reglab/statecodes huggingface dataset:
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 201.000 - Head Injuries And Concussions In Extracurricular Athletic Activities › Section 201.013 - Responsibilities of Coaches

Current through Register 1525, July 5, 2024
(A) Coaches shall
			 be responsible for:
(1) Completing the annual
			 training as required by
			 105 CMR
			 201.007;
(2) Reviewing Pre-participation Forms, or
			 school-based equivalents, so as to identify those athletes who are at greater
			 risk for repeated head injuries;
(3) Completing a Report of Head Injury Form,
			 or school-based equivalent, upon identification of a student with a head injury
			 or suspected concussion that occurs during practice or competition;
(4) Receiving, unless otherwise specified in
			 school policies and procedures, and reviewing forms that are completed by a
			 parent which report a head injury during the sports season, but outside of an
			 extracurricular athletic activity, so as to identify those athletes who are at
			 greater risk for repeated head injuries;
(5) Transmitting promptly forms in 105 CMR
			 201.013(A)(2) and (3) to the school nurse for review and maintenance in the
			 student's health record, unless otherwise specified in school policies and
			 procedures;
(6) Teaching techniques
			 aimed at minimizing sports-related head injury;
(7) Discouraging and prohibiting athletes
			 from engaging in any unreasonably dangerous athletic technique that endangers
			 the health or safety of an athlete, including using a helmet or any other
			 sports equipment as a weapon; and
(8) Identifying athletes with head injuries
			 or suspected concussions that occur in practice or competition and removing
			 them from play.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 201.000 - Head Injuries And Concussions In Extracurricular Athletic Activities › Section 201.014 - Responsibilities of the Licensed Athletic Trainers

Current through Register 1525, July 5, 2024
Licensed Athletic Trainers, if on staff, shall be responsible
				for:
(A) Participating in the
			 development and biannual review of the policies and procedures required by
			 105 CMR 201.006
			 for the prevention and management of sports-related head injuries within the
			 school district or school;
(B)
			 Completing the annual training as required by
			 105 CMR
			 201.007;
(C) Reviewing information from
			 Pre-participation Forms, or school-based equivalents, which indicate a history
			 of head injury and from Report of Head Injury Forms, or school-based
			 equivalents, to identify students who are at greater risk for repeated head
			 injuries;
(D) Identifying athletes
			 with head injuries or suspected concussions that occur in practice or
			 competition and removing them from play; and
(E) Participating, if available, in the
			 graduated reentry planning and implementation for students who have been
			 diagnosed with a concussion.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 201.000 - Head Injuries And Concussions In Extracurricular Athletic Activities › Section 201.015 - Responsibilities of the School Nurse

Current through Register 1525, July 5, 2024
The School Nurse shall be responsible for:
(A) Participating in the development and
			 biannual review of the policies and procedures required by
			 105 CMR 201.006
			 for the prevention and management of sports-related head injuries within the
			 school district or school;
(B)
			 Completing the annual training as required by
			 105 CMR
			 201.007;
(C) Reviewing, or arranging for the school
			 physician to review, completed Pre-participation Forms, or school-based
			 equivalents, that indicate a history of head injury and following up with
			 parents as needed prior to the student's participation in extracurricular
			 athletic activities;
(D) Reviewing,
			 or arranging for the school physician to review, Report of Head Injury Forms,
			 or school-based equivalents, and following up with the coach and parent as
			 needed;
(E) Maintaining:
(1) Pre-participation Forms, or school-based
			 equivalents; and
(2) Report of Head
			 Injury Forms, or school-based equivalents, in the student's health
			 record;
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 201.000 - Head Injuries And Concussions In Extracurricular Athletic Activities › Section 201.016 - Record Maintenance

Current through Register 1525, July 5, 2024
(A) The school,
			 consistent with any applicable state and federal law, shall maintain the
			 following records for three years or at a minimum until the student graduates:
(1) Verifications of completion of annual
			 training and receipt of materials;
(2) Department Pre-participation Forms, or
			 school-based equivalents;
(3)
			 Department Report of Head Injury Forms, or school-based equivalents;
(4) Department Medical Clearance and
			 Authorization Forms, or school-based equivalents; and
(5) Graduated reentry plans for return to
			 full academic and extracurricular athletic activities.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 201.000 - Head Injuries And Concussions In Extracurricular Athletic Activities › Section 201.017 - Reporting

