TITLE 6 PRIMARY
AND SECONDARY EDUCATION
CHAPTER 63 SCHOOL
PERSONNEL - LICENSURE REQUIREMENTS FOR ANCILLARY AND
SUPPORT
PERSONNEL
PART 2 LICENSURE
FOR SCHOOL NURSES, GRADES PRE K-12
6.63.2.1 ISSUING
AGENCY: Public Education Department
(PED).
[07-31-97; 07-30-99; 6.63.2.1 NMAC - Rn, 6 NMAC 4.2.3.1.1,
10-31-01; A, 06-15-06; A, 07-01-08]
6.63.2.2 SCOPE: Chapter 63, Part 2, governs licensure for
school nurses, grades pre K-12, for those persons seeking such licensure.
[07-31-97; 6.63.2.2 NMAC - Rn, 6 NMAC 4.2.3.1.2, 10-31-01;
A, 06-15-06]
6.63.2.3 STATUTORY
AUTHORITY: Sections 22-2-1, NMSA
1978, 22-2-2, NMSA 1978, and 22-10-A-17 NMSA 1978.
[07-31-97; 6.63.2.3 NMAC - Rn, 6 NMAC 4.2.3.1.3, 10-31-01;
A, 06-15-06]
6.63.2.4 DURATION: Permanent.
[07-31-97; 6.63.2.4 NMAC - Rn, 6 NMAC 4.2.3.1.4, 10-31-01]
6.63.2.5 EFFECTIVE
DATE: July 31, 1997.
[07-31-97; 6.63.2.5 NMAC - Rn, 6 NMAC 4.2.3.1.5, 10-31-01]
6.63.2.6 OBJECTIVE: This rule establishes the requirements for
three types of school nurse licensure for persons seeking licensure as an
associate school nurse, a professional school nurse, or a supervisory school
nurse.
[07-31-97; 6.63.2.6 NMAC - Rn, 6 NMAC 4.2.3.1.6, 10-31-01;
A, 06-15-06]
6.63.2.7 DEFINITIONS: [RESERVED]
6.63.2.8 REQUIREMENTS:
A. Persons seeking an associate school
nurse license pursuant to the provisions of this rule shall meet the following
requirements:
(1) associate's degree in
nursing from a regionally accredited college or university or from an institution
accredited by the national league of nursing or a diploma program in nursing
accredited by the national league of nursing; and
(2) a valid New Mexico
registered nurse license issued by the New Mexico board of nursing or any successor
licensing board for nurses or license from another state based on current
compact state license according to New Mexico nursing board rule, 16.12.2 NMAC.
B. Persons seeking a professional
school nurse license pursuant to the provisions of this rule shall meet the
following requirements:
(1) bachelor's degree in
nursing or in a health related field from a regionally accredited college or
university or from an institution accredited by the national league of nursing;
and
(2) a valid New Mexico registered nurse
license issued by the New Mexico board of nursing or any successor licensing
board for nurses or license from another state based on current compact state
license according to New Mexico nursing board rule, 16.12.2 NMAC.
C. Persons seeking a supervisory school
nurse license pursuant to the provisions of this rule shall meet the following
requirements:
(1) master's degree in nursing
or in a health related field from a regionally accredited college or university
or from an institution accredited by the national league of nursing; and
(2) a valid New Mexico
registered nurse license issued by the New Mexico board of nursing or any
successor licensing board for nurses or license from another state based on
current compact state license according to New Mexico nursing board rule,
16.12.2 NMAC.
[07-31-97; 6.63.2.8 NMAC - Rn, 6 NMAC 4.2.3.1.8, 10-31-01;
A, 9/30/03; A, 06-15-06; A, 07-01-08]
6.63.2.9 IMPLEMENTATION:
A. All persons holding a valid New
Mexico license for school nurses on the day that this rule is effective and who
meet the provisions of Subsection A, Paragraphs (1) and (2) of 6.63.2.8 NMAC
shall be entitled to licensure as an associate school nurse.
B. All persons holding a valid New
Mexico license for school nurses on the day that this rule is effective and who
meet the provisions of Subsection B, Paragraphs (1) and (2) of 6.63.2.8 NMAC
shall be entitled to licensure as a professional school nurse.
