Kentucky - School-based health services: Policy requirement

Area: 
Policy Or Plan Requirements
Policy Type: 
Statute
Summary: 

State law addresses aspects of traditional school-based health services (noted below), but does not formalize a program to aid in the establishment of clinics or health centers on campus for students. Health services provided for may:• Establish a school health board to govern school district health services• Set qualifications and certification required for physicians and health professionals providing school-based health services• Provide financial support for school-based health services• Address community involvement and/or partnership with school-based health services• Provide details as to the type of services provided

Kentucky Revised Statutes 156.502 Health services in school setting -- Designated provider -- Liability protection

(1) As used in this section:

  • (a) “Health services” means the provision of direct health care, including the administration of medication; the operation, maintenance, or health care through the use of medical equipment; or the administration of clinical procedures. “Health services” does not include first aid or emergency procedures; and
  • (b) “School employee” means an employee of the public schools of this Commonwealth.

(2) Health services shall be provided, within the health care professional’s current scope of practice, in a school setting by:

  • (a) A physician who is licensed under the provisions of KRS Chapter 311;
  • (b) An advanced practice registered nurse, registered nurse, or licensed practical nurse who is licensed under the provisions of KRS Chapter 314;
  • (c) A nonlicensed health technician that has the administration of health services in his or her contract or job description as a job responsibility and who is delegated responsibility to perform the health service by a physician, advanced practice registered nurse, or registered nurse and has been trained and approved in writing by the delegating physician or delegating nurse for delegable health services; or
  • (d) A school employee who is delegated responsibility to perform the health service by a physician, advanced practice registered nurse, or registered nurse; and
      1. Has been trained by the delegating physician or delegating nurse for the specific health service, if that health service is one that could be delegated by the physician or nurse within his or her scope of practice; and
      1. Has been approved in writing by the delegating physician or delegating nurse. The approval shall state that the school employee consents to perform the health service when the employee does not have the administration of health services in his or her contract or job description as a job responsibility, possesses sufficient training and skills, and has demonstrated competency to safely and effectively perform the health service. The school employee shall acknowledge receipt of training by signing the approval form. A copy of the approval form shall be maintained in the student’s record and the personnel file of the school employee. A delegation to a school employee under this paragraph shall be valid only for the current school year.

Kentucky Revised Statutes 156.501 Student health services -- Responsibilities of Department of Education and Department for Public Health -- Filling of position -- Funding.

(1) The Department of Education shall provide leadership and assistance to local school districts relating to student health services. The department, working in cooperation with the Department for Public Health, shall provide, contract for services, or identify resources to improve student health services, including but not limited to the following:

  • (a) Standardized protocols and guidelines for health procedures to be performed by health professionals and school personnel. The protocols and guidelines shall include but not be limited to the following:
      1. The delegation of nursing functions consistent with administrative regulations promulgated by the Kentucky Board of Nursing;
      1. Training of designated nonmedical school personnel; and
      1. Appropriate documentation and recordkeeping including, but not limited to, notification to school administrators and parents or guardians of the provision of health services by a school employee, including certification of medical necessity for health services signed by a health care professional, and informed consent for the provision of health services by a parent or guardian.
    • A copy of the protocols and guidelines shall be made available to each school in the Commonwealth and shall be maintained by each school in the school’s library;
  • (b) Consultation, technical assistance, and development of quality improvement measures for the state and local boards of education, individual public schools, and local health departments;
  • (c) Facilitation of statewide and local data collection and reporting of school health services; and
  • (d) Information and resources that relate to the provision of school health services.
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