JHC - Student Health Services and Requirements

Code:  JHC
Readopted:  5/14/18
Adopted:  6/1/15
Orig. Code(s):  JHC

Although the district’s primary responsibility is to educate students, the students’ health and general welfare is also a major Board concern.  School programs should be conducted in a manner that protects and enhances student and employee health and is consistent with evidence-based health practices.

The district shall provide:

  1. One registered nurse or school nurse for every 125 medically fragile students;
  2. One registered nurse or school nurse or one licensed practical nurse, under the supervision of a registered nurse or school nurse, for each nursing-dependent student; and
  3. One registered nurse or school nurse for every 225 medically complex students.

The district may use the most cost effective means available to meet the above requirements.  The district shall maintain a disease prevention and health promotion oriented health services program, which provides:

  1. Pertinent health information on the students, as required by Oregon statutes or rules;

  2. Health screening for possible vision or hearing problems;

  3. Health counseling for students and parents, when appropriate;

  4. Health-care and first-aid assistance that is appropriately supervised and isolates the sick or injured child from the student body;

  5. Control and prevention of communicable diseases as required by Oregon Department of Human Services, Health Services, and the county health department;

  6. Prescription and/or nonprescription medication administration according to established district procedures;

  7. Development of appropriate school health management plans for students who are medically fragile or have special health-care needs;

  8. Integration of school health services with school health education programs.

The Board directs its district health staff to coordinate with health personnel from other public agencies in matters pertaining to health instruction or the delivery of health services to students and employees.

In accordance with the requirements of federal law, the district recognizes its responsibility to notify parents in advance of any nonemergency, invasive physical examination[1] or screening that is required as condition of attendance; administered and scheduled by the school in advance; and not necessary to protect the immediate health and safety of the student, or of other students.

Notification will be provided at least annually and will include the specific or approximate dates during the school year when such activities are scheduled or expected to be scheduled.

School-based health clinics will provide all health services in accordance with Oregon laws and best medical practices.  School-based health providers shall observe the district’s Health curriculum and the high school learning targets in Sexual Health and the Prevention and Control of Disease, which are aligned with the Oregon State Standards in Health Education.  The district promotes abstinence as the safest, most effective method of protection from HPV, STD/HIV, Hepatitis B and C and pregnancy. School-based health providers also may provide accurate and balanced information, resources, and services associated with any contraceptive or disease reduction method and explain proper use and effectiveness.

Procedures shall be developed and implemented to carry out this policy.  All district employees will be apprised of their responsibilities in this area.  Parents shall have the opportunity to request their students be exempt from participation in vision or hearing screenings and other health-related services, to the extent it is required by state law.  The district will abide by those requests.


Legal Reference(s):

ORS 329.025
ORS 336.201

OAR 581-022-2050
OAR 581-022-2220
OAR 581-022-2225

Protection of Pupil Rights, 20 U.S.C. § 1232h (2012); Student Rights in Research, Experimental Programs and Testing, 34 C.F.R. Part 98 (2017).

Every Student Succeeds Act, 20 U.S.C. § 8548 (2012).

Family Education Rights and Privacy Act, 20 U.S.C. § 1232g (2012).



[1]The term “invasive physical examination,” as defined by law, means any medical examination that involves the exposure of private body parts, or any act during such examination that includes incision, insertion, or injection into the body, but does not The term does not include any physical examination or screening that is permitted or required by state law, including physical examinations or screenings that are permitted without parental notification.