School Nurse Resources
The following Department webpages provide additional information to school nurses:
504 – The school nurse is an integral multidisciplinary team member in assisting schools to close the gap of early identification of child find for students who may need additional accommodations or specialized instruction. School nurses after developing an individualized health plan or action plan for student health services are recommended to notify the special education director and 504 coordinator upon the development of the IHP or emergency plan, annually thereafter, or whenever a substantial change in student health occurs requiring the IHP to be amended. The Americans with Disabilities Act Amendments Act, effective January 1, 2009, impacted school nursing. The Iowa Department of Education sent out a letter reminding schools of this correlation in 2015.
Bloodborne Pathogens School Program Requirements – Schools are required to provide staff Bloodborne Pathogen training and school nurses often request information regarding the Hepatitis B vaccination series requirements. The de minimus classification for not offering the pre-exposure Hepatitis B vaccination series to school personnel does not apply to healthcare personnel expected to render first aid in the course of their work.
- Bloodborne Pathogens: OSHA-Occupational Exposure School Information
- Bloodborne Pathogens Exposure: Fact Sheet
Clinical Laboratory Improvement Amendment – School nurses perform tests in the daily course of their work for students and school employees (e.g. blood glucose tests, ketone urine checks, strep throat swabs, Department of Transportation [DOT] and Federal Motor Carrier Safety Association [FMCSA] required school transportation drivers drug and alcohol testing). Schools that perform less than 15 types of tests in the course of business fall under the requirement for a waiver. The Department of Education maintains a state waiver to meet the requirement for all schools with the State of Iowa Hygienic Laboratory.
Delegation and the Iowa School Nurse – Iowa school nurse delegation, decision making, and documentation.
Emergency-School Health Planning – The emergency school health plan in each school building provides for a safe and healthy learning environment for students and school personnel considering the total and individual population needs.
Epinephrine Resources – In April 2014, SF462 was signed for school boards and school authorities to voluntarily stock epinephrine. The process to become authorized to administer stock epinephrine includes, but is not limited to policy development, school district, or school procurement, and authorized personnel completing both the department medication administration course and training course for the recognition of anaphylaxis. Additionally, there are provisions for reporting to the department. The National Association for School Nurses (NASN) has resources available for the school nurse:
- Anaphylaxis Training Certificate 2015
- Iowa Report of Epinephrine Administration
- Epinephrine Training Checklist
- Epinephrine Presentation Script
- Epinephrine Training Power Point
- Sample Allergy Action Plan
- Training Sign-In Sheet
- NASN Epinephrine Resources
Evaluation for the School Nurse – Resources for evaluation of clinical and professional standards of the school nurse.
Exclusion from School Due to Illness – Basic criteria/planning for student illness temporary exclusion from school.
Family Educational Rights and Privacy Act (FERPA) – The School Nurse practices FERPA to protect the privacy of student health information. The following presentation and transcript reviews FERPA definitions, consent exceptions, relationship to other laws, notifications, education program, and resources:
Iowa Students with Special Health Needs – School nurse and school health services assessment and planning, and service implementation in school and school activities.
Iowa School Health Legal Reference Summary – The summary is a compilation of links to federal regulations, state regulations, Iowa administrative codes, and resources that are summarized and are not a substitute for actual law.
Iowa School Nurse Data – Iowa school nurses participate in a volunteer collection of aggregate student chronic health conditions and dispositions of children seen by the school nurse or school health personnel for health services delegated by the school nurse that are part of a nationally standardized data set. The information provides transparency to the needs of Iowa learners to be healthy and safe at school, and the way in which school nurses and school health personnel support those needs.
Individual Health Plans (IHP) and Emergency Action Planning – The school nurse develops individualized health plans (IHP) as a working document for health services and demonstration of the school nursing professional licensed practice provided to individual students in the school setting using the nursing process. The school nurse also may develop a broad emergency school health plan addressing the school population needs. The emergency action plan (EAP), as a component of the IHP, may be tailored to an individual student’s chronic health condition requiring emergency services that provides lay first responders or trained school personnel guidelines detailing health services in simple instructions needed for the student’s potential life threatening condition, including when EMS should be activated. Additionally, an emergency evacuation plan (EEP), as a component of the IHP may be developed to address a student with a chronic health need that requires special considerations for environmental emergencies. Resources are available for school nurses
Mandatory Abuse Reporting
Licensed school employees and additional school staff are required to report suspected child or dependent adult abuse to the department of human services within 24 hours followed by a written report within 48 hours (Iowa Code 232.68 to 232.70).
Medicaid Presumptive Eligibility – Medicaid Qualified Entity (QE) for presumptive eligibility. The school nurse, in a Medicaid approved provider school, can become a QE to make the presumptive determination about a child's Medicaid eligibility based on the family's income self declaration statement for the child to receive immediate medical care.
Medication Administration and Management
- Medication Administration Course – This basic online Iowa medication administration course is available to unlicensed school personnel by the Iowa Department of Education, whom school nurses have requested to certify and delegate medication administration. A blank certificate will be generated when an individual obtains 100% completion and passing scores on all modules/quizzes. The certificate will be valid after a hands on skills check to demonstrate competency in medication administration is completed and documented by the school nurse on the certificate. To access the course please go to https://training.aealearningonline.org/index_login.php and fill in all required fields. If you do not know your district password, contact your school administrator or email to email@example.com.
- Student Medication Administration Record Sample
- Medication Error Report Sample Form
- Iowa School Medication Waste Guidance – Created in collaboration with the Iowa Department of Education, Iowa Department of Natural Resources, and United States Department of Justice’s Drug Enforcement Administration, this document provides clear and accurate information regarding medication disposal for public school districts and accredited nonpublic schools. The guidance for safe disposal of medications and infectious waste can prevent drug diversion and protect the environment.
- Medication Management in Iowa Schools Manual – Resources to support the health and safety of students and staff. Contents include laws, policies, procedures for medication administration, roles, responsibilities, education for qualified designated personnel, example forms, glossary, resources, and references.
- Medication Administration Toolkit – Contains resources to build a skills observation kit, skills checklist, special checklists, example forms for assistive personnel documentation, training-supervision-monitoring record, course evaluation, and emergency plan.
School Health Records
- Student Cumulative Record Retention – List of ideas on the length of maintaining health records.
- School Nurse Special Issue Documentation – School Nurse documentation of sensitive health information.
Scope of Practice and Regulation of School Nurses – A 4-12-21 memorandum from the Iowa Board of Nursing addresses the scope of practice allowed of the Licensed Practical Nurse (LPN), Registered Nurse (RN), and Advanced Registered Nurse Practitioner (ARNP) in Iowa schools.