CHAPTER 64F-6 SCHOOL HEALTH SERVICES PROGRAM
64F-6.001 Definitions.
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64F-6.002 School Health Services Plan.
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64F-6.003 Screening.
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64F-6.004 Meeting Emergency Health Needs.
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64F-6.005 Maintenance of Records.
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64F-6.006 Exceptional Student Education Program.
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64F-6.007 Non-public Schools. (Repealed)
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64F-6.008 Supplemental School Health Services. (Repealed)
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64F-6.001 Definitions.
When used in Chapter 64F-6, the following definitions will apply:
(1)
problem or suspected health problem.
(2) “Family” means the student and others who have an integral role in the care and support of the student such as parents,
spouses, non-custodial parents, legal guardians, siblings, grandparents, and foster parents.
(3) “Follow-up” means the contact with a student, family member, or service provider to verify receipt of services, provide
clarification, and determine the need for additional assistance.
(4) “Growth and development screening” means the periodic measurement of a student's height and weight to identify
abnormal growth and development.
(5) “Non-public schools” means those non-public schools that meet the requirements listed in Section 381.0056(6), F.S.
(6) “Nursing assessment” means the identification of student health needs. This is an entry and on-going process which
includes compiling a health history, making observations, monitoring student and family reactions, interviewing to ascertain social
and emotional stability and determine resources to meet the stated needs. It may also include making a physical assessment by those
nurses who are qualified to provide these assessments.
(7) “Staffing” means the evaluation by designated school and health care providers of a student for placement in an
exceptional student program.
(8) “Supplemental School Health Services” means those expanded health, educational and social services provided under the
provisions and funding process specified in Section 381.0057, F.S., and Rule 64F-6.008, F.A.C.
(9) “Vision and hearing screening” means the periodic testing of visual and auditory acuity.
Specific Authority 402.32(8) FS. Law Implemented 402.32(5)(a)-(e), (h)-(k), (o), (r) FS. History–New 3-10-85, Formerly 10D-84.14,
Amended 4-6-94, 4-25-96, Formerly 10D-84.014.
64F-6.002 School Health Services Plan.
(1) The state plan for school health services shall be developed by the department in cooperation with the Department of
Education to include, at a minimum, a plan for the delivery of school services; accountability and outcome indicators; strategies for
assessing and blending financial resources (both public and private); and establishment of a data system.
(2) The local school health services plans shall include, at a minimum, the following components:
(a) A plan for the delivery of those services listed in ss. 381.0056(5)(a)-(r) and 381.0057, F.S.;
(b) Budget and staffing information;
(c) Number and levels of public and non-public schools and number of students served;
(d) Communicable disease policies;
(e) Immunization policies that, at a minimum, include immunization requirements for schools as listed in Rule 64D-3.011,
F.A.C., and Section 232.032, F.S.;
(f) Initial school entry health examination policy;
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(i) School district and county public health unit personnel responsible for coordinating health services.
(j) The local school health services plan shall describe employing or contracting for all health-related staff and the
supervision of all school health services personnel regardless of funding source.
1. Protocols for supervision of school health services personnel shall be described in the local school health services plan to
assure that such services are provided in accordance with statutory and regulatory requirements and professional standards. These
shall be kept on file at the local school district and the county health department (CHD).
2. Decisions regarding medical protocols or standing orders in the delivery of school health services are the responsibility of
the CHD medical director in conjunction with district school boards, local school health advisory committees, the school district
medical consultant, or the student's private physician.
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(3) Each local school health services plan shall be completed biennially and approved and signed by the superintendent of
schools, school board chairperson, CHD medical director or administrator and the department's district administrator.
(a) The local school health services plan shall be reviewed each year for the purpose of updating the plan. Amendments shall
be signed by the school district superintendent and the CHD medical director or administrator.
(b) The services provided shall be dependent on the statutory requirements, local priorities and availability of resources.
Specific Authority 381.0056(8) FS. Law Implemented 381.0056(5) FS. History–New 3-10-85, Formerly 10D-84.15, Amended 4-6-
94, 4-25-96, Formerly 10D-84.015.
64F-6.003 Screening.
(1) Vision screening shall be provided, at a minimum, to students in grades kindergarten, 1, 3, and 6, and students entering
Florida schools for the first time in grades kindergarten through 5.
(2) Hearing screening shall be provided, at a minimum, to students in grades kindergarten, 1 and 6; to students entering
Florida schools for the first time in grades kindergarten through 5; and optionally to students in grade 3.
(3) Growth and development screening shall be provided, at a minimum, to students in grades 1, 3 and 6, and optionally to
students in grade 9.
(4) Scoliosis screening shall be provided, at a minimum, to students in grade 6.
