California 2023 2023-2024 Regular Session

California Assembly Bill AB1722 Amended / Bill

Filed 03/30/2023

                    Amended IN  Assembly  March 30, 2023 CALIFORNIA LEGISLATURE 20232024 REGULAR SESSION Assembly Bill No. 1722Introduced by Assembly Member Megan DahleFebruary 17, 2023 An act to amend Sections 44267.5, 44877, and 49426 of Section 49452 of, and to add Section 49426.5 to, the Education Code, relating to school employees. pupil health.LEGISLATIVE COUNSEL'S DIGESTAB 1722, as amended, Megan Dahle. School nurses: requirements. Pupil health: credentialed school nurses, registered nurses, and licensed vocational nurses.(1) Existing law requires the governing board of a school district to give diligent care to the health and physical development of pupils, and authorizes the governing board of a school district to employ properly certified persons for that work. Existing law authorizes a school nurse, subject to approval by the governing board of the school district, to perform various pupil health care services. Existing law requires a school nurse to be currently licensed as a registered nurse, as provided, and to have met the minimum requirements for a credential in school nursing, as specified.This bill would require a licensed vocational nurse, as defined, hired pursuant to this bill to be supervised by a credentialed school nurse, as defined, who is employed as a school nurse at the same local educational agency (LEA) or at another LEA. The bill would prohibit interpreting that provision to allow a licensed vocational nurse to go beyond the approved scope of practice pursuant to the Vocational Nursing Practice Act. The bill would require certain LEAs to enter into a written agreement containing specified information, including, among other information, a communication policy delineating how the licensed vocational nurse and the credentialed school nurse are to communicate, as provided. The bill would require an LEA to only hire a licensed vocational nurse if a diligent search has been conducted for a suitable credentialed school nurse each school year, as provided.(2) Existing law requires the governing board of a school district to provide for the adequate testing of the sight and hearing of each pupil enrolled in the schools of the school district to be given only by specified persons, including, among others, certificated employees of the school district or of the county superintendent of schools who possess the qualifications prescribed by the Commission for Teacher Preparation and Licensing.This bill would expand that described authorization to allow those tests to be additionally given by certificated employees, registered nurses, or licensed vocational nurses, under the supervision of a credentialed school nurse, of the school district, charter school, or the county superintendent of schools who possess the qualifications prescribed by the Commission on Teacher Credentialing.Existing law requires the governing board of a school district to give diligent care to the health and physical development of pupils, and authorizes the governing board of a school district to employ properly certified persons for that work. Existing law authorizes a school nurse, subject to approval by the governing board of the school district, to perform various pupil health care services. Existing law requires a school nurse to be currently licensed as a registered nurse, as provided, and to have met the minimum requirements for a credential in school nursing, as specified.This bill would additionally allow a school nurse to be a currently licensed vocational nurse, as specified, provided they also meet the minimum requirements for a credential in school nursing, as specified.Digest Key Vote: MAJORITY  Appropriation: NO  Fiscal Committee: YESNO  Local Program: NO Bill TextThe people of the State of California do enact as follows:SECTION 1. Section 49426.5 is added to the Education Code, to read:49426.5. (a) A licensed vocational nurse hired pursuant to this section shall be supervised by a credentialed school nurse who is employed as a school nurse at the same local educational agency or at another local educational agency.(b) (1) If a local educational agency elects to hire a licensed vocational nurse to be supervised by a credentialed school nurse employed by another local educational agency, both local educational agencies shall enter into a written agreement containing all of the following:(A) The duties of the credentialed school nurse and the licensed vocational nurse.(B) A communication policy delineating how the licensed vocational nurse and the credentialed school nurse are to communicate.(C) The indemnification requirement pursuant to subdivision (f).(D) The financial arrangement between the local educational agencies.(E) The additional compensation for the credentialed school nurse to act as a supervisor.(2) A local educational agency is only authorized to hire a licensed vocational nurse pursuant to this subdivision if a written agreement with another local educational agency is in place.(c) A local educational agency shall only hire a licensed vocational nurse pursuant to this section if a diligent search has been conducted for a suitable credentialed school nurse each school year. A diligent search shall include, but is not limited to, distributing job announcements, contacting college and university placement centers, and advertising in print or electronic media. Copies of all recruitment efforts shall be retained by the employing agency.(d) Subdivision (a) shall not be interpreted to allow a licensed vocational nurse to go beyond the approved scope of practice pursuant to the Vocational Nursing Practice Act (Chapter 6.5 (commencing with Section 2840) of Division 2 of the Business and Professions Code).(e) County offices of education are encouraged to establish networks of credentialed school nurses for employment by local educational agencies that are not able to hire a credentialed school nurse. County offices of education are encouraged to provide mentoring opportunities for licensed vocational nurses.(f) A local educational agency employing a credentialed school nurse who is supervising a licensed vocational nurse at another local educational agency pursuant to this section shall have indemnification for the supervisorial liability from the local educational agency employing the licensed vocational nurse.(g) As used in this section, the following terms have the following meanings:(1) Credentialed school nurse means qualified persons who possess an appropriate credential issued pursuant to Section 44267.5.(2) Licensed vocational nurse means a person licensed pursuant to the provisions of Chapter 6.5 (commencing with Section 2840) of Division 2 of the Business and Professions Code.(3) Local educational agency means a school district, county office of education, or charter school.SEC. 2. Section 49452 of the Education Code is amended to read: The49452. (a) The governing board of any a school district shall, subject to Section 49451, provide for the testing of the sight and hearing of each pupil enrolled in the schools of the school district. The(b) The test shall be adequate in nature and shall be given only by duly any of the following:(1) By duly qualified supervisors of health employed by the district; or by school district.(2) By certificated employees employees, registered nurses, or licensed vocational nurses, under the supervision of a credentialed school nurse, of the district school district, charter school, or of the county superintendent of schools who possess the qualifications prescribed by the Commission for Teacher Preparation and Licensing; or by Commission on Teacher Credentialing.(3) By contract with an agency duly authorized to perform those services by the county superintendent of schools of the county in which the school district is located, under guidelines established by the State Board of Education; or accredited state board.(4) By accredited schools or colleges of optometry, osteopathic medicine, or medicine. The(c) The records of the tests shall serve as evidence of the need of the pupils for the educational facilities provided physically handicapped individuals. The equipment necessary to conduct the tests may be purchased or rented by governing boards of school districts. The state, any agency, or political subdivision thereof may sell or rent any such equipment owned by it to the governing board of any a school district upon terms as may be mutually agreeable.(d) As used in this section, the following definitions apply:(1) Credentialed school nurse means qualified persons who possess an appropriate credential issued pursuant to Section 44267.5.(2) Licensed vocational nurse means a person licensed pursuant to the provisions of Chapter 6.5 (commencing with Section 2840) of Division 2 of the Business and Professions Code.SECTION 1.Section 44267.5 of the Education Code is amended to read:44267.5.(a)The minimum requirements for a services credential with a specialization in health for a school nurse are all of the following:(1)A baccalaureate or higher degree from a regionally accredited institution of higher education.(2)A valid California license as a registered nurse or a vocational nurse.(3)One year of coursework beyond the baccalaureate degree in a program approved by the commission.(b)The period for which a services credential with a specialization in health for a school nurse is valid shall be as follows:(1)For a preliminary credential, pending completion of the one year of coursework beyond the baccalaureate degree in a program approved by the commission, five years.(2)For the professional credential, after completion of requirements specified by the commission, five years.(c)The services credential with a specialization in health for a school nurse shall authorize the holder to perform, in grades 12 and below, the health services approved by the commission and designated on the credential.(d)The holder of a services credential with a specialization in health for a school nurse who also completes the requirements for a special class authorization in health in a program that is approved by the commission is authorized to teach classes on health in preschool, kindergarten, grades 1 to 12, inclusive, and classes organized primarily for adults.(e)For the purposes of the requirement in paragraph (3) of subdivision (a), the commission may approve a program offered by a local educational agency, which had 40,000 or more pupils enrolled during the 201920 school year, for one year of coursework beyond the baccalaureate degree. The commission shall apply the standards for approval of a program of professional preparation offered by a postsecondary educational institution to a program of professional preparation offered by a local educational agency.SEC. 2.Section 44877 of the Education Code is amended to read:44877.(a)The qualifications for a nurse shall be a valid certificate of registration issued by the Board of Registered Nursing or a valid license for vocational nursing issued by the Board of Vocational Nursing and Psychiatric Technicians and a health and development credential, a standard designated services credential with a specialization in health, or a services credential with a specialization in health.(b)The services credential with a specialization in health authorizing service as a school nurse shall not authorize teaching services unless the holder also completes the requirements for a special class authorization in health in a program that is approved by the commission.(c)On and after January 1, 1981, the qualifications for a nurse shall also include proof satisfactory to the school district that the nurse has acquired training in child abuse and neglect detection. This requirement may be satisfied through participation by the nurse in continuing education activities relating to child abuse and neglect detection and treatment.SEC. 3.Section 49426 of the Education Code is amended to read:49426.(a)A school nurse is a registered nurse currently licensed under Chapter 6 (commencing with Section 2700) of Division 2 of the Business and Professions Code or a licensed vocational nurse currently licensed under Chapter 6.5 (commencing with Section 2840) of Division 2 of the Business and Professions Code, and who has completed the additional educational requirements for, and possesses a current credential in, school nursing pursuant to Section 44877.(b)School nurses strengthen and facilitate the educational process by improving and protecting the health status of children and by identification and assistance in the removal or modification of health-related barriers to learning in individual children. The major focus of school health services is the prevention of illness and disability, and the early detection and correction of health problems. The school nurse is especially prepared and uniquely qualified in preventive health, health assessment, and referral procedures.(c)Nothing in this section shall be construed to limit the scope of professional practice or otherwise to change the legal scope of practice for any registered nurse or other licensed healing arts practitioner. Rather, it is the intent of the Legislature to provide positively for the health services, many of which may be performed in the public schools only by physicians and school nurses. School nurses may perform, if authorized by the local governing board, the following services:(1)Conduct immunization programs pursuant to Section 49403 and assure that every pupils immunization status is in compliance with the law, including parental or guardian consent, and good health practice.(2)Assess and evaluate the health and developmental status of pupils to identify specific physical disorders and other factors relating to the learning process, communicate with the primary care provider, and contribute significant information in order to modify the pupils educational plans.(3)Interpret the health and developmental assessment to parents, teachers, administrators, and other professionals directly concerned with the pupil.(4)Design and implement a health maintenance plan to meet the individual health needs of the students, incorporating plans directed by a physician.(5)Refer the pupil and their parent or guardian to appropriate community resources for necessary services.(6)Maintain communication with parents and all involved community practitioners and agencies to promote needed treatment and secure reports of findings pertinent to educational planning.(7)Interpret medical and nursing findings appropriate to the students individual educational plan and make recommendations to professional personnel directly involved.(8)Consult with, conduct in-service training to, and serve as a resource person to teachers and administrators, and act as a participant in implementing any section or sections of a comprehensive health instruction curriculum for students by providing current scientific information regarding nutrition, preventive dentistry, mental health, genetics, prevention of communicable diseases, self-health care, consumer education, and other areas of health.(9)Counsel pupils and parents by:(A)Assisting children and youth, parents, and school personnel in identifying and utilizing appropriate and mutually acceptable private and community health delivery services for professional care and remediation of defects.(B)Counseling with parents, pupils, and school staff regarding health-related attendance problems.(C)Helping parents, school personnel and pupils understand and adjust to physical, mental and social limitations.(D)Exploring with families and pupils, attitudes, information and values which affect their health behavior.(10)Assist parents and pupils to solve financial, transportation and other barriers to needed health services.(d)The holder of a services credential with a specialization in health for a school nurse who also completes the requirements for a special class authorization in health in a program that is approved by the commission is authorized to teach classes on health in a preschool, kindergarten, grades 1 to 12, inclusive, and classes organized primarily for adults.

