(a) Health and nursing services may include:
(1) Providing services by qualified personnel.
(2) Managing the individual's health problems on the school site.
(3) Consulting with pupils, parents, teachers, and other personnel.
(4) Group and individual counseling with parents and pupils regarding health problems.
(5) Maintaining communication with health agencies providing care to individuals with disabilities.
(b) Specialized physical health care may be provided as described in Education Code section 49423.5.
(A) Specialized physical health care services means those health services prescribed by the child's licensed physician and surgeon requiring medically related training for the individual who performs the services and which are necessary during the school day to enable the child to attend school.
(B) Standardized procedures means protocols and procedures developed through collaboration among school or hospital administrators and health professionals, including licensed physicians and surgeons and nurses, to be utilized in the provision of the specialized physical health care services.
(C) Qualified means the ability to demonstrate competence in Cardio-Pulmonary Resuscitation, current knowledge of community emergency medical resources, and skill in the use of equipment and performance of techniques necessary to provide specialized physical health care services for individuals with exceptional needs. In addition:
1. ?Qualified? for the professional school or public health nurse or licensed physician and surgeon shall mean trained in the procedures to a level of competence and safety which meets the objectives of the training.
2. ?Qualified? for the designated school personnel shall mean trained in the procedures to a level of competence and safety which meets the objectives of the training as provided by the school nurse, public health nurse, licensed physician and surgeon, or other programs which provide the training.
(D) Supervision means review, observation, and/or instruction of a designated school person's performance and of physical health care services, but does not necessarily require the immediate presence of the supervisor at all times.
1. Immediate supervision means that the supervisor shall be physically present while a procedure is being administered.
2. Direct supervision means that the supervisor shall be present in the same building as the person being supervised and available for consultation and/or assistance.
3. Indirect supervision means that the supervisor shall be available to the qualified designated school person either in person or through electronic means to provide necessary instruction, consultation, and referral to appropriate care and services as needed. Supervision of designated school persons shall include review on-site by a qualified school nurse, qualified public health nurse, or qualified licensed physician and surgeon. Supervision shall also include review of the competence of that individual in performing the specialized health care service, maintenance of appropriate records, physical environment, and equipment.
(E) Training means preparation in the appropriate delivery and skillful performance of specialized physical health care services. In addition:
1. Medically related training of credentialed school nurses or public health nurses shall be that training in an approved program which may be necessary to update or make current the nurse's professional skills and knowledge related to meeting pupils' needs for specialized physical health care services.
2. Medically related training of employed designated school personnel is that training in an approved program in standardized procedures provided by a qualified school nurse, qualified public health nurse, qualified licensed physician and surgeon, or other approved programs to enable the person to provide the specialized physical health care services necessary to enable the child to attend school.
(F) Competence in Cardio-Pulmonary Resuscitation means possession of a current valid certificate from an approved program.
(2) Standards and Staffing.
(A) Allocation of qualified designated school personnel shall be determined by the amount and type of supervision necessary to this regulation, and also the type and frequency of services needed by students in special classes and centers, and regular instructional settings.
(B) Approved training for qualified personnel shall be provided in one or more of the following ways:
1. By a qualified school nurse, qualified public health nurse, or qualified licensed physician and surgeon, as defined in these regulations.
2. By career and continuing education programs, approved by the appropriate licensing board.
3. By training programs through public or private medical institutions, i.e., hospitals, public health agencies, Visiting Nurses Associations, and Red Cross.
(3) Organization and Administration.
(A) Specific continuing specialized physical health care services required in order for the individual to benefit from special education will be included in the individualized education program. If the parent elects to perform the service during the school day, a waiver shall be signed relieving the school of the responsibility.
(B) Appropriate accommodations for safety and necessary physical care services for the individual with exceptional needs in the school setting shall be provided by the school. Personal privacy and dignity of an individual with exceptional needs shall be assured.
(C) The school district shall not be required to purchase medical equipment for an individual pupil. However, the school district, SELPA, or county office is responsible for providing other specialized equipment for use at school that is needed to implement the IEP.
(D) In accordance with Education Code section 49423.5(a)(2), a qualified school nurse, qualified public health nurse, or qualified licensed physician and surgeon responsible for supervising the physical health care of an individual with exceptional needs in the school setting shall:
1. Coordinate the health care services to the individuals with exceptional needs on the school site.
2. Consult with appropriate personnel regarding management of health care services for individuals with exceptional needs.
3. Make appropriate referrals and maintain communication with health agencies providing care to individuals with exceptional needs.
4. Maintain or review licensed physician and surgeon and parent requests and daily documentation records.
(E) Written licensed physician and surgeon and parent requests, as well as the specific standardized procedures to be used if physical health care services are provided, shall be maintained for each individual with exceptional needs. Daily documentation of specific services which are provided shall be maintained on a district-approved form which shall include the signatures of the qualified designated school person(s) who performs the procedure.
1. Any pupil who is required to have specialized physical health care services during the school day, prescribed for him or her by a licensed physician and surgeon, may be assisted by a qualified school nurse, qualified public health nurse, or other qualified school personnel, if the school district receives:
a. A written statement from the licensed physician and surgeon stating the procedure and time schedules by which such procedures are to be given; and
b. A written statement from the parent or guardian of the pupil, indicating the desire that the school district assist the pupil in the matters set forth in the licensed physician and surgeon's statement, and granting consent for the delivery of such services.
2. This written statement of a licensed physician and surgeon and parent requests and daily documentation shall be maintained in accordance with the requirements of confidentiality of pupil records, and are considered mandatory interim pupil records.
Education Code 56100
Education Code 56366.1
Education Code 49422
Education Code 49423.5
Education Code 56363
34 C.F.R. 300.34
34 C.F.R. 300.156(b)(1)
(Amended by Register 2014, No. 19.)