The Omaha System: a model for describing school nurse case management.

Case management is a key role for school nurses to employ in effecting positive outcomes for students in both health and education. The purpose of this paper is to describe the Omaha System and demonstrate its usefulness as a tool for school nurse case management. A case study model was used to analyze the practice of a single school nurse. During the 1995-1996 school year, the Omaha System helped a school nurse to identify students' health problems utilizing the Problem Classification Scheme, and the Intervention Scheme helped identify the nursing interventions employed. The Problem Rating Scale for Outcomes is also discussed in relation to this particular school nurse's practice.