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SCHOOL-BASED HEALTH FACILITIES
NCEF's resource list of links, books, and journal articles on the planning, design, furnishings, and equipment of school-based health facilities, including health centers, health suites, clinics, or a health room.
Environmental Compliance and Best Management Practices: Guidance Manual for K- 12 Schools.
http://www.epa.gov/region02/children/k12/k12pdf.htm (U.S. Environmental Protection Agency, Washington, DC , Oct 2006)
Provides an environmental compliance model for a typical K-12 school or school. The manual is divided into organizational units that have common regulatory compliance requirements or would likely be managed as separate operational units of the school or school district. Next, the target audience for each organizational unit is defined. The manual then defines numerous activities that would likely occur within each organizational unit, and for each activity it discusses what is required to comply with the appropriate federal environmental regulations and/or which best management practices apply to ones area of responsibility. 224p.
Guidelines for Comprehensive School Based Health Centers in New York. Section G: Facility Requirements.
http://www.health.state.ny.us/nysdoh/school/docs/ (New York State Department of Health, 2006)
Pages 18 and 19 of these guidelines describe square footage requirements, as well as recommended spaces. 20p.
Guidelines for Maryland School-Based Health Centers - Facility Needs and Requirements.
http://www.healthinschools.org/static/states/MD-guidelines.aspx (The Maryland Assembly on School-Based Health Care, Annapolis, MD , 2006)
The "Facility Needs and Requirements" section at the end of this document discusses goals and planned usage, operational schedule, number of users, accessibility, parking, security, spatial requirements in square footage, spatial relationships, acoustical requirements, climate control, plumbing, electrical/electronic, lighting, sanitary requirements, furniture and equipment, funding. Includes a checklist on how well the facility meets the current and projected needs and requirements of the school and the community.
2p.
School-Based Health Centers Operations Tool Kit. Section A4: Facilities Management.
(National Assembly on School-Based Health Centers, Washington, D.C. , 2005)
In this extensive health center operations tool kit of reference materials, Section A4 includes information on the following: 1) ADA Accessibility; 2) Biohazard Waste; 3) Key Control Guidelines; 4) Lab Equipment/CLIA Standards; 5) OSHA Regulations; 6) Safe and Drug Free Workplace; and 7) Work Site Safety. Section A2 includes an environmental checklist and a recommended list of equipment.
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http://www.nasbhc.org/TAT/2Toolkits.htm
Health Clinic Environments in Georgia Elementary Schools.
http://www.eric.ed.gov/contentdelivery Simpson, Susan Rogers (University of Georgia, School Design and Planning Laboratory, Athens , 2005)
Schools seem to be the logical place to serve the health needs of students, since children spend a majority of their time there. Design standards were not available for health clinics in Georgia elementary schools; therefore, this study examined key characteristics of an elementary school clinic in order to determine the importance of each design element. Eleven design classifications and 12 specific design elements were determined through a review of related literature. Characteristics included: components (rooms), space, and size; general design elements; location; accessibility; the waiting area; the nurse's office; the treatment room; the isolation area; the restroom (toilet); security, storage, and safety elements; and furnishings/treatments. Specific design elements included: lighting; windows; integrating nature elements into design; promoting a sense of well-being for users; security and privacy/confidentiality elements; electrical/plumbing elements; doors and wayfinding (signage); walls and ceilings; acoustics; use of color; heating/ventilation/air conditioning; and flooring elements. This information was incorporated in a survey of 12 experts involved with designing, building, and managing school facilities and 104 school nurses. Establishing design guidelines for health clinics in Georgia elementary schools were recommended, and the guidelines should be written using the professional judgment of school nurses, representatives of users of the clinic, and the findings of this study. [Author's abstract] 51p.
ERIC NO: ED485300;
School-Based Health Care and the District of Columbia Safety Net
http://www.21csf.org/csf-home/publications/MHDC_Nov_2004.pdf (21st Century School Fund, Washington, D.C. , 2004)
This report provides the results of research into the variety of health care services currently offered in the public schools in the District of Columbia, with a particular focus on school-based health centers. In a section on school-based health center practices in the U.S. there is information on facility size, design, and equipment; operating standards and guidelines; shared use agreements; and funding sources. 44p.
School Health Services: A Facility Planning and Design Guide for School Systems.
