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Pennsylvania Code




23.51.    Children to be provided nursing services.
23.52.    Administration.
23.53.    Determination of pupils to be served.
23.54.    Certification by Department of Education.
23.55.    Maintenance of health records.


23.61.    Maximum reimbursement.
23.62.    Contracts with public agencies.
23.63.    Limitation on reimbursement.


23.71.    Assist in health program and examining.
23.72.    Maintenance of records.
23.73.    Advise pupils, teachers and parents.
23.74.    Assist in interpreting health needs.
23.75.    Provide information.
23.76.    Plan for environmental needs.
23.77.    Assist in budget preparation.
23.78.    Coordinate the school health program with community programs.
23.79.    Provide first aid services.


   The provisions of this Subchapter B issued under sections 1401—1422 of the Public School Code of 1949 (24 P. S. § §  14-1401—14-1422), unless otherwise noted.


   The provisons of this Subchapter B adopted January 26, 1962.


§ 23.51. Children to be provided nursing services.

 A child in private, parochial and public schools shall be provided with school nurse services in the school which the child attends.

§ 23.52. Administration.

 The school nurse services shall be provided through the public school system and the administration of this service shall be the responsibility of the public school administrator in consultation, as needed, with the private or parochial school administrator.

§ 23.53. Determination of pupils to be served.

 The school administrator, in determining the number of pupils to be served by a school nurse, shall consider the number of schools, distance between schools, travel difficulties and special health needs of the area.

§ 23.54. Certification by Department of Education.

 School nurses employed by school districts of joint school districts shall be properly certificated by the Department of Education as school nurses.

§ 23.55. Maintenance of health records.

 Health records shall be maintained for each child. These records shall be kept in the school building where the child attends school and shall be available to the school nurse at all times. Records shall be transferred with the child when he moves from one school to another or from one district to another.


§ 23.61. Maximum reimbursement.

 (a)  Reimbursement for school nurse services by the Department of Health shall be made to the school board or joint school board annually. Reimbursement may not exceed the sum expended by the board or joint school board for school nurse services and may not exceed $7.00 for each pupil in average daily membership.

 (b)  The average daily membership shall be computed for children in private, public and parochial schools in accordance with the rules or procedure established by the Department of Education.

 (c)  Each school board or joint school board shall submit to the Department of Health within 3 months after the end of the school year the average daily membership of children attending school.


   The provisions of this §  23.61 issued under section 2102(e) and (g) of The Administrative Code of 1929 (71 P. S. §  532(e) and (g)); and section 2505.1 of the Public School Code of 1949 (24 P. S. §  25-2505.1).


   The provisions of this §  23.61 amended May, 28 1982, effective May 29, 1982, 12 Pa.B. 1696. Immediately preceding text appears at serial page (3423).

§ 23.62. Contracts with public agencies.

 School districts, with the approval of the Department of Education and the Department of Health, may contract with public agencies engaged in health work to provide school health and school nurse services. Public agencies under contract shall provide health services of a standard acceptable to the Department of Health.

§ 23.63. Limitation on reimbursement.

 Reimbursement for school nurse services shall be limited to that part of the cost of employment and travel expenses of school nurses incurred in the operation of the school health program.


§ 23.71. Assist in health program and examining.

 (a)  School nurses shall assist the school administrator and the school physicians and dentists in planning and organizing the school health program and shall encourage parents to have the required medical and dental examinations done by their family physicians and family dentists.

 (b)  School nurses shall schedule physical and dental examinations conducted in the school, assist at examinations, and arrange for special tests, examinations and immunization programs included in the school program for health services.

§ 23.72. Maintenance of records.

 School nurses shall maintain comprehensive health records of each child and records of school nursing services.

§ 23.73. Advise pupils, teachers and parents.

 School nurses shall advise pupils and teachers about the procedures of the health examination and shall encourage the attendance of parents at the time of examination.

§ 23.74. Assist in interpreting health needs.

 School nurses shall assist in interpreting the health needs of individual children to parents and teachers and assist families to utilize community resources for improving the health of their children.

§ 23.75. Provide information.

 School nurses shall provide current information for use of school personnel on such subjects as the growth and development pattern of children, first aid practice, accident prevention, communicable disease regulations, home nursing and civil defense, and shall assist in evaluating the content material used for health teaching, and offer assistance in providing sources of information.

§ 23.76. Plan for environmental needs.

 School nurses shall plan with school administrative, maintenance and sanitation personnel for the environmental needs of the school group, and shall advise school officials of environmental adjustment necessary to meet the needs of the handicapped individual.

§ 23.77. Assist in budget preparation.

 School nurses shall advise the school administrator in preparing a budget for the health program and facilities, and shall advise him on the financial needs for a program.

§ 23.78. Coordinate the school health program with community programs.

 School nurses shall work with school health councils and community groups to coordinate the school health program with community health programs and to develop needed health services. This includes work with private physicians, dentists, and dental hygienists to coordinate private medical and dental examinations with the school program.

§ 23.79. Provide first aid services.

 School nurses shall plan for first aid services and instruct personnel responsible for giving first aid.

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