Specific Authority 381.0056(8) FS. Law Implemented 381.0056(5)(f)-(i) FS. History–New 3-10-85, Formerly 10D-84.16,
Amended 4-6-94, Formerly 10D-84.016, Amended 5-11-04.
64F-6.004 Meeting Emergency Health Needs.
(1) Policies, procedures and protocols for the management of health emergencies shall be in writing and kept on file at the
local school district, each school, and the CHD, and include, at a minimum, the following provisions:
(a) An emergency information card, updated annually, shall be completed for each student listing contact person, family
physician, allergies, significant health history and permission for emergency care; and
(b) The locations of emergency supplies and equipment and a list of persons currently certified by a nationally recognized
certifying agency to provide first aid and cardiopulmonary resuscitation shall be posted in several areas throughout the school plant.
(2) As part of the plan, all employees who staff school health rooms shall be currently certified in first aid and
cardiopulmonary resuscitation by a nationally recognized certifying agency. A copy of this certification shall be kept on file in the
health room or the school office, and a list of those persons currently certified in first aid and cardiopulmonary resuscitation shall be
displayed in the health room, school office, cafeteria, gymnasium, home economics classrooms, industrial arts classrooms, and other
areas that pose an increased potential for injuries.
(3) As part of the plan, each school shall ensure that at least two school staff members, excluding health room staff, are
currently certified by nationally recognized certifying agencies to provide first aid and cardiopulmonary resuscitation. A copy of this
certification shall be kept on file in the health room or the school office, and a list of those persons currently certified in first aid and
cardiopulmonary resuscitation shall be displayed in the health room, school office, cafeteria, gymnasium, home economics
classrooms, industrial arts classrooms, and other areas that pose an increased potential for injuries.
(4) The school nurse, in cooperation with the school principal or the person designated by the principal or the acting
principal, shall assist in the planning for the training of those persons who provide care on a day-to-day basis to students who are ill or
injured while on school grounds during school hours.
(5) The school nurse shall monitor the adequacy and expiration date of first aid supplies, emergency equipment and facilities.
(6) The school principal or the person designated by the principal or the acting principal shall be responsible for assuring that
first aid supplies, emergency equipment and facilities are maintained.
(7) All injuries and episodes of sudden illness referred for emergency health treatment shall be documented and reported
immediately to the principal or the person designated by the principal or the acting principal.
Specific Authority 381.0056(8) FS. Law Implemented 381.0056(5)(l) FS. History–New 3-10-85, Formerly 10D-84.17, Amended 4-
6-94, Formerly 10D-84.017.
64F-6.005 Maintenance of Records.
(1) Cumulative health records on each student shall be maintained in the school by personnel authorized by school board
policy and governing authority of non-public schools. Such records shall include information regarding:
(a) Immunization status and certification;
(b) Health history, including any chronic conditions and treatment plan;
(c) Screening tests, results, follow-up and corrective action;
(d) Health examination report;
(e) Documentation of injuries and documentation of episodes of sudden illness referred for emergency health care;
(f) Documentation of any nursing assessments done, written plans of care, counseling in regards to health care matters and
results;
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(g) Documentation of any consultations with school personnel, students, parents, guardians or service providers about a
student's health problem, recommendations made and results; and
(h) Documentation of physician's orders and parental permission to administer medication or medical treatments given in
school.
(2) Records for documented confidential health information that are not part of the student cumulative health record shall be
maintained in the private professional's office or the office of the school health nurse and shall be used only in connection with the
provision of treatment to the student and be available only to persons providing such treatment as defined in Section 228.093(2)(e)4.,
F.S.
(a) Confidential health information shall include such information as notes taken during a counseling session, and mental
health assessments and evaluations.
(b) It should be noted in the student cumulative health record that a separate record of health information exists.
Specific Authority 381.0056(8) FS. Law Implemented 381.0056(5)(p) FS. History–New 3-10-85, Formerly 10D-84.18, Amended 4-6-
94, 4-25-96, Formerly 10D-84.018.
64F-6.006 Exceptional Student Education Program.
(1) Students suspected of being exceptional as defined by Rule 6A-6.0301, F.A.C., shall be referred for professional
evaluation in accordance with school district procedures for providing special programs.
(2) Relevant health information shall be made available to the school district personnel by the school nurse and health care
providers for staffing and educational planning.
(3) The local school health services plan shall address procedures for the coordination of the School Health Services Program
and the Exceptional Student Education Program and shall include provision for a current screening for vision and hearing and a review
of the student health records to ensure that physical health problems are considered in such placements.
Specific Authority 381.0056(8) FS. Law Implemented 381.0056(5)(q) FS. History–New 3-10-85, Formerly 10D-84.19, Amended 4-6-
94, Formerly 10D-84.019.