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RI School Health Manual

I. Introduction

The Rhode Island School Health Manual Model Guidelines document was developed for the purpose of providing recommendations, resources, and guidelines to school nurses and other school health personnel for coordinated school health practice and programs throughout the state. This manual is aligned with the Rules and Regulations for School Health Programs and with school health-related statutes, regulations and protocols that ensure the health and safety of students at all Rhode Island schools. This manual is meant to help guide the development of a school health manual and/or to supplement existing school health manuals. (See the role of the school nurse; school administrator; and the RI Coordinated School Health Program)

II.  RI Statutes, Regulations, and Requirements

A Guide to Preventing Bullying, Teen Dating Violence, & Sexual Violence in RI Schools

A Guide to Identifying and Reporting Child Abuse in the Schools

Bloodborne Pathogens:  OSHA 29 CFR 1910.1030

District Health and Wellness Subcommittees

Policy Guidelines Relating to HIV/Hepatitis

RI Basic Education Program

RI Comprehensive Health Instructional Outcomes

RI Health Education Framework

RI Nurse Practice Act

RI Nursing Rules and Regulations

RI Physical Education Framework

Rules and Regulations for Lead Poisoning Prevention (R23-24.6-PB)

Rules and Regulations Pertaining to Immunization and Communicable Disease Testing in Preschool, School, Colleges or Universities

Rules and Regulations Pertaining to the Reporting of Infectious, Environmental and Occupational Diseases

Rules and Regulations for Radon Control

Rules and Regulations for School Health Programs

III.  Health Services

The health services that are provided in RI schools are guided by the RI Rules and Regulations for School Health Programs. These regulations apply to both public and non-public schools. Required services include screenings, records review, acute care, chronic disease management, and health risk prevention.

All Grades School Nurse Teacher Certificate

RIDOH Licensing Information for Nurses

Health Room (Section 31.0 of the Rules & Regulations)

RI General Law § 16-21-8 Certified nurse-teacher

Role of the School Physician (Section 8.0 of the Rules & Regulations)

a.  Health/Physical Examinations & Health History

Health Information Privacy: FERPA and HIPAA

Health Insurance Portability & Accountability Act (HIPAA) and Family Educational Rights and Privacy Act (FERPA)

Health Records (Confidentiality of Health Care Information Act) Whenever a student transfers to another school building or school system in or out of Rhode Island, the original, a copy, or electronic version of the complete, cumulative school health record shall be transferred at the same time to the health personnel of the school building or school system to which the student is transferring. A copy of the record (or the original) shall be maintained by the sending community for a minimum of five (5) years after the student turns eighteen (18) years of age or five (5) years after the student leaves the school district (Section 15.3 of the Rules & Regulations).

Student Health Card  Fillable form 

Student Health & Dental Cards

School Physical Form

Individual Health Care Plan (IHCP) is a comprehensive plan for care of children with special health care needs developed by the certified school nurse teacher in collaboration with the student, parents/guardians, school staff, community, and health care provider(s), as appropriate.

Food Allergy IHP Template – NASN

Individual Health Care Plan (IHCP) – sample

Emergency Care Plan (ECP) is a set of procedural guidelines that provides specific directions about what to do in a particular emergency situation. A student with special health care needs may have both an ECP and IHCP. The ECP may be part of the IHCP.

Asthma Action Plan - RIDOH

Asthma Action Plan – NIH

Bee Sting Allergy ECP - sample

Food Allergy ECP - sample (Food Allergy Research & Education)

Seizure Action Plan - sample

Seizure Disorder ECP - sample

504 Education Plan:

KidsHealth 504 Education Plans

Section 504: A Parent’s Guide

USDOE Office of Civil Rights: About Section 504 and the Education of Children with Disabilities

b.  Health & Dental Screenings

          Health Screenings:

Hearing Screening

Scoliosis Screening

Speech/Language Screening

Vision Screening

         Dental Screening Forms:

English and Spanish Screening Forms

Oral Health Information for Teachers & Schools

c.  Immunizations

Immunization Information for Parents

Immunization Information for Schools

RI Recommended Childhood Immunization Schedule

Rules and Regulations Pertaining to Immunization and Communicable Disease Testing in Preschool, School, Colleges or Universities

Vaccinate Before You Graduate

Where to Get Vaccinated

d.  Communicable Diseases

BloodbornePathogens:  OSHA 29 CFR 1910.1030 & Fact Sheet

Cover Your Cough CDC

Infectious Disease Information for Schools

Infectious Diseases – A to Z List

Policy Guidelines Relating to HIV/Hepatitis

RI School Nurse Teacher Infectious Disease Manual

Rules and Regulations Pertaining to the Reporting of Infectious, Environmental and Occupational Diseases

Universal Precautions in the School Setting Tutorial

e.  First Aid & Emergencies, Basic First Aid

Animal Bites Report Form

Bites (Human & Animal) algorithm

Bleeding  (external) – American Red Cross video

Burns – American Red Cross video

CPR/AED:

American Heart Association: CPR – Hands Only Demos and Videos

American Red Cross CPR/AED Handbook

Eye Injuries algorithm

First Aid App – American Red Cross

Gloves and Person Protective Equipment CDC

Handwashing – CDC videos

Nosebleeds – American Red Cross video

Movement/Transportation of Injured Person American Red Cross

Opioid Overdose:

School District Naloxone Model Policy Guidelines

Naloxone FAQs

Resources:

RIDOH Drug Overdose

BHDDH Substance Use Disorder Services

Prescribe to Prevent Education Videos

SAMHSA Opioid Overdose Toolkit  (PDF)

Pregnancy (algorithm)

Red Book. Exposure to Blood on the Job: What School Employees Need to Know

Seizure First Aid Epilepsy Foundation

Sequence for Donning and Removing Personal Protective Equipment CDC

Ticks algorithm  & Tick Removal CDC

Universal/CDC Standard Precautions poster

911 Emergency Medical System sample poster

911 Emergency Procedures sample poster

Concussions & Head Injuries (Section 18.18 of the Rules & Regulations)

CDC Concussion Signs and Symptoms Checklist

CDC Heads Up

CDC HEADS UP to High School Sports

CDC HEADS Up to Schools: School Nurses materials/fact sheets

Concussions and Mild Traumatic Brain Injury

Preventing Traumatic Brain Injuries

Returning to School after a Traumatic Brain Injury

RIDOH Traumatic Brain Injury Resources

RI School and Youth Concussions Act

RI Technical Assistance Project

Food Allergy Management

American Academy of Pediatrics Clinical Report:  Managing Food Allergies in Schools

CDC:  Food Allergy Publications and Resources

CDC Tool Kit for Managing Food Allergies in Schools

Food Allergy and Anaphylaxis: A NASN Tool Kit

Food Allergy IHP Sample Template

Food Allergy Research & Education (FARE) Emergency Care Plan

FREE EpiPens for Schools

How to Use an EpiPen (epinephrine) Auto-Injector includes video

RI Peanut Allergy Law Guidance Documents

f.  Diabetes Care Management

Diabetes Information for Schools

Emergency Hypoglycemia (low blood glucose) Care Plan- sample form               

Physician Orders for Students With Diabetes – sample form

Glucagon Administration Toolkit::

g.  Medication Administration - According to the RI Rules and Regulations for School Health Programs, "Medication" means any FDA-approved substance regarded as effective for the use for which it is designed in bringing about the recovery, maintenance or restoration of health, or the normal functioning of the body.

Rules and Regulations for School Health Programs (Section 20.0):

Medication Administration (Section 20.0)

Provisions Related to Nurse Administration (Section 20.5)

Controlled Substances (Section 20.9)

Self-Carry and Self-Administration of Medication (Section 20.10)

Inhalers (Section 20.14)

Medication Administration at Off-site School-sponsored Activities (Section 20.15)

Merck Manual Online Professional Version

h.  Special Education - The goal of Special Education is to improve the academic, social and post school success of students with disabilities ages 3 to 21. Students eligible for special education require specially designed instruction and related services as needed to meet their unique needs.