C. All persons holding a valid New
Mexico license for school nurses on the day that this rule is effective and who
meet the provisions of Subsection C, Paragraphs (1) and (2) of 6.63.2.8 NMAC
shall be entitled to licensure as a supervisory school nurse.
[07-31-97; 6.63.2.9 NMAC - Rn, 6 NMAC 4.2.3.1.9, 10-31-01]
6.63.2.10 CONTINUING
SCHOOL NURSE LICENSURE: Persons
holding a valid level 1 associate, professional, or supervisory school nurse
license and seeking a level 2 associate or professional school nurse license or
a level 3 supervisory school nurse license; persons holding a valid level 2
associate or professional school nurse license and seeking continuation of the
level 2 license; and persons holding a level 3 supervisory license and seeking
continuation of the level 3 license shall meet the following requirements:
A. a completed application for
continuing New Mexico licensure shall be submitted to the director of professional
licensure;
B. a copy of a valid registered nurse
license shall be submitted with the application for continuing New Mexico
licensure; and
C. the superintendent of the local
school district or the governing authority of the state institution or private
school by which the applicant has been most recently employed as of the date of
application for continuing licensure must submit verification that the
applicant has satisfactorily demonstrated the competencies for school nurses
for the level and type of school nurse license sought.
[07-31-97; 6.63.2.10 NMAC - Rn, 6 NMAC 4.2.3.1.10, 10-31-01]
6.63.2.11 REFERENCED
MATERIAL:
A. Competencies for associate school nurses
(1) In collaboration with
educational staff and others, the associate school nurse establishes and
manages a coordinated school health program under the direction of a nurse
supervisor consistent with New Mexico guidelines, regulations, and statutes
governing nursing and school health, as well as local school district policy
by:
(a) consulting with the school
administrators, physicians and others to establish, review and revise policies,
procedures and specific programs for coordinated school health education and
services; performance of this task requires clinical supervision;
(b) assisting in the development of a needs
assessment procedure and data collection procedure, as well as a plan to
evaluate health services; also prepares regular written reports for school
officials and state agencies; performance of this task requires clinical
supervision;
(c) implementing state
mandated programs such as immunization surveillance and health screening
programs;
(d) facilitating the
orientation, training, supervision, and evaluation of health assistant
personnel as needed to provide a safe level of health services and to comply
with the N.M. Nurse Practice Act and other relevant statutes and regulations;
(e) developing effective methods
of documentation and a coordinated school health record system;
(f) assisting in the
prevention of communicable diseases in the school by providing necessary
school-based education and interventions in collaboration with and under the
direction of the local health authority and the professional school nurse;
(g) promoting positive safety
practices both within and outside of school buildings, and participating in the
development of an emergency plan which is communicated to personnel and
students;
(h) interpreting school health
service needs and the role of the school nurse to the school and community;
also serves on school health advisory committees as appropriate;
(i) participating in the
planning for health in-service programs for school personnel;
(2) Using the nursing process,
the associate school nurse plans and implements health care in collaboration
with educational staff, families, and students by:
(a) collecting information
about the health and developmental status of students, staff, and families in a
continuous and systematic manner, including health and social histories,
screening results, physical assessments, emotional status, performance levels
and health goals;
(b) developing and
implementing student health management plans;
(c) providing for medically
prescribed interventions, including medication administration and
medical/nursing treatments and/or arranging for the standard care of ill and
injured students and staff members as needed;
(d) responding to health
issues, providing preliminary counseling and crisis intervention, and providing
reference services in areas such as teen pregnancy, substance abuse, death of
family members, suicide, and child neglect or abuse when required;
(e) managing communicable disease issues in
the school by providing school-based education and interventions in
collaboration with and under the direction of the local health authority, and
pursuant to appropriate federal regulations and guidelines;
(f) assessing student response
to nursing actions in order to revise the database as needed, nursing diagnoses
and nursing care plans and to determine the progress made toward goal
achievement.
