reglab/statecodes huggingface dataset:
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part II - LOCAL HEALTH › Chapter 20 - TENEMENT, LODGING AND BOARDING HOUSES › VENTILATION AND LIGHT › Section 20.33 - Bath and toilet areas

Current through Register Vol. 54, No. 28, July 13, 2024
Bathrooms, toilet rooms and water closet compartments in
					 tenement, lodging and boarding houses, shall be provided with ample ventilation
					 and light by means of window area at least equal to 1/10 of the floor area and
					 opening directly to the outside air or by equivalent artificial means
					 maintained in constant and satisfactory service.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part III - Prevention of Diseases › Chapter 23 - SCHOOL HEALTH › Subchapter A - GENERAL PROVISIONS › HEALTH SERVICES › Section 23.1 - Required health services

Current through Register Vol. 54, No. 28, July 13, 2024
School districts and joint school boards shall provide
						the following health services for children of school age who are attending or
						who should attend an elementary, grade or high school, either public or
						private, and children who are attending a kindergarten which is an integral
						part of a local school district:
(1)
					 Medical examinations.
(2) Dental
					 examinations.
(3) Vision screening
					 tests.
(4) Hearing screening
					 tests.
(5) Threshold screening
					 tests.
(6) Height and weight
					 measurements.
(7) Maintenance of
					 medical and dental records.
(8)
					 Tuberculosis tests.
(9) Special
					 examinations.
This section cited in 28 Pa. Code §
													23.2 (relating to medical
						  examinations); and 28 Pa. Code §
													23.21 (relating to
						  general).
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part III - Prevention of Diseases › Chapter 23 - SCHOOL HEALTH › Subchapter A - GENERAL PROVISIONS › HEALTH SERVICES › Section 23.2 - Medical examinations

Current through Register Vol. 54, No. 28, July 13, 2024
(a)
					 Medical examinations as required by §
											23.1 (relating to required health
					 services) shall be provided on original entry into school, in grade six and in
					 grade 11.
(b) For purposes of this
					 section, on original entry into school means entrance into kindergarten if it
					 is part of the school system or into the first grade if the school system does
					 not have a kindergarten. In instances where there are kindergartens in some
					 schools of a district and not in others, the board or joint board may decide
					 whether medical and dental examinations shall begin in grade one or in the
					 kindergarten.
(c) Children
					 transferred from other school systems shall be examined as soon as possible
					 after the transfer regardless of their age or grade if an adequate health
					 record is not made available by the original school.
(d) Medical examinations shall be conducted
					 carefully and in sufficient detail to command medical respect and to provide an
					 educational experience for the child and his parents. Examinations shall be
					 scheduled so that an average of no more than four children will be examined in
					 an hour. Results of vision and hearing screening tests shall be available to
					 the physician at the time of the examination.
(e) The school medical examination may be
					 conducted by the family physician and reported to the school on forms supplied
					 by the school. Administrators are urged to have as many children examined
					 privately as possible to provide for continuity in the medical care of the
					 child. Payment for these examinations shall be the responsibility of the
					 parent; however, children examined privately shall be counted as part of the
					 enrollment for reimbursement purposes as provided in §
											23.23 (relating to maximum
					 reimbursement for medical services).
This section cited in 22 Pa. Code §
													51.14 (relating to medical
						  examinations); 28 Pa. Code §
													23.21 (relating to general); 55
						  Pa. Code §
													3270.131 (relating to health
						  information); 55 Pa. Code §
													3280.131 (relating to health
						  information); 55 Pa. Code §
													3290.131 (relating to health
						  information); and 55 Pa. Code §
													3800.312 (relating to additional
						  requirements).
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part III - Prevention of Diseases › Chapter 23 - SCHOOL HEALTH › Subchapter A - GENERAL PROVISIONS › HEALTH SERVICES › Section 23.3 - Dental examinations

Current through Register Vol. 54, No. 28, July 13, 2024
(a)
					 Dental examinations shall be required on original entry into school and in
					 grades three and seven. In instances where there are kindergartens in some
					 schools of a district and not in others, the board or joint board may decide
					 whether medical and dental examinations shall begin in the first grade or in
					 the kindergarten.
(b) Children
					 transferred from other school systems shall be examined as soon as possible
					 after the transfer regardless of their age or grade if an adequate dental
					 record is not made available by the original school.
(c) Dental examinations shall be conducted
					 with sufficient care and detail to command dental respect and to provide an
					 educational experience for the child and his parents. Examinations shall be
					 scheduled so that an average of no more than eight children are examined in an
					 hour.
(d) The school dental
					 examination may be conducted by the family dentist and reported to the school
					 on forms supplied by the school. Administrators are urged to have as many
					 children examined privately as possible to provide for continuity in the dental
					 care of the child. Payment for these examinations shall be the responsibility
					 of the parent; however, children examined privately shall be counted as part of
					 the enrollment for reimbursement purposes as provided in §
											23.24 (relating to maximum
					 reimbursement for dental services).
This section cited in 28 Pa. Code §
													23.21 (relating to
						  general).
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part III - Prevention of Diseases › Chapter 23 - SCHOOL HEALTH › Subchapter A - GENERAL PROVISIONS › HEALTH SERVICES › Section 23.4 - Vision screening tests