 Amended IN  Assembly  March 30, 2023 CALIFORNIA LEGISLATURE 20232024 REGULAR SESSION Assembly Bill No. 1722Introduced by Assembly Member Megan DahleFebruary 17, 2023 An act to amend Sections 44267.5, 44877, and 49426 of Section 49452 of, and to add Section 49426.5 to, the Education Code, relating to school employees. pupil health.LEGISLATIVE COUNSEL'S DIGESTAB 1722, as amended, Megan Dahle. School nurses: requirements. Pupil health: credentialed school nurses, registered nurses, and licensed vocational nurses.(1) Existing law requires the governing board of a school district to give diligent care to the health and physical development of pupils, and authorizes the governing board of a school district to employ properly certified persons for that work. Existing law authorizes a school nurse, subject to approval by the governing board of the school district, to perform various pupil health care services. Existing law requires a school nurse to be currently licensed as a registered nurse, as provided, and to have met the minimum requirements for a credential in school nursing, as specified.This bill would require a licensed vocational nurse, as defined, hired pursuant to this bill to be supervised by a credentialed school nurse, as defined, who is employed as a school nurse at the same local educational agency (LEA) or at another LEA. The bill would prohibit interpreting that provision to allow a licensed vocational nurse to go beyond the approved scope of practice pursuant to the Vocational Nursing Practice Act. The bill would require certain LEAs to enter into a written agreement containing specified information, including, among other information, a communication policy delineating how the licensed vocational nurse and the credentialed school nurse are to communicate, as provided. The bill would require an LEA to only hire a licensed vocational nurse if a diligent search has been conducted for a suitable credentialed school nurse each school year, as provided.(2) Existing law requires the governing board of a school district to provide for the adequate testing of the sight and hearing of each pupil enrolled in the schools of the school district to be given only by specified persons, including, among others, certificated employees of the school district or of the county superintendent of schools who possess the qualifications prescribed by the Commission for Teacher Preparation and Licensing.This bill would expand that described authorization to allow those tests to be additionally given by certificated employees, registered nurses, or licensed vocational nurses, under the supervision of a credentialed school nurse, of the school district, charter school, or the county superintendent of schools who possess the qualifications prescribed by the Commission on Teacher Credentialing.Existing law requires the governing board of a school district to give diligent care to the health and physical development of pupils, and authorizes the governing board of a school district to employ properly certified persons for that work. Existing law authorizes a school nurse, subject to approval by the governing board of the school district, to perform various pupil health care services. Existing law requires a school nurse to be currently licensed as a registered nurse, as provided, and to have met the minimum requirements for a credential in school nursing, as specified.This bill would additionally allow a school nurse to be a currently licensed vocational nurse, as specified, provided they also meet the minimum requirements for a credential in school nursing, as specified.Digest Key Vote: MAJORITY  Appropriation: NO  Fiscal Committee: YESNO  Local Program: NO 

