Appendixes

1. Connecticut Board of Examiners for Nursing.  Declaratory Ruling on Delegation by Licensed Nurses to Unlicensed Assistive Personnel
2. Connecticut Board of Examiners for Nursing.  Declaratory Ruling on LPN Scope of Practice
3. Section 504 Parental Rights
4. Suggested Qualifications and Role of the School Medical Advisor in the Implementation of the School Health Services Program
5. Nurse Practice Act
6. Qualifications of a school nurse 

Appendix A

Connecticut Board of Examiners for Nursing. Declaratory Ruling on Delegation by Licensed Nurses to Unlicensed Assistive Personnel. Retrieved on November 23, 2011.

Appendix B

Connecticut Board of Examiners for Nursing. Declaratory Ruling on LPN Scope of Practice. 

Appendix C: Section 504 Parental Rights

Section 504 of the Rehabilitation Act provides services for students identified as having a disability as defined by the Act, which substantially limits a major life activity. You have the following rights:

1. The right to be informed of your rights under Section 504 of the Rehabilitation Act.
2. The right for your child to have equal opportunities to participate in academic, nonacademic and extracurricular activities in your school.
3. The right to be notified about referral, evaluation and programs for your child.
4. The right for your child to be evaluated fairly.
5. The right, if eligible for services under Section 504, for your child to receive accommodations, modifications, and related services that will meet the child’s needs as well as the needs of students without disabilities are met.
6. The right for your child to be educated with peers who do not have disabilities as much as possible.
7. The right to an impartial hearing if you disagree with the school regarding your child’s educational program.
8. The right to review and obtain copies of your child’s records.
9. The right to request attorney fees related to securing your rights under Section 504.
10. The right to request changes in the educational program of your child.

Appendix D: Suggested Qualifications and Role of the School Medical Advisor in the Implementation of the School Health Services Program

(Source: Connecticut Advisory School Health Council, Connecticut State Department of Education, 1997, Revised 2012)

Introduction

Section 10-205 requires each local or regional board of education of any town having a population of 10,000 to appoint at least one legally qualified practitioner of medicine as school medical advisor. It is strongly advised by the Connecticut Advisory School Health Council that every town, including those with populations of less than 10,000, appoint a school medical advisor or join with other towns to fill this position.

Boards of education, superintendents of schools, local or district health departments, and physicians responsible for school health programs have frequently requested information that describes the role of the school medical advisor. It is to meet this need that a more comprehensive guide on the selection, legal responsibilities and functions of the school medical advisor has been developed.

Qualifications

Physicians appointed to carry out the duties of the school medical advisor should be well qualified and competent in the care of children. The school medical advisor must be licensed to practice medicine in Connecticut. She or he should have the respect and cooperation of the local medical profession, and should be a pediatrician or family medicine practitioner with training in pediatric and adolescent medicine.

Any physician who serves as a school medical advisor should have training in the emotional and physical growth and development of children and should show evidence of continuing medical education and experience in school health, pediatrics or adolescent medicine within the preceding five years.

Any physician who serves as a school medical advisor should have, or have provided for them by the town or district, malpractice insurance in a suitable amount for the scope of services to be provided.

Roles

Administration and Planning

The school medical advisor manages the school health program by:

• Planning the school health program collaboratively with the school nurse supervisor/director;
• Administering the school health program cooperatively with school administrators and the board of education;
• Reviewing, evaluating and revising the school health program with the school nursing supervisor/director and with school administrators on a regular basis,
• Participating in school health activities, such as the school wellness committee or health council and other appropriate committees.

School Health Services

The school medical advisor provides school health services which may include, but not be limited to, the following:

• Assisting the district in obtaining health assessments as required by state statute and local board policy;
• Advsing the immunization program as required by state statute and local board policy;
• Consulting for the school nurse supervisor/director in the development of nursing protocols for the assessment and management of students’ health care problems;
• Providing consultation and, when appropriate, medical direction to the school nurse supervisor or director regarding in-school management of student medical problems;
• Providing standing orders for medications and medical treatments;
• Participating in establishing screening and referral procedures;
• Reviewing individual student health records as required;
• Consulting with planning and placement teams as needed when medical problems interface with education;
• Directing and implementing the school sports medicine program; and
• Providing to advanced practice nurses consultation and, where appropriate, clinical supervision for medical diagnosis and treatment.

School Environment

The school medical advisor may be asked to consult on the school environment by:

• Making recommendations for appropriate health facilities and equipment; and
• Directing inspection of all school facilities and making recommendations regarding environmental health problems within the school system in consultation with local public health personnel and school nursing personnel.

Consultation

The school medical advisor may provide consultation by:

• Participating in continuing education and in-service programs for school personnel;
• Providing consultation to the local or regional board of education, as needed;
• Providing consultation with regard to the implementation of employee health programs;
• Acting as a resource in the planning and/or implementation of the health education curriculum; and
• Interpreting the school health program and policies to parents, the community, the media and other physicians.

Appendix E: Nurse Practice Act

CHAPTER 378*

NURSING

Located at the Connecticut General Assembly Web site

Table of Contents

Sec. 20-87. Definitions.

Sec. 20-87a. Definitions. Scope of practice.

Sec. 20-88. State Board of Examiners for Nursing.

Sec. 20-89. Salaries and expenses.

Sec. 20-90. Duties of board.

Sec. 20-91. Awards in aid of nursing education.

