Elected Board
Appointed Board

Mission Statement
School Nurse Scope and Standards click here
Nursing Administration: Scope and Standards of Practice click here
School Nurse of the Year Information 2019 
SNOY Guidelines and Criteria click here
SNOY Nomination Form click here
School Nurse Administrator of the Year Information 2019
SNAY Guidelines and Criteria click here
SNAY Nomination Form click here
Peer Review in School Nursing

Did you know that there are 12 nurses who meet at least twice a year to discuss relevant trends in nursing? Region X Peer Review Committee was formed for the school districts that are served by Region X. 

The Peer Review House Bill 3296 Amends section 303.0015(a) of the Occupations Code related to establishment of a Peer Review Committee (PRC) requires a person or entity that regularly employs or contracts for services of eight or more nurses to establish a PRC. Previously the number of nurses employed was 10. This is required by the Nurse Practice Act and Nurse Peer Review law. This amendment took effect September 1, 2017. The bill was passed and signed by the Texas government in 2017. 

Region X Peer Review nurses meet when a grievance or complaint is brought against a nurse within the region. School districts or parents can file a complaint against a nurse for any reason.  The committee then sends representatives to investigate the issue. If it is determined that the issue is conduct subject to reporting then due process begins and the committee begins the process of hearing both sides of the issue.
Conduct subject to reporting is defined by the Nurse Practice Act (NPA) as “conducts that violates the NPA or BON rule and contributed to the death or serious injury of a patient, causes a person to suspect that the nurse’s practice in impaired either by chemical or alcohol; constitutes abuse, exploitation, fraud or a violation of professional boundaries or indicates that the nurse lacks knowledge, skill, judgment, or conscientiousness to such an extent the nurses’ continued nursing practice could reasonably be expected to pose a risk of harm to a patient or another person, regardless if it is a single incident or a pattern of behavior.”

Any nurse in Region X can contact a committee member to ask if a situation is something that should be brought to Peer Review. One nurse from each of the following school districts currently comprise the Region X Nurse Peer Review Committee: Allen, Carrollton-Farmers Branch, Dallas, Duncanville, Garland, Grand Prairie, Irving, McKinney, Mesquite, Plano, Richardson, and Rockwall.  
This year the chair of the committee is Lisa Ray RN, Plano ISD while Samantha Howard of Irving ISD serves as co-chair. 

Need an Individualized Health Plan (IHP)? 

Many nurses are in the same position.  Some school districts share IHPs and we thought it is a great idea to share through TSNOX.  If you would like to share your IHPs, please send them (without student information) to Denise Wharton at whartond@friscoisd.org 
Please send in Word document so that it can be modified.

Another resource is TSNO where a few general IHP templates are available.  CLICK HERE  
SNOY and SNAY Letter from Region X  Please read.

Double click here to add textDear TSNO Members,

Your Voice and Action is needed to support the NURSE ACT to increase school nurses in Title I schools. For the proposed bill to move forward in Congress it is critical our message of support be heard. Below is a message from Piper Largent, NASN Director of Government Affairs for further information. If your congressional representative is on one of the committees or you have a connection, reach out to them by call or email. Below is a message from Piper Largent, NASN Government Affairs. Thank you for your help! Francis Luna

I wanted to give you an update on the NURSE Act, introduced by Representative Dina Titus (D-NV) and Representative Chellie Pingree (D-ME). The NURSE Act would give grants through from the Department of Education to increase the number of registered school nurses in Title I schools where there does not already exist a school nurse. These would be demonstration grants that would be awarded on a competitive basis. There is a cost share between Department of Education with it contributing the bulk of the grant (75 percent) and the SEA/LEA contributing the remainder (25 percent) of the grant.
The NURSE (Nurses for Under-Resourced School Everywhere Act), HR 1362, has been referred to the House Committee on Education and Labor as well as the House Committee on Energy and Commerce. If you have contact with any of the Member of these Committees or they are your Members of Congress, please contact them to support and co-sponsor the NURSE Act (see the Members listed below).

Call your Representative or Email and ask them to co-sponsor the NURSE Act (Nurses for Under-Resourced Schools Everywhere Act) HR 2606. Call the Capitol Switchboard and ask to be connected to your Congressman at 202-225-3121.
Use these talking points
As a constituent and a school nurse, I know how important it is that children have their health needs met at school.
According to national data, only 39 percent of schools employ a full-time school nurse, while 35 percent of schools employ a part-time school nurse. Twenty five percent of schools do not a have a school nurse at all.
The NURSE Act would give grants to increase the number of school nurses in Title I schools where there is not already a school nurse.
Between 15 and 20 percent of children in school have a chronic condition, such as asthma, diabetes, food allergy, seizure disorder or other health conditions. Today's children face greater health needs than in past generations.
Additionally, school nurses spend 32 percent of their time on mental health issues of their students.
School nurses help keep students safe, healthy and ready to learn. Please co-sponsor the NURSE Act HR 2606.