(Maryland State Dept. of Education, Division of Business Services, School Facilities Branch, Baltimore , Jun 2002)
This guide for Maryland schools outlines the role of school health services and proper facility design for these services. Chapter 1 provides an overview, describing coordinated school health programs, school health services programs, school health services programs in Maryland, how school health services are delivered, trends, the number of health suite visits, and school-based health centers. Chapter 2 focuses on facility design, discussing design concepts, state regulations, the facility planning process, facility design (addressing activities, users, space configuration/relationships, utilities, finishes, furniture and equipment, display, and storage), space requirements, and sample floor plans. 15p.
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Maryland State Dept. of Educationhttp://www.marylandpublicschools.org/
Medical and Dental Space Planning: A Comprehensive Guide to Design, Equipment, and Clinical Procedures.
Malkin, Jain (John Wiley & Sons, 2002)
Medical and dental design for architects and interior designers. The core
of the volume is a detailed analysis of 23 medical and dental specialties
and their respective space planning requirements. There is information
on psychological factors to be considered in health care design, plus the
general parameters of medical space planning. 624p.
ISBN-10: 0471385743
Guidelines for Design and Construction of Hospital and Health Care. Facilities.
(American Institute of Architects, Washington, DC, 2001)
Considered an industry standard by architects, engineers, and health care professionals, the Guidelines set minimum program, space, and equipment needs for clinical and support areas of hospitals, nursing homes, freestanding psychiatric facilities, outpatient and rehabilitation facilities, and long-term care facilities. The document also establishes minimum engineering design criteria for plumbing, medical gas, electrical, heating, ventilating, and air conditioning systems. Reflecting the most current thinking about infection control and the environment of care, the new edition also explores functional, space, and equipment requirements for acute care and psychiatric hospitals; nursing, outpatient and rehabilitation facilities; mobile health care units; and facilities for hospice care, adult day care, and assisted living.
ISBN: 1571650024 TO ORDER: American Institute of Architects, 1735 New York Ave., NW, Washington, DC 20006 http://www.aia.org/
Design That Cares: Planning Health Facilities for Patients and Visitors, Second Edition.
Carpman, Janet R. (Jossey-Bass, 2001)
After discussing current health facility design research, it includes chapters on waiting and reception rooms and diagnostic and treatment rooms that may be applicable to school health centers. 328p.
ISBN-10: 0787957399
School Health Centers.
http://www.edfacilities.org/pubs/health.pdf Butin, Dan (National Clearinghouse for Educational Facilities, Washington, DC , Jul 2000)
This paper addresses the key elements for designing school health centers, the emergence of school-based health clinics and the minimum requirements these facilities should have, and the basic principles to remember when designing school health centers. The paper's focus concerns the nurse's office and the school-based health clinic. Additionally highlighted are the types of school health centers and their importance. 4p.
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National Clearinghouse for Educational Facilities, 1090 Vermont Avenue, N.W., Suite 700, Washington, D. C. 20005. Tel: 202-289-7800.
http://nibs.org/pubsncef.html
Oregon School-Based Health Center Program. Standards for Certification.
http://www.oregon.gov/DHS/ph/ah/sbhc/cert99x.pdf (Oregon Department of Human Services, 2000)
A SBHC facility is defined as permanent space located within a school building or on the campus used exclusively for the purpose of providing health care. Facility requirements are described on pages 4-5, including square-footage guidelines for design/remodeling. Laboratory space requirements are detailed on page 11. 24p.
Building Type Basics for Healthcare Facilities.
Bobrow, Michael ed. (John Wiley & Sons, 2000)
This provides the essential information needed to initiate designs for acute care hospitals, clinics, long-term care facilities, and specialty centers. The book is filled with project photographs, diagrams, floor plans, sections, and details, and combines an overview of the needs and concerns of healthcare industry clients with nuts-and-bolts design guidelines. 386p.
ISBN-0471356727
Floor Plan: Edison Elementary School Clinic
http://web.archive.org/web/20061209172851 (The National Assembly on School-Based Health Care, Center for Technical Assistance and Training, Washington, DC, 1999)
Room-by-room photographs and an inventory of furnishings and equipment for selected spaces. Includes an open office, records/supply room, bathroom, exam room, hallway, entrance, and dental office.
Design Details for Health: A Guide to Making the Most of Interior Design's Healing Potential.
Leibrock, Cynthia (Wiley-Interscience, 1999)
This book showcases a range of design details and practical design solutions providing flexible, innovative design solutions in key areas such as lighting, acoustics, color, furnishings, and finishes. Includes nearly 200 images, many in full color.