Current through Register 1525, July 5, 2024
Schools shall be responsible for maintaining and reporting
				annual statistics on a Department form or electronic format that at minimum
				report:
(A) The total number of
			 Department Report of Head Injury Forms, or school-based equivalents, received
			 by the school; and
(B) The total
			 number of students who incur head injuries and suspected concussions when
			 engaged in any extracurricular athletic activities.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 205.000 - Minimum Standards Governing Medical Records And The Conduct Of Physical Examinations In Correctional Facilities › Section 205.001 - Purpose

Current through Register 1525, July 5, 2024
The purpose of
				105 CMR 205.000 is to
				establish minimum standards relative to the conduct of the initial admission
				physical examinations within correctional facilities and to prescribe the
				medical record utilized therein.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 205.000 - Minimum Standards Governing Medical Records And The Conduct Of Physical Examinations In Correctional Facilities › Section 205.010 - Scope

Current through Register 1525, July 5, 2024
105 CMR 205.000 shall apply
				to all correctional facilities, institutions, jails and houses of correction,
				as defined by M.G.L. c. 125, § 1, operated by the Commonwealth or any
				subdivision thereof.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 205.000 - Minimum Standards Governing Medical Records And The Conduct Of Physical Examinations In Correctional Facilities › Section 205.020 - Definitions

Current through Register 1525, July 5, 2024
As used in
				105 CMR 205.000, the
				following words shall have the following meanings, unless the context requires
				otherwise:
Correctional Facility
. Any
				correctional facility or correctional institution as defined by M.G.L. c. 125,
				§ 1, operated by the Commonwealth or any subdivision thereof, including
				jails and houses of detention.
Health Services Staff
. The staff
				providing medical care or treatment to inmates within the correctional facility
				according to recommendations of U.S. Preventive Services Task Force (USPSTF),
				the Massachusetts Health Quality Partners (MHQP) or other generally recognized
				evidence-based, consensus practice recommendations.
Inmate
. A committed offender or other
				such person placed in a correctional facility as defined in M.G.L. c. 125,
				§ 1.
Medical Care
. All services which are
				provided for the purpose of securing the prevention, diagnosis and treatment of
				illness or disability.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 205.000 - Minimum Standards Governing Medical Records And The Conduct Of Physical Examinations In Correctional Facilities › Physical Examinations › Section 205.100 - Inmates to be Screened

Current through Register 1525, July 5, 2024
Immediately upon admission to the correctional facility, and
				  prior to being placed in the general inmate population, all inmates shall
				  receive an admission health screening conducted by persons trained in the
				  completion of such a screening. The results of such screening shall be recorded
				  in accordance with
				  105 CMR
				  205.600. Whenever possible such person shall
				  be a member of the health services staff.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 205.000 - Minimum Standards Governing Medical Records And The Conduct Of Physical Examinations In Correctional Facilities › Physical Examinations › Section 205.101 - Inmates to Have Physical Examination

Current through Register 1525, July 5, 2024
Each inmate committed to a correctional facility for a term
				  of 30 days or more shall receive a physical examination no later than 14 days
				  after admission to said facility. However, an inmate entering a correctional
				  facility who is accompanied by a medical record containing a record of a
				  complete physical examination conducted less than 90 days prior to his or her
				  admission need not be given a complete physical examination. Each such inmate
				  not receiving a complete physical examination shall, however, be seen by a
				  physician, or a physician's assistant or nurse practitioner under the
				  supervision of a physician who shall:
(A) Review the inmate's medical
				record;
(B) Examine the inmate for
				any signs of trauma or disease which may have been incurred by the inmate after
				his most recent physical examination;
(C) Conduct any examinations and tests which
				are medically indicated;
(D) Review
				the findings and any required follow-up services with the
				inmate.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 205.000 - Minimum Standards Governing Medical Records And The Conduct Of Physical Examinations In Correctional Facilities › Physical Examinations › Section 205.102 - Examinations to be Conducted by Licensed Personnel

Current through Register 1525, July 5, 2024
All physical examinations shall be conducted by a physician
				  licensed to practice medicine in the Commonwealth of Massachusetts or by a
				  properly licensed nurse practitioner or physician assistant under the
				  supervision of said physician.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 205.000 - Minimum Standards Governing Medical Records And The Conduct Of Physical Examinations In Correctional Facilities › Physical Examinations › Section 205.103 - Examinations to be Conducted in Privacy