Current through Register Vol. 54, No. 28, July 13, 2024
Vision screening tests shall be conducted annually by a
						nurse, teacher or medical technician. The Snellen Chart or other screening
						device approved by the Department of Health shall be utilized for vision
						screening.
This section cited in 28 Pa. Code §
													23.21 (relating to
						  general).
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part III - Prevention of Diseases › Chapter 23 - SCHOOL HEALTH › Subchapter A - GENERAL PROVISIONS › HEALTH SERVICES › Section 23.5 - Hearing screening tests

Current through Register Vol. 54, No. 28, July 13, 2024
(a)
Identity.
A hearing screening test determines the response to
					 discrete frequencies presented at a specified decibel level.
(b)
Test equipment.
An
					 individual pure tone audiometer or other screening equipment approved by the
					 Department of Health shall be utilized for hearing screening tests.
(c)
Frequencies employed.
Frequencies of 250, 500, 1,000, 2,000 and 4,000 cycles per second shall be
					 employed in screening testing.
(d)
Pupils to be tested.
Each year, pupils in kindergarten,
					 special ungraded classes and grades one, two, three, seven and 11 shall be
					 given a hearing screening test.
This section cited in 28 Pa. Code §
													23.6 (relating to threshold
						  hearing tests); and 28 Pa. Code §
													23.21 (relating to
						  general).
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part III - Prevention of Diseases › Chapter 23 - SCHOOL HEALTH › Subchapter A - GENERAL PROVISIONS › HEALTH SERVICES › Section 23.6 - Threshold hearing tests

Current through Register Vol. 54, No. 28, July 13, 2024
(a)
Identity.
A threshold hearing test determines the lowest
					 decibel level required to elicit responses, at least 50% of the time, to a
					 series of discrete frequencies.
(b)
Test equipment.
An individual pure tone audiometer or other
					 screening equipment approved by the Department of Health shall be utilized for
					 threshold hearing tests.
(c)
Frequencies employed.
Frequencies of 250, 500, 1,000, 2,000,
					 4,000 and 8,000 cycles per second shall be employed in threshold
					 testing.
(d)
Pupils to be
					 tested.
The following pupils shall be given threshold hearing tests:
(1) A pupil in any grade who is known to have
					 a loss which meets or exceeds the criteria for otologic referral established by
					 the Department of Health shall be given a test each year.
(2) A pupil who fails a hearing screening
					 test given under §
												23.5 (relating to hearing
					 screening tests).
(3) A pupil who
					 presents a history of recurrent upper respiratory infection or may evidence
					 other possible ear, nose and throat pathology.
(4) A pupil who shows, by classroom behavior
					 or speech pattern, or both, that a hearing difficulty may
					 exist.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part III - Prevention of Diseases › Chapter 23 - SCHOOL HEALTH › Subchapter A - GENERAL PROVISIONS › HEALTH SERVICES › Section 23.7 - Height and weight measurements

Current through Register Vol. 54, No. 28, July 13, 2024
(a)
					 Height and weight measurement shall be conducted at least once annually and
					 preferably twice annually. Every effort shall be made to determine the pattern
					 of growth for each child so that his weight and height can be interpreted in
					 light of his own growth pattern rather than those of his classmates.
(b) Height and weight measurements shall be
					 conducted by a nurse or teacher.
This section cited in 28 Pa. Code §
													23.21 (relating to
						  general).
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part III - Prevention of Diseases › Chapter 23 - SCHOOL HEALTH › Subchapter A - GENERAL PROVISIONS › HEALTH SERVICES › Section 23.8 - Maintenance of medical and dental records

Current through Register Vol. 54, No. 28, July 13, 2024
(a) School districts and joint school boards
					 shall maintain comprehensive medical and dental records of each individual
					 child.
(b) The records shall
					 contain all the information the school obtains concerning the health of the
					 child.
This section cited in 28 Pa. Code §
													23.21 (relating to
						  general).
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part III - Prevention of Diseases › Chapter 23 - SCHOOL HEALTH › Subchapter A - GENERAL PROVISIONS › HEALTH SERVICES › Section 23.9 - Tuberculosis tests

Current through Register Vol. 54, No. 28, July 13, 2024
(a)
Pupils
					 to be tested.
A test for tuberculosis shall be administered upon
					 original entry into school, and in grade nine by a tuberculin test.
(b)
Testing methods.
The
					 tuberculin test may be administered by either the multiple puncture method or
					 by the Mantoux test using intermediate strength tuberculin (PPD 0.0001
					 mg.).
(c)
All tuberculin
					 reactors.
Tuberculin reactors shall be X-rayed. Chest X-rays of
					 tuberculin reactors may be provided by local public or private health agencies.
					 Arrangements for the examinations are the responsibility of the local school
					 authorities.
(d)
Tuberculin
					 testing programs.
A school board or joint school board which finds
					 that individual schools within the school district or jointure have significant
					 differences in the reactor rate may implement tuberculin testing programs for
					 individual schools in accordance with the following:
(1) A test for tuberculosis shall be done
					 annually on original entry into school and in the ninth grade by a tuberculin
					 test in schools with a prior tuberculin reactor rate of 0.5% or above in these
					 grades.
(2) A test for tuberculosis
					 shall be done every third year upon original entry into school and in the ninth
					 grade by a tuberculin test in those schools with a tuberculin reactor rate
					 below 0.5% in these grades. A school which subsequently shows an increase to a
					 level above 0.5% shall renew the annual testing program until the reactor rate
					 descends below 0.5% again.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part III - Prevention of Diseases › Chapter 23 - SCHOOL HEALTH › Subchapter A - GENERAL PROVISIONS › HEALTH SERVICES › Section 23.10 - Scoliosis screening

