Current through Register Vol. 48, No. 38, September 20, 2024
a) The
State Schools will provide school health services, including routine services
such as cough medicine, bandages, cotton swabs, and non-prescription drugs, and
occupational and physical therapy. A seven day a week health center is provided
at ISD to serve the students of ISD and ISVI who are too ill to stay in the
dormitory, but not sufficiently ill to require hospitalization. There is an
infirmary at ICRE-R for students requiring routine health services, as well.
ICRE-R does not provide services required at a hospital or that are beyond the
scope of medical facilities at ICRE-R.
b) Responsibility for costs associated with
related services requiring medical devices or the services of a physician will
be determined through the IEP process.
c) Parents are not required to use private
insurance proceeds to pay for services that must be provided under the
Individuals with Disabilities Act (IDEA) ( 14 USCA 1400 et seq.) or under an
IEP unless they will incur no financial cost. Financial cost includes a
deductible or co-pay amount, a decrease in available lifetime coverage or any
other benefit under an insurance policy or an increase in premiums or the
discontinuation of the policy, but does not include time, postage or other
incidental costs.
d) Parents are
expected to use their own resources, including private insurance, and to apply
for Medicaid, if appropriate, to pay for services for their children not
required to be provided by the State Schools under this Part or by the local
school district under IDEA or Illinois State law.
e) Assistance will be provided to parents in
locating medical services beyond those described in subsections (b) and (c) of
this Section. DHS-ORS State Schools will not pay for such services.
f) If a student receives medical treatment
other than that prescribed by school health officials, the parents/guardian
must inform school staff of such treatment and provide written medical
information pertinent to that treatment.
g) Each State School shall comply with
Section 27-8.1 of the School Code [105 ILCS 5/27-8.1] in matters pertaining to
immunization of its students. In addition, at the direction of the State
School's physician and superintendent, authorized medical staff at the State
School shall immunize students for communicable diseases provided:
1) the Illinois Department of Public Health
(DPH) recommended the immunization due to a time limitation or unusual
situation;
2) the local public
health agency provides the vaccine at no cost to the State School or the
superintendent determines, in consultation with the school physician, an
emergency situation exists and the need is so urgent that the vaccine should be
purchased from State School funds; and
3) the parents have given their consent if
the student is under 18 years of age, or the student has given his or her
consent if the student is 18 years old or older.
h) HIV Testing.
1) In compliance with the AIDS
Confidentiality Act [410 ILCS 305 ] (AIDS Act) and rules of the Department of
Public Health (77 Ill. Adm. Code 697 - AIDS Confidentiality and Testing Code),
a student may not be tested for human immunodeficiency virus (HIV) unless:
A) the student or legally authorized
representative consents in writing, or
B) a DHS' State School employee has had an
accidental direct skin or mucous membrane contact with the student's blood or
body fluids which is of a nature that may transmit HIV, as determined by a
physician in his or her medical judgement.
2) Test Information and Counseling. In
compliance with the AIDS Act [410 ILCS 305 ], if an HIV test is ordered by a
school physician, whether or not written or informed consent of the student or
legally authorized representative has been given, the physician must provide
the student with information, including:
A)
the meaning of test results;
B)
additional or confirmatory testing, when appropriate; and
C) referrals for further information or
counseling.
3)
Disclosure of test results. The person performing the test shall only disclose
results to the following people, who shall not redisclose the results, except
as authorized by the AIDS Act:
A) the student
or his or her legally authorized representative;
B) anyone designated in an express release
executed by the student or legally authorized representative;
C) the State School employee who has had
accidental contact as described in subsection (f)(2) above;
D) the DPH (any redisclosure by a DPH
employee in violation of the AIDS Confidentiality Act will result in
disciplinary action taken by DPH); and
E) an employee of the State School if he or
she provides the student with medical services or such care as may involve
contact with blood or body fluids of a student and the employee has a need to
know such information (e.g., an employee has been involved in accidental direct
skin or mucous membrane contact with the blood or bodily fluids of an
individual with AIDS). Any redisclosure by a DHS' employee in violation of the
AIDS Confidentiality Act will result in disciplinary action taken by
DHS.
i) In
compliance with the Communicable Disease Prevention Act [410 ILCS 315 ] the
Department of Public Health or local public health department shall inform the
facility administrator that a student has been diagnosed as having AIDS or
AIDS-related complex or has been exposed to HIV. The facility administrator
shall not disclose such information except to the following (who shall not
redisclose the results except as authorized by the AIDS Act) and then only if
the facility administrator finds it necessary for the safe and effective
administration of the State School and its programs:
1) the principal of the State
School;
2) the teachers in whose
classes the student is enrolled;
3)
the Infectious Disease Control Committee (i.e. facility administrator, head
nurse and facility physician);
4)
the school nurse; and
5) any other
person that the facility administrator deems has a need to know who has been
involved in an accidental direct skin or mucous membrane contact with the blood
or bodily fluids of an individual with AIDS, but the student's identity must
remain confidential.
j)
Each State School will adhere to a consistent policy with regard to a diagnosis
of Pediculus Humanus Capitis (head lice) by the school physician or nurse when
discovered in the student population.
1)
Residential students will be treated by the nurse applying a 1% Permethrin
cream rinse as soon as the head lice is discovered. Parents/guardians will be
contacted advising them their child has been treated by the nursing staff for
head lice.
2) Non-residential
students will have a phone call made to the affected student's parents/guardian
informing them of the diagnosis of head lice, and that the student must be
removed from the State School as soon as possible. The recommendation will be
made to seek treatment from a physician and that all household members be
treated. They will be informed that the student will not be allowed to return
to the State School until treatment has been completed.
In the event a parent of a non-residential student cannot be
contacted within a two hour time frame, the school nurse will treat the student
to facilitate returning the student to the classroom until the parent is
contacted. If the clothing of a non-residential student is infested temporary
clothing will be issued while the student's clothes are being laundered.
3) A school nurse will evaluate
all roommates and classmates for the presence of nits (lice eggs) or other
evidence of infestation.
4)
Residential students will not be allowed to return to the State School until
they have been treated by the nursing staff. Non-residential students must
present proof of appropriate treatment (e.g., note from physician, copy of
prescription, proof of purchase of an over the counter product for the
treatment of head lice) before returning to the State School. Upon return to
the State School the student will be re-examined by the nurse prior to
admission.
5) The nursing staff
will again examine the affected student in 7 to 10 days.
6) All potentially infected environmental
surfaces and clothing of residential students that could have been infected
will be treated by the facility staff to prevent re-infection of the student
population.
