Contents

Acknowledgments

How to Use this Guide

Introduction

1. Overview
   • Definition
   • Background
   • Statistics
   • Meeting the Challenge
   • References
2. Fundamental Principles
   • Delegation
   • Documentation
   • Infection Control/Standard Procedures
   • References
3. Part A: Legal Issues – Educational
   • Special Education
   • Individuals with Disabilities Education Act of 2004
   • Section 504 of the Rehabilitation Act of 1973
   • Individualized Health Care Plans
   • The Role of the School Nurse (Registered Nurse) in Special Education and Section 504
   • Confidentiality: Family Educational Rights to Privacy Act
   • Confidentiality: Health Insurance Portability and Accountability Act
   • Where FERPA and HIPAA May Intersect
   • References
3. Part B: Legal Issues – Clinical
   • Regulations
   • Licensure
   • Standards of Practice
   • Practice by Unlicensed Persons
   • Training of School Personnel by Parents
   • References
4. Organizational Structure: The Decision-making Process
   • Example of Collaborative Decision Making
5. Personnel
   • General
   • Qualifications for Regular, Contract, and Substitute Personnel
   • Planning for the Absence of Staff Providing Health Services
   • Consultation, Supervision, Continuing Education and In-Service Training
   • Delegation of Health Activities, Interdisciplinary and Transdisciplinary Team Functioning
   • References
6. Entry/Re-entry Process
   • References
7. Specialized Health Care Procedures
   1. Asthma
   2. Allergies
   3. Blood Glucose Monitoring
   4. Catheterization: Clean Intermittent
   5. Catheter: External
   6. Catheter: Indwelling
   7. Catheterization: Reinsertion of Indwelling Urinary Catheter
   8. Central Line Care
   9. Diabetes
   10. Enteral Tube Feeding
   11. Health Assessment
   12. Incontinent Care
   13. Injectables: Intramuscular, Subcutaneous Medication or Vaccination Administration
   14. Insulin Pump Management
   15. Intravenous Therapy
   16. Mechanical Ventilation
   17. Oral Feeding
   18. Oral or Inhaled Medication Administration
   19. Ostomy Management and Care
   20. Oxygen Therapy
   21. Pulse Oximetry
   22. Suctioning (non-tracheostomy)
   23. Tracheostomy Care and Suctioning
   24. Vagus Nerve Stimulator

• Appendices
  1. Connecticut Board of Examiners for Nursing. Declaratory Ruling on Delegation by Licensed Nurses to Unlicensed Assistive Personnel
  2. Connecticut Board of Examiners for Nursing. Declaratory Ruling on LPN Scope of Practice
  3. Section 504 Parental Rights
  4. Suggested Qualifications and Role of the School Medical Advisor in the Implementation of the School Health Services Program
  5. Nurse Practice Act
  6. Qualifications of a school nurse

Glossary