School nurses shall be assigned only professional
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and health-related duties in the school(s) to which they are assigned, except in emergencies involving health or safety. (Pittsburgh Federation of Teachers)
School-Related Personnel (SRP) (other than
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Health Assistants, Senior Child Care Assistants, or LPNs) shall not administer medication or perform routine medical procedures as part of their daily work responsibilities, unless the SRP has volunteered and has been authorized by the worksite or district/ program supervisor. The SRP who administers medication or performs routine medical procedures shall receive training by a licensed practical nurse, a registered nurse, a licensed physician or a licensed physician assistant. Such training shall be provided by the Board during the SRP’s work hours.
LPNs shall perform invasive medical procedures as part of their daily work responsibilities. Non-medical SRP are prohibited from performing invasive medical procedures.
Personnel other than LPNs shall not be allowed to perform invasive medical services that require special medical knowledge, nursing judgment, and nurs- ing assessment. These procedures (invasive medical services) include, but are not limited to:
sterile catheterization 1.
nasogastric tube feeding, or 2.
cleaning and maintaining a tracheostomy and 3.
deep suctioning of a tracheostomy.
SRP (other than Health Assistants, Senior Child Care Assistants, or LPNs) shall not perform health- related services as part of their daily work respon- sibilities, unless the SRP has volunteered, has been authorized by the worksite or district/program super- visor, and has successfully completed child-specific training by a licensed practical nurse, a registered nurse, a licensed physician, or a licensed physician assistant. All procedures shall be monitored periodi- cally by the nurse. Those procedures include, but are not limited to:
1. cleaning intermittent catheterization, 2. gastrostomy tube feeding,
3. monitoring blood glucose, or 4. administering emergency injectable medication.
For all other invasive medical services not listed above, a licensed practical nurse, a registered nurse, a licensed physician, or a licensed physician assistant
shall determine if non-medical school personnel shall be allowed to perform such service. (United
School Employees of Pasco [Fla.])
Initial hearing and vision screenings and re-
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evaluations in junior high school will be done by paraprofessional(s). Initial hearing and vision screenings in high school will be done by the school nurse. Re-evaluations are the responsibility of the paraprofessional(s). The Board will provide each high school nurse with an audiometer and maintain and repair the equipment. (Toledo Federation of Teachers)
Non-medical bargaining unit personnel shall not
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be allowed to perform invasive medical services that require special medical knowledge, nursing judgment, and nursing assessment. The procedures include, but are not limited to:
(a) Sterile Catheterization, (b) Nasogastric tube feeding,
(c) Cleaning and maintaining a tracheotomy and deep suctioning of a tracheotomy. Non-medical bargaining unit personnel shall be al- lowed to perform health-related services upon success- ful completion of child-specific training by a registered nurse, a licensed practical nurse, a physician licensed pursuant to F.S. 458 or 459, or a physician’s assistant certified pursuant to Chapter 458 or 459. All procedures shall be monitored periodically by the nurse. These procedures include, but are not limited to:
(a) Cleaning intermittent catheterization, (b) Gastrostomy tube feeding,
(c) Monitoring blood glucose,
(d) Administering emergency injectable medication.
For all other invasive procedures not listed in sub- section (1) & (2) above, a registered nurse, a licensed practical nurse, a licensed physician, or a physician’s assistant certified pursuant to Chapter 458 or 459 shall determine if properly trained non-medical bar- gaining unit personnel shall be allowed to perform such service.
Invasive medical training shall be strictly voluntary for non-medical bargaining unit personnel. Any such training shall be provided at no cost to the employee and, if provided at times other than the regular work- day, such trainees shall be paid for the time spent at their regular rate of pay.
Non-medical bargaining unit members shall not be assigned the provision of invasive medical service on any basis other than as volunteers. Prior to non- medical bargaining unit members being assigned, the school nurse, where available, shall be called upon first to perform any invasive medical services. (Bradford Education Association [Fla.])
Teachers shall not be required to provide services
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which are required by law to be performed exclusively by nurses.
Medically fragile students shall be defined as those with complex health care needs that are extremely disabling or life threatening and which require specific prescribed procedures and/or specialized technological health care procedures for life and/ or health support. All teachers will be notified in writing by the administration, or by a nurse employed by the Toledo Public Schools, that a student for whom they are responsible has a Do-Not-Resuscitate
(DNR) order on file with the school district. A Case Review will be convened to review the request with all appropriate staff. Teachers of Multidisabled/ Medically Fragile students will be provided access to Toledo Public School nurses via portable radios or other communication instruments. Teachers shall not be required to provide services which are required by law to be performed exclusively by nurses. The district will provide training to all teachers, including nurses and therapists, and paraprofessionals who are assigned to provide services to the medically fragile student population, prior to initial assignment and annually, if requested, thereafter. The design and implementation of training shall be cooperatively developed by the Federation and the Board. Nurse substitutes will be provided an orientation regarding district policies and protocol upon hiring and annually thereafter. The Federation and the Board will jointly develop and implement the orientation. (Toledo Federation of Teachers)
Teachers (other than school nurses) shall not
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perform invasive medical services that require special medical knowledge, nursing judgment, and nursing assessment. The procedures include, but are not limited to:
1. sterile catheterization, 2. nasogastric tube feeding, and
3. cleaning and maintaining a tracheostomy and deep suctioning of a tracheostomy. Teachers (other than school nurses) shall not be required to perform invasive health related services. However, should a teacher volunteer to perform
such services, the district must provide the teacher with child-specific training by a registered nurse, a licensed practical nurse, a licensed physician or a certified physician assistant. All procedures shall be monitored periodically by the school nurse. Those procedures include, but are not limited to:
1. cleaning intermittent catheterization, 2. gastrostomy tube feeding,
3. monitoring blood glucose, and 4. administering emergency injectable medication.
For all invasive medical services not listed above, a registered nurse, a licensed practical nurse, a licensed physician, or a certified physician assistant shall determine if the service could be safely administered by a teacher and approval must be granted by the ap- propriate district supervisor.
(United School Employees of Pasco [Fla.])
Administering Medications
No bargaining unit members except school nurses
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or doctors may be required to dispense medications. (Cleveland Teachers Union, Local 279)
Teachers (other than the school nurse or those
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authorized by the principal) shall not administer medication or perform routine non-invasive medical procedures as part of their daily work responsibilities while located at the school site.
(United School Employees of Pasco [Fla.])
“Teachers are expected to use their best professional judgment in
In accordance with Article 31.4 no unit member,
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except public health nurses, shall be required to administer medication or provide other medical services.
Teachers shall not be required or prevailed upon to
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administer medication or otherwise provide direct medical assistance to students. This section shall not prohibit any teacher from voluntarily administering medication or providing first aid or other medical assistance for students, nor shall it prohibit the Administration from inquiring as to a teacher’s willingness to so volunteer. Teachers are expected to use their best professional judgment in rendering first aid or needed medical assistance to students, or in seeking such assistance for students from other personnel, as circumstances warrant.
To the fullest extent permitted by law, the Board
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shall defend, indemnify and hold harmless teachers from and against any and all claims, demands, actions, complaints, suits, or other forms of liability that may arise from the actions of any teacher rendering first aid or other assistance to a student. (West Northfield Teachers’ Association [Ill.])