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)
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.
Health Room (Section 31.0 of the Rules & Regulations)
Role of the School Physician (Section 8.0 of the Rules & Regulations)
a. Health/Physical Examinations & Health History
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
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
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
504 Education Plan:
b. Health & Dental Screenings
Dental Screening Forms:
d. Communicable Diseases
Cover Your Cough CDC
e. First Aid & Emergencies, Basic First Aid
Animal Bites Report Form
Bites (Human & Animal) algorithm
Eye Injuries algorithm
Handwashing – CDC videos
Movement/Transportation of Injured Person American Red Cross
Resources:SAMHSA Opioid Overdose Toolkit (PDF)
Seizure First Aid Epilepsy Foundation
911 Emergency Medical System sample poster
911 Emergency Procedures sample poster
Concussions & Head Injuries (Section 18.18 of the Rules & Regulations)
CDC HEADS Up to Schools: School Nurses materials/fact sheets
Food Allergy Management
How to Use an EpiPen (epinephrine) Auto-Injector includes video
f. Diabetes Care Management
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)
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:
Special Education Resources:
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
Samaritans of RI - Suicide Prevention Resource Center
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.
§ 23-25-37 Pesticide applications at schools
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
Parent Toolkit Education Nation
STATEWIDE BULLYING POLICY
UNITED STATES ENVIRONMENTAL PROTECTION AGENCY (EPA)