The school board recognizes that there are some students who are in need of special health services during the school day.
Students with Individualized Health Plans (IHP) will receive confidential health services in conjunction with their Individualized Education Plan (IEP) or 504 Accommodation Plan.
The superintendent [or designee] in conjunction with licensed health personnel will establish administrative regulations for the implementation of this policy.
Adopted: 2/96
Reviewed: 4/12; 7/13; 10/14; 11/17; 12/20; 10/23
Revised: 9/09; 4/11
Related Policy: 504.11-R
Legal Reference (Code of Iowa): §§ 256.11(7): 256B; 273.2, .5, .9(2-3); 280.8; 281 IAC 14.2
IASB Reference: 507.08
Some students require special health services to participate in their educational program. These students will receive special health services in conjunction with their educational program.
A. Definitions:
Assignment and Delegation: Occurs when licensed health personnel, in collaboration with the education team, determine the special health services to be provided and the qualifications of individuals performing the health services. Primary consideration is given to the recommendation of the licensed health personnel. Each designation considers the student’s special health service. The rationale for the designation is documented. If the designation decision of the team differs from the licensed health professional, team members may file a dissenting opinion.
Co-Administration: The eligible student’s participation in the planning, management, and implementation of the student’s special health service and demonstration of proficiency to licensed health personnel.
Educational Program: Includes all school curricular programs and activities both on and off school grounds.
Education Team: May include the eligible student, the student’s parents/guardians, administrator, teacher, licensed health personnel, and others involved in the student’s educational program.
Health Assessment: Health data collection, observation, analysis, and interpretation relating to the eligible student’s educational program.
Health Instruction: Education by licensed health personnel to prepare qualified designated personnel to deliver and perform special health services contained in the eligible student’s health plan. Documentation of education and periodic updates are on file at school.
Individual Health Plan: The confidential, written, preplanned, and ongoing special health service in the educational program. It includes assessment, nursing diagnosis, outcomes, planning, interventions, evaluation, student goals (if applicable), and a plan for emergencies to provide direction in managing an individual’s health needs. The plan is updated as needed and at least annually. Licensed health personnel develop this written plan with collaboration from the parent or guardian, the student’s health care provider, or education team.
Licensed Health Personnel: Means a licensed registered nurse, licensed physician, and other licensed health personnel legally authorized to provide special health services and medications under the auspices of the district.
Prescriber: Licensed health personnel legally authorized to prescribe special health services and medications.
Qualified Designated Personnel: Persons instructed, supervised, and competent in implementing the eligible student’s health plan.
Special Health Services: Includes, but is not limited to, services for eligible students whose health status (stable or unstable) requires:
Supervision: The assessment, delegation, evaluation, and documentation of special health services by licensed health personnel. Levels of supervision include situations in which licensed health personnel are:
B. Licensed health personnel will provide special health services under the auspices of the school. The duties of the licensed health personnel include:
C. Prior to the provision of special health services the following will be on file:
D. Licensed health personnel in collaboration with the education team will determine the special health services to be provided and the qualifications of individuals performing the special health services. The documented rationale will include the following:
E. Licensed health personnel will supervise the special health services, define the level of supervision, and document the supervision.
F. Licensed health personnel will instruct qualified designated personnel to deliver and perform special health services contained in the Individual Health Plan (IHP). Documentation of instruction, written consent of non-administrative personnel to perform the service, and periodic updates will be on file at the school.
G. Parents/guardians will provide the usual equipment, supplies, and necessary maintenance for such unless the district is required to do so under the IDEA or Section 504 of the Rehabilitation Act. The equipment will be stored in a secured area. Personnel responsible for the equipment will be designated in the Individual Health Plan (IHP). The IHP will designate the role of the school, parents/guardians, and others in the provision, supply, storage, and maintenance of necessary equipment.
H. For students eligible under the IDEA and/or Section 504, the special school health services provided under these regulations will also comply with any additional or differing requirements imposed by the IDEA and/or Section 504.
Adopted: 2/96
Reviewed: 4/11; 4/12; 7/13; 10/14; 11/17; 12/20
Revised: 8/02; 10/23
Related Policy: 504.11
Legal Reference (Code of Iowa): § 256.11; 256B; 273.2; 273.5; 273.9; 280.8; 281 IAC 14
IASB Reference: 507.08-R(1)