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Escondido Union HSD  |  BP  5141  Students

Health Care And Emergencies   

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The Governing Board recognizes the importance of taking appropriate action whenever an accident or illness threatens the safety, health or welfare of a student at school or during school-sponsored activities.

(cf. 0450 - Comprehensive Safety Plan)

(cf. 3516 - Emergencies and Disaster Preparedness Plan)

(cf. 5141.21 - Administering Medication and Monitoring Health Conditions)

(cf. 5141.22 - Infectious Diseases)

(cf. 5142 - Safety)

The Superintendent or designee shall develop procedures to ensure that first aid and/or medical attention is provided as quickly as possible when accidents and injuries to students occur and that parents/guardians are notified as appropriate.

(cf. 3530 - Risk Management/Insurance)

(cf. 5143 - Insurance)

(cf. 6145.2 - Athletic Competition)

The Superintendent or designee shall ask parents/guardians to provide emergency contact information in order to facilitate communication in the event of an accident or illness.

District staff shall appropriately report and document student accidents.

"Do Not Resuscitate" Orders

The Board believes that staff members should not be placed in the position of determining whether or not to follow any parental or medical "do not resuscitate" orders. Staff shall not accept or follow any such orders unless they have been informed by the Superintendent or designee that the request to accept such an order has been submitted to the Superintendent or designee, signed by the parent/guardian, and supported by a written statement from the student's physician and an order from an appropriate court.

Resuscitation Orders

The parents or guardians of all students who request the implementation of medical "do not resuscitate" (DNR) orders in the school setting must be immediately referred to the district nurse. The student will receive routine first aid and CPR until all the DNR implementation procedure requirements are met.

The parent must provide the district with a copy of the physician's DNR order. The parent must also provide a separate signed statement indicating their agreement with the DNR order in the school setting. Both documents will become part of the student's health care file. The district nurse will conduct an assessment, which may include contacting the student's physician, to determine the factors necessary to implement the DNR. Included in the assessment will be consideration of the impact of implementation on other students and staff within the school.

Upon receipt of the DNR and parent statement, the district nurse will convene a team to determine the appropriateness of implementation. When it is determined that it is appropriate to implement the request, the district nurse will convene a team to develop the student's Individualized Health Care Plan. The team will include the district nurse, school nurse, parent/guardian, site administrator, district administrator, and other school personnel as determined appropriate. The parent may request that their physician attend the team meeting.

The Individualized Health Care Plan will include detailed information regarding expectations and procedures to follow, staff members that need to be made aware of the student's status, and procedures for how the school will interact with emergency medical personnel. The Individualized Health Care Plan needs to be reviewed annually.

Automated External Defibrillators

The Board authorizes the placement of automated external defibrillators (AEDs) at designated school sites for use by designated personnel who have volunteered to receive training in the use of AEDs.

The Superintendent or designee shall develop guidelines for employees regarding the use of these devices and shall ensure that employees receive training on their proper use and handling. The guidelines shall also specify the placement, security, and maintenance of the AED.

The authorization of AEDs in district schools shall not be deemed to create a guarantee or obligation to use the AED in the case of an emergency nor any expectation that an AED or trained employee will be present and/or able to use an AED in an emergency or any expectation that the AED will operate properly.

Legal Reference:


32040-32044 First aid equipment

49300-49307 School safety patrols

49407 Liability for treatment

49408 Emergency information

49409 Athletic events; physicians and surgeons; emergency medical care; immunity

49417 Automated external defibrillators

49470 Medical and hospital services for athletic program

49471 Medical and hospital services not provided or available

49472 Medical and hospital services for pupils

49474 Ambulance services

51202 Instruction in personal and public health and safety


1714.21 Defibrillators; CPR; immunity from civil liability


6550-6552 Caregivers


1797.196 Automatic external defibrillators, immunity from civil liability

1797.200 Emergency medical services agency

1799.102 Personal liability immunity


5193 California Bloodborne Pathogens Standard


100031-100042 Automated external defibrillators

Management Resources:


American Heart Association:

American Red Cross:

California Department of Health Care Services:


adopted: October 16, 2007 Escondido, California

revised: December 13, 2016