Current through Register Vol. 54, No. 28, July 13, 2024
(a)
Scope.
Screening for scoliosis shall be included in school
					 health programs. Scoliosis is an appreciable lateral deviation of the normally
					 straight vertical line of the spine or one or more lateral rotary curvatures of
					 the spine.
(b)
Pupils to be
					 tested.
A scoliosis screening test shall be administered to students
					 in grade six and grade seven and to age-appropriate students in ungraded
					 classes.
(c)
Testing
					 methods.
Scoliosis screening shall be conducted in accordance with
					 administrative and professional guidelines by personnel who meet the
					 qualifications standards adopted by the Secretary of Health and the Secretary
					 of Education.
(d)
Exceptions.
Students who are under observation or care for
					 scoliosis by a physician or students whose parents object in writing to the
					 screening need not be tested.
(e)
Standards.
The Department of Health will issue administrative
					 guidelines to schools to assure compliance with this section. Results of this
					 screening shall become part of the pupil's school health record.
(f)
Evaluation.
Data from
					 the screening program will be evaluated in 5 years, and the need for its
					 continuation will be considered.
The provisions of this §
													23.10 issued under sections
						  2102(g) and 2111(b) of The Administrative Code of 1929 (71 P. S.
						  §§
														532(g) and
						  541(b)); section 1402(a) and
						  (f) of the Public School Code of 1949 (24 P. S. §
														14-1402(a) and (f)); and
						  section 6 of the Disease Prevention and Control Law of 1955 (35 P. S. §
														521.16).
This section cited in 22 Pa. Code §
													23.21 (relating to
						  general).
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part III - Prevention of Diseases › Chapter 23 - SCHOOL HEALTH › Subchapter A - GENERAL PROVISIONS › HEALTH SERVICES › Section 23.11 - Special examinations

Current through Register Vol. 54, No. 28, July 13, 2024
Children who appear to the school teacher, nurse,
						physician, dentist or dental hygienist to deviate from their normal growth and
						development pattern shall be reported to the parents or guardians who shall be
						requested to have the children examined by their family physician or family
						dentist. The results of these examinations shall be reported to the school. If
						the children are not examined within a reasonable length of time and their
						growth and development pattern continues to deviate from normal, the nurse,
						school physician, school dentist or dental hygienist shall arrange special
						school examinations for these children.
The provisions of this §
													23.11 issued under sections
						  2102(g) and 2111(b) of The Administrative Code of 1929 (71 P. S.
						  §§
														532(g) and
						  541(b)); section 1402(a) and
						  (f) of the Public School Code of 1949 (24 P. S. §
														14-1402(a) and (f)); and
						  section 6 of the Disease Prevention and Control Law of 1955 (35 P. S. §
														521.16).
This section cited in 28 Pa. Code §
													23.21 (relating to
						  general).
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part III - Prevention of Diseases › Chapter 23 - SCHOOL HEALTH › Subchapter A - GENERAL PROVISIONS › REIMBURSEMENT FOR HEALTH SERVICES › Section 23.21 - General

Current through Register Vol. 54, No. 28, July 13, 2024
Each school district and joint school board which renders
						health services as described in §§
											23.1-23.11 (relating to health
						services) and which conform to standards approved by the Department of Health
						shall be reimbursed by the Commonwealth in accordance with §§
											23.21-23.28 (relating to reimbursement
						for health services).
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part III - Prevention of Diseases › Chapter 23 - SCHOOL HEALTH › Subchapter A - GENERAL PROVISIONS › REIMBURSEMENT FOR HEALTH SERVICES › Section 23.22 - Amount of reimbursement

Current through Register Vol. 54, No. 28, July 13, 2024
The amount of reimbursement shall be the actual cost of
						health services less any charges deemed unreasonable by the Department of
						Health.
This section cited in 28 Pa. Code §
													23.21 (relating to
						  general).
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part III - Prevention of Diseases › Chapter 23 - SCHOOL HEALTH › Subchapter A - GENERAL PROVISIONS › REIMBURSEMENT FOR HEALTH SERVICES › Section 23.23 - Maximum reimbursement for medical services

