JHC - Student Health Services and Requirements

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Code: JHC
Adopted:4/17/13
Revised/Readopted: 08/08/17
Orig. Code(s): JHC

Although the Northwest Regional Education Service District’s (NWRESD) primary responsibility is to educate students, each student’s health and general welfare is also a major Board concern. The Board believes NWRESD programs should be conducted in a manner that protects and enhances student and employee health and is consistent with good health practices. 

The nurse(s) employed by the NWRESD shall be licensed to practice as a registered nurse or nurse practitioner in Oregon and will function as an integral member of the instructional staff, serving as resource person(s) to teachers in securing appropriate information and materials on health-related topics. 

The ESD shall provide: 

1. One registered nurse or school nurse for every 125 medically fragile students; 

2. One registered nurse or school nurse or one licensed practical nurse under the supervision of a registered nurse or school nurse for each nursing-dependent student; and 

3. One registered nurse or school nurse for every 225 medically complex students. 

The ESD may use the most cost effective means available to meet the above requirements.  The NWRESD shall maintain a prevention-oriented health services program which provides: 

1. Pertinent health information on the students, as required by Oregon statutes or rules; 

2. Health appraisal to include screening for possible vision or hearing problems and also scoliosis; 

3. Health counseling for students and parents when appropriate; 

4. Health care and first-aid assistance that is appropriately supervised and isolates the sick or injured child from the student body; 

5. Control and prevention of communicable diseases as required by the Oregon Health Authority, Public Health Division and county health department(s); 

6. Assistance for students in taking prescription and/or nonprescription medication according to established NWRESD procedures; 

7. Services for students who are medically fragile or have special health care needs; 

8. Integration of NWRESD health services with NWRESD health education programs. 

The Board directs the NWRESD health staff to coordinate with health personnel from other public agencies in matters pertaining to health instruction or the general health of students and employees. In accordance with the requirements of the No Child Left Behind Act of 2001, the NWRESD recognizes its responsibility to notify parents in advance of any nonemergency, invasive physical examination1 or screening that is required as condition of attendance; administered and scheduled by the school in advance; and not necessary to protect the immediate health and safety of the student, or of other students. 

Notification will be provided at least annually at the beginning of the school year or when enrolling students for the first time in school and will include the specific or approximate dates during the school year when such activities are scheduled or expected to be scheduled. 

Procedures shall be developed and implemented to carry out this policy. All NWRESD employees will be apprised of their responsibilities in this area. Parents shall have the opportunity to request their students be exempt from participation in scoliosis, vision or hearing screening. The NWRESD will abide by those requests.

END OF POLICY 


1The term “invasive physical examination, ”as defined by law, means any medical examination that involves the exposure of private body parts, or any act during such examination that includes incision, insertion, or injection into the body, but does not include a hearing, vision or scoliosis screening. The term does not include any physical examination or screening that is permitted or required by state law, including physical examinations or screenings that are permitted without parental notification.  

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