Jeffco+Board+Policy

JEFFCO District Registered Nurses
Connecting Health and Education

Board policy review Prevention of Disease/Infection Transmission (Handling Body Fluids and Substances) Administering Medicines to Students Students with Food Allergies Disaster Plans Students with HIV/AIDS Immunization of Students Communicable Diseases Staff Health Reporting Child Abuse Treatment of Students School Wellness

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Student Health Services and Requirements
The district, in consultation with the Department of Health Services, public health officials, and medical consultation, - plans and implements a health program which supports student health and well being. The health program interrelates the components of health and safety as well as health education. The district registered nurse serves as the -primary health consultant, -serves as a resource person for health information, and -provides direct care as necessary to support student health needs in the school setting. The district registered nurse organizes and carries out activities consistent with district policies and philosophies. The district registered nurse provides ongoing training and monitoring of school clinic functions and -delegated tasks per district protocols and guidelines. The district registered nurse -identifies the health needs of students through appraisals, health histories, screening programs, observations, conferences with parents and teachers, other professional persons who work with the staff, and by the -review of health records and reports. -The district registered nurse is concerned with the health, growth, and development of social and emotional needs of students. -Teachers will be specifically notified if there are any students in their class with -significant health conditions, if such notification is required to meet a student’s needs and - will be told of the reactions that may be expected from those students receiving certain forms of medical therapy such as for diabetes, seizure activity, and asthma. -The school clinic confidentially maintains Individualized Student Health Plans which identify specific student health needs and necessary interventions. The district registered nurse -interprets findings of examinations and tests to students, parents, or other school personnel as may be appropriate. -The district registered nurse may also make -recommendations for special assistance, appropriate school placement, health care, and referrals. In coordination with the district department of Health Services, the district registered nurse -consults and provides monitoring of school clinic aides and school clinic functions. The district registered nurse consults regarding the supportive care and response to emergency care of sick or injured students. The district registered nurse consults on -communicable disease prevention and control and public health issues as they arise according to district guidelines, local and state public health agency guidelines and law. The district registered nurse coordinates consultation with the district department of Health Services for students with -specific health needs who seek to attend or are in attendance at school. Student health needs may be - temporary, as when a child returns to school following illness or injury, or may be -chronic and ongoing due to congenital conditions or other disabilities. -Where there is a request that a student’s health needs to be addressed or accommodated at school, the district registered nurse will -obtain the following information from the parent/guardian, the student’s health provider, and school personnel who may work with the student:

JEFFCO Registered Nurse staff practice School Nursing Standards in alignment with both national and state school nurse guidelines. District Registered Nurses provide health and nursing support to all regular and exceptional need students in Jefferson County Public Schools. Each District Registered Nurse provides support to multiple schools within an articulation area. Because the District Registered Nurse is not on-site at each school, policies and procedures are organized to provide for trained and "delegated'" staff that provide direct care to students. The "Delegation Clause" of the Colorado Nurse Practice Act permits a Registered Nurse to "delegate the responsibility of medication and special health procedures to other (unlicensed) people under specific circumstances." This delegation clause allows for the District Registered Nurse to delegate the responsibility of medication administration and specific health interventions or procedures to school clinic aides and additional school staff to support student health needs for the school day.

The District Registered Nurse staff supports the foundation of school health by providing for:
Student safety and health through individualized student health planning and development of the Student Health Plan. Medication Administration in the school setting through training and safe delegation practices. Individual Student Health Interventions through training and safe delegation practices that support optimal student achievement. Emergency Management Planning - individualized to unique student needs as well as supporting safety in the larger school community Prevention of vaccine preventable diseases through the monitoring of student immunization records. Prevention of Disease Transmission through Universal Precaution Training to students and to staff. Prevention of the spread of illness and disease in the school community through collaboration with the local public health department and required disease reporting practices. Child Abuse and Negligence reporting. Holistic Case Management to promote optimal student and family well being. CPR/AED/First Aid training to district staff.