Health Services Resources

The follow A-Z Index of health topics includes OSPI resources and external hyperlinks to resources produced by our partners. This page also includes links to laws and regulations on the Washington State Legislature website.

Health Services Partners

Air Quality

• Air Pollution and School Activities
• Outdoor Air Quality (DOH)

Allergies

• Anaphylaxis Prevention and Response Policy
• Anaphylaxis Prevention and Response Procedure
• Anaphylaxis Prevention and Response Employee Opt Out Form
• Anaphylaxis—Policy guidelines—Procedures—Reports (RCW 28A.210.380)
• Epinephrine Autoinjectors (EPI pens)—School supply—Use (RCW 28A.210.383)
• Guidelines for the Care of Students with Anaphylaxis
• Nursing Standards for Out of State Field Trips
• Risk Management Students with Life-Threatening Health Conditions
• WA State Rick Management Epi Shortage Risk Alert

Asthma

• Uniform Staff Training Policy: Students with Asthma
• Students with asthma (RCW 28A.210.370)
• Asthma Management in Education Settings (AMES) Manual
• Asthma Resources for School nurses
• ALA Practical Guidance for Schools & School Districts (lung.org)
• Improve Asthma Management in Schools | American Lung Association
• Asthma-Friendly Schools Initiative Toolkit | American Lung Association

Auditory and Visual Standards

• Health - Screening and Requirements (RCW 28A.210)
• Auditory and visual standards — school districts (WAC 246-760)

Bloodborne Pathogens

• See Infection Control

Clean Intermittent Catheterization

• Catheterization of public and private school students (RCW 28A.210.280)
  • Immunity from liability (RCW 28A.210.290)
• Catheterization of students — rules (RCW 18.79.290)
• Provision for clean, intermittent catheterization in schools (WAC 246-840-820)

Diabetes

• Students with diabetes (RCW 28A.210.330)
• Guidelines for Care of Students with Diabetes
• Diabetes/Life Threatening Conditions Bulletin 061-02 (September 2002)
  • Bulletin
  • Public school pupils — immunization requirement and life-threatening health condition (WAC 392-380)
  • Private school pupil immunization requirement (WAC 180-38)
  • Accommodating Students with Diabetes - Policy No. 3415
  • Student Immunization and Life-Threatening Health Conditions - Policy No. 3413
• Curriculum Standards for Parent Designated Adults (PDAs)
• Diabetes in School Health Washington

Emergency Preparedness

• Department of Health Guidelines Public Defibrillation Information and Guidelines
• Automatic External Defibrillator Guidance WASBO
• School Safety Center
• Pediatrics Official Journal of the American Academy of Pediatrics
• Sudden Cardiac Arrest SCA-Pamphlet.pdf (rschooltoday.com) 
• Bleeding control equipment and other medical materials—Training. 

Environmental Health and Safety

• About the School Environmental Health Plan (DOH)

Epilepsy and Seizure Disorders

• Students with epilepsy or other seizure disorders—Individual health plans (RCW 28A.210.355)
  Chapter 28a.210 RCW: HEALTH—SCREENING AND REQUIREMENTS

• Guidelines for Care of Students with Epilepsy or Seizure Disorders guidelines

Flu

• See Pandemic Influenza

Head Injury

See also: Traumatic Brain Injury

• Engrossed House Bill 1824 Youth Sports—Head Injury Memorandum 043-09
• WIAA Head Injury Guidelines and Procedures
• Traumatic Brain Injury (TBI) Resources Washington State | DSHS
• TBI Information | DSHS (wa.gov)
• Safe Kids Coalition:Washington State Department of Health
• Home | Return To School

Health Care Records

• Authorization Requirements for Obtaining and Disclosing Student Health Information
• Records Retention Schedules for School Districts and Educational Service Districts (see pages 46-47 for Health Services)
• Family Educational Rights and Privacy Act (FERPA)
• Joint Guidance on the Application of the FERPA and the HIPAA to Student Health Records
• Medical records — health care information access and disclosure (RCW 70.02)
• Washington School Nurse Data Set

Immunization

• Vaccine requirements, parent and school resources and tools, links to the Department of Health, and other immunization resources

