New Jersey Administrative Code › Title 6A - EDUCATION › Chapter 16 - PROGRAMS TO SUPPORT STUDENT DEVELOPMENT › Subchapter 2 - GENERAL PROVISIONS FOR SCHOOL HEALTH SERVICES › Section 6A:16-2.1 - Health services policy and procedural requirements

Current through Register Vol. 56, No. 14, July 15, 2024
(a)
				Each district board of education shall develop and adopt the following written
				policies, procedures, and mechanisms for the provision of health, safety, and
				medical emergency services, and shall ensure staff are informed as appropriate:
1. The review of immunization records for
				completeness pursuant to
				N.J.A.C. 8:57-4.1
				through 4.20;
2. The administration
				of medication to students in the school setting by the following authorized
				individuals:
i. The school
				physician;
ii. A certified school
				nurse or noncertified nurse;
iii. A
				substitute school nurse employed by the school district;
iv. The student's parent;
v. A student approved to self-administer
				medication pursuant to N.J.A.C. 6A:16-2.1(a)5iii and 9 and N.J.S.A. 18A:40-12.3
				and 12.4;
vi. Other school
				employees who volunteer to be trained and designated by the certified school
				nurse to administer epinephrine in an emergency pursuant to N.J.S.A.
				18A:40-12.5 and 12.6; and
vii.
				Other employees who volunteer to be designated as a delegate and trained to
				administer glucagon pursuant to N.J.S.A. 18A:40-12.14.
3. The review of DNR orders received from the
				student's parent or medical home;
4. The provision of health services in
				emergency situations, including:
i. The
				emergency administration of epinephrine via epinephrine auto-injector pursuant
				to N.J.S.A. 18A:40-12.5;
ii. The
				emergency administration of glucagon pursuant to N.J.S.A.
				18A:40-12.14;
iii. The care of any
				student who becomes injured or ill while at school or participating in
				school-sponsored functions;
iv. The
				transportation and supervision of any student determined to be in need of
				immediate care;
v. The notification
				to parents of any student determined to be in need of immediate medical care;
				and
vi. The establishment and
				implementation of an emergency action plan for responding to a sudden cardiac
				event, including the use of an AED, pursuant to N.J.S.A. 18A:40-41b;
5. The treatment of asthma in the
				school setting, which shall include, but not be limited to, the following
				requirements:
i. Each school nurse shall be
				authorized to administer asthma medication through use of a nebulizer pursuant
				to N.J.S.A. 18A:40-12.8(a);
ii.
				Each school nurse shall receive training in airway management and in the use of
				nebulizers and inhalers consistent with nationally recognized standards,
				including, but not limited to, those of the National Institutes of Health and
				the American Academy of Allergy, Asthma and Immunology, pursuant to N.J.S.A.
				18A:40-12.8(a); and
iii. Each
				student authorized to use asthma medication pursuant to N.J.S.A. 18A:40-12.3 or
				a nebulizer shall have an asthma treatment plan prepared by the student's
				medical home and submitted to the certified school nurse. The treatment plan
				shall identify, at a minimum, asthma triggers and shall be included in the
				individualized healthcare plan and individualized emergency healthcare plan,
				pursuant to
				N.J.A.C.
				6A:16-2.3(b), for meeting
				the medical needs of the student while attending school or a school-sponsored
				function;
6.
				Administration of student medical examinations, pursuant to N.J.S.A. 18A:40-4,
				N.J.S.A. 18A:35-4.8, and
				N.J.A.C.
				6A:16-2.2;
7. Utilization of sanitation and hygiene when
				handling blood and bodily fluids pursuant to
				N.J.A.C.
				12:100-4.2, Safety and Health Standards for
				Public Employees, and in compliance with
				29 CFR
				1910.1030, Occupational Safety and Health
				Bloodborne Pathogens Standards;
8.
				Provision of nursing services to nonpublic schools located in the school
				district as required by N.J.S.A. 18A:40-23 et seq. and
				N.J.A.C.
				6A:16-2.5;
9. Self-administration of medication by a
				student for asthma or other potentially life-threatening illness or
				life-threatening allergic reaction pursuant to
				N.J.S.A.
				18A:40-12.3 12.5, and 12.6, and the
				self-management and care of a student's diabetes as needed pursuant to
				N.J.S.A.
				18A:40-12.15;
10. Development of an individualized
				healthcare plan and individualized emergency healthcare plan for students with
				chronic medical conditions, including diabetes, asthma, and life-threatening
				allergies, requiring special health services in accordance with
				N.J.S.A.
				18A:40-12.11.c, 12.12, 12.13, and 12.15; and
				N.J.A.C.
				6A:16-2.3(b)3 xii;
				and
11. Management of food
				allergies in the school setting and the emergency administration of epinephrine
				to students for anaphylaxis pursuant to
				N.J.S.A.
				18A:40-12.6a through 12.6d.