Iowa Administrative Code › Agency 281 - Education Department › Title II - Accredited Schools and School Districts › Chapter 14 - School Health Services › Rule 281-14.2 - Special Health Services

Current through Register Vol. 47, No. 3, July 24, 2024
Some individuals need special health services to participate
				  in an educational program. These individuals will receive special health
				  services along with their educational program.
(1)
Definitions.
The
				following definitions are used in this rule, unless the context otherwise
				demands:
"Assignment and delegation."
"Assignment"
				  means the routine health care, activities and health procedures that are within
				  the licensed health personnel's authorized scope of practice as defined by
				  state law. "Delegation" means the process within the licensed health
				  personnel's scope of practice in transferring a task, skill, or procedure of
				  the licensed health personnel to qualified designated personnel. Primary
				  consideration is given to the recommendation of the licensed health personnel
				  and health instruction competence of the delegate is documented to perform a
				  specific activity, skill, or procedure that is beyond the qualified personnel's
				  traditional role and not routinely performed.
"Co-administration"
means the eligible
				  individual's participation in the planning, management and implementation of
				  the individual's special health service and demonstration of proficiency to
				  licensed health personnel.
"Educational program"
includes all school
				  curricular programs and activities both on and off school grounds.
"Education team"
may include the individual,
				  the individual's parent, administrator, teacher, licensed health personnel, and
				  others involved in the individual's educational program. The education team may
				  be the team under the Individuals with Disabilities Education Act or Section
				  504 of the Rehabilitation Act of 1973, both effective as of February 7, 2024,
				  if the child is eligible under either of those statutes.
"Health assessment"
means the systematic
				  collection of data collected by the licensed health personnel to determine the
				  student's health status and initial plan of care, to identify any actual or
				  potential health problems, or upon any significant change in the student's
				  status relating to the individual's education program.
"Health instruction"
means education by
				  licensed health personnel to prepare qualified designated personnel to deliver
				  and perform special health services contained in the eligible individual's
				  health plan. Documentation of education and periodic updates will be on file at
				  school.
"Individual health plan"
means the
				  documented plan of care utilizing the nursing process as defined in 655-Chapter
				  6 for evidence-based management of the student's ongoing special health service
				  in the educational program. The school nurse may develop this plan in
				  collaboration with the education team. The plan also includes a provision for
				  emergencies to provide direction in managing an individual's health condition
				  (stable or unstable). Documentation of evaluation and updates to the plan are
				  completed as needed and at least annually.
"Licensed health personnel"
means a licensed
				  registered nurse, licensed physician, licensed physician assistant, or other
				  licensed health personnel legally authorized to delegate or provide special
				  health services and medications under the auspices of the school.
"Prescriber"
means licensed health personnel
				  legally authorized to prescribe special health services and medications.
"Qualified designated personnel"
means
				  individuals who perform delegated tasks, activities and procedures beyond their
				  traditional role who are instructed, supervised, and competent in implementing
				  the eligible individual's health plan or delegation of special health
				  services.
"Special health services"
includes services
				  for eligible individuals whose health status (stable or unstable)
				  necessitates:
1. Interpretation or
				intervention,
2. Administration of
				health procedures and health care, or
3. Use of a health device to compensate for
				the reduction or loss of a body function.
"Supervision"
means the assessment,
				  delegation, monitoring, and frequency of evaluation and documentation of
				  special health services by licensed health personnel. Levels of supervision
				  include situations in which:
1.
				Licensed health personnel are physically present.
2. Licensed health personnel are available at
				the same site.
3. Licensed health
				personnel are available on call.