 Amended IN  Assembly  March 30, 2023

Amended IN  Assembly  March 30, 2023

 CALIFORNIA LEGISLATURE 20232024 REGULAR SESSION

 Assembly Bill 

No. 1722

Introduced by Assembly Member Megan DahleFebruary 17, 2023

Introduced by Assembly Member Megan Dahle
February 17, 2023

 An act to amend Sections 44267.5, 44877, and 49426 of Section 49452 of, and to add Section 49426.5 to, the Education Code, relating to school employees. pupil health.

LEGISLATIVE COUNSEL'S DIGEST

## LEGISLATIVE COUNSEL'S DIGEST

AB 1722, as amended, Megan Dahle. School nurses: requirements. Pupil health: credentialed school nurses, registered nurses, and licensed vocational nurses.

(1) Existing law requires the governing board of a school district to give diligent care to the health and physical development of pupils, and authorizes the governing board of a school district to employ properly certified persons for that work. Existing law authorizes a school nurse, subject to approval by the governing board of the school district, to perform various pupil health care services. Existing law requires a school nurse to be currently licensed as a registered nurse, as provided, and to have met the minimum requirements for a credential in school nursing, as specified.This bill would require a licensed vocational nurse, as defined, hired pursuant to this bill to be supervised by a credentialed school nurse, as defined, who is employed as a school nurse at the same local educational agency (LEA) or at another LEA. The bill would prohibit interpreting that provision to allow a licensed vocational nurse to go beyond the approved scope of practice pursuant to the Vocational Nursing Practice Act. The bill would require certain LEAs to enter into a written agreement containing specified information, including, among other information, a communication policy delineating how the licensed vocational nurse and the credentialed school nurse are to communicate, as provided. The bill would require an LEA to only hire a licensed vocational nurse if a diligent search has been conducted for a suitable credentialed school nurse each school year, as provided.(2) Existing law requires the governing board of a school district to provide for the adequate testing of the sight and hearing of each pupil enrolled in the schools of the school district to be given only by specified persons, including, among others, certificated employees of the school district or of the county superintendent of schools who possess the qualifications prescribed by the Commission for Teacher Preparation and Licensing.This bill would expand that described authorization to allow those tests to be additionally given by certificated employees, registered nurses, or licensed vocational nurses, under the supervision of a credentialed school nurse, of the school district, charter school, or the county superintendent of schools who possess the qualifications prescribed by the Commission on Teacher Credentialing.Existing law requires the governing board of a school district to give diligent care to the health and physical development of pupils, and authorizes the governing board of a school district to employ properly certified persons for that work. Existing law authorizes a school nurse, subject to approval by the governing board of the school district, to perform various pupil health care services. Existing law requires a school nurse to be currently licensed as a registered nurse, as provided, and to have met the minimum requirements for a credential in school nursing, as specified.This bill would additionally allow a school nurse to be a currently licensed vocational nurse, as specified, provided they also meet the minimum requirements for a credential in school nursing, as specified.

(1) Existing law requires the governing board of a school district to give diligent care to the health and physical development of pupils, and authorizes the governing board of a school district to employ properly certified persons for that work. Existing law authorizes a school nurse, subject to approval by the governing board of the school district, to perform various pupil health care services. Existing law requires a school nurse to be currently licensed as a registered nurse, as provided, and to have met the minimum requirements for a credential in school nursing, as specified.

This bill would require a licensed vocational nurse, as defined, hired pursuant to this bill to be supervised by a credentialed school nurse, as defined, who is employed as a school nurse at the same local educational agency (LEA) or at another LEA. The bill would prohibit interpreting that provision to allow a licensed vocational nurse to go beyond the approved scope of practice pursuant to the Vocational Nursing Practice Act. The bill would require certain LEAs to enter into a written agreement containing specified information, including, among other information, a communication policy delineating how the licensed vocational nurse and the credentialed school nurse are to communicate, as provided. The bill would require an LEA to only hire a licensed vocational nurse if a diligent search has been conducted for a suitable credentialed school nurse each school year, as provided.

(2) Existing law requires the governing board of a school district to provide for the adequate testing of the sight and hearing of each pupil enrolled in the schools of the school district to be given only by specified persons, including, among others, certificated employees of the school district or of the county superintendent of schools who possess the qualifications prescribed by the Commission for Teacher Preparation and Licensing.

This bill would expand that described authorization to allow those tests to be additionally given by certificated employees, registered nurses, or licensed vocational nurses, under the supervision of a credentialed school nurse, of the school district, charter school, or the county superintendent of schools who possess the qualifications prescribed by the Commission on Teacher Credentialing.

Existing law requires the governing board of a school district to give diligent care to the health and physical development of pupils, and authorizes the governing board of a school district to employ properly certified persons for that work. Existing law authorizes a school nurse, subject to approval by the governing board of the school district, to perform various pupil health care services. Existing law requires a school nurse to be currently licensed as a registered nurse, as provided, and to have met the minimum requirements for a credential in school nursing, as specified.



