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EBBA - Student Health Services

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Code: EBBA
Adopted: 12/11/24 

Although the ESD’s primary responsibility is to educate students, the students’ health and general welfare is also an important Board responsibility. The Board believes school programs should be conducted in a manner that protects and enhances student and employee health and is consistent with good health practices. A health services plan shall be developed, implemented, and updated annually. The plan shall describe a health services program for all students at each facility that is owned or leased where students are present for regular programming.

The ESD shall maintain a written prevention-oriented health services plan for all students. The health services plan will1:

  1. Explain available health care space that is appropriately supervised and adequately equipped for providing health care and administering medication or first aid;
  2. Refer to available communicable disease prevention and management plan that includes school-level protocols2;
  3. Outline an ESD-to-school communication plan3;
  4. Provide information about health screenings, including immunizations and TB certificate requirements;
  5. Describe how services for all students, including those who are medically complex, medically fragile or nursing dependent, and those who have approved 504 plans, individual education program plans, and individualized health care plans or special health care needs are managed4;
  6. Integrate school health services with school health education programs and coordinate with health and social service agencies, public and private;
  7. Describe how hearing, vision and dental screenings are managed and/or verified for required students5;
  8. Include a process to assess and determine a student’s health services needs, including availability of a nurse to assess student nursing needs upon, during, and following enrollment with one or morenew medical diagnose(s) impacting a student’s access to education, and implement a student’s individual health plan prior to attending school 6 ; 
  9. Comply with OR-OSHA Bloodborne Pathogens Standards for all persons who are assigned to job tasks which may put them at risk for exposure to body fluids 7 ;
  10. Refer to adopted policy and procedures for medications in accordance with Oregon law 8 ; 
  11. Include guidelines for the management of students who are medically complex, medically fragile, or nursing dependent as defined by ORS 336.201, including students with life-threatening food allergies and adrenal insufficiency while the student is in school, at a school-sponsored activity, under the supervision of school personnel, in before-school or after-school care programs on school-owned property, and in transit to or from school or school-sponsored activities 9.

Any nurse(s) employed by the ESD and providing services to students and the ESD shall be licensed in Oregon to practice as a registered nurse or nurse practitioner or be a licensed practical nurse (LPN) in alignment with LPN supervision requirements of OAR 851-045-0050 - 0060.

A nurse employed by the ESD shall follow all applicable requirements of Oregon Revised Statutes (ORS) Chapter 678 and Oregon Administrative Rule (OAR) Chapter 851. This includes, but is not limited, delegation in accordance with OAR 851-047, which includes performing a nursing assessment of a student prior to delegation, providing adequate supervision during the delegation, and evaluating the skills, ability and willingness of the delegee. 10

A nurse employed by the ESD will function as an integral member of the instructional staff, serving as a resource person to teachers in securing appropriate information and materials on health-related topics.

The ESD provides a menstrual product dispenser with a variety of products in every student bathroom 11 which meets the requirements of law. 

END OF POLICY 

1 For exact language and complete requirement see OAR 581-022-2220(1).

2 For specific protocol content requirements see OAR 581-022-2220(1)(b).

3 For requirements of this plan see OAR 581-022-2220(1)(c).

4 For more information regarding these requirements see ORS 336.201 and 339.869, OARs 581-021- 0037, 581-015-2040, 581-015-2045, 851-045-0040 – 0060, and 851-047-0010 – 0030.

5 For vision screening or eye examination or dental screening information see ORS 336.211 and 336.213.

6 For definitions for this policy see ORS 336.201.

7 OAR 437-002-0360 lists various health and safety regulations that apply in the employment setting.

8 Medication laws can be found in ORS 339.866 – 339.874 and OAR 581-021-0037; relevant Board policy includes JHCD/JHCDA - Medications.

9 For guideline requirements see OAR 581-022-2220(1)(k).

10 For additional delegation requirements see OAR 851-047-0030.

11 “Student bathroom” means a bathroom that is accessible by students, including a gender-neutral bathroom, a bathroom designated for females, and a bathroom designated for males. (OAR 581-021- 0587)

END OF POLICY 

Legal Reference(s): 

ORS 329.025
ORS 334.125
ORS 336.201
ORS 336.204
ORS 336.211 - 336.214

OAR 581-021-0017
OAR 581-021-0031
OAR 581-021-0587
OAR 581-021-0590
OAR 581-022-2050
OAR 581-022-2220
OAR 581-022-2515

Every Student Succeeds Act of 2015, 20 U.S.C. § 8548 (2018).
Family Education Rights and Privacy Act 20 U.S.C. § 1232g (2018).

Cross Reference(s):