Current through Register 1525, July 5, 2024
Inmates shall be examined in a room which provides for
				  privacy and dignity to the inmate and examiner. When necessary for security
				  reasons, a correctional officer may be present.
(A) In existing facilities, physical
				examinations shall be conducted in a room used solely for the purpose of
				providing medical care. This examination room shall contain a handwash sink
				with hot and cold running water. The handwash sink shall be equipped with
				nonhand operated controls such as elbow, knee or foot controls. If, in an
				existing facility, the required handwash sink cannot be located in the
				examination room because of preexisting structural obstructions, the sink shall
				be located in close proximity to the examination room.
(B) In new or renovated facilities, physical
				examinations shall be conducted in a room used solely for the purpose of
				providing medical care. This examination room shall contain a handwash sink
				with hot and cold running water. The handwash sink shall be equipped with
				nonhand operated controls such as elbow, knee or foot
				controls.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 205.000 - Minimum Standards Governing Medical Records And The Conduct Of Physical Examinations In Correctional Facilities › Physical Examinations › Section 205.104 - Results of Examination to be Discussed with Inmate

Current through Register 1525, July 5, 2024
Upon completion of the physical examination and all required
				  and ordered laboratory tests a qualified health services staff shall discuss
				  with the inmate the results of said examination, its implication, and
				  suggestions for further diagnosis and/or treatment.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 205.000 - Minimum Standards Governing Medical Records And The Conduct Of Physical Examinations In Correctional Facilities › Physical Examinations › Section 205.105 - Equipment Necessary for Physical Examination

Current through Register 1525, July 5, 2024
The physical examination required by
				  105 CMR 205.000 shall be
				  conducted with all appropriate and standard equipment necessary to conduct the
				  examination in its entirety, including an examining table with a disposable
				  covering which shall be replaced after each use, and consistent with standards
				  in
				  105 CMR 140.210
				  through
				  105 CMR
				  140.211.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 205.000 - Minimum Standards Governing Medical Records And The Conduct Of Physical Examinations In Correctional Facilities › Physical Examinations › Section 205.200 - Content of Physical Examination

Current through Register 1525, July 5, 2024
(A) The
				physical examination shall include inquiry concerning:
(1) signs and symptoms of disease or
				injury;
(2) chronic health
				problems;
(3) use of prescribed or
				non-prescribed medicines or drugs, including alcohol;
(4) allergies;
(5) prior significant illness and
				hospitalization;
(6) family history;
				and
(7) immunization
				status.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 205.000 - Minimum Standards Governing Medical Records And The Conduct Of Physical Examinations In Correctional Facilities › Medical Record › Section 205.500 - Medical Record to be Maintained

Current through Register 1525, July 5, 2024
Each inmate shall have an individual medical record which
				  shall be kept separate from any other administrative records.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 205.000 - Minimum Standards Governing Medical Records And The Conduct Of Physical Examinations In Correctional Facilities › Medical Record › Section 205.501 - Record to be Accurate

Current through Register 1525, July 5, 2024
An accurate and complete medical record shall be maintained
				  for each inmate from the time of admission to the time of
				  discharge.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 205.000 - Minimum Standards Governing Medical Records And The Conduct Of Physical Examinations In Correctional Facilities › Medical Record › Section 205.502 - Responsibility of Health Services Staff

Current through Register 1525, July 5, 2024
Orders for treatment and all reports shall be legibly entered
				  into the medical record either in ink, type, or electronic digital media and
				  signed by appropriate health services staff submitting such orders or
				  reports.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 205.000 - Minimum Standards Governing Medical Records And The Conduct Of Physical Examinations In Correctional Facilities › Medical Record › Section 205.503 - Record to be Transferred with Inmates

Current through Register 1525, July 5, 2024
At any time an inmate is transferred to another correctional
				  or health care facility, a copy of the medical record or a summary sheet shall
				  accompany the inmate. Any portion of the record, which is not reasonably
				  completed at the time of the transfer, shall be completed and a copy delivered
				  to such facility within 72 hours of said transfer.
The medical record or any portion thereof which accompanies
				  the inmate shall be sealed and given into the custody of the transportation
				  officer responsible for the transfer of the inmate and shall be delivered to
				  the person responsible for the maintenance of the medical records at the
				  receiving facility.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 205.000 - Minimum Standards Governing Medical Records And The Conduct Of Physical Examinations In Correctional Facilities › Medical Record › Section 205.504 - Confidentiality

Current through Register 1525, July 5, 2024
The medical staff shall maintain and use medical records in a
				  manner which ensures the confidentiality of the information contained therein.
				  Only those persons who need access to the record in order to provide medical
				  services to the inmate or fulfill statutory obligations, and those persons
				  specifically authorized by the inmate to see the record, shall have access to
				  the records and information in them. The Department of Public Health staff
				  shall have access to the records and information in them for the purpose of
				  determining compliance with
				  105 CMR 205.000 and shall
				  maintain the confidentiality of records relating to individual
				  inmates.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 205.000 - Minimum Standards Governing Medical Records And The Conduct Of Physical Examinations In Correctional Facilities › Medical Record › Section 205.505 - Inspection of Records

