This set of guidelines by the Maryland Board of Nursing presents the role and responsibilities of the school nurse in relation to the child with special health care needs. The introduction identifies four basic issues including necessary level of preparation, who determines what nursing care can be delegated, under what conditions nursing care can be safely delegated, and what type of supervision must be provided. The guidelines focus on the nurse's role and responsibilities as they apply to two groups of children: those with special care needs and those who are technology dependent. For both of these groups, the guidelines list variables the registered school health nurse must consider and requirements of written protocols addressing possible medical emergencies a given child might experience in the school setting. A list of 12 definitions is attached. (DB)