Oregon Oregon Department of Education

Rule Rule 581-022-2220
Health Services


The school district shall maintain a prevention oriented health services program for all students which provides:


Health care and space that is appropriately supervised and adequately equipped for providing first aid, and isolates the sick or injured child from the student body;


Communicable disease control, as provided in Oregon Revised Statutes;


Health screening information, including required immunizations and TB certificates, when required by ORS 433.260 (Exclusion of persons exposed to or having restrictable disease from school or children’s facility) and 431.110 (General powers and duties of Oregon Health Authority) and OAR 333-019-0405;


Services for students who are medically fragile or have special health care needs;


Integration of school health services with school health education programs and coordination with health and social service agencies, public and private;


Vision and hearing screening;


Compliance with OR-OSHA Bloodborne Pathogens Standards for all persons who are assigned to job tasks which may put them at risk for exposure to body fluids (ORS 1910-1030); and


Policy and procedures for medications, as per ORS 339.870 (Liability of school personnel administering medication).


School districts shall adopt policies and procedures which consider admission, placement and supervision of students with communicable diseases, including but not limited to Hepatitis B (HBV), Human Immunodeficiency Virus (HIV) and Acquired Immune Deficiency Syndrome (AIDS) (OAR 333-019-0015).


School districts which employ nurses to provide health services shall employ persons currently licensed to practice as Registered Nurses or Nurse Practitioners in Oregon:


School districts may employ Licensed Practical Nurses, providing that their practice is supervised by a Registered Nurse or Nurse Practitioner with the above stated qualifications;


Job descriptions shall reflect assignments complying with the Oregon State Board of Nursing (OSBN) Scope of Practice Administrative Rules for all levels of licensed providers, OAR 851-450-0000 to 0010 and 851-050-0000 and 0005; and


If school districts employ Registered Nurses or Nurse Practitioners who are not licensed by Teacher Standards and Practices Commission as school nurses, the district shall not designate such personnel as “school nurse” by job title as per ORS 342.475 (School nurses) and 342.495 (Holder of school nurse certificate qualified to conduct and coordinate health services program).


Each school shall have, at a minimum, at least one staff member with a current first aid card for every 60 students enrolled, or an emergency response team per building consisting of no less than six persons who hold current first aid/CPR cards and who are trained annually in the district and building emergency plans.


The school district shall have policies and/or administrative procedures concerning employees with communicable diseases, including but not limited to Hepatitis B (HBV), Human Immunodeficiency Virus (HIV) and Acquired Immune Deficiency Syndrome (AIDS).


Each school building must have a written plan for response to medical emergencies; such plan should be articulated with general emergency plans for buildings and districts as required by OAR 581-022-2225 (Emergency Plans and Safety Programs).

Last accessed
Jun. 8, 2021