Current through Register Vol. 54, No. 28, July 13, 2024
(a) Reimbursement for medical services may
					 not for a school year exceed the sum of $1.60 multiplied times the number of
					 children enrolled in a school for the entire school term of that school year
					 and for whom the school district or joint school board maintains comprehensive
					 health records, plus a proportionate part of $1.60 for each child enrolled for
					 a part of the school term of that school year and for whom the school district
					 or joint school board maintains a comprehensive health record.
(b) The average daily membership may be used
					 to determine the amount of reimbursement.
The provisions of this §
													23.23 issued under sections
						  2102(e) and 2102(g) of The Administrative Code of 1929 (71 P. S.
						  §§
														532(c) and
						  (g)); and section
						  2505.1 of the Public School Code
						  of 1949 (24 P. S. §
														25-2505.1).
This section cited in 28 Pa. Code §
													23.2 (relating to medical
						  examinations); and 28 Pa. Code §
													23.21 (relating to
						  general).
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part III - Prevention of Diseases › Chapter 23 - SCHOOL HEALTH › Subchapter A - GENERAL PROVISIONS › REIMBURSEMENT FOR HEALTH SERVICES › Section 23.24 - Maximum reimbursement for dental services

Current through Register Vol. 54, No. 28, July 13, 2024
(a) Reimbursement for dental services may not
					 for a school year exceed the sum of 80¢ multiplied times the number of
					 children enrolled in a school for the entire school term of that school year
					 and for whom the school district or joint school board maintains comprehensive
					 health records, plus a proportionate part of 80¢ for each child enrolled
					 for a part of the school term of that school year and for whom the school
					 district or joint school board maintains a comprehensive health
					 record.
(b) The average daily
					 membership may be used to determine the amount of reimbursement.
The provisions of this §
													23.24 issued under section 2102(e)
						  and (g) of The Administrative Code of 1929 (71 P. S. §
														532(c) and (g)); and section
						  2505.1 of the Public School Code
						  of 1949 (24 P. S. §
														25-2505.1).
This section cited in 28 Pa. Code §
													23.3 (relating to dental
						  examinations); and 28 Pa. Code §
													23.21 (relating to
						  general).
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part III - Prevention of Diseases › Chapter 23 - SCHOOL HEALTH › Subchapter A - GENERAL PROVISIONS › REIMBURSEMENT FOR HEALTH SERVICES › Section 23.25 - Eligible expenses

Current through Register Vol. 54, No. 28, July 13, 2024
Reimbursement may be applied to the cost of the
						following:
(1) Employment of school
					 physicians on an hourly, monthly or yearly basis.
(2) Employment of school dentists on an
					 hourly, monthly or yearly basis.
(3) Employment of medical and dental
					 assistants.
(4) Employment of
					 school dental hygienists on a full-time or part-time basis.
(5) Payment for special screening
					 examinations, such as otological, by properly qualified medical
					 specialists.
(6) Supplies and
					 equipment such as instruments, tongue depressors, dietary fluoride tablets,
					 corrective services, dental supplies and equipment or forms used in the
					 program.
(7) Payment for health
					 services to school personnel as described in §
											23.43 (relating to preemployment
					 medical examinations).
This section cited in 28 Pa. Code §
													23.21 (relating to
						  general).
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part III - Prevention of Diseases › Chapter 23 - SCHOOL HEALTH › Subchapter A - GENERAL PROVISIONS › REIMBURSEMENT FOR HEALTH SERVICES › Section 23.26 - Noneligible expenses

Current through Register Vol. 54, No. 28, July 13, 2024
No reimbursement shall be made for items for which the
						Commonwealth reimburses school districts in whole or in part under any other
						section of Article XXV of the Public School Code (24 P. S. §§
												25-2501-25-2593). Reimbursement for the
						employment of school nurses shall continue to be made under section 2505 of
						such act (24 P. S. §
												25-2505)
						(Repealed).
This section cited in 28 Pa. Code §
													23.21 (relating to
						  general).
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part III - Prevention of Diseases › Chapter 23 - SCHOOL HEALTH › Subchapter A - GENERAL PROVISIONS › REIMBURSEMENT FOR HEALTH SERVICES › Section 23.27 - Determining enrollment

Current through Register Vol. 54, No. 28, July 13, 2024
(a)
					 Enrollment for reimbursement for health services shall include children in all
					 grades, kindergarten through grade 12, in the public and private schools of the
					 district.
(b) Children shall be
					 credited to the district in which they go to school and not in the district in
					 which they reside if the two are not the same.
This section cited in 28 Pa. Code §
													23.21 (relating to
						  general).
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part III - Prevention of Diseases › Chapter 23 - SCHOOL HEALTH › Subchapter A - GENERAL PROVISIONS › REIMBURSEMENT FOR HEALTH SERVICES › Section 23.28 - Application

Current through Register Vol. 54, No. 28, July 13, 2024
(a) Application for
					 reimbursement shall be made to the Department of Health within three months
					 after the end of the school year during which the payment for the services was
					 made by the school district or joint school board.
(b) Applications for reimbursement shall be
					 accompanied by a certified statement in detail of the amounts actually spent
					 for medical and dental services.
This section cited in 28 Pa. Code §
													23.21 (relating to
						  general).
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part III - Prevention of Diseases › Chapter 23 - SCHOOL HEALTH › Subchapter A - GENERAL PROVISIONS › PERSONNEL › Section 23.31 - Administration

