目录

政策500.40 –学生健康服务和要求

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保单号码:
500.40

通过: 
12.14.2021

董事会政策

  1. The Board of Education recognizes that students with special health care needs are entitled to public education. 
  2. Therefore, the Board delegates to the Administration responsibility for developing regulations to provide necessary health care services for students with special health care needs in accordance with state and federal law. (See Section 504 of the Rehabilitation Act of 1973, the Utah Nurse Practice Act, the Nurse Practice Act Rules, and Individuals with Disabilities Education Act of 1990.) 
  3. 董事会授权总监和地区管理局制定与本政策一致的行政法规,但须经董事会审查和批准。

行政法规:
500.40-1

批准: 
12.14.2021

Definitions - 500.40-1

  1. Individual Health Care Plan: A individual health plan (HIP) is a plan developed by a heath care team written for students at risk for physical or mental health needs.
  2. Health Care Team: A team comprised of a school administrator and school nurse and other school staff as needed that work closely with student and parent/legal guardian to determine student health needs and a plan to address those needs.
  3. Student Support Team (SST): A team of school staff assigned to meet regularly to address concerns about individual students or groups of students. Examples of issues that may be addressed by an SST include, but are limited to: academic performance, school attendance, school discipline, health-related issues, substance abuse, and school climate.
  4. Special Health Care Needs:   A student shall be considered as having a special health care need if one or more of the following conditions applies:
    1. The student requires administration of medication during the school day in order to access his/her educational program.  
      1. (Note: If the student’s only special health care need is                administration of medication during the school day, the student’s services shall be administered according to Policy—500.42—Administering Medicine to Students and the regulations of this policy shall not apply.)
    2. The student requires administration of support procedures during 这 school day in order to access his/her educational program.
    3. 学生使用监视或补偿身体功能丧失的特定保健设备。
    4. The student’s health condition may require routine or emergency health care procedures.
    5. The student’s health condition may require substantial, complex, or frequent health care services to avert death or further disability.
    6. The student’s individual education program requires support health care services.

行政法规:
500.40-2

批准: 
12.14.2021

Requesting Special Health Care Services

  1. 学生的父母可以通过填写在线或学校校长提供的“ Canyons学区要求特殊保健服务和发布机密信息”表格来正式请求特殊保健服务/干预。该表格必须每年提交一次。
  2. 学生的父母应提供所有必要的表格和信息,以使学校护士能够对学生的状况进行初步评估。这可能包括:
    1. A statement from the student’s primary health care provider which describes the special services/interventions required and how they are to be administered
    2. 学校护士要求的其他与健康相关的评估或信息。
  3. 除受IDEA或《康复法案》§504约束的学生外,与健康相关的评估和评估费用应由家长承担。需要经济援助的父母获得所需的健康相关评估或信息时,应建议其与犹他州卫生部联系。
  4. 校长应提供联络服务,并在必要时促进与父母,学校护士,初级卫生保健提供者,学校工作人员及其他机构的沟通。

行政法规:
500.40-3

批准: 
12.14.2021

Review and Approval/Denial of Health Care Services Request

  1. The school principal shall forward the “Request for Special Health Care Services” form to the school nurse for an initial health care assessment.
  2. The school nurse shall review the “Request for Special Health Care Services” form and all accompanying documents and evaluations to determine the following:
    1. 需要什么医疗保健服务/干预措施;例如药物,特殊饮食,学校或教室的改建,设备,用品等。
    2. 在上课期间是否需要所请求的服务/干预,以使学生能够访问他/她的教育计划。
    3. 学校人员是否可以合理地提供所请求的服务/干预。
    4. Whether the requested services/interventions can be provided by school personnel who are not licensed nurses or health care practitioners.
      1. (Note: Nursing activities not specifically addressed in the Utah Nurse Practices Act may be performed by a nonlicensed individual provided the activity does not require exercising nursing judgment and the activity is delegated and supervised by a licensed nurse.)
    5. 所请求的服务/干预是否构成支持服务,而不是医疗服务。
    6. 学校护士应将初步健康护理评估的结果报告给学校校长,并建议同意或拒绝特殊服务/干预的要求。
  3. The school principal and school nurse shall organize a Health Care Team to develop an individual health care plan for the student.
  4. The principal shall forward the request to the Director of Responsive Services or designee if any of the following conditions apply:
    1. 所请求的服务是“医疗”服务(只能由医生提供的服务),而不是“支持”服务。
    2. 根据《犹他州护士实务法》,学校人员无法提供要求的特殊服务/干预。
    3. 服务请求被学校护士拒绝。

行政法规:
500.40-4

批准: 
12.14.2021

School Review and Appeal

  1. The Director of Student Services or designee shall notify the parents and school nurse in writing if the request for special services/interventions is denied. 
  2. The parents shall be informed in writing that decisions of the Director of Student Services or designee may be appealed to a Health Services Panel composed of a School Performance Director, a school principal, and a school nurse. Appeal procedures are as follows:
    1. A written appeal shall be submitted to the Office of School Performance within 10 days of the determination of the Director of Student Services or designee.
    2. The Health Services Panel shall review the findings of the Director of Student Services or designee and make a determination about the school’s ability to provide the special health care services requested.
    3. Parents shall be notified of the Health Services Panel’s decision in writing.The school principal shall forward the “Request for Special Health Care Services” form to the school nurse for an initial health care assessment.

