N.J. Admin. Code § 6A:16-2.1

Current through Register Vol. 56, No. 9, May 6, 2024

Section 6A:16-2.1 - Health services policy and procedural requirements

(a) Each district board of education shall develop and adopt the following written policies, procedures, and mechanisms for the provision of health, safety, and medical emergency services, and shall ensure staff are informed as appropriate:

1. The review of immunization records for completeness pursuant to N.J.A.C. 8:57-4.1 through 4.20;

2. The administration of medication to students in the school setting by the following authorized individuals:

i. The school physician;

ii. A certified school nurse or noncertified nurse;

iii. A substitute school nurse employed by the school district;

iv. The student's parent;

v. A student approved to self-administer medication pursuant to N.J.A.C. 6A:16-2.1(a)5iii and 9 and N.J.S.A. 18A:40-12.3 and 12.4;

vi. Other school employees who volunteer to be trained and designated by the certified school nurse to administer epinephrine in an emergency pursuant to N.J.S.A. 18A:40-12.5 and 12.6; and

vii. Other employees who volunteer to be designated as a delegate and trained to administer glucagon pursuant to N.J.S.A. 18A:40-12.14.

3. The review of DNR orders received from the student's parent or medical home;

4. The provision of health services in emergency situations, including:

i. The emergency administration of epinephrine via epinephrine auto-injector pursuant to N.J.S.A. 18A:40-12.5;

ii. The emergency administration of glucagon pursuant to N.J.S.A. 18A:40-12.14;

iii. The care of any student who becomes injured or ill while at school or participating in school-sponsored functions;

iv. The transportation and supervision of any student determined to be in need of immediate care;

v. The notification to parents of any student determined to be in need of immediate medical care; and

vi. The establishment and implementation of an emergency action plan for responding to a sudden cardiac event, including the use of an AED, pursuant to N.J.S.A. 18A:40-41b;

5. The treatment of asthma in the school setting, which shall include, but not be limited to, the following requirements:

i. Each school nurse shall be authorized to administer asthma medication through use of a nebulizer pursuant to N.J.S.A. 18A:40-12.8(a);

ii. Each school nurse shall receive training in airway management and in the use of nebulizers and inhalers consistent with nationally recognized standards, including, but not limited to, those of the National Institutes of Health and the American Academy of Allergy, Asthma and Immunology, pursuant to N.J.S.A. 18A:40-12.8(a); and

iii. Each student authorized to use asthma medication pursuant to N.J.S.A. 18A:40-12.3 or a nebulizer shall have an asthma treatment plan prepared by the student's medical home and submitted to the certified school nurse. The treatment plan shall identify, at a minimum, asthma triggers and shall be included in the individualized healthcare plan and individualized emergency healthcare plan, pursuant to N.J.A.C. 6A:16-2.3(b), for meeting the medical needs of the student while attending school or a school-sponsored function;

6. Administration of student medical examinations, pursuant to N.J.S.A. 18A:40-4, N.J.S.A. 18A:35-4.8, and N.J.A.C. 6A:16-2.2;

7. Utilization of sanitation and hygiene when handling blood and bodily fluids pursuant to N.J.A.C. 12:100-4.2, Safety and Health Standards for Public Employees, and in compliance with 29 CFR 1910.1030, Occupational Safety and Health Bloodborne Pathogens Standards;

8. Provision of nursing services to nonpublic schools located in the school district as required by N.J.S.A. 18A:40-23 et seq. and N.J.A.C. 6A:16-2.5;

9. Self-administration of medication by a student for asthma or other potentially life-threatening illness or life-threatening allergic reaction pursuant to N.J.S.A. 18A:40-12.3 12.5, and 12.6, and the self-management and care of a student's diabetes as needed pursuant to N.J.S.A. 18A:40-12.15;

10. Development of an individualized healthcare plan and individualized emergency healthcare plan for students with chronic medical conditions, including diabetes, asthma, and life-threatening allergies, requiring special health services in accordance with N.J.S.A. 18A:40-12.11.c, 12.12, 12.13, and 12.15; and N.J.A.C. 6A:16-2.3(b)3 xii; and

11. Management of food allergies in the school setting and the emergency administration of epinephrine to students for anaphylaxis pursuant to N.J.S.A. 18A:40-12.6a through 12.6d.

(b) Each district board of education shall annually adopt the school district's nursing services plan at a regular meeting.

N.J. Admin. Code § 6A:16-2.1

Amended by R.2001 d.309, effective 9/4/2001.
See: 33 N.J.R. 1253(a), 33 N.J.R. 3032(b).
In (f), rewrote the introductory paragraph, substituted "one building or a group of" for "two or more" in 1, added a new 2, recodified former 2 as 3 and rewrote the paragraph.
Amended by R.2001 d.472, effective 12/17/2001.
See: 33 N.J.R. 2936(a), 33 N.J.R. 4330(a).
In (d), added 12.
Repeal and New Rule, R.2006 d.366, effective 10/16/2006.
See: 38 N.J.R. 2294(a), 38 N.J.R. 4411(c).
Section was "Health services personnel".
Amended by R.2007 d.184, effective 6/4/2007.
See: 39 N.J.R. 294(a), 39 N.J.R. 2243(a).
In (a)4ii, substituted "functions" for "activities".
Amended by R.2014 d.047, effective 3/17/2014.
See: 45 N.J.R. 987(a), 46 N.J.R. 505(a).
Rewrote the section.
Amended by R.2015 d.158, effective 10/5/2015.
See: 47 N.J.R. 569(a), 47 N.J.R. 2492(b).
In (a)2vi and (a)2vii, inserted "who volunteer to be"; in (a)4i, substituted "epinephrine" for "Epi-pen"; in (a)4iv, deleted "and" from the end; in (a)4v, inserted "and"; and added (a)4vi.
Amended by R.2021 d.073, effective 7/19/2021.
See: 53 N.J.R. 197(a), 53 N.J.R. 1216(a).
In (a)7, substituted "Occupational Safety and Health" for "Public Employees Occupational Safety and Health Program (PEOSH)".