6 Colo. Code Regs. § 1010-6.13

Current through Register Vol. 47, No. 20, October 25, 2024

Section 6 CCR 1010-6.13 - Health Service

A. Children in care shall be immunized as required by 6 CCR 1009-2, Rules Pertaining to the Infant Immunization Program, the Vaccines for Children Program, and the Immunization of Students Attending School. The official Certificate of Immunization, official Exemption form or written documentation of the student being In-Process shall be on file for each enrolled student. Upon request of state or local health agencies, schools are responsible for providing records with identifiers removed if the school is subject to the Family Educational Rights and Privacy Act (FERPA).

B. Basic first aid equipment and medical supplies including: gauze pads and roller gauze, adhesive tape, cold pack, plastic bags, disposable gloves, band-aids, hand cleaner, small flashlight and extra batteries, scissors, and blanket shall be provided and kept conveniently available for emergency use.

1. First aid supplies and equipment with an expiration date shall be discarded and replaced once that date has passed.

C. At all times during the school day and during school sponsored events, including those off-site, at least one staff member shall be on duty in each school who has a current certification from a nationally recognized course in Standard First Aid and Cardio Pulmonary Resuscitation (CPR) certification course. A list of persons currently certified, as described above, shall be maintained in each school office.

D. Schools that acquire Automated External Defibrillators (AEDs) shall ensure public health and safety in accordance with C.R.S. 13-21-108.1.

E. Separate rooms or areas shall be available in every school for emergency use in providing care for persons who are ill, or suspected of having communicable diseases.

F. Every health care room or area must have an easily accessible restroom within 50 feet and shall be provided with at least one cot for each 400 students or part thereof. Each cot and pillow shall have an easily cleanable, non-absorbent surface or cover which is sanitized after each use. A sink with hot and cold running water shall be located in the health care room or area. Unless prohibited by local code, in new and extensively remodeled schools, a restroom directly adjoining the health office is required. This restroom is for the exclusive use of health services.

G. In accordance with the Nurse Practice Act, C.R.S. 12-38-132, medication administered by trained school personnel with oversight by a registered nurse shall be inaccessible to children and shall be stored in the original container in a controlled area separated from food, cleaning compounds and other toxic substances. Emergency medications such as epinephrine shall be inaccessible to students, immediately available to trained school personnel and in an unlocked location (e.g., emergency kit or bag, cabinet). If refrigeration is required, the medication shall be stored:

1. In a separate refrigerator maintained for that purpose only, or

2. In an impervious secondary container in a designated area of a food storage refrigerator, separated from food and inaccessible to children

H. Medications acquired by the school or abandoned by parents shall be disposed of in accordance with 6 CCR 1007-2, Part 1, Regulations Pertaining to Solid Waste Sites and Facilities and 6 CCR 1007-3, Parts 260-268, and Parts 99 and 100.

I. Medical oxygen shall not be used by students or staff in areas with open flames. Signage shall be posted in the school that oxygen is in use.

J. Telephone or radio communications shall be provided and kept available in each school for emergency purposes.

K. A written plan with common procedures for handling medical emergencies shall be kept and made available for review. A current list of emergency services with telephone numbers, including the address and telephone number of the school, shall be posted in one or more prominent place(s) in each school.

L. A written all hazards plan for handling disasters, including large outbreaks, shall be available at each school. Disaster training and review will be conducted each year at each school. Principals, school personnel and students will periodically review and test each disaster plan.

M. Schools should follow the Department's Infectious Disease Guidelines for Schools and Child Care, including reporting requirements to LPHA and the Department.

6 CCR 1010-6.13

38 CR 06, March 25, 2015, effective 4/14/2015

41 CR 04, February 25, 2018, effective 3/17/2018