724R-A - Non-school Employees Working in Schools

  • Private-duty Nurses in the Classroom

    When a physician determines that it is medically necessary for one-on-one services during the school day from a private provider, then the physician shall provide a written medical care plan to the school.

    That care plan shall include:

    • The medical reason(s) for having the private-duty person present during the instructional day.

    • Level of care required; i.e., RN, LPN, or nursing assistant.

    • Orders from the physician to the school listing the medical services to be provided to the student at school.

    The school site administrator is responsible for:

    • Meeting with the school nurse, parent/guardian, private‑duty person, supervisor of the private‑duty person, and teacher(s) prior to the private duty person’s providing services.

    • Reviewing school and school board policies for:

      • Confidentiality.

      • Expectations for professionalism.

      • Importance of not interrupting instructional time for all students.

      • Channels of communication.

      • Documentation of services and access to those records.

      • Medication policies and security protocols.

      • Crisis response and safety procedures.

      • Coverage during lunch and other breaks.

      • Coverage on field trips.

      • Documenting the conference and obtaining signatures of all participants.

      • Providing appropriate documents to the agency and private-duty staff.

    The agency employing the private-duty staff shall be responsible for:

    • Providing a name and phone number for the supervisor of the private-duty staff.

    • Providing a written description of the duties of the private-duty staff.

    • Providing documentation of appropriate TB test results of private-duty staff.

    • Providing documentation of appropriate criminal background checks of the private-duty staff.

    • Providing an appropriate substitute and informing the school site administrator in the event of the absence of the private-duty person.

    • Providing the review of school and school board policies for the substitute.

    • Assuring the private-duty staff complies with all Frederick County Public Schools policies and regulations.

    • Collaborating with the school site administrator to resolve any conflicts that may arise.

    • Assuming responsibility for liability issues that may arise with the private-duty staff.

    The school nurse shall be responsible for:

    • Managing the student’s cumulative medical record.

    • Collaborating with private-duty staff to implement the medical care plan.

    • Assist with implementing the care plan in the event of an emergency.

    The classroom teacher shall be responsible for:

    • Implementing the instructional program.

    • Assuring confidentiality for all students is not breached.

    • Managing the classroom.

    The private-duty staff shall:

    • Provide primary care for the student as directed in the medical care plan.

    • Maintain documentation of necessary treatments, procedures, and assessments that occur during the school day.

    • Provide a copy of that documentation to the school nurse.

    • Refrain from interrupting classroom instruction.

    • Model expectations for professionalism and maintaining confidentiality as stated by the school site administrator.

    • Follow all school site rules for staff as deemed appropriate by the school site administrator and agency supervisor.

    • Comply with all appropriate Frederick County Public Schools policies and regulations.

    • Report any changes in the medical care plan to appropriate school staff.

    • Report any changes in the student’s medical status to appropriate school staff; i.e., need to alert parent or call 911.

    The parent/guardian shall:

    • Provide a copy of the current medical care plan to the school.

    • Collaborate with the school nurse and other school staff to assure appropriate care for the student and to support providing an appropriate instructional environment for all students.


    Adopted: January 4, 2005