Association of School Nurses of Connecticut    

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Our Mission

The mission of the Association of School Nurses of Connecticut is to support and enhance the effectiveness of school nurses in their specialty practice by empowering them to develop and implement comprehensive school health programs which serve the health needs of children and their families and the school community thus strengthening the educational process of Connecticut children.


The Association of School Nurses of Connecticut welcomes you to its web site.  We hope to provide information about school nursing and school health to school nurses, and any one else who has an interest in school health matters. We look forward to feedback about this site and about school health. We would appreciate you letting us know that you have visited our site.  You can do this by visiting our feedback page.  If you have any comments, questions or information you would like to share, you are encouraged to email us.


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Qualifications
 

 

 

 

School Nurse Qualifications
Connecticut General Statutes 10-212
Connecticut Regulations 10-212-1-7
 
 
ASNC continues to work with the CT Department of Education to improve on the 1982 Regulations (10-212) regarding school nurse qualifications.  The history of this work appears at Certification.
 
 
This is a letter sent to Mark Stapleton, Chief, Office of Legal and Governmental Affairs, Connecticut State Department of Education, regarding School Nurse Qualifications. His replies to my specific questions are in red.
   
You may also view this letter in its original format as well as other official documentation by clicking here.
 

November 9, 1998

Mr. Mark Stapleton, Chief
Connecticut State Department of Education
Legal and Governmental Affairs
165 Capitol Ave.
PO Box 2219
Hartford, CT 06145-2219

Subject: School Nurse Qualifications

Dear Mr. Stapleton:

As President of the Association of School Nurses of Connecticut, I receive many questions regarding school nurse qualifications and the role of the school nurse. I would appreciate it if you could clarify for me the requirements under C.G.S. §10-212 and Connecticut Regulations §10-212-1-7. Prior to 1982, there was no mandate for school nurses and there were no qualifications for school nurses. I would think that the intent of the law was to ensure that the nurses who practice in schools are qualified to provide safe and effective health care for the students of Connecticut. My specific questions are as follows:

Your letter dated November 9, 1998 asks that I clarify that your understanding of the proper responses to several questions concerning the qualifications and roles of school nurses is correct.  My comments concerning those questions follow.

(1) C.G.S. §10-212 states that each local or regional board of education shall appoint one or more school nurses or nurse practitioners. Such school nurses and nurse practitioners appointed by such boards shall be qualified pursuant to regulations adopted in accordance with the provisions of chapter 54 by the State Board of Education with the technical advice and assistance of the Department of Public Health. Such school nurses may also act as visiting nurses in the town, may visit the homes of pupils in the public schools and shall assist in executing the orders of the school medical advisor, if there is any in such town, and perform such other duties as are required by such board.

(a) My interpretation of this is that while it is mandatory to hire only one school nurse or practitioner if more than one person is hired in the role of a school nurse or under the job description of school nurse each must be qualified under §10-212-2-3. Is this a correct interpretation?

I agree that Section 10-212 of the General Statutes only requires school districts to hire one school nurse or practitioner for each school district, but if more than on individual is hired as a school nurse, each must be qualified pursuant to Section 10-212-2 and 3 of the Regulations of Connecticut State Agencies.  However this does not preclude a district from hiring assistants to school nurses, such as LPNs who would not be required to meet those qualifications.

(2) A nurse or nurse practitioner who meets the licensure requirements of subsection (a) of §10-212-2 of these regulations, was employed as a nurse in a school as of September 1, 1982, and has worked in that position for the equivalent of five years full time, is considered a qualified school nurse. Any nurse hired to function in the role or under the job description of a school nurse after September 1, 1982 must meet the qualifications, or the provisional qualifications in §10-212-4. A provisionally qualified school nurse must complete the requirements of §10-212-2 within three years in order to function in the role of a school nurse or under the job description of a school nurse. Is this a correct interpretation?

I agree with your second statement as well.  A nurse or practitioner who meets the licensure requirements of subsection (a) of Section 10-212-2 of the Regulations, who was employed as a nurse in a school as of September 1, 1982, and who has worked in that position for the equivalent of five years full time is considered to have met all the qualifications of a school nurse under Section 10-212-2.  Any nurse hired to function in the role of a school nurse after September 1, 1982 must meet those qualifications, or the provisional qualifications of Section 10-212-4.  A provisionally qualified school nurse must complete the requirements of Section 10-212-2 within three years in order to function as a school nurse.

(3) In light of the wording in C.G.S. §10-212, "Each local or regional board of education shall appoint one or more school nurses or nurse practitioners. Such school nurses and nurse practitioners appointed by such boards shall be qualified pursuant to regulations adopted in accordance with the provisions of chapter 54 by the State Board of Education with the technical advice and assistance of the Department of Public Health", .I contend that the intent of §10-212-6 Authority of a local or regional board of education to appoint a school nurse "A local or regional board of education may require that each registered nurse providing school health services meets the qualifications as set forth in Section 10-212-2 of these regulations whether employed by the board of education or appointed under contract with a local health agency," was that nurses appointed by a local health agency, such as a visiting nurse agency or local health department could be required to meet the requirements under 10-212-2 as well as those appointed by the board of educationCan you please clarify this for me? Since § 10-212-7 allows compliance in a different manner for towns having a population under ten thousand, which have appointed a legally qualified practitioner as a school medical advisor, this would seem to be the realistic approach to small towns not having to meet the requirement of all nurses being qualified. I must point out, however that in many districts, the pay rate would be the same or very similar for qualified or unqualified school nurses. The mandate for only one school nurse per district is continually pointed out to us, however it would seem that the intent of the law "Such school nurses and nurse practitioners appointed by such boards shall be qualified pursuant to regulations adopted in accordance with the provisions of chapter 54 by the State Board of Education, etc." is that any nurse working in that position must be qualified. If a nurse should be hired under a provisional qualification he or she must become qualified within three years to function in the role.

I also agree with you that Section 10-212-6 f the Regulations allows a local or regional board of education to require that all registered nurses providing school health services, whether employed by the board or appointed under contract with a local health agency, meet the qualifications of Section 10-212-2.   You appear to believe that Section 10-212-7 makes an exception to this rule.   It is my understanding that Section 10-212-7 gives boards of education in towns with populations of less than ten thousand some latitude in demonstrating compliance with qualification requirements, but does not allow the appointment of a school nurse who does not meet the qualifications.  Please note that any plan to permit an alternative demonstration of qualifications must be approved by the State Board of Education.  I do not believe that any such proposals have been made in a number of years.

Please let me know if you have any questions with regard to the above.

The Association of School Nurses of Connecticut is concerned with the health and safety of the students in Connecticut. School nurses who are committed to providing the appropriate health services required by today’s diverse student population need to be held accountable for maintaining at least minimal standards of expertise in order to provide these services in the safest and most effective manner. ASNC also contends that the qualifications stipulated by 10-212-1-7 are certainly minimal standards and are no longer appropriate in light of the students we have in schools today. Health care plans, classroom accommodations, medications and treatments required under IDEA and 504 require that a school nurse enter school nursing with a higher level of expertise than ever before. We would however, like to make sure that the law that is presently in place is being adhered to. Healthy children learn better, school nurses make it happen.

Thank you for your consideration of these questions.

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Last modified:08/25/2008

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