Special Education Regulations:

Individuals with Disabilities Education Act (IDEA)

Rhode Island Board of Education Regulations Governing the Education of Children with Disabilities, Adopted Sept. 9, 2013; Effective Oct. 9, 2013

Special Education Resources: 

Autism Spectrum Disorders (ASD)

Emotional Disturbance

Blind & Visual Impairments

Deaf or Hearing Impairment

The Auditory/Oral Program at the Northern Rhode Island Collaborative

Learning Disabilities & Response to Intervention (RTI)

Traumatic Brain Injury (TBI)

Severe Intellectual Disability

Information on Section 504 of the Rehabilitation Act and the Americans with Disabilities Act

USDOE Office of Civil Rights: About Section 504 and the Education of Children with Disabilities

Module for Help in Identifying Students with Emotional Disturbance

Module for Help in Identifying Students with Other Health Impairment

RI Parent Information Network  - Section 504: A Parent’s Guide

Individualized Education Program (IEP) - For students with disabilities, this means that the student must be provided with a free, appropriate, public education (FAPE) designed to meet his or her needs and to provide the student with access and opportunity to attain those high standards. Their education must also be provided in the least restrictive environment, which for most students is the regular classroom.

 

i.  Behavioral Health

Day One – RI Sexual Assault & Trauma Resource Center

Kids’ Link RI - Bradley Hospital

Psychological First Aid for Schools

RI Department of Behavioral Healthcare, Developmental Disabilities and Hospitals

RI Parents Guide to Mental Health Services

RI Student Assistance Services

RI Youth Suicide Prevention Project

Samaritans of RI - Suicide Prevention Resource Center

School Safety Resources

IV. Healthful School Environment

The physical and aesthetic surroundings and the psychosocial climate and culture of the school. Factors that influence the physical environment include the school building and the area surrounding it, any biological or chemical agents that are detrimental to health, and physical conditions such as temperature, noise, and lighting. The psychological environment includes the physical, emotional, and social conditions that affect the well-being of students and staff.

ASBESTOS

Asbestos Information for Schools

LEAD

Lead Poisoning Information for Schools & Child Care Centers

Rules and Regulations for Lead Poisoning Prevention (R23-24.6-PB)

Rules and Regulations Pertaining to Reporting of Infectious, Environmental and Occupational Diseases [R23-10-DIS]

PESTICIDES

§ 23-25-37 Pesticide applications at schools

EPA Pest Control and Pesticide Safety

RADON

Radon Information for Schools, Public Buildings & Child Care Centers

Rules and Regulations for Radon Control

SCHOOL SAFETY (Sections 37.0 of the Rules & Regulations) - The development and use of safety plans and bullying policies is essential to keep students safe and engaged in learning. The safety of schools must be based on the application of policies that reflect the priorities of the school community.

School Safety Plans - §16-21-24 Requirements of school safety plans, school emergency response plans, and school crisis response plans. School Safety Plans address two critical issues: the early detection of potential violence or harm, and response and intervention to emergencies and crises. To ensure the safety of students, teachers, administrators and staff, every school should be prepared to handle and recover from an emergency. Download the Model School Safety Plan and School Emergency Procedures Toolkit.

   School Safety Resources:

SOCIAL EMOTIONAL LEARNING

STATEWIDE BULLYING POLICY

A Guide to Preventing Bullying, Teen Dating Violence, and Sexual Violence in Rhode Island Schools

RI General Laws §16-21-33 ;  §16-21-34 and Summary and FAQs

RI Statewide Bullying Policy

UNITED STATES ENVIRONMENTAL PROTECTION AGENCY (EPA)

EPA Indoor Air Quality (IAQ) Tools for Schools Action Kit

EPA Health School Environments

Free Sun Safety Resources

Safe Routes to School