Current through Register 1525, July 5, 2024
Medical records may be inspected by, or furnished to, the
				  inmate to whom they relate, his or her attorney or by any other person upon
				  written authorization from the inmate. The inmate's signature on the written
				  authorization shall be witnessed by a correctional facility's staff person.
				  Copies of such records shall be furnished within 72 hours of request. Fees for
				  such copies shall not exceed the fees required for copying public
				  documents.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 205.000 - Minimum Standards Governing Medical Records And The Conduct Of Physical Examinations In Correctional Facilities › Medical Record › Section 205.600 - Contents of Medical Record

Current through Register 1525, July 5, 2024
Every medical record used in a correctional facility shall be
				  maintained in accordance with the standards governing medical recordkeeping for
				  clinics as set forth in
				  105 CMR
				  140.000:
Licensure of
				  Clinics
.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 205.000 - Minimum Standards Governing Medical Records And The Conduct Of Physical Examinations In Correctional Facilities › Medical Record › Section 205.602 - All Visits to be Recorded

Current through Register 1525, July 5, 2024
All contacts for the purpose of receiving medical care that
				  the inmate has with a health care staff person shall be recorded in the
				  appropriate place in the medical record.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 205.000 - Minimum Standards Governing Medical Records And The Conduct Of Physical Examinations In Correctional Facilities › Medical Record › Section 205.603 - Identification and Filing

Current through Register 1525, July 5, 2024
The correctional facility shall maintain a system of
				  identification and filing to ensure rapid access to each patient's medical
				  record, regardless of the physical form or method of storage of records. Each
				  patient shall have a single integrated record, except that records concerning
				  mental health, dental and substance use disorder may be filed separately on the
				  premises, provided there is an effective cross-referencing
				  system.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 205.000 - Minimum Standards Governing Medical Records And The Conduct Of Physical Examinations In Correctional Facilities › Medical Record › Section 205.604 - Storage Space

Current through Register 1525, July 5, 2024
The correctional facility shall provide adequate equipment
				  and space for the storage of active and inactive medical records. The records
				  shall be maintained so as to be safe from fire and water damage and from
				  unauthorized use. Medical records shall be retained for the time period set
				  forth in M.G.L. c. 111, § 70.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 205.000 - Minimum Standards Governing Medical Records And The Conduct Of Physical Examinations In Correctional Facilities › Medical Record › Section 205.700 - Severability

Current through Register 1525, July 5, 2024
The provisions of
				  105 CMR 205.000 are
				  severable. If any provision shall be declared invalid by any court, such
				  provision shall be null and void and such determination shall not affect or
				  impair any of the remaining provisions.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 210.000 - The Administration Of Prescription Medications In Public And Private Schools › Section 210.001 - Purpose

Current through Register 1525, July 5, 2024
The purpose of
				105 CMR 210.000 is to
				provide minimum standards for the safe and proper administration of
				prescription medications to students in the Commonwealth's public and private
				primary and secondary schools.
				105 CMR 210.000 permit
				school nurses to delegate responsibility for administration of prescription
				medications to trained, nursing-supervised school personnel, provided the
				school district or private school registers with the Department of Public
				Health. The aim of
				105 CMR 210.000 is to
				ensure that students requiring prescription medication administration during
				the school day will be able to attend school and to ensure that prescription
				medications are safely administered in schools.
				105 CMR 210.000 encourages
				collaboration between parents or guardians and the school in this
				effort.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 210.000 - The Administration Of Prescription Medications In Public And Private Schools › Section 210.002 - Definitions

