Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 20 - Community Health › Subchapter 10 - Screening, Medical Services, and Reporting › Part 4 - School Health Programs › Section 216-RICR-20-10-4.21 - First Aid and Emergencies

Current through June 14, 2024
A. Each school must
				  have written protocols and standing orders available in the event of injuries
				  and acute illnesses, including anaphylaxis and cardiac arrest.
B. Protocols and standing orders must be
				  prepared, dated, signed, reviewed and updated, as appropriate, but at least on
				  an annual basis by the school physician(s).
C. Protocols must also be reviewed annually
				  by all school personnel designated by the school principal (or other designated
				  school authority), who might be involved in managing an emergency in a school,
				  including anaphylaxis, prior to the arrival of more fully trained
				  persons.
D. No requirement in this
				  Part shall be construed as prohibiting the issuance of a standing order by a
				  school physician for the administration of an epinephrine auto-injector by a
				  school nurse to a student who has not been previously medically identified for
				  the prevention or treatment of anaphylaxis. This standing order must be
				  reviewed in accordance with §
										4.21(B)   of
				  this Part.
4.21.1
Basic First Aid
				  Training
A. In-service basic first aid
				  training must be provided for school personnel who might be involved in
				  managing an injury or other medical emergency.
B. Personnel must be identified by the school
				  principal, or other designated school authority, and listed in the emergency
				  protocol described in §§
												4.21(B) through
				  (D)   of this Part.
C. First aid subjects to be covered must
				  include, but not be limited to: control of major bleeding, use of
				  universal/standard precautions, management of ocular trauma and emergencies,
				  management of burns, diabetes-related signs and symptoms, accessing the "911"
				  emergency medical system, proper application and removal of disposable gloves
				  and equipment, and movement and transportation of an injured person.
D. No less than one (1) hour of basic first
				  aid training or current certification for the allotted term of said
				  certification in basic first aid by a nationally recognized organization shall
				  be required of school personnel designated by the school administrator during
				  every school year.
E. The school
				  principal, or other authorized school personnel, must maintain a record-keeping
				  system documenting that the basic first aid training (as required under §
				  4.21.1(D) of this Part) has been provided to all designated school
				  personnel.
F. The training must be
				  delivered by a school nurse, or other designated instructor, utilizing a
				  training curriculum that adheres to standards established by a
				  nationally-recognized body.
G.
				  Students engaged in potentially hazardous tasks (including, but not limited to,
				  activities during normal school hours in science laboratories, industrial arts,
				  physical education, and family/consumer science classes) should be directly
				  supervised by teachers or instructors who are trained in the administration of
				  basic first aid, and who have posted and discussed safety rules with the
				  students.