Current through Register Vol. 54, No. 28, July 13, 2024
(a)
General.
The administration of the local school health program
					 shall be the responsibility of the school board or joint school board. The
					 administrative officer shall be the district superintendent, the supervising
					 principal or the county superintendent.
(b)
Duties of the administrative
					 officer.
The administrative officer, through the board of school
					 directors, shall arrange for the appointment of all health personnel including
					 physicians, dentists, nurses, dental hygienists, medical and dental assistants,
					 and medical technicians. With the assistance of these personnel, the
					 administrative officer shall plan the health program. He shall check and file
					 periodic progress reports and sign all reports for the various Commonwealth
					 departments. He shall integrate the educational phases of the school health
					 program with the school curriculum, promote the formation of advisory school
					 health councils and attempt to integrate the school health program with
					 community health programs.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part III - Prevention of Diseases › Chapter 23 - SCHOOL HEALTH › Subchapter A - GENERAL PROVISIONS › PERSONNEL › Section 23.32 - School physicians

Current through Register Vol. 54, No. 28, July 13, 2024
(a)
Qualifications.
School physicians shall be legally qualified
					 to practice medicine and surgery, osteopathy or osteopathic surgery in this
					 Commonwealth.
(b)
Employment.
School districts alone or jointly with other
					 districts or joint school boards shall employ school physicians and compensate
					 them on a basis agreed between the physician and the board. Compensation may
					 not be less than $6 per hour. Appointments shall be approved by the Department
					 of Health. School districts shall submit through the county or district medical
					 director or the county health director to the regional medical director the
					 names of school physicians for approval by the Secretary of Health.
(c)
Duties.
School
					 physicians shall perform the required examinations of children in the specified
					 grades. They shall, if their agreement with the board so states, give
					 preemployment examinations to school personnel. They shall examine children who
					 appear to deviate from their normal health or growth and development pattern
					 and such examinations shall be given at the request of the administrator or
					 teacher or nurse or on the initiative of the physicians. The school physicians
					 shall vaccinate children of indigent parents, revaccinate children with
					 temporary vaccination certificates, examine children incident to the issuance
					 of employment certificates, approve return of children who have been absent due
					 to a contagious disease or suspected contagious disease, and perform other
					 duties that may be required by the board of school directors not inconsistent
					 with the rules and regulations of the Department of Health.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part III - Prevention of Diseases › Chapter 23 - SCHOOL HEALTH › Subchapter A - GENERAL PROVISIONS › PERSONNEL › Section 23.33 - School dentists

Current through Register Vol. 54, No. 28, July 13, 2024
(a)
Qualifications.
A school dentist shall be a doctor of dental
					 surgery or dental medicine legally qualified to practice dentistry in this
					 Commonwealth.
(b)
Employment.
School districts alone or with other districts or
					 joint school boards shall employ school dentists and shall compensate them on a
					 basis agreed upon by the school dentist and the employing district or joint
					 school board. Compensation may not be less than $6 per hour. Appointments shall
					 be approved by the Department of Health. School districts shall submit to the
					 regional dental officer the names of school dentists for approval by the
					 Department of Health.
(c)
Duties.
School dentists shall perform the required dental
					 examinations. They shall also examine children referred to them by the
					 administrator, teacher, dental hygienist, nurse or physician because of
					 suspected dental disease. They shall also perform other duties as may be
					 required by the board which are not inconsistent with the rules and regulations
					 of the Department of Health.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part III - Prevention of Diseases › Chapter 23 - SCHOOL HEALTH › Subchapter A - GENERAL PROVISIONS › PERSONNEL › Section 23.34 - School nurses

Current through Register Vol. 54, No. 28, July 13, 2024
The duties of school nurses shall be those assigned by
						the school district or joint school board which are exclusively connected with
						medical and dental school health activities. The technical content of the
						duties of the nurse shall be those prescribed by the Department of
						Health.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part III - Prevention of Diseases › Chapter 23 - SCHOOL HEALTH › Subchapter A - GENERAL PROVISIONS › PERSONNEL › Section 23.35 - Dental hygienists

Current through Register Vol. 54, No. 28, July 13, 2024
(a)
Qualifications.
A dental hygienist shall be licensed by the
					 State Dental Council and Examining Board and be certified as a school dental
					 hygienist by the Department of Education.
(b)
Employment.
Dental
					 hygienists shall be employed by a school district or joint school
					 board.
(c)
Duties.
The duties of a dental hygienist shall be those exclusively performed in
					 connection with school dental health activities and to include those preventive
					 services as recommended by the Department of Health.
This section cited in 49 Pa. Code §
													33.205b (relating to practice as a
						  public health dental hygiene
						  practitioner).
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part III - Prevention of Diseases › Chapter 23 - SCHOOL HEALTH › Subchapter A - GENERAL PROVISIONS › PERSONNEL › Section 23.36 - Medical technicians

Current through Register Vol. 54, No. 28, July 13, 2024
(a)
Employment.
A medical technician shall be employed by the
					 school district or joint school board.
(b)
Duties.
The duties of a
					 medical technician shall be those established by the joint school board or
					 school district.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part III - Prevention of Diseases › Chapter 23 - SCHOOL HEALTH › Subchapter A - GENERAL PROVISIONS › PERSONNEL › Section 23.37 - Sanitarians

