6A:16-2.3 Required school health services
(a) Each district shall perform tuberculosis tests on students using methods as specifically directed by the New Jersey Department of Health and Senior Services, based upon the incidence
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of tuberculosis or reactor rates in specific communities or population groups as required by N.J.S.A. 18A:40-16.
(b) Each district board of education shall develop and adopt written policies and procedures for the administration of medication to students and staff, which shall be developed in consultation with the school physician.
1. The policy shall require that only the following individuals be authorized to administer medication to students in schools:
i. The school physician;
ii A certified or noncertified school nurse;
iii. A substitute school nurse employed by the district;
iv. The student's parent or guardian;
v. The student approved to self-administer pursuant to N.J.S.A. 18A:40- 12.3 and 12.4; and
vi. Other school employees trained and designated by the certified school nurse to administer epinephrine in an emergency pursuant to N.J.S.A. 18A:40-12.5 and 12.6.
(c) Reportable, communicable diseases, as identified pursuant to N.J.A.C. 8:57-1, whether confirmed or presumed, shall be immediately reported by telephone to the health officer of the jurisdiction wherein the diagnosis is made.
(d) The certified school nurse shall annually review immunization records to confirm with the medical provider that the medical condition for the exemption from immunization is applicable, pursuant to N.J.A.C. 8:57-4.3.
(e) District boards of education shall develop written policies and procedures for sanitation and hygiene when handling blood and bodily fluids in conformance with N.J.A.C. 8:61-1.1(f) and in compliance with Centers for Disease Control guides which direct schools to implement Universal Precautions.
(f) District boards of education provide for implementation of Do Not Resuscitate orders written in consultation with the student's physician and approved by the school physician.
(g) District boards of education shall develop policies for the treatment of asthma in the school setting which shall include, but not be limited to, the following:
1. A requirement that each school nurse shall be authorized to administer asthma medication through use of a nebulizer;
2. A requirement that each school nurse receive training in airway management and in the use of nebulizers and inhalers consistent with nationally recognized standards, including, but not limited to, those of the National Institutes of Health and the American Academy of Allergy, Asthma and Immunology. Copies of these standards may be obtained by contacting the National Institutes of Health, 1 Center Drive MS C0188, Bethesda, Maryland 20892-0188 and the American Academy of Allergy, Asthma and Immunology, 111 E. Wells Street, Milwaukee, Wisconsin 53202; and
3. A requirement that each student authorized to use asthma medication pursuant to N.J.S.A. 18A:40-12.3, or a nebulizer, have an asthma treatment plan prepared by the student's physician, which shall identify, at a minimum, asthma triggers and an individualized health care plan, pursuant to N.J.A.C. 6A:16-2.1(e)1x, for meeting the medical needs of the student while attending school or a school-sponsored event.
(h) Each public and nonpublic school in the State shall have and maintain for the care of students at least one nebulizer in the office of the school nurse or a similar accessible location.