Current through Register 1525, July 5, 2024
As used in
				105 CMR 210.000, the
				following words, unless the context clearly requires otherwise, shall have the
				following meanings:
Administration of Medication
means the
				direct application of a prescription medication by inhalation, ingestion, or by
				any other means to the body of a person.
Prescription Medication
means any
				medication which by federal law may be obtained only by prescription.
Cumulative Health Record
means the
				cumulative health record of a pupil as specified under M.G.L. c. 71.
Department
means the Massachusetts
				Department of Public Health.
Investigational New Drug
means any
				medication with an approved investigational new drug (IND) application on file
				with the Food and Drug Administration (FDA) which is being scientifically
				tested and clinically evaluated to determine its efficacy, safety and side
				effects and which has not yet received FDA approval.
Licensed Practical Nurse
means an
				individual who is a graduate of an approved practical nursing program, and who
				is currently licensed as a practical nurse pursuant to M.G.L. c. 112.
Licensed Prescriber
means a health
				care provider who is legally authorized to prescribe medication pursuant to
				M.G.L. c. 94C and applicable federal laws and regulations.
Parenteral Medication
means any
				medication administered in a manner other than by the digestive tract or
				topical application, as by intravenous, intramuscular, subcutaneous, or
				intradermal injection.
Physician
means a doctor of medicine
				or osteopathy licensed to practice medicine in Massachusetts or in another
				state.
School Nurse
means a nurse practicing
				in a school setting, who is:
(1) a graduate of an approved school for professional
				nursing;
(2) currently licensed as a Registered Nurse pursuant to M.G.L.
				c. 112; and
(3) appointed by a School Committee or a Board of Health in
				accordance with M.G.L. c. 71, §§ 53, 53A, and 53B or, in the case of
				a private school, by the Board of Trustees.
School Physician
means a physician
				appointed by a School Committee or Board of Health in accordance with M.G.L. c.
				71, §§ 53, 53A, and 53B or, in the case of a private school, by the
				Board of Trustees.
Supervision
means guidance by a
				qualified school nurse to accomplish a task, with initial direction and
				instruction concerning the task and periodic inspection and oversight of
				activities related to the task.
Teacher
for the purpose of
				105 CMR 210.000, means a
				professional school employee who:
(1) instructs students or serves in the role of administrator
				below the rank of superintendent; and
(2) is employed by a School Committee or Board of
				Trustees.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 210.000 - The Administration Of Prescription Medications In Public And Private Schools › Section 210.003 - Policies Governing the Administration of Prescription Medications in Schools

Current through Register 1525, July 5, 2024
(A) The School
			 Committee or Board of Trustees, consulting with the Board of Health where
			 appropriate, shall adopt policies and procedures governing the administration
			 of prescription medications and self administration of prescription medications
			 within the school system, following development of a proposal by the school
			 nurse, inconsultation with the school physician. Review and revision of such
			 policies and procedures shall occur as needed but at least every two years. At
			 a minimum, these policies shall include:
(1)
			 designation of a school nurse as supervisor of the prescription medication
			 administration program in a school;
(2) documentation of the administration of
			 prescription medications;
(3)
			 response to a medication emergency;
(4) storage of prescription
			 medications;
(5) reporting and
			 documentation of medication errors;
(6) dissemination of information to parents
			 or guardians. Such information shall include an outline of a school's
			 medication policies and shall be available to parents and guardians upon
			 request;
(7) procedures for
			 resolving questions between the school and a parent or guardian regarding
			 administration of medications. Such procedures shall provide for and encourage
			 the participation of the parent or guardian. Existing procedures for resolution
			 of differences maybe used whenever appropriate.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 210.000 - The Administration Of Prescription Medications In Public And Private Schools › Section 210.004 - Policies Regarding Delegation of Prescription Medication Administration

Current through Register 1525, July 5, 2024
(A) The School Committee or Board of
			 Trustees, consulting with the Board of Health where appropriate, may approve a
			 proposal, developed by the school nurse and school physician, to permit the
			 administration of prescription medications to be delegated by the school nurse
			 to unlicensed school personnel. Such delegation may occur only if the school
			 district registers with the Department of Public Health pursuant to the
			 applicable provisions of
			 105 CMR 700.000 and
			 complies with the requirements of
			 105 CMR 210.000.
(B) In accordance with the proposal of the
			 school nurse and school physician, the School Committee or Board of Trustees
			 may approve categories of unlicensed school personnel to whom the school nurse
			 may delegate responsibility for prescription medication administration.
(1) Said categories of personnel may include
			 administrative and teaching staff, licensed health personnel, health aides and
			 secretaries.
(a) For the purposes of
			 105 CMR 210.000, health
			 aide shall mean an unlicensed employee of the school district who is generally
			 supervised by the school nurse and performs those health-related duties defined
			 by the school nurse, the School Committee, Board of Health or Board of
			 Trustees.
(b) For the purpose of
			 administering emergency prescription medication to an individual child,
			 including parenteral administration of medication pursuant to 105 CMR
			 210.004(B)(4), the school nurse may identify individual school personnel or
			 additional categories. Said school personnel shall be listed on the medication
			 administration plan developed in accordance with
			 105
			 CMR 210.005(E)  and receive
			 training in the administration of emergency medication to a specific
			 child.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 210.000 - The Administration Of Prescription Medications In Public And Private Schools › Section 210.005 - Responsibilities of the School Nurse Regarding Prescription Medication Administration

