Skip to main content

American Academy of Pediatrics Return to Learn After Concussion ECHO: Telementoring for School Nurses

Release Date: 10/14/2021
Expiration Date: 10/14/2024
Part of the NASN Lunch and Learn Series.

Cost: $20.00/Free for NASN members!

Upon successful completion of this offering, 
participants will receive .75 CNE contact hours.

Programs in the Lunch and Learn Series include a discussion option. Scroll to the bottom of each program page to locate a discussion for the course. Program speakers are monitoring the discussion and will provide responses to your questions when needed.

Program Overview
Returning to Learn (RTL) after a concussion presents unique challenges for professionals who work with children. Much responsibility falls on school nurses. In 2019, using the evidence-based telementoring program, Project ECHO® (Extension for Community Healthcare Outcomes), the American Academy of Pediatrics implemented RTL ECHO. A multidisciplinary subject matter expert team developed the curriculum to improve school-based professionals’ management of students with concussion. Faculty delivered the program consisting of a brief lecture followed by case discussion to five cohorts; each cohort received five 1-hour sessions. A total of 133 participants – the majority of whom were school nurses representing 24 states – took part across all cohorts. A mixed-methods evaluation approach included participant post-session and post-program surveys and focus groups. Evaluation findings indicate high satisfaction with the ECHO model and RTL curriculum. Further, RTL ECHO’s bidirectional learning model resulted in increased participant knowledge and self-efficacy regarding key aspects of the Return to Learn process, enhanced job satisfaction, and improved access to relevant resources for school personnel, students, and families. This session reviews the ECHO training structure and the evaluation findings from school nurse participants. Results from the pilot RTL ECHO cohort suggest that delivery of RTL training via a telementoring approach is a positive and efficacious way to educate and train school nurses, especially when face-to-face opportunities are limited due to COVID-19 or other logistical factors.

Learning Outcomes
As a result of participating in this educational activity, learners will be able to: 
  • Demonstrate mastery of return to learn (RTL) skills critical for school nurse empowerment.
  • Demonstrate mastery of return to learn training curriculum for general education teacher empowerment (Tier 1) delivered by school nurses.
  • Demonstrate mastery of return to learn skills necessary in cases of protracted concussion recovery (Tier 2 Related Service Providers).
  • Demonstrate use of the evaluation data to assess school-wide knowledge, confidence, and systemic implementation of appropriate RTL protocols.
  • Review concussion management resources developed by the American Academy of Pediatrics and Centers for Disease Control and Prevention.
Intended Audience
This continuing education program is a knowledge-based activity developed to meet the educational needs of registered nurses who are interested in child and adolescent health.

Karen McAvoy, PsyD
Brain Injury Educational Consulting CO, LLC

Mark Halstead, MD
Team Physician
Washington University

Shannon Limjuco, MPH
Senior Manager, Telehealth and ECHO Initiatives
American Academy of Pediatrics

Faculty and Program Planner Disclosures

NASN must ensure that all educational session content is free of commercial bias and influence. The intent of this disclosure is to provide learners with information on which they can make their own judgments. 
The nurse planner, faculty and reviewers disclose the absence of personal financial relationships with commercial interests relevant to this educational activity within the past 12 months.

Accreditation Statement

National Association of School Nurses is accredited with distinction as a provider of nursing continuing professional development by the American Nurses Credentialing Center's Commission on Accreditation.

Accredited status does not imply endorsement by NASN or ANCC of any commercial products discussed in this learning activity.

Commercial Support or Grant Funding

This program did not receive commercial support or grant funding.

Instructions to Complete This CNE Activity
To receive a Certificate of Completion for this course, follow the steps below, and complete and view the full content of the program including the course evaluation.

NASN will conduct an outcome assessment of a sample of participants at a later date. Please be advised that, if you complete this course, you may be asked to participate in this outcome assessment.

Step 1: Enroll in the course through the e-commerce system. Select the Purchase button. You will be directed to the e-commerce system. The item should already be in your shopping cart (look for the shopping cart icon at the top of the e-commerce web page).  The cost for this course will be waived for NASN members during the checkout process.

Step 2: Complete and view the full content of the program. Content items are indexed at the bottom of this screen. After you enroll, you will return to this screen. The first content item will be “unlocked” so that you can begin completing the course. Subsequent items will “unlock” as you complete previous items.
Step 3: Print the certificate.