(3)
The associate school nurse collaborates with other professionals, team members,
and community providers in assessing, planning, implementing, and evaluating
programs and other school health activities in order to maximize and coordinate
services and prevent duplication by:
(a) establishing a process to
identify students at risk for physical and psychosocial problems, communicating
health needs to other school personnel as appropriate and establishing a
referral system using both internal and community resources;
(b) participating as a team
member and, with parental consent when indicated, sharing information with
other team members about student health problems and needs; also acting as an
advocate for students and families when appropriate;
(c) including students and
families in team conferences whenever possible and appropriate;
(d) identifying health-related
needs for inclusion in the student’s individual education plan and developing
the health management plan if appropriate;
(e) serving as a member of
pertinent committees and teams such as the school district’s long-range strategic
planning committee, special education committee, intervention committee, crisis
intervention team, and support groups for students;
(f) participating in the
planning, implementation, evaluation, and acting as the leader in the ongoing
operation of school-based health centers if appropriate. Performance of this task requires clinical
supervision;
(g) participating in the
planning and implementation of staff and student health promotion and wellness
programs;
(h) working with community
agencies addressing school/community health care needs.
(4) The associate school nurse
applies nursing theory as the basis for decision-making in the school setting
while expanding knowledge and skills in response to student health needs by:
(a) demonstrating current
knowledge in such areas as:
(i) professional issues in school
nursing;
(ii) school and community
health;
(iii) communicable disease
control;
(iv) growth and development;
(v) health assessment;
(vi) acute and chronic health
conditions;
(vii) injury prevention and
emergency care;
(viii) student issues;
(ix) legal/ethical health
policy;
(b) participating, where
appropriate, in pilot projects/research projects related to school health;
(c) collaborating with local schools of
nursing to provide student practice in community health as well as to obtain
nursing education resources;
(d) assuming responsibility
for continuing her/his own education and obtaining expert consultation,
supervision and peer review as needed.
B. Competencies for professional school
nurses
(1) In collaboration with
educational staff and others, the professional school nurse establishes and
manages a coordinated school health program consistent with New Mexico
guidelines, regulations and statutes governing nursing and school health, as
well as local school district policy by:
(a) consulting with the school
administrators, physicians and others to establish, review and revise policies,
procedures and specific programs for coordinated school health education and
services;
(b) developing a needs
assessment procedure and data collection procedure, as well as a plan to
evaluate health services; also preparing regular written reports for school
officials and state agencies;
(c) organizing and
implementing state-mandated programs such as immunization surveillance and
health screening programs;
(d) facilitating the
orientation, training, supervision, and evaluation of health assistant
personnel as needed to provide a safe level of health services and to comply
with the NM Nurse Practice Act and other relevant statutes and regulations;
(e) developing effective
methods of documentation and a coordinated school health record system;
(f) developing programs for
communicable disease prevention and infection control based on current
guidelines for universal precautions, prevention of blood borne pathogens
exposure and hazardous medical waste disposal;
(g) promoting positive safety
practices both within and outside of school buildings and participating in the
development of an emergency plan which is communicated to personnel and
students;
(h) interpreting school health
service needs and the role of the school nurse to the school and community;
also serving on school health advisory committees as appropriate.
(2) Using the nursing process,
the professional school nurse plans and implements health care in collaboration
with educational staff, families, and students by:
(a) collecting and analyzing
information about the health and developmental status of students, staff, and
families in a continuous and systematic manner, including health and social
histories, screening results, physical assessments, emotional status,
performance levels and health goals;
(b) developing a nursing
diagnosis and student health management plan with specific goals and interventions
delineating school nursing actions specific to student needs and coordinated
with the efforts of other providers and school personnel; also implementing
this plan in a manner aimed at improving health and educational status;
(c) providing for medically prescribed
interventions, including medication administration and medical/nursing
treatments and arranging for the standard care of ill and injured students and
staff members as needed;
(d) responding to health issues, providing
counseling and crisis intervention when required in areas such as teen
pregnancy, substance abuse, death of family members, suicide, and child neglect
or abuse;
(e) managing communicable
disease issues in the school by providing school-based education and
interventions in collaboration with and under the direction of the local health
authority, and pursuant to appropriate federal regulations and guidelines;
(f) assessing student response to nursing
actions in order to revise the database as needed, nursing diagnoses and
nursing care plan and to determine the progress made toward goal achievement.