Current through Register 1525, July 5, 2024
(A) The school
			 nurse, in consultation with the school physician and the school health advisory
			 committee, if established, shall develop policies and procedures consistent
			 with
			 105 CMR 210.000 for
			 approval by the School Committee or Board of Trustees, in consultation with the
			 Board of Health where appropriate.
(B) The school nurse shall have
			 responsibility for the development and management of the prescription
			 medication administration program. Such responsibility shall be delineated in
			 policies and procedures adopted by the School Committee or Board of Trustees,
			 in consultation with the Board of Health where appropriate.
(C) The school nurse, in consultation with
			 the school physician, shall have final decision-making authority with respect
			 to delegating administration of prescription medications to unlicensed
			 personnel in school systems registered with the Department of Public
			 Health.
(D)
Medication
			 Orders
.
(1) The school nurse
			 shall ensure that there is a proper medication order from a licensed prescriber
			 which is renewed as necessary including the beginning of each academic year. A
			 telephone order or an order for any change in prescription medication shall be
			 received only by the school nurse. Any verbal order must be followed by a
			 written order within three school days. Whenever possible, the medication order
			 shall be obtained, and the medication administration plan specified in 105 CMR
			 210.005(E) shall be developed before the student enters or re-enters school.
(a) In accordance with standard medical
			 practice, a medication order from a licensed prescriber shall contain:
1. the student's name;
2. the name and signature of the licensed
			 prescriber and business and emergency phone numbers;
3. the name, route and dosage of
			 medication;
4. the frequency and
			 time of medication administration;
5. the date of the order;
6. a diagnosis and any other medical
			 condition(s) requiring medication, if not a violation of confidentiality or if
			 not contrary to the request of a parent, guardian or student to keep
			 confidential;
7. specific
			 directions for administration.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 210.000 - The Administration Of Prescription Medications In Public And Private Schools › Section 210.007 - Training of School Personnel Responsible for Administering Prescription Medications

Current through Register 1525, July 5, 2024
(A) All
			 prescription medications shall be administered by properly trained and
			 supervised school personnel under the direction of the school nurse.
(B) Training shall be provided under the
			 direction of the school nurse.
(C)
			 At a minimum, the training program shall include content standards and a test
			 of competency developed and approved by the Department of Public Health in
			 consultation with the Board of Registration in Nursing and practicing school
			 nurses.
(D) Personnel designated to
			 administer prescription medications shall be provided with the names and
			 locations of school personnel who have documented certification in
			 cardiopulmonary resuscitation. Schools should make every effort to have a
			 minimum of two school staff members with documented certification in
			 cardiopulmonary resuscitation present in each school building throughout the
			 day.
(E) The school nurse shall
			 document the training and evidence of competency of unlicensed personnel
			 designated to assume the responsibility for prescription medication
			 administration.
(F) The school
			 nurse shall provide a training review and informational update at least
			 annually for those school staff authorized to administer prescription
			 medications.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 210.000 - The Administration Of Prescription Medications In Public And Private Schools › Section 210.008 - Handling, Storage and Disposal of Prescription Medications

Current through Register 1525, July 5, 2024
(A) A parent, guardian or
			 parent/guardian-designated responsible adult shall deliver all prescription
			 medications to be administered by school personnel or to be taken by
			 self-medicating students, if required by the self-administration agreement (
			 105 CMR
			 210.006(B)  ), to the school
			 nurse or other responsible person designated by the school nurse.
(1) The prescription medication must be in a
			 pharmacy or manufacturer labelled container.
(2) The school nurse or other responsible
			 person receiving the prescription medication shall document the quantity of the
			 prescription medication delivered.
(3) In extenuating circumstances, as
			 determined by the school nurse, the prescription medication may be delivered by
			 other persons; provided, however, that the nurse is notified in advance by the
			 parent or guardian of the arrangement and the quantity of prescription
			 medication being delivered to the school.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 210.000 - The Administration Of Prescription Medications In Public And Private Schools › Section 210.009 - Documentation and Record-Keeping

