What if nurses are not available to substitute for a school nurse where there are students with special health needs who are not self-directed?
A district must provide appropriately licensed personnel to provide necessary nursing services. This can be accomplished by reassigning nursing staff from other sites within the district, contracting with neighboring school districts or BOCES, contracting with nurses employed by outside agencies, or by actively recruiting an adequate nursing staff to serve as substitutes. If students who are not self-directed require nursing services and attend nonpublic schools, arrangements may need to be made by the public school for a nurse to be available to provide those services. Nonpublic school students must receive services comparable to those provided to public school students. A formal agreement between the public school district and the nonpublic school should address the issue of a substitute nurse to cover for a school nurse who is absent.
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