This bill would additionally allow a school nurse to be a currently licensed vocational nurse, as specified, provided they also meet the minimum requirements for a credential in school nursing, as specified.



## Digest Key

## Bill Text

The people of the State of California do enact as follows:SECTION 1. Section 49426.5 is added to the Education Code, to read:49426.5. (a) A licensed vocational nurse hired pursuant to this section shall be supervised by a credentialed school nurse who is employed as a school nurse at the same local educational agency or at another local educational agency.(b) (1) If a local educational agency elects to hire a licensed vocational nurse to be supervised by a credentialed school nurse employed by another local educational agency, both local educational agencies shall enter into a written agreement containing all of the following:(A) The duties of the credentialed school nurse and the licensed vocational nurse.(B) A communication policy delineating how the licensed vocational nurse and the credentialed school nurse are to communicate.(C) The indemnification requirement pursuant to subdivision (f).(D) The financial arrangement between the local educational agencies.(E) The additional compensation for the credentialed school nurse to act as a supervisor.(2) A local educational agency is only authorized to hire a licensed vocational nurse pursuant to this subdivision if a written agreement with another local educational agency is in place.(c) A local educational agency shall only hire a licensed vocational nurse pursuant to this section if a diligent search has been conducted for a suitable credentialed school nurse each school year. A diligent search shall include, but is not limited to, distributing job announcements, contacting college and university placement centers, and advertising in print or electronic media. Copies of all recruitment efforts shall be retained by the employing agency.(d) Subdivision (a) shall not be interpreted to allow a licensed vocational nurse to go beyond the approved scope of practice pursuant to the Vocational Nursing Practice Act (Chapter 6.5 (commencing with Section 2840) of Division 2 of the Business and Professions Code).(e) County offices of education are encouraged to establish networks of credentialed school nurses for employment by local educational agencies that are not able to hire a credentialed school nurse. County offices of education are encouraged to provide mentoring opportunities for licensed vocational nurses.(f) A local educational agency employing a credentialed school nurse who is supervising a licensed vocational nurse at another local educational agency pursuant to this section shall have indemnification for the supervisorial liability from the local educational agency employing the licensed vocational nurse.(g) As used in this section, the following terms have the following meanings:(1) Credentialed school nurse means qualified persons who possess an appropriate credential issued pursuant to Section 44267.5.(2) Licensed vocational nurse means a person licensed pursuant to the provisions of Chapter 6.5 (commencing with Section 2840) of Division 2 of the Business and Professions Code.(3) Local educational agency means a school district, county office of education, or charter school.SEC. 2. Section 49452 of the Education Code is amended to read: The49452. (a) The governing board of any a school district shall, subject to Section 49451, provide for the testing of the sight and hearing of each pupil enrolled in the schools of the school district. The(b) The test shall be adequate in nature and shall be given only by duly any of the following:(1) By duly qualified supervisors of health employed by the district; or by school district.(2) By certificated employees employees, registered nurses, or licensed vocational nurses, under the supervision of a credentialed school nurse, of the district school district, charter school, or of the county superintendent of schools who possess the qualifications prescribed by the Commission for Teacher Preparation and Licensing; or by Commission on Teacher Credentialing.(3) By contract with an agency duly authorized to perform those services by the county superintendent of schools of the county in which the school district is located, under guidelines established by the State Board of Education; or accredited state board.(4) By accredited schools or colleges of optometry, osteopathic medicine, or medicine. The(c) The records of the tests shall serve as evidence of the need of the pupils for the educational facilities provided physically handicapped individuals. The equipment necessary to conduct the tests may be purchased or rented by governing boards of school districts. The state, any agency, or political subdivision thereof may sell or rent any such equipment owned by it to the governing board of any a school district upon terms as may be mutually agreeable.(d) As used in this section, the following definitions apply:(1) Credentialed school nurse means qualified persons who possess an appropriate credential issued pursuant to Section 44267.5.(2) Licensed vocational nurse means a person licensed pursuant to the provisions of Chapter 6.5 (commencing with Section 2840) of Division 2 of the Business and Professions Code.SECTION 1.Section 44267.5 of the Education Code is amended to read:44267.5.(a)The minimum requirements for a services credential with a specialization in health for a school nurse are all of the following:(1)A baccalaureate or higher degree from a regionally accredited institution of higher education.(2)A valid California license as a registered nurse or a vocational nurse.(3)One year of coursework beyond the baccalaureate degree in a program approved by the commission.(b)The period for which a services credential with a specialization in health for a school nurse is valid shall be as follows:(1)For a preliminary credential, pending completion of the one year of coursework beyond the baccalaureate degree in a program approved by the commission, five years.(2)For the professional credential, after completion of requirements specified by the commission, five years.(c)The services credential with a specialization in health for a school nurse shall authorize the holder to perform, in grades 12 and below, the health services approved by the commission and designated on the credential.(d)The holder of a services credential with a specialization in health for a school nurse who also completes the requirements for a special class authorization in health in a program that is approved by the commission is authorized to teach classes on health in preschool, kindergarten, grades 1 to 12, inclusive, and classes organized primarily for adults.(e)For the purposes of the requirement in paragraph (3) of subdivision (a), the commission may approve a program offered by a local educational agency, which had 40,000 or more pupils enrolled during the 201920 school year, for one year of coursework beyond the baccalaureate degree. The commission shall apply the standards for approval of a program of professional preparation offered by a postsecondary educational institution to a program of professional preparation offered by a local educational agency.SEC. 2.Section 44877 of the Education Code is amended to read:44877.(a)The qualifications for a nurse shall be a valid certificate of registration issued by the Board of Registered Nursing or a valid license for vocational nursing issued by the Board of Vocational Nursing and Psychiatric Technicians and a health and development credential, a standard designated services credential with a specialization in health, or a services credential with a specialization in health.(b)The services credential with a specialization in health authorizing service as a school nurse shall not authorize teaching services unless the holder also completes the requirements for a special class authorization in health in a program that is approved by the commission.(c)On and after January 1, 1981, the qualifications for a nurse shall also include proof satisfactory to the school district that the nurse has acquired training in child abuse and neglect detection. This requirement may be satisfied through participation by the nurse in continuing education activities relating to child abuse and neglect detection and treatment.SEC. 3.Section 49426 of the Education Code is amended to read:49426.(a)A school nurse is a registered nurse currently licensed under Chapter 6 (commencing with Section 2700) of Division 2 of the Business and Professions Code or a licensed vocational nurse currently licensed under Chapter 6.5 (commencing with Section 2840) of Division 2 of the Business and Professions Code, and who has completed the additional educational requirements for, and possesses a current credential in, school nursing pursuant to Section 44877.(b)School nurses strengthen and facilitate the educational process by improving and protecting the health status of children and by identification and assistance in the removal or modification of health-related barriers to learning in individual children. The major focus of school health services is the prevention of illness and disability, and the early detection and correction of health problems. The school nurse is especially prepared and uniquely qualified in preventive health, health assessment, and referral procedures.(c)Nothing in this section shall be construed to limit the scope of professional practice or otherwise to change the legal scope of practice for any registered nurse or other licensed healing arts practitioner. Rather, it is the intent of the Legislature to provide positively for the health services, many of which may be performed in the public schools only by physicians and school nurses. School nurses may perform, if authorized by the local governing board, the following services:(1)Conduct immunization programs pursuant to Section 49403 and assure that every pupils immunization status is in compliance with the law, including parental or guardian consent, and good health practice.(2)Assess and evaluate the health and developmental status of pupils to identify specific physical disorders and other factors relating to the learning process, communicate with the primary care provider, and contribute significant information in order to modify the pupils educational plans.(3)Interpret the health and developmental assessment to parents, teachers, administrators, and other professionals directly concerned with the pupil.(4)Design and implement a health maintenance plan to meet the individual health needs of the students, incorporating plans directed by a physician.(5)Refer the pupil and their parent or guardian to appropriate community resources for necessary services.(6)Maintain communication with parents and all involved community practitioners and agencies to promote needed treatment and secure reports of findings pertinent to educational planning.(7)Interpret medical and nursing findings appropriate to the students individual educational plan and make recommendations to professional personnel directly involved.(8)Consult with, conduct in-service training to, and serve as a resource person to teachers and administrators, and act as a participant in implementing any section or sections of a comprehensive health instruction curriculum for students by providing current scientific information regarding nutrition, preventive dentistry, mental health, genetics, prevention of communicable diseases, self-health care, consumer education, and other areas of health.(9)Counsel pupils and parents by:(A)Assisting children and youth, parents, and school personnel in identifying and utilizing appropriate and mutually acceptable private and community health delivery services for professional care and remediation of defects.(B)Counseling with parents, pupils, and school staff regarding health-related attendance problems.(C)Helping parents, school personnel and pupils understand and adjust to physical, mental and social limitations.(D)Exploring with families and pupils, attitudes, information and values which affect their health behavior.(10)Assist parents and pupils to solve financial, transportation and other barriers to needed health services.(d)The holder of a services credential with a specialization in health for a school nurse who also completes the requirements for a special class authorization in health in a program that is approved by the commission is authorized to teach classes on health in a preschool, kindergarten, grades 1 to 12, inclusive, and classes organized primarily for adults.

