Download Ector County ISD 068901 HEALTH REQUIREMENTS AND

Ector County ISD
068901
HEALTH REQUIREMENTS AND SERVICES
MEDICAL TREATMENT
MEDICAL
TREATMENT
FFAC
(REGULATION)
Specialized health care treatments shall be provided as a related service
when it is necessary for a child to receive a full appropriate public
education as specified under Part B of the Education of the Handicapped
Act (P.L. 101-476), Individuals with Disabilities Education Act (IDEA), and
Section 504 of the Rehabilitation Act of 1973.
Students requiring medication on field trips shall follow the same
guidelines as during school hours. Medication must be in the original
container, the proper label is in place, and the parent must sign the
parent’s Request for Administration of Medication. Medications will be
maintained in a secure place that is not accessible to students or others.
The person administering the medication must first attend the Medication
Administration Training class, or be supervised by a trained employee.
ELIGIBILITY FOR
SERVICE
Specialized physical health care may be provided to any student requiring
individualized health service necessary during the school day to enable
the student to attend school. The informed consent must be completed
and signed before the requested treatment can be administered or
supervised by a designated school person.
An admission, Review, and Dismissal Committee (ARD) consisting of
personnel specified by local guidelines must approve special treatment as
a related service on the Individualized Educational Plan (IEP). An
Informed Consent for Medical Treatment must be completed, signed, and
filed in the child’s confidential file [FFAC(EXHIBIT)A].
DO NOT
RESUSCITATE
ORDER
The Do Not Resuscitate (DNR) order document(s) shall be processed as
outlined in [FFAC(EXHIBIT)E].
A registered nurse and a certified nursing assistant are required by Texas
law to comply with a physician’s order. A registered nurse and/or a
certified nursing assistant employed by the district must comply with the
DNR. No other school district employees are required to comply with a
DNR. The DNR protocol is located in [FFAC(EXHIBIT)E].
Students subject to DNR Orders will have individual medical crisis plans
discussed and developed by the ARD Committee which must include the
campus nurse or Supervisor of Health Services. The parent will provide a
copy of the DNR Order to the ARD Committee. The parent will assure
the student wears the DNR wrist band/necklace at all times.
PROVISION OF
SERVICE
A school nurse, or designated school person, shall be assigned the
responsibility for providing the service by the Supervisor of Health
Services. Instruction shall be provided by the parent or family doctor
upon request prior to beginning the service. The District is not required to
pay for or provide equipment needed for specialized treatment. If
adaptive equipment is required, it must facilitate the achievement of
specific objectives as stated in the individual educational plan.
DATE ISSUED: 04/05/2017
FFAC(REGULATION)
PAGE 1 OF 6
Ector County ISD
068901
HEALTH REQUIREMENTS AND SERVICES
MEDICAL TREATMENT
FFAC
(REGULATION)
EXTENT OF
SERVICE
The treatment shall be administered by the District as long as the need
exists or until the child can perform the process.
GUIDELINES
In accordance with policy FFAC(LEGAL), the following guidelines shall be
followed:
1. The authorization for the school to obtain emergency
treatment shall be signed by the parent and kept on file.
2. In the event a student is deemed to require immediate medical
care and the parent or legal relative cannot be contacted, a
school employee may obtain medical care for the student.
3. The authorization or copy shall be signed by the school official
and shall be given to the doctor, hospital, or other medical
facility.
For all out-of-town school-sponsored trips, the sponsor shall obtain a
written authorization from the parent or guardian for necessary medical
treatment.
ADMINISTERING
MEDICATION
In accordance with policy FFAC(LOGAL), the following guidelines shall be
followed:
1. A procedure book concerning the handling of student illness,
accidents, and communicable or contagious diseases shall be
available in the nurse’s office of each school.
2. The school may dispense medications if requested by a parent
or legal guardian; however, unless an exception is
recommended by the Director of Nursing Department, only
FDA approved prescription and non-prescription medications
within the therapeutic range may be administered by school
personnel.
