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​Information on school nursing related guidelines, regulations, and forms.​

I need to report....

​Use of
Undesignated Epinephrine​​​
Use of​​​
Undesignated Asthma Medication
Use of Opioid Antagonist

​

 Allergies & Undesignated Epinephrine
  • Use of Undesignated Epinephrine by Non-Nurse Personnel

    Schools who adopt a policy for the use of undesignated epinephrine by non-nurse personnel may utilize one of these resources to satisfy some of the training requirements of the law. Additional training requirements include a review of the high risk areas within the school and its related facilities, and documented practice on a training device of the same type ordered for the undesignated epinephrine. It is recommended that the school RN or another medical provider be the person who provides and documents the practice session and basic understanding of the prevention, indications and use of an epinephrine auto injector.

  • CDC Toolkit for Managing Food Allergies in Schools
  • Free Epi-Pen® to schools who have physician orders for stock epinephrine​

 Asthma

 Communicable Diseases

Reportable Diseases

The Centers for Disease Control and Prevention have identified some communicable diseases that health care providers, including nurses, must report to the state or local health department. These mandated reporters, such as health care providers, hospitals and laboratories, must report suspected or confirmed cases of these diseases to the local health department within the number of days or hours indicated in parentheses. Due to the immediate threat posted by some diseases, the diseases listed that are immediately to be reported (within three hours) and those to be reported within 24 hours should be reported by school nurses within those time frames as soon as notified by a parent or the student's health care provider that the disease is present or suspected. Diseases that are to be reported within seven days must be accompanied by a written parental release. Refer to the Reporting PosterPDF Document for details.

For additional information refer to the Illinois Department of Public Health (IDPH) Communicable Disease School Nurse Guidance​​.

In accordance with Public Act 99-0320, the Illinois State Board of Education is part of a statewide PANDAS and PANS Advisory Council. Pediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcal infections (PANDAS) or Pediatric Acute-onset Neuropsychiatric Syndrome (PANS) is a complicated condition with academic, behavioral, and social/emotional issues. The disease is often, but not always associated with the infection with the streptococcus bacteria, or "strep throat." It is misunderstood and often goes undiagnosed. Students exhibit confusing symptoms associated with signs of mental illness or other behavioral issues. Preliminary data suggest that appropriate treatment early in the course of illness and effective use of antibiotics prophylaxis may be able to prevent up to 25-30 percent of childhood mental illnesses. To learn more about this disorder, go to the IDPH PANDAS/PANS webpage and download the recent presentation of the PANDAS/PANS Standard of Care Summit held in Springfield on Oct. 4, 2018.​​​​​​​

 Concussion

Training Resources for School Nurses

Illinois School Code 105 ILCS 5/22-80 pertains to student athletes who suffer concussions and head injuries.  It requires that if a school employs a nurse, that nurse must be a member of the school concussion oversight team.  The nurse (and others on the concussion oversight team) must obtain training on how to treat concussion symptoms from an authorized training provider at least once every two years.  The training course for the nurse must meet the continuing nursing education requirements set by the Illinois Department of Financial and Professional Regulation.

The HEADS UP online training course is designed for health care providers, school professionals, youth and high school sports coaches, and athletic trainers.

This course is provided by the Centers for Disease Control and Prevention (CDC) in collaboration with other professional organizations, such as the American College of Sports Medicine, and the National Association of School Nurses.

This course provided Continuing Education Credits.  Courses may have different amounts of credit.  Certificates can be printed through the CDC TRAIN education portal.

Continuing Education Credit certificates must be printed or saved at the conclusion of the course using your CDC TRAIN login.​

The Illinois Youth Sports Concussion Safety Act (P.A. 99-0245 and its companion legislation, P.A. 99-0486) requires that if a school employs a nurse, that nurse must be a member of the school concussion oversight team. The nurse (and others on the concussion oversight team) must obtain training in concussion from an authorized training provider at least once every two years, beginning September 2016. The training course for the nurse must be one that meets the continuing nursing education requirements set by the Illinois Department of Financial and Professional Regulation (IDFPR). 

