Assembly Bill No. 1–Assemblywoman Parnell
Prefiled January 11, 2001
____________
Referred to Committee on Education
SUMMARY—Revises provisions regarding school nurses.
(BDR 34‑135)
FISCAL NOTE: Effect on Local Government:
No.
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EXPLANATION
– Matter in bolded italics is new; matter
between brackets [omitted material] is material to be omitted.
Green numbers along
left margin indicate location on the printed bill (e.g., 5-15 indicates page 5, line 15).
AN ACT relating to schools; revises provisions relating to the qualifications and duties
of certain school nurses; revises provisions relating to nursing services
provided to certain pupils; and providing other matters properly relating
thereto.
THE PEOPLE OF THE STATE OF NEVADA, REPRESENTED IN
SENATE AND ASSEMBLY, DO ENACT AS FOLLOWS:
1-1 Section
1. NRS 391.207 is hereby
amended to read as follows:
1-2 391.207 1.
A school district shall
not employ a person to serve as a
1-3 school nurse unless he holds an endorsement to serve
as a school nurse
1-4 issued pursuant to regulations adopted by the
commission.
1-5 2. The
provision of nursing services in a school district must be
1-6 under the
direction and supervision of a chief administrative nurse who:
1-7 (a) Satisfies the requirements set forth in
NRS 632.240; and
1-8 (b) Holds an endorsement to serve as a school
nurse issued pursuant
1-9 to regulations
adopted by the commission.
1-10 Sec. 2. NRS
391.208 is hereby amended to read as follows:
1-11 391.208 A school nurse shall, for each school at
which he is
1-12 [employed:] responsible for
providing nursing services:
1-13 1. Ensure that each pupil enrolled in the school
has been immunized in
1-14 accordance with, is exempt from or has otherwise complied
with, the
1-15 requirements set forth in NRS 392.435 to 392.446,
inclusive.
1-16 2. Assess and evaluate the general health and
physical development of
1-17 the pupils enrolled in the school to identify those
pupils who have physical
1-18 or mental conditions that impede their ability to
learn.
1-19 3. Report the results of an evaluation conducted
pursuant to subsection
1-20 2 to:
1-21 (a) A parent
or guardian of the pupil;
2-1 (b) Each
administrator and teacher directly involved with the education
2-2 of the pupil; and
2-3 (c) Other
professional personnel within the school district who need the
2-4 information to assist the pupil with his health or
education.
2-5 4. Design and carry out a plan of nursing care
for a pupil with special
2-6 needs which incorporates any plan specified by the
pupil’s physician or
2-7 provider of
health care, as defined in NRS 629.031, and which is
2-8 approved by the pupil’s parent or guardian. The nursing services provided
2-9 pursuant to a
plan of nursing care must be performed in compliance with
2-10 chapter 632 of
NRS.
2-11 5. When appropriate, refer a pupil and his
parent or guardian to other
2-12 sources in the community to obtain services
necessary for the health of the
2-13 pupil.
2-14 6. Interpret medical and nursing information
that relates to a pupil’s
2-15 individual educational plan or individualized accommodation plan and
2-16 make recommendations to:
2-17 (a) Professional
personnel directly involved with that pupil; and
2-18 (b) The
parents or guardian of that pupil.
2-19 Sec. 3. NRS
392.420 is hereby amended to read as follows:
2-20 392.420 1. In
each school at which he is [employed,] responsible for
2-21 providing nursing
services, a
school nurse shall plan for and carry out, or
2-22 supervise qualified health personnel in carrying
out, a separate and careful
2-23 observation and examination of every child who is
regularly enrolled in a
2-24 grade specified by the board of trustees or
superintendent of schools of the
2-25 school district to determine whether the child has
scoliosis, any visual or
2-26 auditory problem , or any gross physical defect. The grades in
which the
2-27 observations and examinations must be carried out
are as follows:
2-28 (a) For
visual and auditory problems, in at least two grades of the
2-29 elementary schools, one grade of the middle or
junior high schools ,
and
2-30 one grade of the high schools; and
2-31 (b) For
scoliosis, in at least one grade of schools below the high
2-32 schools.
2-33 Any person other than a school nurse who performs an
observation or
2-34 examination pursuant to this subsection must be
trained by a school nurse
2-35 to conduct the observation or examination.
2-36 2. If any child is attending school in a grade
above one of the specified
2-37 grades and has not previously received such an
observation and
2-38 examination, he must be included in the current
schedule for observation
2-39 and examination. Any child who is newly enrolled in
the district must be
2-40 examined for any medical condition for which
children in a lower grade are
2-41 examined.
2-42 3. A special examination for a possible visual
or auditory problem
2-43 must be provided for any child who:
2-44 (a) Is
enrolled in a special program;
2-45 (b) Is
repeating a grade;
2-46 (c) Has
failed an examination for a visual or auditory problem during
2-47 the previous school year; or
2-48 (d) Shows in
any other way that he may have such a problem.
3-1 4. The school authorities shall notify the
parents or guardian of any
3-2 child who is found or believed to have a visual or
auditory problem,
3-3 scoliosis [,] or any gross physical defect , and shall recommend that
3-4 appropriate medical attention be secured to correct
it.
3-5 5. In any school district in which state, county
or district public health
3-6 services are available or conveniently obtainable,
those services may be
3-7 used to meet the responsibilities assigned under the
provisions of this
3-8 section. The board of trustees of the school
district may employ qualified
3-9 personnel to perform them. Any nursing services provided by such
3-10 qualified
personnel must be performed in compliance with chapter 632 of
3-11 NRS.
3-12 6. Any child must be exempted from the
examination if his parents or
3-13 guardian filed with the teacher a written statement
objecting to the
3-14 examination.
3-15 Sec. 4. NRS
632.240 is hereby amended to read as follows:
3-16 632.240 [1.] The provision of nursing services in any
system for the
3-17 delivery of health care must be under the direction
and supervision of a
3-18 chief administrative nurse who is a registered
nurse.
3-19 [2. The provisions of
this section do not apply to a county school
3-20 district whose
enrollment is fewer than 35,000 pupils.]
3-21 Sec. 5. This
act becomes effective on July 1, 2001.
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