Section 216-RICR-20-10-4.9 - Health Services4.9.1Population-Based Health ServicesA. In accordance with R.I. Gen. Laws § 16-21-9, each community is required to provide adequate and appropriate personnel to conduct mandated population based health services, as described in this Part, for all students attending schools within its geographical boundaries.B. Population-based services must include no less than the following components: 1. Health examinations and screenings in accordance with §§ 4.12 through 4.16 of this Part;2. Record keeping requirements in accordance with §§ 4.17 through 4.21 of this Part;3. Reporting and managing any school-based communicable, environmental, or occupational disease, as directed by a physician and in accordance with Part 30-05-1 of this Title, Reporting and Testing of Infectious, Environmental and Occupational Diseases.4.9.2Individualized Health ServicesA. Each school must provide adequate and appropriate personnel and/or equipment to provide individualized health services to all students enrolled in the school. At a minimum, the services must include those ordered by a physician, such as medication administration.1. All personnel providing individualized health services to students must be licensed and/or certified in Rhode Island in accordance with all applicable State laws and Regulations.4.9.3Students Assisted by Medical Technology and Special Health Care NeedsA. Pursuant to the provisions of R.I. Gen. Laws § 23-13-26, school nurses who provide direct care for technology-dependent students must develop individualized health care plans (IHCPs) for such students and provide care accordingly.B. All students assisted by medical technology and/or with other specialized health care needs, who are currently enrolled in grades K through twelve(12); entering Kindergarten; or currently attending or entering a public school-sponsored preschool, must have as part of their permanent school health record, an individualized health care plan (IHCP) and/or an emergency care plan (ECP/EHCP), as necessary and/or appropriate to ensure health, safety, and learning for the student while at school or at school-sponsored activities. The plan must include, but not be limited to the following: 1. A description of all services that will be provided to the student, including those services related to school-sponsored transportation and off-site school-sponsored activities;2. Persons responsible for providing each service and a description of service(s) provided in school or at school-sponsored activities;3. Qualifications of the person(s) providing services;4. Training requirements for person(s) providing services and focus of responsibility for providing training;5. Supervision of person(s) providing services.C. All school personnel who may be involved in the care of a student assisted by medical technology must be informed of the IHCP and ECP/EHCP, on a need-to-know basis.D. The IHCP and ECP/EHCP must be developed by the school nurse in collaboration with the medical provider, parent or guardian, student (when appropriate), principal, and other school staff, as appropriate. It must be signed by the school nurse, parent/guardian, and student (when appropriate).E. The IHCP and ECP/EHCP must be developed in addition to an Individualized Education Plan (IEP) or a 504 Plan, when appropriate. The IEP or 504 Plan may serve as the IHCP or ECP/EHCP if it meets all the requirements stated in this Part.216 R.I. Code R. 216-RICR-20-10-4.9
Amended effective 4/11/2022