ERIC Number: ED334790
Record Type: RIE
Publication Date: 1990-Nov
Reference Count: N/A
Study of Specialized Physical Health Care Services in Wisconsin Public Schools. [Revised.]
Wisconsin State Dept. of Public Instruction, Madison.
This Wisconsin study responded to a state law (1989 Wisconsin Act 82) requiring evaluation of the fiscal and programmatic impact of limiting the involvement of school district employees, other than health care professionals, in providing specialized physical health care services to pupils. Responses of 495 (out of 1,000) schools surveyed found the following types of health services being rendered: administration of medications; feeding; assistance with elimination; respiratory care; monitoring of health status; and assistance with mobility. Non-health care professionals providing these services included regular and special education teachers, teacher aides, health aides, special education program aides, school secretaries, and volunteers. Schools reported that factors affecting selection of school personnel to provide specialized health care included the physical health of the pupil, content of the medical orders, and parent requests. Such decisions were most often made by school administrators, school or public health nurses, parents, the child's physician, and teachers. Stressed is the legal requirement that non-health care professionals provide such services only under the direction of a physician or registered nurse. Liability aspects for teachers and registered nurses are considered. Options for school districts considering limiting teacher involvement are presented. Appended are the survey itself, a glossary, and a listing of requirements for school nurse certification. Includes 13 references. (DB)
Descriptors: Ancillary School Services, Decision Making, Delivery Systems, Elementary Secondary Education, Health Services, Legal Responsibility, Medical Services, Physical Health, Public Schools, School Districts, School Nurses, Special Health Problems, Staff Role, State Legislation, State Surveys, Teacher Role
Division for Handicapped Children and Pupil Services, Wisconsin Department of Public Instruction, 125 South Webster St., P.O. Box 7841, Madison, WI 53707-7841.
Publication Type: Reports - Evaluative
Education Level: N/A
Authoring Institution: Wisconsin State Dept. of Public Instruction, Madison.