Rhode Island - Chronic Conditions: Policy requirement

Area: 
Policy Or Plan Requirements
Policy Type: 
statute; regulation
Summary: 

State law addresses plans for managing chronic conditions.

State of Rhode Island General Laws § 16-21-32. Peanut/tree nut allergies.

(a) The governing body of each elementary, middle or junior high school approved for the purpose of §§ 16-19-1 and 16-19-2, shall develop a policy designed to provide a safe environment for students with peanut/tree nut allergies. When a school is aware that an enrolled student has a peanut/tree nut allergy with potentially serious health consequences, the school shall implement a protocol, consistent with the governing body's policy, that provides the student with protections while he or she is attending school or participating in school-sponsored activities. The governing body's policy shall include the development of an individual health care plan (IHCP) and an emergency health care plan (EHCP) for each student with such food allergy. The student's IHCP and EHCP shall be developed collaboratively and be signed by the school nurse, the student's health care provider, the parents/guardians of the student, and the student (if appropriate). Depending upon the nature and extent of the student's peanut/tree nut allergy, the measures listed in the IHCP may include the posting of signs at school, the prohibition of the sale of particular food items in the school, the designation of special tables in the cafeteria, the prohibition of particular food items in certain classrooms, and the complete prohibition of particular food items from a school or school grounds.


State of Rhode Island General Laws § 16-21-28.2. Requirements for glucagon administration in a school setting.

(a) The department of elementary and secondary education and the department of health shall incorporate into their policies, rules and regulations for addressing incidents of hypoglycemia resulting in unconsciousness, seizure and/or the inability to swallow in order to provide for the health and safety of children who have been medically identified as having diabetes. The policies, rules and regulations shall include procedures whereby:

  • (1) A parent or legal guardian of any child may expressly authorize school employees or those employed on behalf of the school, for when there is no school nurse immediately available, to administer glucagon on such child in case of an emergency, while at school or school-sponsored activities;
  • (2) The glucagon shall be kept in a conspicuous place, readily available; and
  • (3) Glucagon administration training may be provided by a licensed physician, physician assistant, advanced practiced registered nurse, or registered nurse, however in no case shall school nurse teachers be required to provide training; and the school administration shall allow staff to voluntarily assist with the emergency administration of glucagon when authorized by a parent or legal guardian.

State of Rhode Island General Laws § 16-21-22. Allergic emergencies – Anaphylaxis – Use of epinephrine – Immunity for those administering.

(a) The department of elementary and secondary education and the department of health shall incorporate into their policies, rules, and regulations pertaining to school health programs a procedure for addressing incidents of anaphylaxis (exaggerated allergic reaction) in order to provide for the health and safety of children who have been medically identified as being prone to anaphylaxis or who show evidence of anaphylaxis. The policies, rules, and regulations shall include a procedure whereby a parent or legal guardian of any child may expressly authorize the school department and school bus drivers and monitors to administer the epinephrine on his or her child in case of an emergency and ensures that the epinephrine is kept in a conspicuous place, readily available, and that their proper use is made known to school personnel. School bus drivers and monitors shall receive training in the administration of epinephrine. To treat a case of anaphylaxis, trained school bus drivers and/or monitors shall administer the epinephrine auto-injector to an identified student.


Rules and Regulations for School Health Programs

Section 19.0 Diabetes Care Management

19.1 Each school district shall develop a policy or protocol that allows children who are diagnosed with diabetes to self-manage their disease whenever possible. Such policy or protocol shall be developed in collaboration with licensed health care providers, parents, students, school nurses and administrators, as appropriate.

19.2 Such policy or protocol shall require no less than the following:

  • 19.2.1 Developing an individualized health care plan (IHCP) and an emergency care plan (ECP/EHCP);
  • 19.2.2 Permitting self-testing in the classroom or other appropriate place(s) on the school campus or at school-sponsored activities, as designated in the IHCP;
  • 19.2.3 Permitting healthier snacks, as defined in these Regulations, in the classroom or other appropriate place(s) on the school campus or at school-sponsored activities, as designated in the IHCP;
  • 19.2.4 Permitting bathroom and water fountain privileges in the classroom or other appropriate place(s) on the school campus or at school-sponsored activities as designated in the IHCP,
  • 19.2.5 Ensuring the accompaniment of a symptomatic child to a health area by a designated adult, per the IHCP and the ECP/EHCP, unless such action puts the child at increased health risk.

[Inactive as of July 2018.]
Source: Rhode Island Secretary of State

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