The people of the State of California do enact as follows:

## The people of the State of California do enact as follows:

SECTION 1. Section 49426.5 is added to the Education Code, to read:49426.5. (a) A licensed vocational nurse hired pursuant to this section shall be supervised by a credentialed school nurse who is employed as a school nurse at the same local educational agency or at another local educational agency.(b) (1) If a local educational agency elects to hire a licensed vocational nurse to be supervised by a credentialed school nurse employed by another local educational agency, both local educational agencies shall enter into a written agreement containing all of the following:(A) The duties of the credentialed school nurse and the licensed vocational nurse.(B) A communication policy delineating how the licensed vocational nurse and the credentialed school nurse are to communicate.(C) The indemnification requirement pursuant to subdivision (f).(D) The financial arrangement between the local educational agencies.(E) The additional compensation for the credentialed school nurse to act as a supervisor.(2) A local educational agency is only authorized to hire a licensed vocational nurse pursuant to this subdivision if a written agreement with another local educational agency is in place.(c) A local educational agency shall only hire a licensed vocational nurse pursuant to this section if a diligent search has been conducted for a suitable credentialed school nurse each school year. A diligent search shall include, but is not limited to, distributing job announcements, contacting college and university placement centers, and advertising in print or electronic media. Copies of all recruitment efforts shall be retained by the employing agency.(d) Subdivision (a) shall not be interpreted to allow a licensed vocational nurse to go beyond the approved scope of practice pursuant to the Vocational Nursing Practice Act (Chapter 6.5 (commencing with Section 2840) of Division 2 of the Business and Professions Code).(e) County offices of education are encouraged to establish networks of credentialed school nurses for employment by local educational agencies that are not able to hire a credentialed school nurse. County offices of education are encouraged to provide mentoring opportunities for licensed vocational nurses.(f) A local educational agency employing a credentialed school nurse who is supervising a licensed vocational nurse at another local educational agency pursuant to this section shall have indemnification for the supervisorial liability from the local educational agency employing the licensed vocational nurse.(g) As used in this section, the following terms have the following meanings:(1) Credentialed school nurse means qualified persons who possess an appropriate credential issued pursuant to Section 44267.5.(2) Licensed vocational nurse means a person licensed pursuant to the provisions of Chapter 6.5 (commencing with Section 2840) of Division 2 of the Business and Professions Code.(3) Local educational agency means a school district, county office of education, or charter school.

SECTION 1. Section 49426.5 is added to the Education Code, to read:

### SECTION 1.

49426.5. (a) A licensed vocational nurse hired pursuant to this section shall be supervised by a credentialed school nurse who is employed as a school nurse at the same local educational agency or at another local educational agency.(b) (1) If a local educational agency elects to hire a licensed vocational nurse to be supervised by a credentialed school nurse employed by another local educational agency, both local educational agencies shall enter into a written agreement containing all of the following:(A) The duties of the credentialed school nurse and the licensed vocational nurse.(B) A communication policy delineating how the licensed vocational nurse and the credentialed school nurse are to communicate.(C) The indemnification requirement pursuant to subdivision (f).(D) The financial arrangement between the local educational agencies.(E) The additional compensation for the credentialed school nurse to act as a supervisor.(2) A local educational agency is only authorized to hire a licensed vocational nurse pursuant to this subdivision if a written agreement with another local educational agency is in place.(c) A local educational agency shall only hire a licensed vocational nurse pursuant to this section if a diligent search has been conducted for a suitable credentialed school nurse each school year. A diligent search shall include, but is not limited to, distributing job announcements, contacting college and university placement centers, and advertising in print or electronic media. Copies of all recruitment efforts shall be retained by the employing agency.(d) Subdivision (a) shall not be interpreted to allow a licensed vocational nurse to go beyond the approved scope of practice pursuant to the Vocational Nursing Practice Act (Chapter 6.5 (commencing with Section 2840) of Division 2 of the Business and Professions Code).(e) County offices of education are encouraged to establish networks of credentialed school nurses for employment by local educational agencies that are not able to hire a credentialed school nurse. County offices of education are encouraged to provide mentoring opportunities for licensed vocational nurses.(f) A local educational agency employing a credentialed school nurse who is supervising a licensed vocational nurse at another local educational agency pursuant to this section shall have indemnification for the supervisorial liability from the local educational agency employing the licensed vocational nurse.(g) As used in this section, the following terms have the following meanings:(1) Credentialed school nurse means qualified persons who possess an appropriate credential issued pursuant to Section 44267.5.(2) Licensed vocational nurse means a person licensed pursuant to the provisions of Chapter 6.5 (commencing with Section 2840) of Division 2 of the Business and Professions Code.(3) Local educational agency means a school district, county office of education, or charter school.

