Some students who require special education need special health services in order to participate in the educational program. These students will receive special health services in accordance with their individualized educational program.
A. Definitions
Assignment and delegation - occurs when licensed health personnel, in collaboration with the education team, determine the special health services to be provided and the qualifications of individuals performing the health services. Primary consideration is given to the recommendation of the licensed health personnel. Each designation considers the student's special health service. The rationale for the designation is documented. If the designation decision of the team differs from the licensed health professional, team members may file a dissenting opinion.
Educational program - includes all school curricular programs and activities both on and off school grounds.
Education team - may include the eligible student, the student's parent, administrator, teacher, licensed health personnel, and others involved in the student's educational program, or as described in the Individuals with Disabilities Education Act or Section 504 of the Rehabilitation Act of 1973 .
Health assessment - health data collection, observation, analysis, and interpretation relating to the eligible student's educational program.
Health instruction - education by licensed health personnel to prepare qualified designated personnel to deliver and perform special health services contained in the eligible student's health plan. Documentation of education and periodic updates are on file at school.
Individual health plan - the confidential, written, preplanned, and ongoing special health service in the educational program. It includes assessment, nursing diagnosis, outcomes, planning, implementation, documentation, interventions, evaluation, student goals, if applicable, and a plan for emergencies. The plan is updated as needed and at least annually. Licensed health personnel develop this written plan with collaboration from the parent or guardian, individual’s health care provider or the education team.
Licensed health personnel - includes licensed registered nurse, licensed physician, and other licensed health personnel legally authorized to provide special health services and medications.
Prescribe - licensed health personnel legally authorized to prescribe special health services and medications.
Qualified designated personnel - persons instructed, supervised, and competent in implementing the eligible student's health plan.
Special health services - includes, but is not limited to, services for eligible students whose health status (stable or unstable) requires:
Supervision - the assessment, delegation, evaluation, and documentation of special health services by licensed health personnel. Levels of supervision include situations in which licensed health personnel are:
B. Licensed health personnel will provide special health services under the auspices of the school. Duties of the licensed personnel include the duty to:
Participate as a member of the education team;
Provide the health assessment;
Plan, implement, and evaluate the written individual health plan;
Plan, implement, and evaluate special emergency health services;
Serve as liaison and encourage participation and communication with health service agencies and individuals providing health care;
Provide health consultation, counseling, and instruction with the eligible student, the student's parent, and the staff in cooperation and conjunction with the prescriber;
Maintain a record of special health services. The documentation includes the eligible student's name, special health service, prescriber or person authorizing, date and time, signature and title of the person providing the special health service, and any unusual circumstances in the provision of such services;
Report unusual circumstances to the parent, school administration, and prescriber;
Assign and delegate to, instruct, provide technical assistance, and supervise qualified designated personnel; and
Update knowledge and skills to meet special health service needs.
C. Prior to the provision of special health services the following will be on file:
Written statement by the prescriber detailing the specific method and schedule of the special health service, when indicated;
Written statement by the student's parent requesting the provision of the special health services;
Written report of the preplanning staffing or meeting of the educationteam; and
Written individual health plan available in the health record and integrated into the IEP or IFSP.
D. Licensed health personnel, in collaboration with the education team, will determine the special health services to be provided and the qualifications of individuals performing the special health services. The documented rationale will include the following:
Analysis and interpretation of the special health service needs, health status stability, complexity of the service, predictability of the service outcome and risk of improperly performed service;
Determination that the special health service, task, procedure or function is part of the person's job description;
Determination of the assignment and delegation based on the student's needs;
Review of the designated person's competency; and
Determination of initial and ongoing level of supervision required to ensure quality services.
E. Licensed health personnel will supervise the special health services, define the level of supervision, and document the supervision.
F. Licensed health personnel will instruct qualified designated personnel to deliver and perform special health services contained in the eligible individual health plan. Documentation of instruction, written consent of personnel as required in Iowa Code 280.23 and periodic updates are on file at school.
G. Parents will provide the usual equipment, supplies, and necessary maintenance for such, unless the school is required to provide the equipment, supplies, and maintenance under the Individuals with Disabilities Education Act or Section 504 of the Rehabilitation Act of 1973. The equipment is stored in a secure area. The personnel responsible for the equipment are designated in the individual health plan. The individual health plan will designate the role of the school, parents, and others in the provision, supply, storage, and maintenance of necessary equipment.
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Approved: 5/13/13 Reviewed: 6/10/19 Revised: 7/14/25