DEPARTMENT OF EDUCATION

                         STATE BOARD OF EDUCATION

                      CERTIFICATION OF SCHOOL NURSES


(By authority conferred on the state board of education by section 623  of
Act No. 269 of the Public Acts of 1955, being  S340.623  of  the  Michigan
Compiled Laws)


R  340.1161   Definitions.
  Rule 1. (1) "Registered nurse" means a  person  licensed  by  the  state
board of nursing to practice as a registered nurse.
  (2) "School nurse certification" means that  an  interim,  standard,  or
professional school nurse certificate has  been  issued  to  a  registered
nurse by the state board of education.
  (3) "Year" means  a  contractual  period  between  an  employing  school
district and a school nurse and may be referred to  as  calendar  year  or
academic year and either or both shall satisfy the requirements  of  these
rules. In no case may a calendar year be counted as more than 1 year.

  History:  1979 AC.


R  340.1162   School nursing services.
  Rule 2. A professional school nursing services program  is  designed  to
enhance  the  educational  processes  of  children   and   youth   through
improvement in their health status and contribute to their  attainment  of
greater knowledge in the area of health. A program shall include:
  (a) A plan for assessment and evaluation of the health and developmental
status of students.
  (b) Interpretation of nursing assessments  and  medical  evaluations  to
students,  their  parents  and  school  personnel  while  recognizing  and
maintaining the confidential nature of the information.
  (c) A plan by which the health problems that interfere with a  student's
learning are eliminated, minimized, or understood.
  (d) A system to make recommendations for modification of the educational
program when student health problems are indicated.
  (e) Consultation and recommendation of  resources  in  areas  of  health
problems and instruction.
  (f) Channels for communication between the school and the home,  private
physician and health and social agencies in the community.
  (g) Selective health guidance and counseling according to the  needs  of
students.
  (h) A team approach  to  educational  problems  of  students,  including
studies of health problems that may affect their scholastic attainment.
  (i) A plan  for  inservice  education  for  school  personnel  including
observations of the health of students, referral systems,  and  first  aid
and emergency care procedures.
  (j) A system by which school personnel may initiate appropriate referral
of students.
  (k) Policies and procedures enabling school  personnel  to  comply  with
established health laws.
  (l) Policies and procedures for the prevention  and  control  of  health
problems, including communicable diseases.
  (m) Policies and procedures for the prevention and control of  accidents
and injuries.
  (n)  Policies  and  procedures  for  maintaining  a   healthful   school
environment.

  History:  1979 AC.


R  340.1163   Functions of the school nurse.
  Rule 3. A school nurse shall:
  (a) Assess and evaluate the health and development  status  of  students
through  nursing  diagnosis  and  the  use   of   appropriate   evaluative
techniques.
  (b)  Interpret  nursing  assessments  of  medical  evaluations  to   the
students, their parents and school personnel and provide an  understanding
of  implications  for  the  educational  performance  of  students,  while
recognizing and maintaining the confidential nature of the information.
  (c) Plan a course of action  and  assist  students,  their  parents  and
school personnel in assuming proper  roles  for  eliminating,  minimizing,
preventing, or understanding the  health  problems  which  interfere  with
effective learning by the student.
  (d) Recommend to parents and appropriate school personnel  modifications
in the educational program as indicated by the  health  and  developmental
status of students.
  (e) Stimulate incorporation of health education in the school curriculum
by serving on curriculum committees, serving as a consultant and  resource
person or participating in teacher-parent education programs.
  (f) Serve as intermediary between  the  school  and  the  home,  private
physician, and health and social agencies regarding the health  status  of
students and their needs for  consideration  in  future  community  health
planning.
  (g) Assist students and their families  to  obtain  optimum  health  and
well-being by stimulating behavior change through the  educative  process,
including individual or group counseling.
  (h) Interpret health information when serving as a member of  a  special
education  placement  committee  or  other  programs   in   which   health
information is desirable.
  (i) Plan and provide inservice  education,  in  cooperation  with  other
appropriate personnel, for school personnel regarding health observations,
referral systems and first aid and emergency care procedures.
  (j) Identify and recommend students for placement in  special  programs,
initiate referrals for supplemental testing  when  health  information  or
developmental  history  indicates,  and  refer  students  to   appropriate
personnel when necessary.
  (k) Assume leadership in the development and revision of  written  first
aid and emergency care policies.
  (l) Recommend and implement school policies to comply  with  established
health laws, and make specific  recommendations  to  students  and  school
personnel regarding immunizations and communicable diseases.
  (m) Cooperate with the administration and staff in  establishing  school
health program policies and procedures in order that  professional  skills
and knowledge may be used effectively in working with students,  teachers,
and parents.

  History:  1979 AC.