(3) The professional school
nurse collaborates with other professionals, team members, and community
providers in assessing, planning, implementing and evaluating programs and
other school health activities in order to maximize and coordinate services and
prevent duplication by:
(a) establishing a process to
identify students at risk for physical and psychosocial problems, communicating
health needs to other school personnel as appropriate and establishing a
referral system using both internal and community resources;
(b) participating as a team
member and, with parental consent when indicated, sharing information with
other team members about student health problems and needs; also acting as an
advocate for students and families when appropriate;
(c) including students and
families in team conferences whenever possible and appropriate;
(d) identifying health-related
needs for inclusion in the student’s individual education plan and developing
the health management plan if appropriate;
(e) serving as a member of
pertinent committees and teams such as the school district’s long range
strategic planning committee, special education committee, intervention
committee, crisis intervention team, and support groups for students;
(f) participating in the
planning, implementation and evaluation of school-based health centers, and
acting as the leader of these centers if appropriate;
(g) participating in the
planning and implementation of staff and student health promotion and wellness
programs;
(h) working with community
agencies addressing school/community health care needs.
(4) The professional school
nurse assists students, families, and staff to achieve optimal levels of
wellness through health education and promotion by:
(a) identifying needs for health education and
teaching the basic principles of health promotion and disease prevention to
students and staff, using principles of learning and appropriate teaching
methods;
(b) participating in the
planning of health in-service programs for school personnel;
(c) acting as a resource
person to health education programs and classes and to the curriculum committee
for health education.
(5)
The professional school nurse participates with other members of the
community in assessing, planning, implementing, and evaluating school health
services and community services which include the broad continuum of primary, secondary,
and tertiary prevention programs by:
(a) serving as a member of the
school team which assesses the health/social aspects of the school district’s
long-range strategic plan;
(b) using community and population-based
data;
(c) understanding and applying
core public health functions of assessment, policy development, evaluation, and
assurance;
(d) using community resources
for referral of students with unmet health needs, including the need for a
primary care provider; participating in the planning and implementation of new
services;
(e) working with the community
to convey health information and acting as an advocate for the role of the
school health program in promoting the health of the student population.
(6) The professional school
nurse applies nursing theory as the basis for decision-making in the school
setting while expanding knowledge and skills in response to student health
needs by:
(a) demonstrating current
knowledge in such areas as:
(i) professional issues in
school nursing
(ii) school and community health
(iii) communicable disease
control
(iv) growth and development
(v) health assessment
(vi) acute and chronic health
conditions
(vii) injury prevention and
emergency care
(viii) student issues
(ix) legal/ethical health
policy
(b) participating, where
appropriate, in pilot projects/research projects related to school health;
(c) collaborating with local
schools of nursing to provide student practice in community health as well as
to obtain nursing education resources;
(d) assuming responsibility
for continuing her/his own education and obtaining expert consultation,
supervision and peer review as needed.
C. Competencies for supervisory school nurses
(1) In collaboration with
educational staff and others, the supervisory school nurse provides leadership
in the establishment and management of a coordinated school health program
consistent with New Mexico guidelines, regulations and statutes governing
nursing and school health, as well as local school district policy by:
(a) using available demographic,
health and school system data, to identify health needs of the student
population;
(b) developing surveys,
questionnaires and other tools for obtaining information;
(c) developing program goals,
objectives and action steps based on needs assessment;
(d) assuming leadership in the
establishment of a school health service advisory committee with representation
from such groups as school administration, faculty, students, parents, and
community providers;
(e) coordinates planning with
interdisciplinary colleagues at the national, state, and local levels, in the
coordinated school health education and human services program;
(f) preparing and
administering the health services budget; seeking opportunities to apply for
outside sources of funding for the school health service program.