ISBN-0471241946
Developing a School-Based Health Center: An Assistance Manual
http://www.eric.ed.gov/contentdelivery Kieltyka, Evelyn G. (Maine State Dept. of Human Services, Bureau of Health, Augusta , 1997)
The purpose of this manual is to provide guidance to interested Maine communities, school officials,
parents, students and health care providers in the development of School-Based Health Centers (SBHCs). The manual
outlines the mission and goals of an SBHC and makes detailed suggestions on the structure of a community-based
advisory council to guide center set-up and advocacy for community acceptance. The manual then details SBHC
organizational structure and staffing, funding and operating budget, health services offered and site development, legal
issues, and data collection, quality assurance, and evaluation. Includes a sample center floor plan.
ERIC NO: ED431504 ;
The Answer is at School: Bringing Health Care to Our Students.
(The George Washington University, Washington, DC, 1993)
Chapter 12 of this primer on school-based health centers briefly
describes the design of a health center facility, listing the essential
areas, space, and locale. The recommendations of space planners for
clinical services are included for the laboratory, exam room, patient
waiting area, and receptionist/records storage area.
TO ORDER:
The Center for Health and Health Care In Schools,1350 Connecticut Ave., Suite 505, Washington, DC 20036; Tel: 202-466-3396http://www.healthinschools.org
http://archone.tamu.edu/crs/engine/archive_files/EFL/6000.0618.pdf (Educational Facilities Laboratories, New York, NY , 1978)
Organized as a series of responses to questions about characteristics of community school centers, how the coordinated services work, shared space, governance, financing, planning, examples of existing centers, declining enrollments, assessing community needs, and how to get started in planning a community school center. This booklet is the first in a series that examines community school centers as a phenomenon of national importance to the coordinated delivery of social services, better use of public resources, and revitalization of community life.
24p.
A College Health Center. Case Studies of Educational Facilities #6.
http://archone.tamu.edu/CRS/engine/archive_files/EFL/6000.0304.pdf Brad, Bernard (Educational Facilities Laboratories, New York, NY , 1965)
Considers problems and solutions related to the design and establishment of college health facilities. Specific considerations include: 1) internal expansion and flexibility; 2) study and recreational facilities; and 3) supervision and space relationships. A prototype solution was developed to meet the needs of small independent liberal arts colleges. This solution consisted of a circular building with patient rooms on the perimeter and a raised central nursing station, with auxiliary waiting and treatment rooms and an attached nurses’ residence. Specifications, layouts, and elevations are given with the supporting design analysis. 36p.
2007 Architectural Portfolio: Specialized Facilities.
http://www.schooldesigns.com American School and University; v80 n3 , p194-236 ; Nov 2007
Profiles 33 outstanding new specialized school facilities selected for their innovation, sustainability, security, aesthetics, and life-cycle costs. These include art, performing arts, athletic, student health, service, K-12, science, and other facilities. Project information and photographs are included. (The URL for this citation links to the searchable database of American School and University Magazine's school design awards.)
Building Blueprints: School Health Suites.
Devol, James School Planning and Management; v46 n4 , p34,35 ; Apr 2007
Advises on the design of school health suites, presenting typical questions that should be answered by the client, and using a new middle school facility in Lincoln, Rhode Island, as an example. Keys to facility cleanliness, staff involvement in design, demographic considerations, and new expectations for parental involvement and security are covered.
Good Medicine.
http://www2.universitybusiness.com/viewarticle.aspx?articleid=214 McDaniel, R. Stephen University Business; v9 n7 , p77-80 ; Jul 2006
Describes state-of-the-art health services facilities being built on higher education campuses. These are typically inviting, centrally-located facilities designed to better address the more complex physical and mental health issues of today's students. Examples at Pennsylvania State University and the University of Arkansas are detailed, as are opportunities to use the new facilities to enhance the academic program.
School Health Office Facilities: School Nurses Have Learned the Importance of Providing Input During the Planning Stages of New Construction, Renovations and Remodeling Projects.
http://www.peterli.com/archive/spm/1095.shtm Cooper, Leslie School Planning and Management; v45 n3 , p44-47 ; Mar 2006
Discusses the participation of school nurses in the design process for new and renovated school facilities. Practitioner suggestions for what should be included in a well-equipped school clinic are included.
Recommended Minimal Emergency Equipment and Resources for Schools: National Consensus Group Report.