R  340.1164   Competencies of school nurse.
  Rule 4. (1) A school nurse shall demonstrate:
  (a) Ability to apply principles of education and learning theory in  the
identification of health status of students and  the  solution  of  health
problems.
  (b) Ability to recognize  health  factors  which  create  obstacles  and
handicaps for exceptional students.
  (c) Ability to function effectively in inservice  health  education  for
school personnel.
  (d) Knowledge of curriculum development to  participate  effectively  on
health related curriculum committees.
  (e) Ability to apply principles of human growth and development  and  to
recognize variations within normal range significant to the  education  of
the student.
  (f) Ability to define and demonstrate the clinical and technical role of
the professional nurse in the school health program.
  (g) Ability to  develop  cooperatively  with  other  school  and  health
related professionals, a comprehensive school health program  coordinating
school and community resources to serve effectively the  health  needs  of
the school population.
  (h) Ability to identify the health needs of students and understand  the
influence of the family, society and culture on the student's  ability  to
cope with school health problems.
  (i) Ability to assist students, their families and school  personnel  in
recognizing potential and current health needs and in the  development  of
plans for utilizing available resources to meet these needs.
  (2) These competencies shall be  utilized  as  criteria  in  determining
whether work experience as a school nurse has been successful.

  History:  1979 AC.



R  340.1165   Continuing education of school nurse.
  Rule 5. A school nurse shall submit evidence of continuing attainment of
theoretical and practical knowledge in the following areas to qualify  for
a higher level of school nurse certification, as required in R 340.1167 to
R 340.1169.
  (a) Human growth and development.
  (b) Community health problems and resources.
  (c) School health problems.
  (d) Special problems of exceptional children.
  (e) Analysis of family health and social problems.
  (f) Communication arts.
  (g) Organization  and  administration  of  the  school  health  program,
including necessary skills or understanding of curriculum development.
  (h) Learning theory.
  (i) Guidance and counseling.

  History:  1979 AC.


R  340.1166   School nurse certification criteria.
  Rule 6. (1) An application  for  school  nurse  certification  shall  be
directed to the department of education on a form supplied or approved  by
the department.
  (2) Credits beyond those required for a registered nurse, to be  applied
toward certification as  a  school  nurse,  shall  be  earned  through  an
approved teacher education or nursing  education  institution  program  or
accepted by the institution in transfer.  The  state  board  of  education
shall determine the  acceptability  of  credits  leading  toward  programs
approved by it.
  (3) A registered nurse with a currently  valid  license  issued  by  the
state board of nursing employed as a school nurse by an  employing  school
district for a period of not less than 1 school year  prior  to  June  30,
1975, and whose experience is successful as determined by the state  board
of education upon the recommendation of the employing school district,  is
eligible for a professional school nurse  certificate.  Application  under
this subrule shall be made prior to June 30, 1977.

  History:  1979 AC.


R  340.1167   Interim school nurse certificate.
  Rule 7. (1) An interim school nurse certificate  may  be  issued,  after
July 1, 1975,  upon  request  of  the  employing  school  district  to  an
applicant who holds a currently valid Michigan  license  as  a  registered
nurse.
  (2) An interim school nurse certificate is valid for 2 years and may  be
renewed for 1 additional 2-year  period  upon  request  of  the  employing
school district and submission of evidence of the completion of 8 semester
hours of course work in a program  planned  to  fulfill  the  requirements
specified in R 340.1165.
  (3) This rule is in effect as long as the applicant  holds  a  currently
valid Michigan license as a registered nurse.

  History:  1979 AC.


R  340.1168   Standard school nurse certificate.
  Rule 8. (1) A standard school nurse certificate  may  be  issued,  after
July 1, 1975,  upon  request  of  the  employing  school  district  to  an
applicant who holds a currently valid Michigan  license  as  a  registered
nurse and presents evidence of completion of the  following  requirements:
  (a) Two years of work experience in  public  health  or  school  nursing
practice.
  (b) Fifteen semester hours of work in areas of theoretical and practical
knowledge as outlined in R 340.1165.
  (2) A standard school nurse certificate is valid for 3 years and may  be
renewed  for  1  additional  3-year  period  upon  recommendation  of  the
employing school district if the  holder  has  completed  a  total  of  24
semester hours of course work outlined in  R  340.1165.  An  additional  3
years' renewal may be given upon recommendation of  the  employing  school
district if the holder has completed a  total  of  36  semester  hours  of
course work outlined in R 340.1165.
  (3) This rule is in effect as long as the applicant  holds  a  currently
valid Michigan license as a registered nurse.

  History:  1979 AC.


R  340.1169   Professional school nurse certificate.
  Rule 9. (1) A professional school nurse certificate may be issued, after
July 1, 1975, to an applicant who holds a currently valid Michigan license
as a registered nurse and presents evidence of completion of the following
requirements:
  (a) Three years of successful experience as a school nurse as determined
by the state board of  education  upon  recommendation  of  the  employing
school district.
  (b) A baccalaureate degree in nursing or a health-related field.
  (2) A professional school nurse certificate shall be valid if the holder
maintains a currently valid Michigan registered nurse license.

  History:  1979 AC.


R  340.1170   School nurse certificate expiration.
  Rule 10. All certificates expire on  June  30  of  the  expiration  year
indicated on the certificate.

  History:  1979 AC.