School of Nursing


Doctor of Nursing Practice (DNP)


Vickie Moore


chain of command, emergency chain of command, emergency response protocols, emergency management, emergency preparedness, emergency nursing, emergency plans, emergency response, school nursing, school nurse, school health, school-based health centers, effective communication, poor communication, and improving communication




Medical emergencies occur every day in school settings across America. School nurses have a vital role in providing care for individuals experiencing a medical emergency and leading a multidisciplinary team during a medical emergency event. Since incidences of medical emergencies are commonplace, it is standard to have protocols and guidelines for these events. To address this concern, an evidence-based practice project was implemented in a rural school district in North Georgia. The pilot project was developed and implemented to assess the effectiveness of implementing a “Medical Emergency Chain of Command Protocol.” The protocol was developed to improve the effectiveness and efficiency of multidisciplinary communication during a medical emergency in the school setting. The Health Service Department team members were given a preimplementation and postimplementation assessment to evaluate the protocol’s effectiveness and a preeducational and posteducational survey to assess the effectiveness of an educational in-service to improve the team member’s knowledge about using a chain of command. The pilot study was conducted over a 60-day implementation period. After thorough data collection and analysis were completed, the results showed that implementation of a medical emergency chain of command protocol in the school setting positively impacts multidisciplinary communication during and after a medical emergency event in the school setting.

Included in

Nursing Commons