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The school nurse selects a measure on the difficult rating scale in the IHP template with active communication from the student or family. In the communication with the family, the school nurse should ask how difficult the goal will be to attain..
An essential component of developing an attainable goal is considering the anticipated difficulty of achieving the goal. The difficulty rating scale is completed with the family, student, school nurse, or qualified personnel (if applicable). The school nurse, with qualified personnel (if applicable), will complete the scale if this is attainment for a nursing-led goal.
Remember that, in effect, if a student-led goal is “not at all important” or “not at all difficult,” it is presumably already achieved. The importance of rating difficulty is in communication with the student or the family to involve them in prioritizing, developing, and possibly identifying a SMART goal or post-secondary health expectation (if applicable).
Likewise, the school nurse needs to have continual communication with qualified personnel about difficulty with delegated tasks and nursing functions as part of the delegation process in evaluating nursing-led outcomes (Iowa Board of Nursing. 2021). The school nurse communicates in their supervision, monitoring, and evaluation of delegation when they transfer accountability to qualified school personnel to safely perform a specific task or activity related to outcomes.