Kentucky Department of Education

The Health Services Reference Guide (HSRG) for Kentucky is developed in accordance with KRS 156.501 and  KRS 156.502,  The guide defines health services as "the provision of direct health care, including the administration of medication, the operation and maintenance of health care through the use of medical equipment, or the administration of clinical procedures.  Health services does not include first aid or emergency procedures." 

 

The Health Services Reference Guide (HSRG) is a resource for school districts as they develop and implement policies and procedures related to school health. The HSRG includes guidelines, definitions and sample forms for the provision of school health services. 

 

A copy of the Health Services Reference Guide is to be kept in each school library as required by KRS 156.501.

 

You will need Acrobat Reader to view the HSRG. You can download a free copy at this Web link:  Adobe Acrobat.

Download the entire HSRG including Exhibits at: Health Services Reference Guide

Download the HSRG in segments:

Contents (PDF)

Acknowledgements (PDF)

Forward (PDF)

Preface (PDF)

Chapter One: School Health Programs Overview (PDF) Coordinated or Comprehensive (PDF) Comprehensive School Health Vision Statement (PDF) Eight Components of Coordinated School Health Model (PDF) Health Risk Behaviors (PDF) Coordinated School Health Committee (PDF) Healthy Kentuckians 2010 (PDF) School Health Services (PDF) Chapter 1 references (PDF) Ch1 EXHIBITS

Chapter Two: Administration/Management of School Health Services School Health Services Legislation (PDF) Key Health Services Staff and Resources (PDF) Conceptual Model for School Health Services (PDF) Standards of Nursing Practices (PDF) Kentucky Board of Nursing (PDF) Student Health Records (PDF) HIPAA and Other Federal Laws (PDF) Delegation and Training of Non-medical (unlicensed) (PDF) Chapter 2 References (PDF) Ch2 EXHIBITS

Chapter Three: School Health Services Requirement for Enrollment (PDF) Screening Programs (PDF) Chapter 3 References (PDF) Ch3 EXHIBITS    KHSAA Sports Physical Form (2008)   0408 KHSAA Sports Physical Form l.pdf

Chapter Four: Immunizations School Entrance Requirements (PDF) Chapter 4 References (PDF) Ch4 EXHIBITS

Chapter Five: Comunicable Diseases Infection Control (PDF) Universal Precautions (PDF) Reportable Conditions (PDF) Selected Communicable Diseases (PDF) Chapter Five References (PDF) Ch5 EXHIBITS

Chapter Six: Medication Administration Kentucky Law (PDF) District Responsibilities (PDF) General Recommendations for Distribution of Medication to Students (PDF) Alternative Medicine Use (PDF) Guidelines for Administering Medication (PDF) Psychotropic Medications in Schools (PDF) Emergency Medications (PDF) Diabetic Medication (Type I and II) in Schools (PDF) Delegation of Medication Administration to Non-Nursing Staff (PDF) Chapter 6 References (PDF) Ch6 EXHIBITS

Chapter Seven: Children with Special Health Care Needs Overview (PDF) The Law (PDF) The Role of the School (PDF) Role of the School Nurse: The Individualized Health Care Plan (PDF) Special Health Care Guidelines (PDF) Common Special Health Care Conditions & Their Treatment in School Settings (PDF) Home Hospital Instruction (PDF) Chapter 7 References (PDF) Ch7 EXHIBITS

Chapter Eight: Emergency Health Services First Aid (PDF) Guidelines for Handling A Medical Emergency (PDF) First Aid for Dental Emergencies (PDF) Automatic External Defibrillators in the School Setting (PDF) Chapter 8 References (PDF) Ch8 EXHIBITS

Appendix Referneces for Kentucky Revised Statutes, Kentucky Administrative Regulations (KAR), Kentucky Board of Nursing Advisory Opinion Statements (KBNAOS), and Kentucky School Board Association (KSBA) Policies (PDF) KSBA Policies and Procedures (PDF) Correlated to to Eight Component Coordinated School Health (PDF) Other Health Care Concerns (PDF)