Do all children with tracheostomies, ventilators or other medical technology need a 1:1 nurse?
No. The health needs of such children must be assessed by the school nurse or other appropriate school medical personnel. The level of nursing care required and the amount of nursing time necessary to ensure the health and safety of such children in the school setting would be determined by the school district’s multidisciplinary team or the Committee on Special Education with medical and/or nursing input as appropriate. If it is determined that a child’s health needs can be appropriately met by the district’s school nurse, a 1:1 nurse may not be necessary. What procedures should be followed when a nurse working in a school building is employed by another agency (i.e., private duty nurse for a child with special health needs, a BOCES employed nurse who may have responsibility for a single class or group of classes)? Procedures that govern health care for students, including care provided by nurses from outside agencies, should be established by school district policy. Procedures should