Journal of School Nursing; v19 n3 , p150-156 ; Jun 2005
Providing an environment that is responsive to emergency health needs of students is essential to creating a safe setting for children in schools. The question of what minimal essential emergency equipment and resources should be available in schools brings with it many and varied opinions, issues, and concerns. Through funding from the Emergency Medical Services for Children (EMSC), the National Association of School Nurses (NASN) was charged with the task of convening a consensus group to formulate a recommended list of minimal essential emergency equipment and resources that should be present in all schools. This article provides an overview of the issues surrounding minimal emergency equipment needs for schools, presents recommended minimal emergency equipment and resources, and recommendations for further actions. [Authors' abstract]
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National Association of School Nurseshttp://nasn.allenpress.com/
Recommendations for Constructing School Nurses' Offices Designed to Support School Health Services.
McKibben, Cynthia; DiPaolo, Sonja; and Bennett, J.Scott Journal of School Nursing; v21 n3 , p164-9 ; Jun 2005
When attempting to locate guidelines for designing school nurses' offices, one finds there are minimal resources that address this need. In an effort to solve this concern, the authors were instrumental in writing an article for The Journal of School Nursing published in April 1997. The current article is an updated perspective that defines recommendations to be utilized in new construction or renovation of school nurses' offices. It encompasses information on square footage, design, utilization of space, location, and necessary equipment. Prototypes are provided that apply to elementary, middle school, and high school settings. The article outlines the importance of continued collaboration between the school nurse and key people involved in the planning and construction process, such as the school principal, administrators, and the district engineer. [Authors' abstract]
TO ORDER:
National Association of School Nurseshttp://nasn.allenpress.com
School Nurse Work Environment: Ingredients for Safe and Effective Practice.
Mosca, N.W. Journal of School Nursing; v21 n3 , p129-31 ; Jun 2005
School Health Clinics.
Cecil, Dan School Planning and Management; v44 n4 , p44,45 ; Apr 2005
Describes the 1,200-sq.-ft. health clinic at Maine's Noble High School, which was designed to serve both the students and the community. The facility was thoughtfully placed close to the gymn, but with a private entrance and in a discreet location, to protect the privacy of users. Source of outside staffing and funding for the clinic, as well as the services it provides are described.
Health-Care Hub.
http://www.edweek.org/ew/articles/2004/02/04/ Bowman, Darcia Harris Education Week [free subscription required]; , p26-29 ; Feb 04, 2004
Case study of the health-care center at Broad Acres Elementary in Silver Spring, Maryland, one of 1,500 school-based health centers nationwide that bring a wide range of medical, nutritional, and mental-health care to millions of students and their families. [Free subscriber registration is required.]
Putting Health First.
http://www.peterli.com/archive/spm/527.shtm Katz, Janet A. School Planning and Management; v42 n6 , p46-48 ; Jun 2003
Describes the successful public-private partnership between the Austin Independent School District and the Children's Hospital of Austin to provide student health services.
Software Improves Student Health Services.
http://www.peterli.com/archive/cpm/397.shtm Mackey, Thomas A. College Planning and Management; v5 n8 , p30-32 ; Aug 2002
Describes how electronic medical records help the staff at University of Texas Health Services to serve students efficiently and collect data on the patient population.
Student Health Clinics.
Jelliffe, James H.; Schipp, Michael K. School Planning and Management; v41 n1 , p96-97 ; Jan 2002
Discusses important issues concerning the design of student health clinics, including convenient access, privacy and security, showers and sinks, durability and safety, and special considerations.
Ritalin Reaction
Fine, Lisa Teacher Magazine; v12 n8 , p.11 ; May 2001
Discusses the high incidence of stolen drugs from school nurse's offices, and suggests security measures such as adding locks and limiting keys, and installing safety devices, cameras or motion detectors.
Rethinking the Health Center: Assessing Your Health Center and Setting Goals.
McMillan, Nancy S. Camping Magazine; v74 n2 , p26-29 ; Mar-Apr 2001
Camp health center management begins with assessing the population served, camp areas impacted, and the contract of care with parents. That information is used to plan the size of the center; its location in the camp; the type of equipment; and considerations such as medication management, infectious disease control, size of in- and out-patient space, and record storage
Development of a Statewide Space Model. [Texas]
Alexander, Lynda; Lewis, Tim Planning for Higher Education; v29 n1 , p31-38 ; Oct 2000
This article reviews development and use of a statewide (Texas) space model for long-term planning, regulating new construction, and formula appropriations for general academic and, more recently, health-related institutions. Considers the work and recommendation of a 1998 study committee on space needs of health facilities, the Commissioner's response, and the compromise decision to link space models to funding.
