Oregon Administrative Rules › Chapter 581 - OREGON DEPARTMENT OF EDUCATION › Division 22 - STANDARDS FOR PUBLIC ELEMENTARY AND SECONDARY SCHOOLS › Section 581-022-2220 - Health Services

Current through Register Vol. 63, No. 7, July 1, 2024
(1) School
			 districts, education service districts, and public charter schools shall
			 develop, implement, and annually update a written prevention-oriented health
			 services plan for all students. The plan must describe a health services
			 program for all students at each facility that is owned or leased where
			 students are present for regular programming. The health services plan will be
			 created and maintained by the administration of each district and charter
			 school serving students. Health services plans must include:
(a) Health care space that is appropriately
			 supervised and adequately equipped for providing health care and administering
			 medication or first aid.
(b)
			 Communicable disease prevention and management plan that includes school-level
			 protocols for:
(A) Notifying the local public
			 health authority (LPHA) if absence due to illness threshold, as established by
			 the Oregon Health Authority (OHA) or LPHA, of students and staff is
			 attained.
(B) Exclusion of
			 individuals consistent with OAR 333-019-0010, with a description of an
			 isolation space that is appropriately supervised and adequately equipped and
			 that can be used exclusively for the supervision and care of a sick child when
			 a sick child is present in the school.
(C) Implementing mitigation measures if cases
			 warrant or if recommended by the Oregon Health Authority or LPHA.
(D) Identifying, understanding and responding
			 to the needs of students who are more likely to have severe disease outcomes or
			 loss of access to education due to a communicable disease, and responding to
			 those needs.
(E) Responding to the
			 mental health impacts of a communicable disease outbreak in the
			 school.
(F) Ensuring continuity of
			 education for students who may miss school due to illness.
(c) A district-to-school communication plan
			 that includes a:
(A) Point of contact to
			 facilitate communication, maintain healthy operations, and respond to
			 communicable disease questions from schools, state or local public health
			 authorities, state or local regulatory agencies, students, families and
			 staff;
(B) Protocol to provide all
			 staff and families with contact information for the point of contact;
			 and
(C) Process to notify as soon
			 as possible all families and other individuals if there has been a case of a
			 restrictable disease as defined by OAR 333-019-0010 on the premises if advised
			 by an LPHA or the OHA.
(d) Health screening information, including
			 required immunizations and TB certificates, when required by ORS
			 433.260 and
			 431.110 and OAR
			 333-019-0010.
(e) Services for all
			 students, including those who are medically complex, medically fragile or
			 nursing dependent, and those who have approved 504 plans, individual education
			 program plans, and individualized health care plans or special health care
			 needs as required by ORS
			 336.201,
			 339.869, OAR 581-021-0037,
			 581-015-2040, 581-015-2045, and 851-045-0040 to 0060;. and 851-047-0010 to
			 0030.
(f) Integration of school
			 health services with school health education programs and coordination with
			 health and social service agencies, public and private.
(g) Hearing screening; and vision and dental
			 screening as required by ORS
			 336.211 and
			 336.213.
(h) Process to assess and determine a
			 student's health services needs, including availability of a nurse to assess
			 student nursing needs upon, during, and following enrollment with one or more
			 new medical diagnose(s) impacting a student's access to education, and
			 implement the student's individual health plan prior to attending as per
			 336.201.
(i) Compliance with
			 OR-OSHA Bloodborne Pathogens Standards for all persons who are assigned to job
			 tasks which may put them at risk for exposure to body fluids per OAR
			 437-002-0360.
(j) Policy and
			 procedures for medications, as per ORS
			 339.866 to
			 339.874 and OAR
			 581-021-0037.
(k) Guidelines for
			 the management of students who are medically complex, medically fragile, or
			 nursing dependent as defined by ORS
			 336.201, including students with
			 life-threatening food allergies and adrenal insufficiency while the student is
			 in school, at a school-sponsored activity, under the supervision of school
			 personnel, in before-school or after-school care programs on school-owned
			 property, and in transit to or from school or school-sponsored activities. The
			 guidelines must include:
(A) Standards for the
			 education and training of school personnel to manage students with life
			 threatening allergies or adrenal insufficiency;
(B) Procedures for responding to
			 life-threatening medical conditions including allergic reactions or adrenal
			 crisis;
(C) A process for the
			 development of an individualized health care plan for every medically complex,
			 medically fragile, nursing dependent student, including students with a known
			 life-threatening allergy and an individualized health care plan for every
			 student for whom the school district has been given proper notice of a
			 diagnosis of adrenal insufficiency per OAR 581-021-0037;
(D) Protocols for preventing exposures to
			 allergens; and
(E) A process for
			 determining if or when a student may self-carry prescription medication when
			 the student has not been approved to self-administer medication as allowed by
			 581-021-0037.