• RCW 28A.210.080 Immunization program — Attendance of child conditioned upon presentation of alternative proofs — Information regarding meningococcal disease — Information regarding human papillomavirus disease.
• HPV Letter for Private Schools
• HPV Letter for Public Schools
• HPV and Meningococcal Letter (combination)
• Washington State Department of Health Immunization Program
  • For Schools/Childcares
• Immunization Manual
• Public school pupils — immunization requirement and life-threatening health condition (WAC 392-380)
• Human Papillomavirus (HPV) Vaccine

Infection Control

See also: MRSA

• Guidelines for Implementation of School Employee Training on HIV/AIDS and Other Bloodborne Pathogens (108 pages, 1.67 MB)
• Bulletin 069-22: Blood Borne Pathogen Training
• Bloodborne Pathogens Employee Training on HIV and Protection from Bloodborne Pathogens in the Workplace
• School Pan Flu Preparedness Resource Manual
• Occupational Exposure to Bloodborne Pathogens (WAC 296-823)
• Safe Cleaning and Disinfecting Guidance for Schools
• Infectious Disease Control Guide (DOH)
• When is Your Child Too sick for School? Arabic | Chinese | Dari | English | Russian | Spanish | Ukrainian| Vietnamese

Medications

• Guidelines for Medication Administration in Schools 2022
• Administration of oral medication by public and private schools (RCW 28A.210.260-270)

MRSA

• Centers for Disease Control Features MRSA: Methicillin-resistant Staphylococcus aureus in Healthcare Settings

Nurse Practice

• Nursing care (RCW 18.79)
• Regulation of health professions — uniform disciplinary act (RCW 18.130)
• Practical and registered nursing (WAC 246-840)
• Administrative procedures and requirements for credentialed health care providers (WAC 246-12)
• Board of Nursing Advisory Opinion School Nurse Delegation to School Personnel in Public and Private Schools, Kindergarten-Twelve Grades

Opioid Use Disorder & Overdose

• Opioid-Related Overdose Policy Guidelines and Training in the School Setting UPDATED 2024
• 3424 Procedure Opioid-Related Overdose Reversal
• 3424 Opioid-Related Overdose Reversal
• Standing Order to Dispense Naxolone
• Overdose and Naloxone: Washington State Department of Health
• Overdose Prevention

Resources

• For Native Lives
• Fentanyl Facts - Fentanyl Facts
• Stopoverdose.org 
• Friends For Life - Prevent Overdose (wafriendsforlife.com)
• Talk Even If ❘ Protecting King County From Overdose
• Laced & Lethal: Information on pills and Powders laced with Fentanyl

Pandemic Influenza

• OSPI School Pan-Flu Preparedness Resource Manual
• Flu.gov

School Nurse Resources

• Staff Model for the Delivery of School Health Services
• School Nurse Study (June 2006)
• Survey of School Nurses (JLARC, September 1997)
• Assuring Safe, High-Quality Health Care in Pre-K Through 12 Educational Settings (ANA)
• School Nurse Organization of Washington (SNOW)
• National Association of School Nurses (NASN)
• National Association of State School Nurse Consultants (NASSNC)
• School Nurse Resource Guide
• School Health Services Guidebook

Sexual Health

• Family Planning Clinics, Washington Department of Health
• STD Testing and Treatment, Washington Department of Health
• Sea Mar Community Health Centers
• Search by Zip Code

Staff Model

• Staff Model for the Delivery of School Health Services

Staff Training

• How to Respond Injury and Illness at School
• Health Training Guide/School Staff
• Guidelines For Toilet Training and Incontinence Management in Schools 

Suicide Prevention Training for School Nurses

• Department of Health model list of six-hour trainings required for nursing licensure: 2017 Model List: Washington State Department of Health
• Professional Educator Standards Board three-hour trainings for ESA certification: Certification standards and renewal - Professional Educator Standards Board

Traumatic Brain Injury

See also: Head Injury

• TBI Toolkit for Professionals

TICs/Tourette's

• TIC Disorders and Tourette Syndrome — School Plan

Vision

• Health - Screening and Requirements (RCW 28A.210)
• Auditory and visual standards — school districts (WAC 246-760)
• Prevent Blindness Vision Screening Certification Course

Well-Child Exam

• Well-Child Exam Pilot Project Report

Our Partners