Sec. 20-91a. Federal funds.

Sec. 20-92. Examinations.

Sec. 20-93. Qualifications for examination. Licensure. Fee.

Sec. 20-94. Licensure without examination. Limited period for licensure without examination for advanced practice registered nurses. Temporary permit.

Sec. 20-94a. Licensure as advanced practice registered nurse.

Sec. 20-94b. Nurse anesthetists. Prescriptive authority.

Sec. 20-94c. Advanced practice registered nurses. Professional liability insurance required.

Sec. 20-95. Use of title “registered nurse”.

Sec. 20-96. Licensure as practical nurse. Examinations.

Sec. 20-97. Licensure without examination. Temporary permit.

Sec. 20-98. Use of title “practical nurse”.

Sec. 20-99. Improper professional conduct. Hearing. Appeal. Prohibited conduct.

Sec. 20-99a. Regulations.

Sec. 20-100. Notice to Department of Health Services.

Sec. 20-101. Construction of chapter. Permitted practices. Temporary practice.

Sec. 20-101a. Determination and pronouncement of death by registered nurse. Regulations.

Sec. 20-101b. Construction.

Sec. 20-101c. Prescription forms used by advanced practice registered nurses and nurse-midwives.

Sec. 20-102. Penalty.

Sec. 20-102a. Appearance before board concerning application.

Secs. 20-102b to 20-102z.

Appendix F: Qualifications of a school nurse

11/06/2007 School Nurses and Nurse Practitioners

Department of Public Health. Public Health Code. School Nurses and Nurse Practitioners (10-212-1 to 10-212-7).

10-212-1. Definitions

“School nurse” means a “nurse” or a “nurse practitioner” who meets the requirements set forth in these regulations.

(Effective September 1, 1982.)

10-212-2. Qualifications of a school nurse

Except as provided in Section 10-212-3, in order to qualify as a school nurse each nurse or nurse practitioner shall meet the following requirements:

(a) Licensure - Each nurse or nurse practitioner shall be a registered professional nurse, designated as R.N., as defined in Section 20-87a of the General Statutes, and currently licensed in the state of Connecticut.

(b) Experience - Each nurse or nurse practitioner shall have at least the equivalent of one year full time working experience as a registered nurse within five (5) years immediately prior to employment as a school nurse.

(c) Education - Each nurse or nurse practitioner shall have academic preparation to include twelve (12) academic credits at a licensed or accredited institution of higher learning or eighteen (18) continuing education units (CEUs) or one hundred eighty (180) workshop or inservice hours distributed as follows:

(1) Six (6) credits or nine (9) CEUs or ninety (90) workshop hours in at least two of the following subject areas:

(A) Growth and Development

(B) Health Assessment

(C) Public or Community Health or School Health

(2) Six (6) credits or nine (9) CEUs or ninety (90) workshop hours in two or more of the following subject areas:

(A) Administration or Organization of Health or School Services

(B) Child or Adolescent Psychology

(C) Crisis Intervention

(D) Growth and Development

(E) Handicapping Conditions

(F) Health Assessment

(G) Health Education

(H) Mental Health

(I) Public or Community Health or School Health

(J) Sociology

(K) Sports Medicine

(Effective September 1, 1982.)

10-212-3. Grandparent clause

A nurse or nurse practitioner who meets the licensure requirements of Subsection (a) of Section 10-212-2 of these regulations, who is employed as a nurse in public or nonpublic elementary or secondary schools on the effective date of these regulations, and who has been employed as a nurse in such schools for the equivalent of five years full time shall be considered to have met all the educational qualifications of a school nurse pursuant to Section 10-212-2.

(Effective September 1, 1982.)

10-212-4. Provisional qualifications

A nurse or nurse practitioner who (a) meets the requirements for licensure pursuant to Subsection (a) of Section 10-212-2 of these regulations and (b)who either has (1) the experience required pursuant to Section 10-212-2 or (2) taken three academic credits or four and one-half CEUs or forty-five (45) workshop hours in any area enumerated in Subsection (c) of Section 10-212-2 within five (5) years immediately prior to employment as a school nurse shall be provisionally qualified to serve as a school nurse. Such provisional qualification shall be valid in Connecticut for no more than three (3) years. Upon completion of the requirements for qualification as school nurse, such nurse or nurse practitioner shall no longer be designated as provisionally qualified.

(Effective September 1, 1982.)

10-212-5. Continuing qualification as school nurse

A school nurse qualified pursuant to Sections 10-212-2 or 10-212-3 shall continue to be so qualified, provided that such nurse participates in at least ten hours of professional development programs or activities approved by the local or regional board of education in each two-year period commencing on the effective date of these regulations.

(Effective September 1, 1982.)

10-212-6. Authority of a local or regional board of education to appoint a school nurse

A local or regional board of education may require that each registered nurse providing school health services meets the qualifications as set forth in Section 10-212-2 of these regulations whether employed by the board of education or appointed under contract with a local health agency.

(Effective September 1, 1982.)

10-212-7. Compliance in a different manner

A local or regional board of education of any town having a population of less than ten thousand, which has appointed a legally qualified practitioner of medicine as school medical advisor, may submit a written proposal, for prior approval by the State Board of Education, to document compliance with any requirement of these regulations in a manner different from that specified in these regulations. Such proposal may be approved if it appears that it will substantially meet the goals of these regulations.

(Effective September 1, 1982.)