The Illinois High School Association Sports Medicine site has a variety of resources on concussions. Check under “Recent Announcements” for the latest, including guidelines for management of concussion in sports and a video on the National Federation of State High School Associations’ Concussion Risk ProgramBranshark Video Link.​​​​​

 Diabetes

State Laws, Regulations and Policies for School Diabetes Care: Illinois

Diabetes Resources

Diabetes Training

 Health Exams

Child Health Examination Forms

Students entering kindergarten (or first grade if not previously enrolled in kindergarten), sixth grade and ninth grade at any Illinois public or private school (including charter schools) must provide proof of physical examination on a form approved by both the Illinois Department of Public Health and the Illinois State Board of Education. Students entering an Illinois school from out of state or out of country for the first time at any grade level must also provide the physical exam form. The exam must be completed no earlier than a year (365 days) prior to the start of attendance at an Illinois school.

The Child Health Examination Form labeled 11/15 must be used by students who need to provide proof of the physical exam​.

 Hearing Screening

Hearing screening is required annually on all children in special education, children new to the district, and teacher/parent referrals. Hearing screening is also required beginning at age 3 in all licensed daycare/preschool programs. Once a child begins school, hearing screening is required at grades K, 1, 2 and 3.

 Homebound/Hospital Instruction
Some students are in need of instruction provided at home or in the hospital, or another location that temporarily provides for a safe and healthy learning environment. In those situations, a certificate of need is provided by the student’s physician, advanced practice registered nurse, or physician assistant. The school district, in consultation with the parents and the health care provider, determine how much time each day the student can tolerate instructional services. These forms and documents may be but are not mandated to be used. They are provided for the convenience of the school district and could serve evidence of having met the student’s need for services related to a medical disability.

 Immunization

Illinois Dept. of Public Health (IDPH) Immunization Documents

Immunization Resources

 Lead Screening

 Medications in School

 School Nurse Bootcamp

2022​

Bootcamp for Nurses: ISBE and IDPH Back-to-School Updates
The Illinois State Board of Education (ISBE) and the Illinois Department of Public Health (IDPH) invite you to the following back-to-school webinars:
Professional development credit is available by completing the Evaluation Survey.  Once you have responded to all of the questions in the survey, you will have the opportunity to print an evidence of completion form for your records.

Professional development credit is available by completing the Evaluation Survey​. Once you have responded to all of the questions in the survey, you will have the opportunity to print an evidence of completion form for your records.

Bonus Presentation 2022

Professional development credit is available by completing the Evaluation Survey​.  Once you have responded to all of the questions in the survey, you will have the opportunity to print an evidence of completion form for your records.​

Past Presentations

​Professional development is no longer available for past presentations.

​

 School Nurse Licensure
​
  • Administrative Rules
    • Part 25PDF Document - Educator Licensure - Endorsement for School Nurses (Parts 25.200; 25.215; 25.245; 25.710; 25.800; 25.Appendix E)
    • Part 226PDF Document - Special Education - Medical Reviews (Part 226.160; 226.850)
      • Special Education Medical Review
  • Renewal Information​​

 Special Education
  • Special Education
  • Special Education Directors Needing Nurses to Complete Health Evaluations (See Training Opportunities)

  • Many RNs have completed coursework and internships leading to the PEL, but some districts have tried and been unable to hire a qualified school nurse. Such districts may apply to ISBE to hire and train a non-PEL RN and remain in compliance with special education evaluation rules if they follow these steps:

    1. Encourage, require, and/or support an existing staff RN with at least a bachelor’s degree to enter into an approved school nurse certification program offered by an Illinois university. DePaul University, Lewis University and the University of Illinois-Chicago currently have approved programs. The programs offer extensive distance learning options, and most nurses would be able to complete the program within 12 months.
    2. If time is of the essence, you may apply to ISBE to have an RN obtain an IEP designation through two other options, but only after a district submits prerequisite documents to ISBE that verify a search for a fully qualified RN (PEL with school nurse endorsement) has been made:
      • An ISBE-sponsored IEP course will be offered. Dates are to be determined.​ 
      • An RN may opt out of the ISBE-sponsored IEP course and directly take the school nurse content test #236, which is available from the Illinois Licensure Testing System (ILTS) beginning Sept. 3, 2018. The test option remains available through the ILTS system year-round.

    It may be helpful in some districts to restructure the job duties of personnel in the nursing services department. A nurse with a bachelor’s degree who does not hold either the PEL or IEP designation may still perform 80 percent, four of the five components, of IEP health evaluations as identified in 23 IAC 226.160 (a) - Medical Review. 

 Vision Screening

Vision screening is required annually on all children in special education, children new to the district, and teacher/parent referrals. Vision screening is also required beginning at age 3 in all licensed daycare/preschool programs. Once a child begins school, vision screening is required in grades K, 2 and 8.

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