行政法规:
500.40-5

批准: 
12.14.2021

Individual Health Care Plans

  1.  An individualized Health Plan (IHP) shall be developed by the school nurse in conjunction with a school administrator for all students who qualify for special health care services/interventions.
    1. Each IHP is developed to address an individual student’s health needs. Attached in Exhibit-2- is a Sample Template only, indicated the general sections of a Health Plan. For specific questions regarding individual health plan concerns, please contact Responsive Services or a school nurse.
  2. Plans shall be developed prior to placement if the student’s condition is life threatening or capable of causing serious injury to the student or to other students or staff members. Until a health care plan can be developed, the student may be placed in the Home and Hospital or other appropriate instruction program. For students with qualified disabilities under IDEA or Section 504, the IEP team or Section 504 team must be convened prior to any change in placement to address the health needs for school.
  3. The completed individualized health care plan shall be maintained by the school as a “private” record in accordance with the Government Records Access Management Act. Students with qualified disabilities under IDEA or Section 504 must have health care plans attached to their IEP or 504 plan.
  4. Parents shall notify the principal in writing of any changes in the student’s condition which may require a modification of the health care plan. The health care team shall be reconvened, if necessary. The principal shall notify the school nurse of any changes in the student’s condition.

行政法规:
500.40-6

批准: 
12.14.2021

员工分配

  1. 学校校长应与学校护士一道分配工作人员,以执行“个性化医疗计划”中概述的特殊医疗服务/干预措施。此类任务应在政策“ 500.42-向学生管理药物”,《犹他州护士实务法》和其他适用法规的范围内。
  2. 校长应确保派遣为学生提供特殊保健服务/干预的工作人员了解并使用《血源性疾病预防措施》。
  3. 校长和护士应共同确定必要的在职培训,以使分配的工作人员能够成功地执行所需的服务/干预。
  4. Following in-service and prior to rendering special health care service/interventions, the school nurse shall verify the staff member’s ability to safely perform the assigned duties.
  5. 学校护士应向校长告知对负责进行特殊保健服务/干预的工作人员的监督。
  6. The school principal may notify other staff members of the student’s need for special health care services/interventions within the limits of the Family Educational Rights and Privacy Act (FERPA) and the Government Records Management Access Act (GRAMA) and the Health Insurance Portability and Accountability Act (HIPAA).
  7. The school principal shall notify the school nurse and staff members assigned to provide special services/interventions of any changes in the student’s condition which have necessitated changes in the Individualized Health Care Plan.

行政法规:
500.40-7

批准: 
12.14.2021

健康与安全规定

  1. The school principal shall be responsible to see that all staff members receive annual health and safety training needed. Health and safety training requirements include:
    1. All staff in the use of Universal Precautions Against Blood Borne Diseases.
    2. Administration of student medication for designated staff.
    3. At least two designated staff shall be onsite to administer epinephrine auto-injector.
    4. At least two designated staff shall be onsite that have a current Red Cross basic first aid and CPR certificate or equivalent training (R392- 200-9)
  2. 学校负责人应负责确保为需要进行特殊保健服务/干预的工作人员提供了必要的设备,材料和用品。
  3. 在处理和处置危险材料时,应使用“针对血源性疾病的通用预防措施”。
  4. Upon the recommendation of the State Health Department or recommendation of a personal physician based on a staff member’s special medical condition, the school shall pay for immunizations and/or related testing for staff members whose assignment to provide special health care services/interventions places them at increased health risk.
  5. 不得要求工作人员进行特殊的医疗保健服务或干预,否则将使他们处于迫在眉睫的危险中或使他们面临严重的健康风险。
  6. 如果未执行本政策中概述的保障措施,则工作人员可以拒绝执行特殊的医疗保健服务/干预措施,并应按照“政策-问题/投诉/申诉教学人员”中概述的程序向法律顾问或指定人员提出上诉。

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参考资料

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文件记录

已修改 – 12.14.2021.  Policy-500.40-Student Health Service Requirements is updated to:  Add definitions regarding individual healthcare plans, health care teams, and student support teams; Update language for health and safety; Update the Appeal Process through the Responsive Services Department in the event a individual health plan is challenged; Separate administrative regulations for clarity; and Update Forms and Exhibits.  

已通过 – 7.10.2007

此在线演示文稿是Canyons学区当前采用的政策手册的电子表示形式。它不反映正在进行的更新活动。官方权威手册可在位于桑迪东300 600号桑迪(South East East)的9361 South 300的总监办公室中查阅。

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