505


(Please click on the title to read the entire blog)

Follow-up information from:

Covid-19 Updates in Essex County

Presented by

Dr. Cynthia Samuel, PhD, RN, CSN