Curriculum Documentation for School Health Services

Grade Level: Pre-school Program to Grade 8

Program Overview:

The primary objective of school health services is to facilitate the educational process by improving and protecting the total health status of children and staff.

Program Objectives:

The goals of School Health Services are:

  1. To maintain School Health Services in accordance with school health law and district policies

  2. To provide care for sick or injured students and staff per approved procedures

  3. To administer medications as prescribed by student's health care provider in accordance with state law, school policy and the Nurse Practice Act.

  4. To promote self-management of students with serious health concerns

  5. To provide training for staff who are delegated for the emergency administration of epinephrine and other nursing tasks according to state mandates

  6. To instruct staff regarding emergency medical procedures as per district policy

  7. To secure and interpret student medical records

  8. To maintain current individual student health data

  9. To provide for individual health screenings as mandated by state law and recommended by Board of Education policy

  10. To monitor implementation of required immunization of students

  11. To collaborate in the process of identifying students with special needs

  12. To collaborate with parents/guardians, professional staff, community agencies and other health care providers regarding students with specific health care needs

  13. To maintain individual school health care plans for students with special health concerns

  14. To promote maintenance of a healthful physical environment

  15. To promote healthy life practices

  16. To assist with Quality Assurance Annual Review to determine school health services effectiveness

  17. To implement formulation of a School Health Services Plan to determine overall school health services needs

  18. To submit health service reports as required by law

Implementation of Program Services

  1. Maintaining School Health Services

  • Awareness of current School Health Law through attendance at State and Local School Nurse Association meetings and sponsored workshops

  • Continue education through Health-related workshops and NJEA sponsored educational opportunities

  • Make recommendations for deliverance of School Health Services based on changes in School Health Law

  • Assist in development of district policies based on changes in School Health Law

  • Maintain documentation of continuing education hours to meet state standards

  1. Care for Sick or Injured Students and Staff

  • Review standing orders yearly and provide updates in collaboration with school physician

  • Administer care as per state mandates, approved standing orders, the district procedure manual, the Nurse Practice Act, and PEOSHA regulations

  • Document practices accordingly

  1. Administration of Medications

  • Obtain health care provider order for administration of medication and signed parental permission

  • Store medication in a secure, locked cabinet unless otherwise prescribed

  • Follow protocol for medication administration and monitor for effects and/or adverse reactions

  • Document administration of medication

  1. Promote Self Management of Students with Serious Health Concerns

  • Supervise and instruct the student in the administration of medication

  • Provide age appropriate guidance and information for health related problem solving

  • Periodically assess student's level of knowledge and modify instruction as needed

  1. Delegation of Emergency Administration of Epinephrine and Nursing Tasks

  • Obtain healthcare provider order for administration of medication and signed parental permission

  • Obtain appropriate health information from healthcare provider to delegate nursing tasks

  • In consultation with parent/guardian, develop individual health care plan

  • If necessary, train delegate according to state mandates

  1. Instruction of Staff for Emergency Medical Procedures

  • Conduct staff inservices regarding emergency medical procedures and universal precautions

  • Distribute approved emergency information

  • Obtain documentation of attendees

  1. Secure and Interpret Student Medical Records

  • Obtain previous school health card or initiate new health record for each student

  • Secure individual student health records in a locked file in the health office with access being granted only to authorized personnel in accordance with state mandates

  • Assess the status of obtained records for compliance with state mandates and review for pertinent medical information

  1. Maintain Current Individual Student Health Data

  • Record immunization dates, tuberculosis testing, results of screenings, physicals, referrals, and follow-ups

  • Maintain individual student health logs of health office visits, record dispensation of medication and parent/guardian contacts

  • Obtain and update medical health history information as provided

  1. Screening Procedures for All Students

  • Provide for individual health screenings, which include vision, hearing, scoliosis, height, weight, blood pressure, and pulse as mandated by state law and board policy recommendation.

  • Oversee compliance of physical examinations for school entry and athletic participation as required by state law and district policy

  • Recommend a referral to personal care physician or community agency as needed

  1. Monitoring Required Immunizations

  • Determine compliance of student's immunizations with state law

  • Notify parent/guardian of immunizations needed

  • Provide parents with information about community resources for obtaining immunizations if needed

  • Recommend to school principal the exclusion of students who have not submitted acceptable evidence of required immunizations

  1. Identifying Students With Special Needs

  • Assess health status of students

  • Collaborate with Child Study Team members, Multidisciplinary Assistance Team, and other school professionals in determining health needs of specific students

  • Assist in formulating 504 Accommodation Plan as appropriate for students with specific health issues

  • Participate in district and building crisis management teams

  • Develop recommendations for students with health related issues

  1. Collaboration with Parents/Guardians, Professional Staff, Community Agencies and Other Health Care Providers

  • Summarize data obtained through nursing assessment and other sources of input

  • Integrate various technologies to communicate and organize health related information

  • Gather health information related to child's health needs and provide referral information to parents/guardians as needed

  • Provide notification and response to Do Not Resuscitate (DNR) orders as mandated by state laws and in accordance with the Nurse Practice Act

  • Follow up on consultations and referrals

  • Provide information and resources for community services

  • Determine and delegate roles, as appropriate, to team members after reviewing gathered health information

  1. Formulate and Maintain Individual Health Care Plans for Students with Special Health Concerns

  • Gather health information and evaluate student's health problems and needs

  • Develop a health care plan in conjunction with the parents/guardian, student and student's health care provider, incorporating all aspects of the school day

  • Modify plan as warranted by student's changing health needs

  • Secure signed release of confidential information for all sources of significant medical information

  • Inform staff members of the student medical concerns and provide general training as needed to staff members who will have daily contact with student

  1. Maintenance of Healthful Physical Environment

  • Identify concerns regarding environmental health and safety

  • Refer concerns to appropriate district personnel

  • Document concerns and follow up accordingly

  1. Promotion of Healthy Life Practices

  • Act as resource for students, staff, and community to promote wellness

  • Provide health-related information through daily interaction, inservices, and distribution of approved written material as applicable

  1. Quality Assurance Annual Review

  • Evaluate previous year's school health services delivery to determine effectiveness

  • Develop School Health Services Plan for current school year

  1. Formulation of School Health Services Plan

  • Develop a School Health Services Plan, in collaboration with the school physician, from information gathered district-wide to identify specific health needs of the school population

  • Communicate Student Health Services Plan information to the Chief School Administrator for purposes of assigning nursing personnel and providing student health services

  1. Health Service Reports

  • Submit health service reports in a timely manner as required by law

  • Maintain copies of all submitted reports with annual records

  • Submit records for auditing as mandated


  • N.J.A.C. 6A: 16 -2.1 Programs to Support Student Development

  • School Health Services Guidelines, NJ Dept. of Education, Oct. 2001

  • Statutes and Regulations, Board of Nursing, NJ Dept of Law and Public Safety, June 1995

  • Galloway Township Public Schools Procedure Manual, 2000

  • Galloway Township Public School Nursing Protocols Manual, 2001

  • PEOSHA, U.S. Department of Labor, Washington D.C.