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    Texas School Health Program
    P.O. BOX 149347, MC1925
    Austin, TX 78714-9347
    1100 West 49th
    Austin, Texas 78756

    Phone: 512-776-7279
    Fax: 512-776-7555


    SchoolHealth@dshs.texas.gov

Texas Guide to School Health Services

School Health Services - Texas Guide to School Health Services

As of March 2017, the Texas Guide to School Health Services is now a web based resource. The revision was necessitated due to changes in school health services and school nursing practice.  The revisions include links to the latest information on school health services and programs to assist school health personnel.  It is divided into eight sections in order to help with navigation.

To access the information in this guide:
Information for school health services staff is available on this webpage. Click on the major headings to get to a topic of interest. Each page lists best practice resources from national agencies, Texas specific agencies, nursing organizations, and other reputable sources. If further assistance is needed, please email the School Health Program.

Coordinated School Health 
The Centers for Disease Control and Prevention’s (CDC) Coordinated School Health (CSH) approach has been the traditional mainstay for integrating health-promoting practices in the school setting since 1987.  In 2013, the CDC and ASCD introduced the Whole School, Whole Community, Whole Child model (WSCC) to expand upon the traditional CSH approach and bring greater alignment between the education and health sectors.  More information can be found about the current WSCC model, the traditional CSH approach, and Texas’ requirement for CSH programs in this section. 

Health Conditions 
Children come to school with a variety of health conditions. Some are acute and some are chronic in nature. School health service staff are responsible for the prevention and management of these conditions in the school setting. This section includes information on allergies, anaphylaxis, asthma, diabetes, epilepsy, healthcare plans, mental health issues, traumatic brain injuries, and seizures.

Legal Issues 
School health services staff need to know school health–related laws, rules, and regulations to assure the health and safety of students. This section includes links and information on student health records, HIPAA and FERPA laws, and out of hospital do-not resuscitate orders.

Professional School Nursing 
School nurses serve in a pivotal role that bridges healthcare and education. As the main health contact in the school setting, school nurses address the physical, mental, emotional, and social health needs of students. The Nurse Practice Act, Texas Board of Nursing Rules and Regulations, and other resources related to school nursing and school health services roles are included in this section. 

Addressing Students' Special Health Care Needs 
Section 504 of the Rehabilitation Act, the Americans with Disabilities Act (ADA), and the Individuals with Disabilities Education Act (IDEA) are laws that protect children with special healthcare and educational needs. More information about these laws, rules, and recommended practices for the management of children’s special healthcare and educational needs are included in this section.

School Health Office Resources
School health office resources include materials that are used by school health services personnel on a regular basis. This section includes information on communicable diseases, environmental health, emergency preparedness, health programming, medical assistance programs and other useful information.

School Health Services
School health services is a "coordinated system that ensures a continuum of care from school to home to community health care provider and back" (Small et al., 1995).  This section includes information on bloodborne pathogen control, immunizations, medication administration, emergency response, screenings, and student safety.

Skilled Procedures 
Skilled procedures are procedures carried out to help students maintain health or help students and staff in an emergency situation. The documents contained in this section outline step-by-step instructions for how to address and perform healthcare tasks in the school setting. This section includes sample administrative guidelines, procedure checklists, problem lists, and physician’s order forms for various health conditions. 



Last updated April 4, 2017