The principal shall appoint a responsible person or persons,
e.g., the school nurse or other office employee, to supervise
the storing and dispensing of medications. Paraprofessional
personnel who have been designated to administer medication
must first attend the Medication Administration Training
Program provided by the District.
For legal purposes, written requests for dispensing
medications to a student must be obtained from a parent, legal
guardian or other person or persons having legal control of the
pupil before such medications are dispensed. Changes in
dosages of prescription medications must be in writing or
given directly from the attending physician to the school nurse.
Verbal order on medication changes from parents or guardians
will not be accepted.
DATE ISSUED: 04/05/2017
FFAC(REGULATION)
PAGE 2 OF 6
Ector County ISD
068901
HEALTH REQUIREMENTS AND SERVICES
FFAC
MEDICAL TREATMENT
(REGULATION)
The person in charge of dispensing medications shall keep
them in a secured place that is not easily accessible either to
students or others in the building. Controlled medications will
be counted by the nurse or school personnel when receiving
the medication from the parent or designated adult.
Except as authorized herein, no student shall be allowed to
dispense or receive their own prescription medications or other
medications without supervision from a school appointed
representative. [See FNCF(LOCAL)]
PRESCRIPTION
MEDICATIONS
PRESCRIPTION
INSTRUCTIONS
For the purposes of this regulation, prescription medications shall be
defined as any medication prescribed by a licensed physician (M.D.,
D.O., or D.D.S.), whether or not said medications are obtained from a
pharmacist or can be obtained as an over-the-counter medication. Only a
thirty-day medication supply of any controlled substance medication can
be maintained in the school’s possession at one time.
Each student’s medication should appear to be in the original container
and have affixed a prescription label, if applicable, including name, date,
the name of the medication, and the directions concerning dosage.
Instructions about the duration of the medication should be included.
When prescription medication is an over-the-counter medication, it must
appear in the original container and be properly labeled and the parent or
legal guardian of the student must provide the school with appropriate
directions from their doctor concerning dosage and duration of the
medication.
When the duration of the medication is completed, unused portions of the
medication should be returned to the parent, or permission given to
destroy the remainder.
Medication errors will be documented on the Incident Report - Medication
Administration [FFAC(EXHIBIT)D]. The medication error must be
reported immediately to the school nurse and the principal. The school
nurse will report the error to the parent, the physician, and the Supervisor
of Health Services. The Incident Report - Medication Administration will
be sent to the Supervisor of Health Services.
At the end of the school year, all medications should be returned or
destroyed.
REVIEW
All requests for dispensing medication should be reviewed at the
beginning of each school year with renewed (written) permission obtained
from the parent or legal guardian to continue the medication.
DATE ISSUED: 04/05/2017
FFAC(REGULATION)
PAGE 3 OF 6
Ector County ISD
068901
HEALTH REQUIREMENTS AND SERVICES
FFAC
MEDICAL TREATMENT
(REGULATION)
Inhalers used by students shall be treated as any other prescription
INHALERS
medication; however, if the parent, legal guardian, or other person or
persons having legal control of the student furnish the District with a
medical doctors letter requesting that the student be allowed to maintain
possession of the inhaler and be permitted to administer the medication
and the parent and physician agree that the student can be trusted with
said medication, then the student may be allowed to maintain possession
of the inhaler and dispense the medication. Said notice or letter from the
doctor must set forth that such medication to be administered by the
student is medically necessary. [See FFAC(EXHIBIT)B]
INJECTIONS
Hypodermic injections may be given at school only when the family
physician addresses a written request for the services to the Supervisor
of Health Services, giving detailed information concerning the
administration of the medication and patient follow-up. The written
request from the student’s physician shall be kept on file.
Parents shall be instructed to furnish sterile disposable syringes and
needles with the medication. Used syringes and needles shall not be
discarded in the wastebasket, but shall be destroyed according to
established procedures.
PARENTAL
REQUEST FORM
The form, Parents Request for Administration of Medication by School
Personnel, [FFAC(EXHIBIT)C] shall be completed and kept for each
student receiving medication(s) at school.
