Alabama Administrative Code
Title 290 - ALABAMA STATE BOARD OF EDUCATION
Chapter 290-4-5 - STUDENT HEALTH SERVICES
Section 290-4-5-.02 - Definitions

(1) INDIVIDUAL HEALTH PLAN: A document that outlines health care to be provided to a student in the school setting, developed by the school nurse in conjunction with the student's parents or guardians and may contain the orders from the physician, certified registered nurse practitioner operating under a valid collaborative agreement, or physician assistant operating with a valid supervisory agreement.

(2) PALLIATIVE AND END OF LIFE INDIVIDUAL HEALTH PLAN: A document that outlines activities in which a qualified minor may participate in the school setting or in selected school situations as prescribed in the plan. A plan shall be developed by the school nurse in conjunction with the qualified representatives of the qualified minor, as provided under this chapter, and shall outline the health care to be provided, including an Order for Pediatric Palliative and End of Life Care, as defined in Code of Ala. 1975, § 22-8A-3, to a qualified minor in a school setting. The contents of the plan shall include the medical needs of the student. The execution of the plan shall be determined by the crisis team specified in the PPEL-IHP. Termination of the plan shall be when the student is no longer enrolled in the local education agency (LEA).

(3) SCHOOL: A primary or secondary public school located in the state.

(4) SCHOOL SETTING. Preschool through twelfth grade in a public school.

(5) SCHOOL EMPLOYEE. An individual employed by a public school system located in the state.

(6) SCHOOL NURSE. A nurse licensed by the Alabama Board of Nursing and employed as a school nurse by a public school system located in the state. Pursuant to Rule 610-X-7-.02(1), the school nurse is accountable and responsible for the nursing care delivered to students under the nurse's jurisdiction.

(7) SEIZURE ACTION PLAN: Contains the essential information school staff may need to know in order to help a student who has seizures. It includes information on first aid, parent and health care provider contacts, and medications specially for that child.

(8) SEIZURE INDIVIDUAL HEALTH PLAN: (seizure-IHP) The Seizure Individual Health Plan shall be developed by the school nurse, in consultation with the parent or guardian and contain the seizure management plan and valid health care orders by an authorized prescriber.

(9) SEIZURE MANAGEMENT AND TREATMENT PLAN. A document identifying the health care services and prescribed medications a student may receive at school or while participating in a school sponsored activity.

(10) LEAD NURSE. A Registered Nurse designated by the local school superintendent whose responsibilities shall include annually providing a full and comprehensive assessment of all student health needs within the local education agency. Based on the assessment findings, the designated nurse shall make recommendations to the local school superintendent concerning the implementation and coordination of student health needs.

(11) PHYSICIAN. An individual licensed to practice medicine in the state of Alabama selected by or assigned to the patient who has primary responsibility for the treatment and care of the patient.

(12) COMPETENT ADULT. An adult who is alert, capable of understanding a lay description of medical procedures and able to appreciate the consequences of providing, withholding, or withdrawing medical procedures.

(13) HEALTH CARE PROXY. Any person designated to act on behalf of an individual pursuant to Code of Ala. 1975, § 22-8A-4.

(14) ORDER FOR PEDIATRIC PALLIATIVE AND END OF LIFE CARE. A directive that, once executed by the representative of a qualified minor and entered into the record by the attending physician of the qualified minor in accordance with Code of Ala. 1975, § 22-8A-15, becomes the medical order for all health care providers with respect to the extent of emergency medical equipment and treatment, medication and any other technological or medical interventions available to provide palliative and supportive care to the qualified minor.