49426.5. (a) A licensed vocational nurse hired pursuant to this section shall be supervised by a credentialed school nurse who is employed as a school nurse at the same local educational agency or at another local educational agency.(b) (1) If a local educational agency elects to hire a licensed vocational nurse to be supervised by a credentialed school nurse employed by another local educational agency, both local educational agencies shall enter into a written agreement containing all of the following:(A) The duties of the credentialed school nurse and the licensed vocational nurse.(B) A communication policy delineating how the licensed vocational nurse and the credentialed school nurse are to communicate.(C) The indemnification requirement pursuant to subdivision (f).(D) The financial arrangement between the local educational agencies.(E) The additional compensation for the credentialed school nurse to act as a supervisor.(2) A local educational agency is only authorized to hire a licensed vocational nurse pursuant to this subdivision if a written agreement with another local educational agency is in place.(c) A local educational agency shall only hire a licensed vocational nurse pursuant to this section if a diligent search has been conducted for a suitable credentialed school nurse each school year. A diligent search shall include, but is not limited to, distributing job announcements, contacting college and university placement centers, and advertising in print or electronic media. Copies of all recruitment efforts shall be retained by the employing agency.(d) Subdivision (a) shall not be interpreted to allow a licensed vocational nurse to go beyond the approved scope of practice pursuant to the Vocational Nursing Practice Act (Chapter 6.5 (commencing with Section 2840) of Division 2 of the Business and Professions Code).(e) County offices of education are encouraged to establish networks of credentialed school nurses for employment by local educational agencies that are not able to hire a credentialed school nurse. County offices of education are encouraged to provide mentoring opportunities for licensed vocational nurses.(f) A local educational agency employing a credentialed school nurse who is supervising a licensed vocational nurse at another local educational agency pursuant to this section shall have indemnification for the supervisorial liability from the local educational agency employing the licensed vocational nurse.(g) As used in this section, the following terms have the following meanings:(1) Credentialed school nurse means qualified persons who possess an appropriate credential issued pursuant to Section 44267.5.(2) Licensed vocational nurse means a person licensed pursuant to the provisions of Chapter 6.5 (commencing with Section 2840) of Division 2 of the Business and Professions Code.(3) Local educational agency means a school district, county office of education, or charter school.

49426.5. (a) A licensed vocational nurse hired pursuant to this section shall be supervised by a credentialed school nurse who is employed as a school nurse at the same local educational agency or at another local educational agency.(b) (1) If a local educational agency elects to hire a licensed vocational nurse to be supervised by a credentialed school nurse employed by another local educational agency, both local educational agencies shall enter into a written agreement containing all of the following:(A) The duties of the credentialed school nurse and the licensed vocational nurse.(B) A communication policy delineating how the licensed vocational nurse and the credentialed school nurse are to communicate.(C) The indemnification requirement pursuant to subdivision (f).(D) The financial arrangement between the local educational agencies.(E) The additional compensation for the credentialed school nurse to act as a supervisor.(2) A local educational agency is only authorized to hire a licensed vocational nurse pursuant to this subdivision if a written agreement with another local educational agency is in place.(c) A local educational agency shall only hire a licensed vocational nurse pursuant to this section if a diligent search has been conducted for a suitable credentialed school nurse each school year. A diligent search shall include, but is not limited to, distributing job announcements, contacting college and university placement centers, and advertising in print or electronic media. Copies of all recruitment efforts shall be retained by the employing agency.(d) Subdivision (a) shall not be interpreted to allow a licensed vocational nurse to go beyond the approved scope of practice pursuant to the Vocational Nursing Practice Act (Chapter 6.5 (commencing with Section 2840) of Division 2 of the Business and Professions Code).(e) County offices of education are encouraged to establish networks of credentialed school nurses for employment by local educational agencies that are not able to hire a credentialed school nurse. County offices of education are encouraged to provide mentoring opportunities for licensed vocational nurses.(f) A local educational agency employing a credentialed school nurse who is supervising a licensed vocational nurse at another local educational agency pursuant to this section shall have indemnification for the supervisorial liability from the local educational agency employing the licensed vocational nurse.(g) As used in this section, the following terms have the following meanings:(1) Credentialed school nurse means qualified persons who possess an appropriate credential issued pursuant to Section 44267.5.(2) Licensed vocational nurse means a person licensed pursuant to the provisions of Chapter 6.5 (commencing with Section 2840) of Division 2 of the Business and Professions Code.(3) Local educational agency means a school district, county office of education, or charter school.



49426.5. (a) A licensed vocational nurse hired pursuant to this section shall be supervised by a credentialed school nurse who is employed as a school nurse at the same local educational agency or at another local educational agency.

(b) (1) If a local educational agency elects to hire a licensed vocational nurse to be supervised by a credentialed school nurse employed by another local educational agency, both local educational agencies shall enter into a written agreement containing all of the following:

(A) The duties of the credentialed school nurse and the licensed vocational nurse.

(B) A communication policy delineating how the licensed vocational nurse and the credentialed school nurse are to communicate.

(C) The indemnification requirement pursuant to subdivision (f).

(D) The financial arrangement between the local educational agencies.

(E) The additional compensation for the credentialed school nurse to act as a supervisor.

(2) A local educational agency is only authorized to hire a licensed vocational nurse pursuant to this subdivision if a written agreement with another local educational agency is in place.

(c) A local educational agency shall only hire a licensed vocational nurse pursuant to this section if a diligent search has been conducted for a suitable credentialed school nurse each school year. A diligent search shall include, but is not limited to, distributing job announcements, contacting college and university placement centers, and advertising in print or electronic media. Copies of all recruitment efforts shall be retained by the employing agency.

(d) Subdivision (a) shall not be interpreted to allow a licensed vocational nurse to go beyond the approved scope of practice pursuant to the Vocational Nursing Practice Act (Chapter 6.5 (commencing with Section 2840) of Division 2 of the Business and Professions Code).