SCHOOL HOURS
ONLY
All medication given at the school shall be for medicines that medically
require dispensing during the regular school day. Any medication that
can be administered before or after school hours shall be dispensed by
persons other than school personnel.
FOOD ALLERGIES
In accordance with SB 27 from the 82nd Legislative Session, ECISD shall
develop and maintain a Food Allergy Management Plan retained in the
office of the Food Services Director. The plan shall be described in the
Student Handbook and reviewed annually. The plan will contain
procedures that will limit the risk posed to the students with common food
allergies, specific training components of employees responsible for
decreasing risk of anaphylaxis, and assistance available to parents
requesting assistance with food allergies of the student.
STUDENTS AT
RISK
The following procedures will be followed when a student is identified at
the beginning of school, at entry, or any time when the student is
diagnosed as having a food allergy.
1. Parents/guardians will be supplied the Health Services (HS)
Dept. form entitled “Health Related Information for the School
Nurse”. The principal/designee gives the completed form to
the school nurse to review.
DATE ISSUED: 04/05/2017
FFAC(REGULATION)
PAGE 4 OF 6
Ector County ISD
068901
HEALTH REQUIREMENTS AND SERVICES
FFAC
MEDICAL TREATMENT
(REGULATION)
2. If the parent indicates the student has a food allergy, the nurse
will contact the parent for specific information to include the
severity of the problem and what adjustments if any are
needed during the school day.
3. The nurse will develop a specific care plan using the HS form
for this purpose, “Individual Health Care Plan”.
4. A meeting will be assembled by the nurse to include the nurse,
the ECISD Dietician, campus principal or designee, and the
student’s teacher(s) to discuss/modify if needed the
Individualized Health Plan.
5. The nurse will train those identified by the principal as needing
to have information specific to the student’s diagnosis and
medical needs. Training will include signs and symptoms of
food allergies and emergency response generally and
specifically to the student.
6. The ECISD Dietician shall develop strategies to reduce risk of
exposure specific to the student.
7. In the event of a food allergy reaction, the nurse will be notified
by those assisting the student. The nurse will reassemble
those at the meeting to discuss alternate plans if needed.
STUDENTS
NEEDING
ASSISTANCE
WITH TOILETING
The following procedures will be followed when a student is
identified as requiring assistance with toileting:
1. The Principal and the School Nurse will ask the
parents/guardians to attend a meeting to discuss the
specific needs and background medical information on
the student’s health. The School Nurse will develop an
individual Health Plan in consultation with the student’s
physician, the classroom teacher, the Principal, the
School Counselor, and/or other personnel specially
trained and determined on a case by case basis. A bowel
and bladder program will be instituted specific to the
needs of the child. Children with special health needs will
receive accommodations. Additional meetings can be
scheduled as needed.
2. Parents/guardians will be asked to provide additional
supplies such as extra clothing and wipes to clean the
child after bathroom accidents. The Nurse will assist the
child after bathroom accidents. The Nurse will assist the
child to get cleaned and encourage independence with
this activity as time progresses.
3. To ensure the safety and health of other students in the
classroom, when appropriate, parents will be asked to
have the student in pull ups or diapers to hold feces
DATE ISSUED: 04/05/2017
FFAC(REGULATION)
PAGE 5 OF 6
Ector County ISD
068901
HEALTH REQUIREMENTS AND SERVICES
FFAC
MEDICAL TREATMENT
(REGULATION)
and/or urine and prevent exposure to others per public
health guidelines. The student will be changed into
regular underwear as soon as possible with training.
4. Efforts will be made to keep toileting needs as
confidential as possible. The child can be assisted with a
reward system. Efforts will be made by the School
Counselor to address any unresolved behavioral
problems that may be involved with the child.
5. In an appropriate case, the District will convene a Section
504 committee for the student. [See Board Policies
FB(LEGAL) and FB(LOCAL).]
DATE ISSUED: 04/05/2017
FFAC(REGULATION)
PAGE 6 OF 6