State law addresses aspects of traditional school-based health services but does not formalize a program to aid in the establishment of clinics or health centers on campus for students.
Health services are provided and/or supervised by school health nurses to appraise, protect, and promote the health of students. These services include assessment, planning, coordination of services and direct care for all children, including those with special health care needs. Health services are designed and coordinated with community health care professionals to ensure early intervention, access and referral to primary health care services; foster appropriate use of primary health care services; prevent and control communicable disease and other health problems; provide emergency care for student and staff illness or injury; provide daily and continuous services for children with special health care needs; promote and provide optimum sanitary conditions for a safe school facility and school environment; and provide educational and counseling opportunities for promoting and maintaining individual, family and community health. Qualified professionals such as school health nurses, physicians, psychiatrists, psychologists, dentists, health educators, registered dietitians, school counselors, and allied health personnel including speech therapists and occupational or physical therapists provide these services.
Tennessee Administrative Rules and Regulations 0520-01-03-.08 Pupil Personnel Services
(2) The school health services program shall include but not be limited to the following:
- (a) Each local school system shall have a written policy providing for a physical examination of every child entering school for the first time. A doctor of medicine, osteopathic physician, physician assistant, certified nurse practitioner, or a properly trained public health nurse shall perform this examination. No child shall be admitted to school without proof of immunization except those who are exempt by Statuteas provided in T.C.A. § 49-6-5001.
- (b) Each local school system shall have a written policy providing for a physical examination of every student participating in interscholastic athletics. A doctor of medicine, osteopathic physician, physician assistant, or certified nurse practitioner shall perform this examination.
- (c) Each local school system shall have a written policy for excluding pupils with communicable diseases and for readmitting them following recovery. In the case of diseases (listed in Regulations Governing Communicable Diseases in Tennessee: Tennessee Department of Health) the policy shall be in accordance with the recommendations of the State Department of Health as approved by the State Commissioner of Education.
- (d) Each local school system shall have a written policy for handling drug/alcohol problems that may arise in the schools.
- (e) Each local school system shall develop procedures for reporting suspected cases of child abuse and neglect as provided in T.C.A. § 37-1-403.
- (f) After an offer of employment has been made to an applicant and prior to the commencement of the employment duties, each employee shall present a physician's certificate showing a satisfactory health record. Employees shall present a certificate thereafter at intervals determined by the State Department of Health and approved by the State Commissioner of Education. The provisions of this subsection shall be administered in a manner consistent with the Americans with Disabilities Act (42 U.S.C.A. §§ 12101 et seq.) and the associated regulations (29 C.F.R. Part 1630 et. seq).
- (g) HIV, HIV-Related Illness and AIDS.
Tennessee Administrative Rules and Regulations 1200-11-5-.04 Eligibility/Avaialbility of Services
(1) Every student enrolled in a participating public school in Tennessee is eligible to receive services provided by the program. (2) The full range of the basic program services provided by the program at the participating public schools is available to any student with parental consent, or who is 18 years of older, or who is under 18 years old and whose minority has been removed, or who is married of any age. (3) Program services that are available to sustain or protect life or prevent permanent physical or mental injury are available to all students enrolled in participating schools. The Good Samaritan Law (T.C.A. § 63-6-218) and the Child Sexual Abuse Law (T.C.A. § 37-1-601 et seq.) shall be applied, followed and relied upon as applicable. (4) Assessment and follow-up services that have been implemented by the Department to prevent the spread of communicable disease are available to all students enrolled in participating schools. The communicable disease laws (T.C.A. § 68-10-101 et seq.) shall be applied, followed and relied upon as applicable. (5) Individual health, education and counseling in the area of reproductive health are available to all students enrolled in participating schools upon specific individual student-initiated request. The Family Planning Act of 1971 (T.C.A. § 68-34-101 et seq.) shall be applied, followed and relied upon as applicable. (6) Classroom health education, provided by program staff, which follows the approved local school system curriculum, shall be available to all students enrolled in a participating school.
Tennessee Code Annotated 68-1-1202 Duties of Executive Director
(4) Assist and encourage LEAs in developing and implementing efficient and effective policies and procedures to ensure parental notification, knowledge and endorsement of school health services and programs, including, but not limited to, efficient and effective policies and procedures to require and obtain prior parental consent for student participation in the health services and programs offered by each LEA; to fully encourage and maximize parental interest and involvement in all matters pertaining to the physical and mental health and well-being of students; and to ensure full parental access to the school health records of their children.