Current through Register Vol. 54, No. 28, July 13, 2024
(a)
Qualifications.
Sanitarians shall meet the qualifications
					 prescribed by the regulations of the Advisory Health Board.
(b)
Appointment.
Sanitarians
					 shall be appointed by the Secretary of Health or by local health authorities
					 delegated this responsibility by the Secretary of Health.
(c)
Duties.
Sanitarians
					 shall perform sanitary inspection of school buildings and grounds in accordance
					 with the rules and regulations of the Advisory Health Board regarding school
					 sanitation.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part III - Prevention of Diseases › Chapter 23 - SCHOOL HEALTH › Subchapter A - GENERAL PROVISIONS › MISCELLANEOUS PROVISIONS › Section 23.41 - Farm and domestic service permits

Current through Register Vol. 54, No. 28, July 13, 2024
All children for whom farm or domestic service permits
						are requested shall be medically examined unless they have had a school health
						examination within the past four months. These examinations may be performed by
						the family physician if the family so desires; otherwise, by the school
						physician.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part III - Prevention of Diseases › Chapter 23 - SCHOOL HEALTH › Subchapter A - GENERAL PROVISIONS › MISCELLANEOUS PROVISIONS › Section 23.42 - Modified health program

Current through Register Vol. 54, No. 28, July 13, 2024
A modified school health program may be initiated with
						the approval of the Department of Health. Such a program shall be regarded as a
						demonstration or research project and shall permit valid statistical appraisals
						of the various components of the program.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part III - Prevention of Diseases › Chapter 23 - SCHOOL HEALTH › Subchapter A - GENERAL PROVISIONS › MISCELLANEOUS PROVISIONS › Section 23.43 - Preemployment medical examinations

Current through Register Vol. 54, No. 28, July 13, 2024
A school employe shall obtain a preemployment medical
						examination, performed by the school physician, if the school district has
						contracted with a physician to provide this service, or by a physician of the
						employe's choice legally qualified to practice medicine and surgery or
						osteopathy or osteopathic surgery in this Commonwealth. A prospective employe
						shall provide the examination results to the employing school authority, on a
						form prescribed by the Department of Health and completed by the examining
						physician.
This section cited in 28 Pa. Code §
													23.25 (relating to eligible
						  expenses).
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part III - Prevention of Diseases › Chapter 23 - SCHOOL HEALTH › Subchapter A - GENERAL PROVISIONS › MISCELLANEOUS PROVISIONS › Section 23.44 - Tuberculin testing of school personnel

Current through Register Vol. 54, No. 28, July 13, 2024
(a) School personnel shall receive a
					 tuberculin skin test under this section.
(b) School personnel to be tested include
					 employes and independent contractors who provide direct services to students on
					 behalf of a school, including but not limited to teachers, nurses,
					 administrators, physicians, dentists, dental hygienists, custodians, janitors,
					 cooks, cafeteria workers, bus drivers, librarians, psychologists, audiologists
					 and counselors, and student teachers and volunteers who provide direct services
					 to students on behalf of a school.
(c) This section applies to public, private,
					 parochial, residential or nonresidential schools or intermediate units in this
					 Commonwealth that enroll students in grades K-12 and ungraded
					 classes.
(d) The tuberculin skin
					 test shall be administered by either the intracutaneous Mantoux test method
					 with the two-step tuberculin skin test procedure or the percutaneous multiple
					 puncture test method. Purified Protein Derivative (PPD) shall be the tuberculin
					 used for the intracutaneous Mantoux skin test. PPD or Old Tuberculin-OT-shall
					 be the tuberculin used when administering the percutaneous multiple puncture
					 skin test. The Department of Health may issue guidelines setting forth
					 recommended procedures for the performance of the tuberculin skin
					 tests.
(e) The tuberculin skin test
					 shall be performed by the school physician, or by a physician of the employe's
					 choice legally qualified to practice medicine and surgery or osteopathy or
					 osteopathic surgery in this Commonwealth, or the physician's legally qualified
					 designee.
(f) Prior to working for
					 the school, the person tested for tuberculosis shall provide to the school a
					 form, completed and signed by the physician responsible for the performance of
					 the test, that indicates either of the following:
(1) A nonsignificant Mantoux test reaction
					 using the two-step skin test procedure, or a nonsignificant multiple puncture
					 test reaction.
(2) A significant
					 tuberculin skin test reaction, with a negative chest x-ray for current
					 tuberculosis disease.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part III - Prevention of Diseases › Chapter 23 - SCHOOL HEALTH › Subchapter A - GENERAL PROVISIONS › MISCELLANEOUS PROVISIONS › Section 23.45 - Objections to examination on religious grounds

Current through Register Vol. 54, No. 28, July 13, 2024
(a) School children or school employes may be
					 excused from regular or special medical or dental examinations on presentation
					 of written evidence to the school administrator that the examinations are
					 contrary to the religious beliefs of the parent or guardian of the child or of
					 the employe.
(b) Exemption from
					 medical or dental examinations will not be granted if the Department of Health
					 finds that facts exist under which the exemption constitutes a present
					 substantial menace to the health of other persons exposed to contact with the
					 unexamined person.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part III - Prevention of Diseases › Chapter 23 - SCHOOL HEALTH › Subchapter B - SCHOOL NURSE SERVICES › GENERAL PROVISIONS › Section 23.51 - Children to be provided nursing services

