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Nursing Services

What services are offered by NWRESD?

Oregon law states the following expectations for nurses in the state:

Stat. Auth.: ORS 678.150   Stats. Implemented: ORS 678.150, 678.010(2)

Standards related to the licensed nurse’s responsibilities for the environment of care. The licensed nurse:

(a) Promotes an environment conducive to safety and comfort for all levels of care, including self-care and end-of-life care; and

(b) Identifies client safety and environment concerns; takes action to correct those concerns and report as needed.

OAR 581-022-0705 Health Services (excerpted)

(1) The school district shall maintain a prevention-oriented health services

program for all students that provides:

(c) Health screening information, including required immunizations and

tuberculosis certificates, when required by ORS 433.260 and 431.110 and OAR 333-019-0405; and

(f) Vision and hearing screening.


Nurses for the NWRESD serve a variety of roles based on the needs of the students and the school districts.  Some of the roles and responsibilities may include the following:

Medical administration training, seizure training, update and maintain first aid and medical kits, consultation to staff, prepare materials for trainings, writing protocols and delegation and training of staff, staff training on medical protocols and/or care plans appropriate for designated children with special health needs (asthma, seizure disorders, diabetes, etc.) safety training, and health screenings, collaborating with special education staff in the development and implementation of IFSP/IEP goals.  

Nurses work with Early Intervention/Early Childhood Special Education (EI/ECSE) staff and families (ages Birth -5) as well as with school age staff, administration and families (ages 5- 21).


What are the goals of those services?

The nursing services goals are to promote effective school nursing services and improve the health status of children and youth, thereby promoting the educational process. 

This aligns with the Oregon School Nurses Association (OSNA) that states;

“…all students are entitled to a safe and healthy school environment and that management of special health care needs must be individualized and directed by a registered nurse knowledgeable in the practice of school nursing.

Who provides services to eligible students?

All nurses at NWRESD are licensed through the State of Oregon as Registered Nurses.  Staff follows the rules and regulation set forth by the state for practice in an educational setting.

Who is served? How is eligibility determined?

Students currently identified for services in special education and with a medical need may receive nursing services.  Services may be provided in the classroom, as part of the team visiting in the home and as a consultation to families of students identified with IFSP/IEP needs in the community setting or, as needed, in the hospital setting.

The Individuals with Disabilities Education Act (IDEA)2,5 and Sections 5042 of the Rehabilitation Act provide the right to students needing health services to remain in school and to have their health needs met to enhance optimum learning.

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How can parents & districts access services?

Nursing services are provided based on physician order only.

Districts can contract for nursing services by contacting the Coordinator of Nursing Services, Laura LaMarsh.

How are services funded?

Nursing services are funded through contracted services with our component school districts.


Where do these services occur?

Nursing services are provided in all four counties served by NWRESD.  Staff may work with the Early Intervention/Early Childhood Special Education (EI/ECSE) programs (ages Birth -5) as well as with School Age programs (ages 5- 21).  Nurses work in collaboration with a variety of staff, school districts, physicians and other related medical staff as well as families to provide medical care and information.  


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