(e) County offices of education are encouraged to establish networks of credentialed school nurses for employment by local educational agencies that are not able to hire a credentialed school nurse. County offices of education are encouraged to provide mentoring opportunities for licensed vocational nurses.

(f) A local educational agency employing a credentialed school nurse who is supervising a licensed vocational nurse at another local educational agency pursuant to this section shall have indemnification for the supervisorial liability from the local educational agency employing the licensed vocational nurse.

(g) As used in this section, the following terms have the following meanings:

(1) Credentialed school nurse means qualified persons who possess an appropriate credential issued pursuant to Section 44267.5.

(2) Licensed vocational nurse means a person licensed pursuant to the provisions of Chapter 6.5 (commencing with Section 2840) of Division 2 of the Business and Professions Code.

(3) Local educational agency means a school district, county office of education, or charter school.

SEC. 2. Section 49452 of the Education Code is amended to read: The49452. (a) The governing board of any a school district shall, subject to Section 49451, provide for the testing of the sight and hearing of each pupil enrolled in the schools of the school district. The(b) The test shall be adequate in nature and shall be given only by duly any of the following:(1) By duly qualified supervisors of health employed by the district; or by school district.(2) By certificated employees employees, registered nurses, or licensed vocational nurses, under the supervision of a credentialed school nurse, of the district school district, charter school, or of the county superintendent of schools who possess the qualifications prescribed by the Commission for Teacher Preparation and Licensing; or by Commission on Teacher Credentialing.(3) By contract with an agency duly authorized to perform those services by the county superintendent of schools of the county in which the school district is located, under guidelines established by the State Board of Education; or accredited state board.(4) By accredited schools or colleges of optometry, osteopathic medicine, or medicine. The(c) The records of the tests shall serve as evidence of the need of the pupils for the educational facilities provided physically handicapped individuals. The equipment necessary to conduct the tests may be purchased or rented by governing boards of school districts. The state, any agency, or political subdivision thereof may sell or rent any such equipment owned by it to the governing board of any a school district upon terms as may be mutually agreeable.(d) As used in this section, the following definitions apply:(1) Credentialed school nurse means qualified persons who possess an appropriate credential issued pursuant to Section 44267.5.(2) Licensed vocational nurse means a person licensed pursuant to the provisions of Chapter 6.5 (commencing with Section 2840) of Division 2 of the Business and Professions Code.

SEC. 2. Section 49452 of the Education Code is amended to read:

### SEC. 2.

 The49452. (a) The governing board of any a school district shall, subject to Section 49451, provide for the testing of the sight and hearing of each pupil enrolled in the schools of the school district. The(b) The test shall be adequate in nature and shall be given only by duly any of the following:(1) By duly qualified supervisors of health employed by the district; or by school district.(2) By certificated employees employees, registered nurses, or licensed vocational nurses, under the supervision of a credentialed school nurse, of the district school district, charter school, or of the county superintendent of schools who possess the qualifications prescribed by the Commission for Teacher Preparation and Licensing; or by Commission on Teacher Credentialing.(3) By contract with an agency duly authorized to perform those services by the county superintendent of schools of the county in which the school district is located, under guidelines established by the State Board of Education; or accredited state board.(4) By accredited schools or colleges of optometry, osteopathic medicine, or medicine. The(c) The records of the tests shall serve as evidence of the need of the pupils for the educational facilities provided physically handicapped individuals. The equipment necessary to conduct the tests may be purchased or rented by governing boards of school districts. The state, any agency, or political subdivision thereof may sell or rent any such equipment owned by it to the governing board of any a school district upon terms as may be mutually agreeable.(d) As used in this section, the following definitions apply:(1) Credentialed school nurse means qualified persons who possess an appropriate credential issued pursuant to Section 44267.5.(2) Licensed vocational nurse means a person licensed pursuant to the provisions of Chapter 6.5 (commencing with Section 2840) of Division 2 of the Business and Professions Code.

 The49452. (a) The governing board of any a school district shall, subject to Section 49451, provide for the testing of the sight and hearing of each pupil enrolled in the schools of the school district. The(b) The test shall be adequate in nature and shall be given only by duly any of the following:(1) By duly qualified supervisors of health employed by the district; or by school district.(2) By certificated employees employees, registered nurses, or licensed vocational nurses, under the supervision of a credentialed school nurse, of the district school district, charter school, or of the county superintendent of schools who possess the qualifications prescribed by the Commission for Teacher Preparation and Licensing; or by Commission on Teacher Credentialing.(3) By contract with an agency duly authorized to perform those services by the county superintendent of schools of the county in which the school district is located, under guidelines established by the State Board of Education; or accredited state board.(4) By accredited schools or colleges of optometry, osteopathic medicine, or medicine. The(c) The records of the tests shall serve as evidence of the need of the pupils for the educational facilities provided physically handicapped individuals. The equipment necessary to conduct the tests may be purchased or rented by governing boards of school districts. The state, any agency, or political subdivision thereof may sell or rent any such equipment owned by it to the governing board of any a school district upon terms as may be mutually agreeable.(d) As used in this section, the following definitions apply:(1) Credentialed school nurse means qualified persons who possess an appropriate credential issued pursuant to Section 44267.5.(2) Licensed vocational nurse means a person licensed pursuant to the provisions of Chapter 6.5 (commencing with Section 2840) of Division 2 of the Business and Professions Code.

 The49452. (a) The governing board of any a school district shall, subject to Section 49451, provide for the testing of the sight and hearing of each pupil enrolled in the schools of the school district. The(b) The test shall be adequate in nature and shall be given only by duly any of the following:(1) By duly qualified supervisors of health employed by the district; or by school district.(2) By certificated employees employees, registered nurses, or licensed vocational nurses, under the supervision of a credentialed school nurse, of the district school district, charter school, or of the county superintendent of schools who possess the qualifications prescribed by the Commission for Teacher Preparation and Licensing; or by Commission on Teacher Credentialing.(3) By contract with an agency duly authorized to perform those services by the county superintendent of schools of the county in which the school district is located, under guidelines established by the State Board of Education; or accredited state board.(4) By accredited schools or colleges of optometry, osteopathic medicine, or medicine. The(c) The records of the tests shall serve as evidence of the need of the pupils for the educational facilities provided physically handicapped individuals. The equipment necessary to conduct the tests may be purchased or rented by governing boards of school districts. The state, any agency, or political subdivision thereof may sell or rent any such equipment owned by it to the governing board of any a school district upon terms as may be mutually agreeable.(d) As used in this section, the following definitions apply:(1) Credentialed school nurse means qualified persons who possess an appropriate credential issued pursuant to Section 44267.5.(2) Licensed vocational nurse means a person licensed pursuant to the provisions of Chapter 6.5 (commencing with Section 2840) of Division 2 of the Business and Professions Code.