Dear Congressman,
I am writing to urge you to co-sponsor the Nurses for Under-Resourced Schools Everywhere (NURSE) Act, HR 2606 As a school nurse, I know firsthand how important it is for children to have a registered nurse at school to take care of their health care needs.
The NURSE Act would give grants to increase the number of school nurses in Title I schools where there does not already exist a school nurse.
National data indicates 39 percent of public schools have a school nurse, while another 35 percent of schools have a school nurse who works part-time in one or more schools. This leaves another 25 percent of schools that do not have a school nurse at all. Wide ratio disparities exist from state to state, within states and school districts, and between urban and rural.
Children today face increased social and emotional issues; according to the CDC, 20 percent of children and adolescents experience some sort of mental disorder. School nurses spend one-third of their time providing mental health issues and are critical members of the mental health team.
For many of our nation's children, the school nurse is the sole provider of access to health care. This makes the role of school nurses even more critical. School nurses operate in what some have termed the "Hidden Health Care System." School nurses coordinate with families, schools, and providers to connect children to medical homes, which can help improve health outcomes and reduce costs.
The American Nurses Association has reported that when there is no registered nurse on the school premises, the responsibility to administer the necessary medications and treatments, and to appropriately monitor children's health issues, fall on the shoulders of administrators, educators, and staff, who are ill‐prepared to perform these tasks.
Please ensure that our children are safe, healthy and ready to learn by Co-Sponsoring the NURSE Act.
[Your Name]

House Committee on Education and Labor

Chairman Bobby Scott - VA
Rep. Susan Davis - CA
Rep. Raul Grijalva - AZ
Rep. Joe Courtney - CT
Rep. Marcia Fudge - OH
Rep. Kilili Sablan – N. Mariana Islands
Rep. Frederica Wilson - FL
Rep. Suzanne Bonamici - OR
Rep. Mark Takano - CA
Rep. Alma Adams - NC
Rep. Mark DeSaulnier - CA
Rep. Donald Norcross - NJ
Rep. Pramila Jaypal - WA
Rep. Joseph Morelle - NY
Rep. Susan Wild - PA
 Rep. Josh Harder - CA
Rep. Lucy McBath - GA
Rep. Lim Schrier - WA
Rep. Lauren Underwood - IL
Rep. Jahana Hayes - CT
Rep. Donna Shalala -FL
Rep. Andy Levin - MI
Rep. Ilhan Omar – MN
Rep. David Trone – MD
Rep. Haley Stevens – MI
Rep. Susie Lee – NV
Rep. Lori Trahan – MA
Rep. Joaquin Castro - TX

Ranking Member Virginia Foxx – NC
Rep. Phil Roe – TN
Rep. Glenn Thompson - PA
Rep. Tim Walberg – MI
Rep. Brett Guthrie – KY
Rep. Bradley Byrne – AL
Rep. Glenn Grothman - WI
Rep. Elise Stefanik – NY
Rep. Rick Allen – GA
Rep. Lloyd Smucker – PA
Rep. Jim Banks – IN
Rep. Mark Walker – NC
Rep. James Comer – KY
Rep. Ben Cline – VA
Rep. Russ Fulcher – IN
Rep. Van Taylor – TX
Rep. Steve Watkins – KS
Rep. Ron Wright – TX
Rep. Dan Meuser – PA
Rep. Williams Timmons – SC
Rep. Dusty Johnson – SD
Rep. Fred Keller - PA

House Committee on Energy and Commerce


Chairman Frank Pallone – NJ
Rep. Bobby Rush - IL
Rep. Anna Eshoo – CA
Rep. Eliot Engel – NY
Rep. Diana DeGette – CO
Rep. Michael Doyle – PA
Rep. Jan Schakowsky – IL
Rep. G.K. Butterfield – NC
Rep. Doris Matsui – CA
Rep. Kathy Castor – FL
Rep. John Sarbanes – MD
Rep. Jerry McNerney – CA
Rep. Peter Welch – VT
Rep. Ben Ray Lujàn – NM
Rep. Yvette Clarke – NY
Rep. David Loebsack - IA
Rep. Kurt Schrader – OR
Rep. Joseph Kennedy – MA
Rep. Tony Càrdenas – CA
Rep. Paul Ruiz – CA
Rep. Scott Peters – CA
Rep. Debbie Dingell – MI
Rep. Marc Veasay – TX
Rep. Ann Kuster – NH
Rep. Robin Kelly – IL
Rep. Nannette Diaz Barragàn – CA
Rep. Donald McEachin – VA
Rep. Lisa Blunt Rochester – DE
Rep. Darren Soto – FL
Rep. Tom O'Halleran - AZ


Ranking Member Greg Walden – OR
Rep. Fred Upton – MI
Rep. John Shimkus – IL
Rep. Michael Burgess – TX
Rep. Steve Scalise – LA
Rep. Rob Latta – OH
Rep. Cathy McMorris Rodgers – WA
Rep. Brett Guthrie – KY
Rep. Pete Olson – TX
Rep. David McKinley – WV
Rep. Adam Kinzinger – IL
Rep. Morgan Griffith – VA
Rep. Gus Bilirakis – FL
Rep. Bill Johnson – OH
Rep. Billy Long – MO
Rep. Larry Bucshon – IN
Rep. Bill Flores – TX
Rep. Susan Brooks – IN
Rep. Markwayne Mullin – OK
Rep. Richard Hudson – NC
Rep. Tim Walberg – MI
Rep. Earl "Buddy" Carter – GA
Rep. Jeff Duncan – SC
Rep. Greg Gianforte - MT
Piper Largent
Director of Government Affairs
National Association of School Nurses
Silver Spring, MD United States

Francis Luna, MSN, RN, NCSN
TX NASN Director
972-788-1088 cell