Some students who require special education need special health services in order to participate in the educational program. These students will receive special health services in accordance with their Individualized Health Plan (IHP).
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 in accordance with licensed practice 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 in the student’s education record.
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 parent, administrator, teacher, licensed health personnel, others involved in the student’s educational program, or as described in the Individuals with Disabilities Education Act or Section 504 of the Rehabilitation Act of 1973.
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. 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 individual’s health care provider, or education team.
Licensed Health Personnel: Includes licensed registered nurses, licensed physicians, 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 district. 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 and frequency 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 eligible Individual Health Plan (IHP). Documentation of instruction, written consent of personnel as required in Iowa Code 280.23, and periodic updates are on file at school.
G. Parents will provide the usual equipment, supplies, and necessary maintenance for such, unless the district is required to provide the equipment, supplies, and maintenance under the Individuals with Disabilities Education Act (IDEA) or Section 504 of the Rehabilitation Act of 1973. The equipment is stored in a secured area. The personnel responsible for the equipment are designated in the Individual Health Plan (IHP). The IHP will designate the role of the school, parents, and others in the provision, supply, storage, and maintenance of necessary equipment.
Adopted: 2/96
Reviewed: 4/11; 4/12; 7/13; 10/14; 11/17; 12/20
Revised: 8/02; 10/23; 8/24
Related Policy: 504.11
IASB Reference: 507.08-R(1)