Current through Register 1525, July 5, 2024
(A) Each school
			 where prescription medications are administered by school
			 personnelshallmaintain a medication administration record for each studentwho
			 receives prescription medication during school hours.
(1) Such record at a minimum shall include a
			 daily log and a medication administration plan, including the medication order
			 and parent/guardian authorization.
(2) The medication administration plan shall
			 include the information as described in
			 105
			 CMR 210.005(E).
(3) The daily log shall contain:
(a) the dose or amount of prescription
			 medication administered;
(b) the
			 date and time of administration or omission of administration, including the
			 reason for omission;
(c) the full
			 signature of the nurse or designated unlicensed school personnel administering
			 the prescription medication. If the prescription medication is given more than
			 once by the same person, he/she may initial the record, subsequent to signing a
			 full signature.
(4) The
			 school nurse shall document in the medication administration record significant
			 observations of the prescription medication's effectiveness, as appropriate,
			 and any adverse reactions or other harmful effects, as well as any action
			 taken.
(5) All documentation shall
			 be recorded in ink and shall not be altered.
(6) With the consent of the parent, guardian,
			 or student where appropriate, the completed prescription medication
			 administration record and records pertinent to self administration shall be
			 filed in the student's cumulative health record. When the parent, guardian or
			 student, where appropriate, objects, these records shall be regarded as
			 confidential medical notes and shall be kept confidential, except as provided
			 in
			 105 CMR 210.000.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 215.000 - Standards For School Wellness Advisory Committees › Section 215.001 - Purpose

Current through Register 1525, July 5, 2024
The purpose of
				105 CMR 215.000 is to set
				standards for the establishment and operation of School Wellness Advisory
				Committees. These committees are intended to ensure that each public school
				district has an established group of school staff and concerned community
				representatives to recommend, review and help implement school district
				policies addressing school nutrition, nutrition education, physical activity
				and related issues that affect student health.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 215.000 - Standards For School Wellness Advisory Committees › Section 215.002 - Scope and Application

Current through Register 1525, July 5, 2024
As mandated by M.G.L. c. 111, § 223,
				105 CMR 215.000 establishes
				standards for School Wellness Advisory Committees to be established in each
				school district in the Commonwealth.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 215.000 - Standards For School Wellness Advisory Committees › Section 215.003 - Definitions

Current through Register 1525, July 5, 2024
Public School District
means all
				public school districts, regional school districts, vocational technical
				schools, collaboratives and, for the purposes of these regulations, charter
				schools.
Wellness
means a process by which
				individuals move toward optimal physical and mental health, regardless of
				current health status or disability, by practicing healthy choices within an
				enabling environment which encourages healthy decision
				making.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 215.000 - Standards For School Wellness Advisory Committees › Section 215.100 - Standards for School Wellness Committees

Current through Register 1525, July 5, 2024
(A)
Establishment
.
(1)
			 Each public school district shall have a School Wellness Advisory Committee to
			 encourage development of a program that actively promotes wellness in schools
			 and to maximize the school district's opportunities for grant awards.
(a) A regional school district may establish
			 a regional school wellness advisory committee to cover the schools within that
			 district. To the maximum extent feasible, each community within the region
			 shall be represented on the committee.
(b) Where a regional school district is
			 responsible only for middle and/or high schools, the regional school wellness
			 committee established by the school district also may cover the elementary
			 schools which send students to the middle and/or high schools.
(c) School districts that share a
			 superintendent may establish a single school wellness committee that covers the
			 school districts under the direction of that superintendent.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 216.000 - Reserved

Current through Register 1525, July 5, 2024
REGULATORY AUTHORITY
105 CMR 216.000: M.G.L. c. 62, § 6N, c. 63, § 38FF,
				and c. 111, §§ 2G, 206, and 206A.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 220.000 - Immunization of Students Before Admission to School › Section 220.300 - Scope

Current through Register 1525, July 5, 2024
105 CMR 220.000 applies to
				all students attending public or private elementary schools, secondary schools,
				postsecondary institutions of higher education, and certain pre-schools in the
				Commonwealth, including students from other states and
				countries.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 220.000 - Immunization of Students Before Admission to School › Section 220.400 - Definitions

Current through Register 1525, July 5, 2024
Certificate of Immunization
means
				either:
(a) a form or letter signed and dated by a physician, nurse
				practitioner, physician assistant or designee which specifies the month and
				year of administration and the type/name of the vaccine(s) administered to the
				student; or
(b) a dated report from the Massachusetts Immunization
				Information System which specifies the month and year of administration and the
				type/name of the vaccine(s) administered to the student.
Department
means the Massachusetts
				Department of Public Health.
Elementary School
means a program
				offered by a public or private school system on a regular basis, which provides
				care and custody, separate from parents, and typically includes grades
				kindergarten through 4, 5 or 6; also referred to as grade school or grammar
				school.
High School
means a program offered by
				a public or private school system on a regular basis, which provides care and
				custody separate from parents, and typically includes grades 9 through
				12.
Middle School
means a program offered
				by a public or private school system on a regular basis, which provides care
				and custody separate from parents, and typically includes grades 5 through 7 or
				8.
Postsecondary Institution
means a
				college, university, institute, or other school of higher education (education
				beyond the secondary level; especially education provided by a college or
				university), whether accredited or not, that is enrolling students.
Preschool
means a program offered by a
				public or private school system on a regular basis, whether known as day care,
				pre-school or other term, which provides care and custody during all or part of
				the day, separate from parents, for pre-kindergarten children and is not
				regulated by the Department of Early Education and Care.
Secondary School
means a middle school
				or high school.
Student
means any individual
				attending, or enrolled or registered to attend, preschool, elementary school,
				secondary school, or a postsecondary institution, as defined in 105 CMR
				220.400, provided the educational program is offered in Massachusetts.
Student
also includes any individual from another
				country attending or visiting classes or educational programs as part of an
				academic visitation or exchange program.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 220.000 - Immunization of Students Before Admission to School › Section 220.500 - Immunization Requirements for Preschool, Elementary, and Secondary School Students

