Nursing

MHCP-covered IEP health-related services are individual face-to-face nursing services that will help the child attend school and receive a free appropriate public education (FAPE). A professional nurse, or a practical nurse under the direction of a professional nurse, provides the services. Some of these services include:

Catheterization, tube feeding, suctioning and ventilator care

Complex medication administration that requires the skill of a nurse and is administered rectally or through an IV, injection, nebulizer or gastrostomy tube, or has complex interactions with other medication and treatments

The simple administration of prescription medications by a nurse who is employed by or under contract with a school district (To be a covered service, simple medication administration must be identified in the child’s IEP or IFSP.)

Medication management provided by a professional nurse that includes reviewing a child’s current medications and adhering to the prescribed medication regimen (including review and knowledge of the frequency and dosage of all medications taken) and one or more of the following, as appropriate:

Nurse evaluation for adverse reactions to medications, such as nursing assessment or review of health status; identification of health hazards and actual or potential health needs; evaluation of health behavior; and physical, emotional and psychological health

Health teaching and counseling the child about his or her medication and proper medication administration. This could include teaching the child about his or her medication, possible side effects, reactions and need for compliance (This does not include in-depth nutritional counseling normally performed by a licensed dietician and structured diabetic education programs.)

Contact with the health care provider about prescriptions or treatment orders, tolerance or adherence

Independent nursing interventions

Chronic disease management

Nursing assessment and diagnostic testing, such as vital signs and glucose testing (when medically necessary, related to the medical condition identified on the IEP)

Activities of daily living when the IEP indicates a one-on-one nurse is required at school