(2) Using the nursing process,
the supervisory school nurse provides leadership in the planning and
implementation of health care in collaboration with educational staff, families
and students by:
(a) employing, orienting and
assigning qualified personnel to implement the school health program as
appropriate;
(b) implementing communication
systems which promote participatory management;
(c) participating in the
development of an interdisciplinary plan for each building to ensure that
students in need of services are identified in a timely manner and that
appropriate intervention is initiated;
(d) developing and
implementing written policies and procedures for the clinical services and
programs addressing health issues such as immunizations, medication
administration, services for children with special health care needs,
school-wide injury prevention programs, special programs such as groups
addressing eating disorders, smoking cessation and violence prevention;
(e) developing and
implementing documentation systems at both the individual student level and
programmatic level;
(f) providing clinical
consultation to the health education staff, physical educators, and other
administrative and teaching staff;
(g) participating in
interdisciplinary teams such as the crisis team and child abuse team, to ensure
that integrated systems are in place which address the coordinated health needs
of the student population;
(h) carrying out communicable
disease prevention and infection control based on current guidelines for
universal precautions, prevention of blood borne pathogens exposure and
hazardous medical waste disposal;
(i) assisting in the
development of a district emergency care plan;
(j) collaborating with other
school administrators and teachers to promote a physically and psychologically
healthy school environment;
(k) promoting positive
linkages and referral mechanisms to community providers for a range of services
related to student health;
(l) seeking opportunities to
interpret the health needs of school-age children and adolescents, the goals of
the health service program, and the importance of health education to
administrators, school committee members, faculty, families, and the general
community through special reports, the media, health fairs and other special
events.
(3) The supervisory school
nurse participates with other members of the community in assessing, planning, implementing
and evaluating school health services and community health services which
include the broad continuum of primary, secondary and tertiary prevention
programs by:
(a) compiling statistical
reports as required by the school system and state agencies;
(b) evaluating nursing and
other health service staff;
(c) evaluating and making
recommendations with regard to changing trends in health service staffing;
(d) evaluating and making
recommendations with regard to changing trends in health needs and program
outcomes to determine need for revision of goals and objectives;
(e) assessing liability
issues.
(4) The supervisory school
nurse collaborates with other professionals, team members and community
providers in assessing, planning, implementing and evaluating programs and
other school health activities in order to maximize and coordinate services and
prevent duplication by:
(a) implementing an ongoing
continuing education program for all staff;
(b) encouraging staff to
participate in pertinent conferences and workshops addressing a range of school
health issues;
(c) providing ongoing formal
and informal feedback to staff about their progress in achieving goals of the
program and encouraging their continued educational and professional
development;
(d) understanding and applying core public health
functions of assessment, policy development, evaluation, and assurance.
(5) The supervisory school
nurse applies nursing theory and core public health theory as the basis for
decision-making in the school setting while expanding knowledge and skills in
response to student health needs by:
(a) demonstrating current
knowledge in such areas as:
(i) professional issues in
school nursing;
(ii) school and community
health;
(iii) communicable disease
control;
(iv) growth and development;
(v) health assessment;
(vi) acute and chronic health
conditions;
(vii)
injury prevention and emergency care;
(viii) student issues;
(ix) legal/ethical health
policy;
(b) participating, where
appropriate, in pilot projects/research projects related to school health;
(c) collaborating with local
schools of nursing to provide student practice in community health as well as
to obtain nursing education resources;
(d) assuming responsibility
for continuing her/his own education and obtaining expert consultation,
supervision and peer review as needed;
(e) collaborating with local
nursing education institutions in providing student practice in the school
health programs, guest lecturers and the opportunity to participate in nursing
research; seeking opportunities to give consultation on the specific issues of
school-age children and adolescents; publishing when possible.
[07-31-97; 6.63.2.11 NMAC - Rn, 6 NMAC 4.2.3.1.11, 10-31-01]
HISTORY OF 6.63.2 NMAC:
PRE-NMAC HISTORY:
The material in this regulation was derived from that previously filed
with the state records center and archives under:
SBE 71-23, Procedure: Four Week Orientation Program to Meet
School Nurse Certification Requirements, filed August 28, 1978, and SBE
Regulation No. 87-10, Licensure for School Nurses, Grades K-12, filed December
1, 1987.
HISTORY OF REPEALED MATERIAL: [RESERVED]