Current through Register Vol. 54, No. 28, July 13, 2024
A child in private, parochial and public schools shall be
						provided with school nurse services in the school which the child
						attends.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part III - Prevention of Diseases › Chapter 23 - SCHOOL HEALTH › Subchapter B - SCHOOL NURSE SERVICES › GENERAL PROVISIONS › Section 23.52 - Administration

Current through Register Vol. 54, No. 28, July 13, 2024
The school nurse services shall be provided through the
						public school system and the administration of this service shall be the
						responsibility of the public school administrator in consultation, as needed,
						with the private or parochial school administrator.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part III - Prevention of Diseases › Chapter 23 - SCHOOL HEALTH › Subchapter B - SCHOOL NURSE SERVICES › GENERAL PROVISIONS › Section 23.53 - Determination of pupils to be served

Current through Register Vol. 54, No. 28, July 13, 2024
The school administrator, in determining the number of
						pupils to be served by a school nurse, shall consider the number of schools,
						distance between schools, travel difficulties and special health needs of the
						area.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part III - Prevention of Diseases › Chapter 23 - SCHOOL HEALTH › Subchapter B - SCHOOL NURSE SERVICES › GENERAL PROVISIONS › Section 23.54 - Certification by Department of Education

Current through Register Vol. 54, No. 28, July 13, 2024
School nurses employed by school districts of joint
						school districts shall be properly certificated by the Department of Education
						as school nurses.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part III - Prevention of Diseases › Chapter 23 - SCHOOL HEALTH › Subchapter B - SCHOOL NURSE SERVICES › GENERAL PROVISIONS › Section 23.55 - Maintenance of health records

Current through Register Vol. 54, No. 28, July 13, 2024
Health records shall be maintained for each child. These
						records shall be kept in the school building where the child attends school and
						shall be available to the school nurse at all times. Records shall be
						transferred with the child when he moves from one school to another or from one
						district to another.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part III - Prevention of Diseases › Chapter 23 - SCHOOL HEALTH › Subchapter B - SCHOOL NURSE SERVICES › REIMBURSEMENT › Section 23.61 - Maximum reimbursement

Current through Register Vol. 54, No. 28, July 13, 2024
(a)
					 Reimbursement for school nurse services by the Department of Health shall be
					 made to the school board or joint school board annually. Reimbursement may not
					 exceed the sum expended by the board or joint school board for school nurse
					 services and may not exceed $7.00 for each pupil in average daily
					 membership.
(b) The average daily
					 membership shall be computed for children in private, public and parochial
					 schools in accordance with the rules or procedure established by the Department
					 of Education.
(c) Each school board
					 or joint school board shall submit to the Department of Health within 3 months
					 after the end of the school year the average daily membership of children
					 attending school.
The provisions of this §
													23.61 issued under section 2102(e)
						  and (g) of The Administrative Code of 1929 (71 P. S. §
														532(e) and (g)); and section
						  2505.1 of the Public School Code
						  of 1949 (24 P. S. §
														25-2505.1).
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part III - Prevention of Diseases › Chapter 23 - SCHOOL HEALTH › Subchapter B - SCHOOL NURSE SERVICES › REIMBURSEMENT › Section 23.62 - Contracts with public agencies

Current through Register Vol. 54, No. 28, July 13, 2024
School districts, with the approval of the Department of
						Education and the Department of Health, may contract with public agencies
						engaged in health work to provide school health and school nurse services.
						Public agencies under contract shall provide health services of a standard
						acceptable to the Department of Health.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part III - Prevention of Diseases › Chapter 23 - SCHOOL HEALTH › Subchapter B - SCHOOL NURSE SERVICES › REIMBURSEMENT › Section 23.63 - Limitation on reimbursement

Current through Register Vol. 54, No. 28, July 13, 2024
Reimbursement for school nurse services shall be limited
						to that part of the cost of employment and travel expenses of school nurses
						incurred in the operation of the school health program.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part III - Prevention of Diseases › Chapter 23 - SCHOOL HEALTH › Subchapter B - SCHOOL NURSE SERVICES › DUTIES OF SCHOOL NURSES › Section 23.71 - Assist in health program and examining

Current through Register Vol. 54, No. 28, July 13, 2024
(a) School nurses shall assist the school
					 administrator and the school physicians and dentists in planning and organizing
					 the school health program and shall encourage parents to have the required
					 medical and dental examinations done by their family physicians and family
					 dentists.
(b) School nurses shall
					 schedule physical and dental examinations conducted in the school, assist at
					 examinations, and arrange for special tests, examinations and immunization
					 programs included in the school program for health services.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part III - Prevention of Diseases › Chapter 23 - SCHOOL HEALTH › Subchapter B - SCHOOL NURSE SERVICES › DUTIES OF SCHOOL NURSES › Section 23.72 - Maintenance of records

