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School Nurse Certification Rules

DEPARTMENT OF EDUCATION
STATE BOARD OF EDUCATION
CERTIFICATION OF SCHOOL NURSES
Filed with the Secretary of State on
These rules take effect 15 days after filing with the Secretary of State
(By authority conferred on the state board of education by section 623 of Act No. 269 of the Public Acts of 1955, being 340.623 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.

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.
(1) 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.

R 340.1163. Functions of the school nurse.
Rule 3. A school nurse shall:
(a) Assess and evaluate the health and developmental 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 oL 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.
(1) 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.

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.

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 rules 7 to 9.
(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.

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 hoard 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 whos 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.

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 rule 5.
(3) This rule is in effect as long as the applicant holds a currently valid Michigan license as a registered nurse.

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 rule 5.
(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 rule 5. 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 rule 5.
(3) This rule is in effect as long as the applicant holds a currently valid Michigan license as a registered nurse.

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.

R 340.1170. School nurse certificate expiration.
Rule 10. All certificates expire on June 30 of the expiration year indicated on the certificate.
Michigan Department of Education Office of Professional Preparation Services P.O. Box 30008 Lansing, MI 48909 Telephone: (517) 373-3310

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