Interior Design for Ambulatory Care Facilities
Frasca-Beaulieu, K. Journal of Ambulatory Care Management; v22 n1 , p67-73 ; Jan 1999
This focuses on how wayfinding, noise control, privacy, security, color and lighting, general ambience, textures, and nature can have a profound influence on patient stress, health, and well-being. Other important design issues include convenience and accessibility, accommodation to various populations, and family focus, as well as current equipment needs and future growth.
Nurse's Office, Health Office, or Clinic? The Importance of a Name and a Piece of Real Estate
Journal of School Nursing; v13 n3 , p4-5 ; Aug 1997
Promoting the Construction of an Optimal Nurse's Office Facility: One School District's Experience.
McKibben, Cynthia; DiPaolo, Sonja J. Journal of School Nursing; v13 n2 , p22-29 ; Apr 1997
Details recommendations for updating or constructing nurses' offices based upon a descriptive study done in one midwestern school district. Suggestions are provided on size, location, and equipment needed. Also addressed is the communication process needed to persuade a board of education and school administrators that nursing facilities must be a priority in order to meet the health needs of students.
Facilities for the School Health Team.
Henshelwood, Julie; Polnay, Leon Archives of Disease in Childhood; v70 n6 , p542-543 ; Jun 1994
Results of a questionnaire returned by 20 doctors giving information of 249 schools showed that many of the rooms made available to school health services are inadequate in terms of physical resources and privacy. A higher set of standards is recommended to enable schools and pupils to derive maximum benefit from community pediatric services.
American School Health Association
http://www.ashaweb.org/ The ASHA is a multidisciplinary organization of administrators, counselors, dentists, health educators, physical educators, school nurses and school physicians involved in school health instruction, health services and a healthful school environment. A list of publications and ordering information for reprints from the Journal of School Health are included on the Web site.
Bureau of Primary Health Care (BPHC), Healthy Schools, Healthy Communities Program.
http://bphc.hrsa.gov/ BPHC is one of four Bureaus of the Health Resources and Services Administration (HRSA), an agency in the Department of Health and Human Services. Healthy Schools, Healthy Communities was established in 1994 to encourage the development of new, comprehensive, full-time, school-based primary care programs that serve high risk children. This Web site includes project files, full text publications, and links.
Center for Health and Health Care in Schools
http://www.healthinschools.org CHHCS is a nonpartisan policy and program resource center located at The George Washington University School of Public Health and Health Services. CHHCS was established to explore ways to strengthen the well being of children and youth through effective health programs and health care services in schools. Web site includes publications, policy and program information, an e-newsletter, and a section offering advice and providing sample documents for communicating about health care in schools. A section on Environmental Health includes information on biological and chemical safety, fire safety, occupational safety, playground safety, and air, water, and sanitation safety.
National Assembly on School-Based Health Care
http://www.nasbhc.org/ The National Assembly on School-Based Health Care is a nonprofit private association representing school-based health care providers and supporters. The National Assembly provides community, state, and national advocacy, information and knowledge exchange, networking opportunities, and technical assistance. This Web site includes standards/guidelines, statistics, financing information, evaluation tools, and additional literature on the subject.
National Association of School Nurses, Inc
http://www.nasn.org/ Web site includes position statements and issue briefs on key issues facing school nurses and children's health; information on upcoming conferences and the annual meeting; and the Table of Contents of current and recent issues of the Journal of School Nursing.
National School Boards Association School Health Programs
http://www.nsba.org/schoolhealth To assist policymakers and others in the school community to make
informed decisions, NSBA has developed the School Health Resource
Database, an ever-expanding source of up-to-date information and
materials, including sample school district policies, journal articles,
research summaries, fact sheets, and more.
Community Use of Schools http://www.edfacilities.org/rl/community_use.cfm (National Clearinghouse for Educational Facilities, Washington, DC) NCEF's resource list of links, books, and journal articles on community use of public school facilities during and after school hours.
Funding Partnerships for School Construction
http://www.edfacilities.org/rl/funding_partnerships.cfm (National Clearinghouse for Educational Facilities, Washington, DC) NCEF's resource list of links, books, and journal articles on financing school construction and renovation through partnerships between schools and the private sector, community organizations, public agencies, and school districts.
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National Clearinghouse for Educational Facilities at the National Institute of Building Sciences 1090 Vermont Ave., NW Suite 700, Washington, D.C. 20005 · Toll free: 888-552-0624 · 202-289-7800 · www.ncef.org Funded by a grant from the U.S. Department of Education |
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