Current through Register Vol. 54, No. 28, July 13, 2024
School nurses shall maintain comprehensive health records
						of each child and records of school nursing services.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part III - Prevention of Diseases › Chapter 23 - SCHOOL HEALTH › Subchapter B - SCHOOL NURSE SERVICES › DUTIES OF SCHOOL NURSES › Section 23.73 - Advise pupils, teachers and parents

Current through Register Vol. 54, No. 28, July 13, 2024
School nurses shall advise pupils and teachers about the
						procedures of the health examination and shall encourage the attendance of
						parents at the time of examination.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part III - Prevention of Diseases › Chapter 23 - SCHOOL HEALTH › Subchapter B - SCHOOL NURSE SERVICES › DUTIES OF SCHOOL NURSES › Section 23.74 - Assist in interpreting health needs

Current through Register Vol. 54, No. 28, July 13, 2024
School nurses shall assist in interpreting the health
						needs of individual children to parents and teachers and assist families to
						utilize community resources for improving the health of their
						children.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part III - Prevention of Diseases › Chapter 23 - SCHOOL HEALTH › Subchapter B - SCHOOL NURSE SERVICES › DUTIES OF SCHOOL NURSES › Section 23.75 - Provide information

Current through Register Vol. 54, No. 28, July 13, 2024
School nurses shall provide current information for use
						of school personnel on such subjects as the growth and development pattern of
						children, first aid practice, accident prevention, communicable disease
						regulations, home nursing and civil defense, and shall assist in evaluating the
						content material used for health teaching, and offer assistance in providing
						sources of information.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part III - Prevention of Diseases › Chapter 23 - SCHOOL HEALTH › Subchapter B - SCHOOL NURSE SERVICES › DUTIES OF SCHOOL NURSES › Section 23.76 - Plan for environmental needs

Current through Register Vol. 54, No. 28, July 13, 2024
School nurses shall plan with school administrative,
						maintenance and sanitation personnel for the environmental needs of the school
						group, and shall advise school officials of environmental adjustment necessary
						to meet the needs of the handicapped individual.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part III - Prevention of Diseases › Chapter 23 - SCHOOL HEALTH › Subchapter B - SCHOOL NURSE SERVICES › DUTIES OF SCHOOL NURSES › Section 23.77 - Assist in budget preparation

Current through Register Vol. 54, No. 28, July 13, 2024
School nurses shall advise the school administrator in
						preparing a budget for the health program and facilities, and shall advise him
						on the financial needs for a program.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part III - Prevention of Diseases › Chapter 23 - SCHOOL HEALTH › Subchapter B - SCHOOL NURSE SERVICES › DUTIES OF SCHOOL NURSES › Section 23.78 - Coordinate the school health program with community programs

Current through Register Vol. 54, No. 28, July 13, 2024
School nurses shall work with school health councils and
						community groups to coordinate the school health program with community health
						programs and to develop needed health services. This includes work with private
						physicians, dentists, and dental hygienists to coordinate private medical and
						dental examinations with the school program.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part III - Prevention of Diseases › Chapter 23 - SCHOOL HEALTH › Subchapter B - SCHOOL NURSE SERVICES › DUTIES OF SCHOOL NURSES › Section 23.79 - Provide first aid services

Current through Register Vol. 54, No. 28, July 13, 2024
School nurses shall plan for first aid services and
						instruct personnel responsible for giving first aid.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part III - Prevention of Diseases › Chapter 23 - SCHOOL HEALTH › Subchapter C - IMMUNIZATION › Section 23.81 - Purpose and scope

Current through Register Vol. 54, No. 28, July 13, 2024
This subchapter has been promulgated to insure that school
					 children are immunized against diseases which spread easily in schools and
					 interrupt school life and learning for individuals and groups. This subchapter
					 affects public, private and parochial schools, including kindergartens, special
					 education classes, home education programs and vocational classes in this
					 Commonwealth.
This section cited in 22 Pa. Code §
												405.49 (relating to
						immunizations); and 28 Pa. Code §
												27.77 (relating to immunization
						requirements for children in child care group
						settings).
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part III - Prevention of Diseases › Chapter 23 - SCHOOL HEALTH › Subchapter C - IMMUNIZATION › Section 23.84 - Exemption from immunization

Current through Register Vol. 54, No. 28, July 13, 2024
(a)
Medical exemption.
Children need not be immunized if a
				  physician or the physician's designee provides a written statement that
				  immunization may be detrimental to the health of the child. When the physician
				  determines that immunization is no longer detrimental to the health of the
				  child, the child shall be immunized according to this subchapter.
(b)
Religious exemption.
Children need not be immunized if the parent, guardian or emancipated child
				  objects in writing to the immunization on religious grounds or on the basis of
				  a strong moral or ethical conviction similar to a religious belief.
This section cited in 22 Pa. Code §
												51.13 (relating to immunization);
						22 Pa. Code §
												405.49 (relating to
						immunizations); 28 Pa. code §
												23.83 (relating to immunization
						requirements); 28 Pa. Code §
												23.85 (relating to
						responsibilities of schools and school administrators); and 28 Pa. Code §
												27.77 (relating to immunization
						requirements for children in child care group
						settings).