 The

 The



49452. (a) The governing board of any a school district shall, subject to Section 49451, provide for the testing of the sight and hearing of each pupil enrolled in the schools of the school district. The

(b) The test shall be adequate in nature and shall be given only by duly any of the following:

(1) By duly qualified supervisors of health employed by the district; or by school district.

(2) By certificated employees employees, registered nurses, or licensed vocational nurses, under the supervision of a credentialed school nurse, of the district school district, charter school, or of the county superintendent of schools who possess the qualifications prescribed by the Commission for Teacher Preparation and Licensing; or by Commission on Teacher Credentialing.

(3) By contract with an agency duly authorized to perform those services by the county superintendent of schools of the county in which the school district is located, under guidelines established by the State Board of Education; or accredited state board.

(4) By accredited schools or colleges of optometry, osteopathic medicine, or medicine. The

(c) The records of the tests shall serve as evidence of the need of the pupils for the educational facilities provided physically handicapped individuals. The equipment necessary to conduct the tests may be purchased or rented by governing boards of school districts. The state, any agency, or political subdivision thereof may sell or rent any such equipment owned by it to the governing board of any a school district upon terms as may be mutually agreeable.

(d) As used in this section, the following definitions apply:

(1) Credentialed school nurse means qualified persons who possess an appropriate credential issued pursuant to Section 44267.5.

(2) Licensed vocational nurse means a person licensed pursuant to the provisions of Chapter 6.5 (commencing with Section 2840) of Division 2 of the Business and Professions Code.





(a)The minimum requirements for a services credential with a specialization in health for a school nurse are all of the following:



(1)A baccalaureate or higher degree from a regionally accredited institution of higher education.



(2)A valid California license as a registered nurse or a vocational nurse.



(3)One year of coursework beyond the baccalaureate degree in a program approved by the commission.



(b)The period for which a services credential with a specialization in health for a school nurse is valid shall be as follows:



(1)For a preliminary credential, pending completion of the one year of coursework beyond the baccalaureate degree in a program approved by the commission, five years.



(2)For the professional credential, after completion of requirements specified by the commission, five years.



(c)The services credential with a specialization in health for a school nurse shall authorize the holder to perform, in grades 12 and below, the health services approved by the commission and designated on the credential.



(d)The holder of a services credential with a specialization in health for a school nurse who also completes the requirements for a special class authorization in health in a program that is approved by the commission is authorized to teach classes on health in preschool, kindergarten, grades 1 to 12, inclusive, and classes organized primarily for adults.



(e)For the purposes of the requirement in paragraph (3) of subdivision (a), the commission may approve a program offered by a local educational agency, which had 40,000 or more pupils enrolled during the 201920 school year, for one year of coursework beyond the baccalaureate degree. The commission shall apply the standards for approval of a program of professional preparation offered by a postsecondary educational institution to a program of professional preparation offered by a local educational agency.







(a)The qualifications for a nurse shall be a valid certificate of registration issued by the Board of Registered Nursing or a valid license for vocational nursing issued by the Board of Vocational Nursing and Psychiatric Technicians and a health and development credential, a standard designated services credential with a specialization in health, or a services credential with a specialization in health.



(b)The services credential with a specialization in health authorizing service as a school nurse shall not authorize teaching services unless the holder also completes the requirements for a special class authorization in health in a program that is approved by the commission.



(c)On and after January 1, 1981, the qualifications for a nurse shall also include proof satisfactory to the school district that the nurse has acquired training in child abuse and neglect detection. This requirement may be satisfied through participation by the nurse in continuing education activities relating to child abuse and neglect detection and treatment.







(a)A school nurse is a registered nurse currently licensed under Chapter 6 (commencing with Section 2700) of Division 2 of the Business and Professions Code or a licensed vocational nurse currently licensed under Chapter 6.5 (commencing with Section 2840) of Division 2 of the Business and Professions Code, and who has completed the additional educational requirements for, and possesses a current credential in, school nursing pursuant to Section 44877.



(b)School nurses strengthen and facilitate the educational process by improving and protecting the health status of children and by identification and assistance in the removal or modification of health-related barriers to learning in individual children. The major focus of school health services is the prevention of illness and disability, and the early detection and correction of health problems. The school nurse is especially prepared and uniquely qualified in preventive health, health assessment, and referral procedures.



(c)Nothing in this section shall be construed to limit the scope of professional practice or otherwise to change the legal scope of practice for any registered nurse or other licensed healing arts practitioner. Rather, it is the intent of the Legislature to provide positively for the health services, many of which may be performed in the public schools only by physicians and school nurses. School nurses may perform, if authorized by the local governing board, the following services:



(1)Conduct immunization programs pursuant to Section 49403 and assure that every pupils immunization status is in compliance with the law, including parental or guardian consent, and good health practice.



(2)Assess and evaluate the health and developmental status of pupils to identify specific physical disorders and other factors relating to the learning process, communicate with the primary care provider, and contribute significant information in order to modify the pupils educational plans.



(3)Interpret the health and developmental assessment to parents, teachers, administrators, and other professionals directly concerned with the pupil.



(4)Design and implement a health maintenance plan to meet the individual health needs of the students, incorporating plans directed by a physician.



(5)Refer the pupil and their parent or guardian to appropriate community resources for necessary services.



(6)Maintain communication with parents and all involved community practitioners and agencies to promote needed treatment and secure reports of findings pertinent to educational planning.



(7)Interpret medical and nursing findings appropriate to the students individual educational plan and make recommendations to professional personnel directly involved.



(8)Consult with, conduct in-service training to, and serve as a resource person to teachers and administrators, and act as a participant in implementing any section or sections of a comprehensive health instruction curriculum for students by providing current scientific information regarding nutrition, preventive dentistry, mental health, genetics, prevention of communicable diseases, self-health care, consumer education, and other areas of health.



(9)Counsel pupils and parents by:



(A)Assisting children and youth, parents, and school personnel in identifying and utilizing appropriate and mutually acceptable private and community health delivery services for professional care and remediation of defects.



(B)Counseling with parents, pupils, and school staff regarding health-related attendance problems.



(C)Helping parents, school personnel and pupils understand and adjust to physical, mental and social limitations.



(D)Exploring with families and pupils, attitudes, information and values which affect their health behavior.



(10)Assist parents and pupils to solve financial, transportation and other barriers to needed health services.



(d)The holder of a services credential with a specialization in health for a school nurse who also completes the requirements for a special class authorization in health in a program that is approved by the commission is authorized to teach classes on health in a preschool, kindergarten, grades 1 to 12, inclusive, and classes organized primarily for adults.