Tenn. Comp. R. & Regs. 1200-11-05-.01

Current through June 10, 2024

Section 1200-11-05-.01 - DEFINITIONS

Unless otherwise specifically indicated by the context, for the purpose of these rules and regulations, the terms herein are defined as follows:

(1) All Students. Every student enrolled in a participating public school. This includes students regardless of parental consent.

(2) Annual Unemployment Rate. The rate derived by dividing the number of person unemployed by the labor force, multiplied by 100. (Tennessee Department of Employment Security, Research and Statistics Division data will be used.)

(3) Assessment. The nursing and education activities necessary for the timely identification of a health problem. This includes observation of students for signs and symptoms.

(4) Basic Program. A comprehensive school health program with activities in the following areas: health services, health education, and a healthful school environment. It is designed to meet the broad needs of students in participating schools.

(5) Case Management. A role which results in the coordination of efforts and services provided by multiple professionals, to a student, for the purpose of identifying or treating a health problem or maintaining or enhancing their health state.

(6) Communicable Disease. An illness, due to an infectious agent or its toxic products, which is transmitted directly or indirectly to a well person from an infected person or animal, or through the agency of an intermediate animal host, vector, or inanimate environment.

(7) Consultation. The provision of information and technical assistance.

(8) Department. Tennessee Department of Health and Environment.

(9) Effort Capacity Index. The effort/capacity index compares a county's fiscal capacity (the existing and potential tax base available to local government) with its fiscal effort (actual locally generated revenue). An effort/capacity index of 1.0 indicates balance between these variables, less than 1.0 indicates under utilization and greater than 1.0 indicates over utilization. (Fiscal Effort, Fiscal Capacity and Fiscal Disparities Among Local Governments in Tennessee by Harry A. Green and Lynne Holliday.)

(10) First Aid Supplies:

sterile gauze pads

eye pads

roller bandage

tape - 1 inch

triangular bandage

elastic bandage 2 in., 4 in., and 6- inch

splinter forceps

scissors, bandage type

eye rinse solution

flashlight, spare batteries, spare bulb

cleansing solution

blanket

peri- pads

hot water bottle

disposable gloves

safety pins

tongue blades

applicator sticks

thermometer

splints

ice cubes or substitute

(11) Follow-Up. Activities undertaken to help ensure referral or treatment of student health problems.

(12) Health Counseling. A service which enables students, parents and school personnel to understand health conditions or concerns and to utilize appropriate community resources.

(13) Health Education. The provision of information concerning the physical, mental and emotional well-being of people.

(14) Health Screening. The process of identification of students who need further evaluation by health care professionals.

(15) Infant Mortality Rate. Data on infant mortality are derived from matched infant death-birth cohort files. These files follow resident births occurring in a calendar year forward through their first year of life to measure the mortality experience. The rate is derived by dividing the number of infant deaths by the number of live births during a year, multiplied by 1,000. A three-year average infant mortality rate will be used. (From the State Center for Health Statistics.)

(16) Injury Prevention Activities. The use of epidemiological methods to identify hazards either in the environment or in certain activities so that they can be corrected.

(17) Lea. Local Public Education Agency.

(18) Letter of Agreement. A legal document which outlines the responsibilities of the Department and the LEA for designated participating public schools.

(19) Parental Consent. For minors, an informed decision evidenced by a written document signed by a parent or guardian which states that their child may participate in the Tennessee Public School Nurse Program. While enrolled in schools operated by the LEA the consent is considered valid unless specifically revoked in writing.

(20) Participating Public Schools. Those schools specifically listed in a letter of agreement between the Department and a LEA as receiving basic services from the Program.

(21) Physician-To-Population Ratio. The ratio derived by dividing the population of the area by the number of physicians providing primary medical care services in the area. Only physicians spending an average of at least 20 hours per week of their time providing direct patient care, in an office or facility-based practice and who are under 65 years of age in the year that the ratio is determined, shall be counted; interns, residents and federally assigned physicians are excluded.

(22) Poverty Rate. The number of persons below poverty divided by the total population. (The US Department of Health and Human Services annually publishes federal poverty guidelines in the Federal Register.)

(23) Program. The Tennessee Public School Nurse Program.

(24) Quality Assurance Guidelines. Designated Program standards for evaluation of services, established by the Program and published in the most current Quality Assurance Guidelines, Bureau of Health Services.

(25) Rate. "A quantity, amount, or degree of something measured per unit of something else."

(26) Ratio "The relationship in quantity, amount, or size between two or more things."

(27) Referral. To send or direct for treatment, aid, information or decision.

(28) Region. A geographic area of the State including one or more counties designated by the department as such.

(29) Reproductive Health. A collective term used to refer to a number of interrelated services and topics which include, but are not limited to, puberty and the accompanying physical changes and behaviors which lead to or prevent parenthood, including abstinence from sexual activity.

(30) School Health Coordinator. A health care professional at the Department's Regional Office who is responsible for the overall planning and coordination of the Program staff and their activities.

(31) Special Projects. A school health program with services specifically designed to meet a unique need or set of needs of an identified population of Tennessee public school students. With the exception of school based clinics, these are time limited projects.

(32) Teen Pregnancy Rate. The rate derived by dividing the number of pregnancies (the sum of live births, fetal deaths and abortions) in a year, to Tennessee resident women 10 through 17 years old, by the number of Tennessee resident women 10 through 17, multiplied by 1,000. A three-year average teenage pregnancy rate will be used. (From the State Center for Health Statistics.)

(33) Training. Instructional activities that result in an individual being qualified to perform a skilled task or procedure.

Tenn. Comp. R. & Regs. 1200-11-05-.01

Original rule filed July 28, 1989; effective September 11, 1989.

Authority: T.C.A. §§ 68-1-103 and 68-1-12-01 through 68-1-1206.