W. Va. Code R. § 126-27-4

Current through Register Vol. XLI, No. 50, December 13, 2024

Section 126-27-4 - Definitions

4.1. "Administration of medication" means a health care procedure that provides medication by mouth, topically, or by another route as designated by written or standing orders from a licensed prescriber.

4.2. "Administrator's designee" means an employee (excluding the school nurse or contracted provider of nursing services) who is designated by the building administrator, is trained to administer non-prescribed over-the-counter (OTC) medication, and agrees to administer non-prescribed OTC medications when county policy allows such practice.

4.3. "Contracted licensed health care provider" means a licensed health care provider, as set forth in Section 4.7 of this policy, providing health care services under a contract with county boards of education. Health care services may be contracted after the ratio of one nurse for every 1,500 students, kindergarten through seventh grade, is provided to county schools.

4.4. "Contracted school nurse" means an employee of a public health department providing services under a contract with a county board of education to provide services considered equivalent to those required in W. Va. Code § 18-5-22.

4.5. "Designated qualified personnel" means an employee or contracted provider who agrees to administer prescribed medications, is authorized by the administrator/principal, successfully completes training by the certified school nurse as defined in West Virginia Board of Education (WVBE) Policy 2422.7, Standards for Basic and Specialized Health Care Procedures (126 CSR 25A), hereinafter Policy 2422.7, and is qualified for the delegation of the administration of prescribed medications by the certified school nurse. Designated qualified personnel must also meet the specifications in W. Va. Code § 18-5-22(d) and (e) which includes delegation of specialized health care procedures and medications to teachers, aides and secretaries (medication only).

4.6. "Fluoride Rinse Program" means a program offered by the West Virginia Department of Health and Human Resources (WVDHHR), Bureau for Public Health (BPH), Office of Maternal, Child and Family Health (OMCFH), Oral Health Program, Children's Dentistry Project. The Fluoride Rinse Program is the most cost effective and least expensive way to reduce dental decay on a group or community basis. The program is developed for students in grades k-6 with parental/guardian permission and with close adult supervision to assist in the prevention of swallowing of rinse solution. The fluoride rinse is a 0.2 % sodium fluoride solution administered once a week for 30 weeks. The WVDHHR/BPH Instructions for Conducting the Fluoride Rinse Program may be found is at www.dhhr.wv.gov/oralhealth.

4.7. Licensed health care provider means an allopathic physician or an osteopathic physician, podiatrist, registered nurse, practical nurse, advanced practice registered nurse, physician assistant, dentist, optometrist, pharmacist or respiratory care professional licensed under W. Va. Code § 30-7-1, et seq.

4.8. "Licensed prescriber" means licensed health care providers with the authority to prescribe medication as per their scope of practice.

4.9. "Long-term and Emergency Prescribed Medication" means medication ordered by a licensed prescriber that is used to treat acute and chronic health conditions including both daily and PRN (as needed) medication.

4.10. "Medication Authorization Form" means a form, inclusive of an order for prescribed medication, completed and signed by a licensed prescriber with a parent/guardian signature of permission in order to authorize medication administration to said parent's/guardian's child. The form must include the following: student name; date; allergies; medication name, dosage, time and route; intended effect of medication; other medication(s) taken by student; licensed prescriber and parent/guardian signature.

4.11. "Medication document" means the individual medication record or medication log used to record the administration of medication to a student.

4.12. "Non-prescribed Medication" means medication and food supplements that have been approved by the Food and Drug Administration and may be obtained OTC without a prescription from a licensed prescriber.

4.13. "Prescribed Medication" means medication with a written order signed by a licensed prescriber.

4.14. "School Based Health Centers" means clinics located in schools that:

1) are sponsored and operated by community based health care organizations;

2) provide primary health care services (including but not limited to diagnosis and treatment of acute illness, management of chronic illness, physical exams, immunizations, and other preventive services) to students who are enrolled in the health center; and

3) follow state and federal laws, policies, procedures, and professional standards for provision of medical care.

4.15. "School Nurse" is defined as a registered professional nurse, licensed by the West Virginia Board of Examiners for Registered Professional Nurses (W. Va. Code § 30-7-1, et seq.), who has completed a WVDE approved program as defined in WVBE Policy 5100, Approval of Educational Personnel Preparation Programs (126 CSR 114) and meets the requirements for certification contained in WVBE Policy 5202, Minimum Requirements for the Licensure of Professional/Paraprofessional Personnel and Advanced Salary Classification (126 CSR 136). The school nurse must be employed by the county board of education or the county health department as specified in W. Va. Code § 18-5-22.

4.16. "School-related event" means any curricular or co-curricular activity, as defined in WVBE Policy 2510, Assuring the Quality of Education: Regulations for Education Programs (126 CSR 42), that is conducted outside of the school environment and/or instructional day. Examples of co-curricular activities include the following: band and choral presentations; theater productions; science or social studies fairs; mathematics field days; career/technical student organizations' activities; or other activities that provide in-depth exploration or understanding of the content standards and objectives appropriate for the students' grade levels.

4.17. "Self-administration" means medication administered by the student under the approval, assessment and supervision of the school nurse with a licensed prescriber order and parent/guardian permission. The self-administration of prescribed medication may also include medication taken by a student in an emergency or an acute situation (e.g., rescue inhaler, epinephrine, diabetic medication, etc.).

W. Va. Code R. § 126-27-4