Current through Register 1525, July 5, 2024
(A) No student shall
			 attend a preschool, elementary school or secondary school program without a
			 certificate of immunization documenting that the child has been successfully
			 immunized in accordance with current Department required immunization
			 schedules, developed in accordance with the recommendations of the Advisory
			 Committee on Immunization Practices of the Centers for Disease Control and
			 Prevention, or any successor committee serving a comparable function.
(B)
Immunizations
.
			 (Reserved).
(C) The requirements in
			 105 CMR 220.500(A) shall not apply where:
(1)
			 the student, or the student's parent or guardian if the student is a minor,
			 provides written documentation that he or she meets the standards for medical
			 or religious exemption set forth in M.G.L. c. 76, § 15;
(2) the student, or the student's parent or
			 guardian if the student is a minor, provides appropriate documentation,
			 including a copy of a school immunization record, indicating receipt of the
			 required immunizations; or
(3) the
			 student provides written documentation that he or she is immune, as defined in
			 Department guidelines.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 220.000 - Immunization of Students Before Admission to School › Section 220.600 - Immunization Requirements for Postsecondary Students

Current through Register 1525, July 5, 2024
(A) No student shall attend a postsecondary
			 institution without a certification of immunization documenting that the
			 student has been successfully immunized in accordance with required Department
			 immunization schedules developed in accordance with the recommendations of the
			 Advisory Committee on Immunization Practices of the Centers for Disease Control
			 and Prevention, or any successor committee serving a comparable
			 function.
(B) The following
			 students are subject to the requirements of 105 CMR 220.600(A):
(1) full-time undergraduate and graduate
			 students;
(2) part-time
			 undergraduate and graduate students in a health science program who may be in
			 contact with patients; and
(3) full
			 or part-time student attending a postsecondary institution in Massachusetts
			 while on a student or other visa, including a student attending or visiting
			 classes or programs as part of an academic visitation or exchange
			 program.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 220.000 - Immunization of Students Before Admission to School › Section 220.700 - Meningococcal Vaccine Requirement for Students at Secondary and Postsecondary Schools that Provide or License Housing

Current through Register 1525, July 5, 2024
(A)
			 No newly enrolled full-time student attending a secondary school or
			 postsecondary institution who will be living in a dormitory or comparable
			 congregate living arrangement licensed or approved by the secondary school or
			 postsecondary institution may be registered without a certificate of
			 immunization documenting that the student has received the meningococcal
			 vaccine. No student shall begin classes without this certificate, except as
			 provided in 105 CMR 220.700(C).
(B)
			 Each secondary school and postsecondary institution, at the time of initial
			 enrollment, shall provide each newly enrolled full-time student who will be
			 living in a dormitory or comparable congregate living arrangement licensed or
			 approved by that secondary school or postsecondary institution with detailed
			 information on the risks associated with meningococcal disease and the
			 availability and effectiveness of vaccines against the disease, if he or she is
			 18 years of age or older, or to the student's parents or guardian, if the
			 student is a minor.
(C) A student
			 may register and begin classes without a certificate of immunization against
			 meningococcal disease in the following situations:
(1) the student, or the student's parent or
			 guardian if the student is a minor, provides written certification from a
			 physician, nurse practitioner or physician assistant who has personally
			 examined the student that the student's health would be endangered by the
			 immunization;
(2) the student, or
			 the student's parent or guardian if the student is a minor, states in writing,
			 in the absence of an emergency or disease epidemic, that immunization would
			 violate his or her religious beliefs; or
(3) the student, or the student's parent or
			 guardian if the student is a minor, signs a waiver approved by the Department
			 stating that the student has received information about the risks and dangers
			 of meningococcal disease, has reviewed the information provided and has elected
			 to decline the vaccine.