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It defines delegation, specifies required SN/ASN decision factors, and sets documentation, notification, and supervision expectations. The document also addresses coverage during SN/ASN absence and recommends roles for informing families, supported by references and position statements from nursing organizations.",{"@graph":69,"@context":123},[70,84,106],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/delegation-of-school-health-services-statement-of-purpose-roles-and-legal-references/467907/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/delegation-of-school-health-services-statement-of-purpose-roles-and-legal-references/467907.png","ImageObject",300,407,{"name":92,"@type":93},"Mabel","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-11-06","2026-09-30",true,{"@type":102,"interactionType":103,"userInteractionCount":105},"InteractionCounter",{"@type":104},"ViewAction",11,{"@type":107,"mainEntity":108},"FAQPage",[109,115,119],{"name":110,"@type":111,"acceptedAnswer":112},"Who may a school nurse delegate school health services to?","Question",{"text":113,"@type":114},"A school nurse (SN) or associate school nurse (ASN) may delegate to appropriately trained and supervised Licensed Practical Nurses (LPNs), Assistive Personnel (AP), or school staff, consistent with state law and nursing delegation requirements.","Answer",{"name":116,"@type":111,"acceptedAnswer":117},"What factors must the school nurse use to decide which activities can be delegated?",{"text":118,"@type":114},"The nurse must consider student or patient needs, potential for harm, stability, task complexity and setting, predictability of outcomes, delegatee competency, proximity and availability of the nurse, school policies, and access to supporting resources.",{"name":120,"@type":111,"acceptedAnswer":121},"How does delegation work when the SN/ASN is absent from their regular schedule?",{"text":122,"@type":114},"The SN/ASN can delegate coverage to persons demonstrating required competencies for tasks during the assigned period. Any substituting RN functions under their own RN license, and both the regular and substitute nurses must apply judgment to determine needed information, support, and orientation.","https://schema.org",{"og:url":83,"og:type":125,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":127,"canonical":83},"index,follow",{"doc_id":129,"site_id":62},467907,1791099073,{"code":4,"msg":5,"data":132},{"doc_id":129,"user_id":133,"nickname":92,"user_avatar":134,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":105,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":19,"language":140,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":67,"update_tm":144,"read_time":52,"preview_page_count":4},7971474920318,"https://ap-avatar.wpscdn.com/avatar/74000ee537e6b0ca360?x-image-process=image/resize,m_fixed,w_180,h_180&k=1788430171632181674","STATEMENT OF PURPOSE:  \nThe SN/ASN can implement safe and effective delegation of school health services to appropriately trained and supervised Licensed Practical Nurses (LPN), Assistive Personnel (AP), or school staff utilizing the Vermont Nurse Practice Act and the Vermont State Board of Nursing associated Statute and Rules.  \nAUTHORIZATION/LEGAL REFERENCE:  \n26 V.S.A. § 1572-Nursing  \n[http://legislature.vermont.gov/statutes/section/26/028/01572](http://legislature.vermont.gov/statutes/section/26/028/01572)  \nVermont Education Quality Standards, 2121.5-Tiered System of Support (pg. 10)  \n[https://education.vermont.gov/sites/aoe/fi](https://education.vermont.gov/sites/aoe/fi)les/documents/edu-state-board-rules-series-2000 . pdf  \nVermont Standards Board for Professional Educators-Rules Governing the Licensing of Educators and the Preparation of Educational Professionals, Rule Series 5100 (pg. 177-185)  \n[https://education.vermont.gov/sites/aoe/fi](https://education.vermont.gov/sites/aoe/fi)les/documents/Rules%20Governing%20the%20Licensing%20of%20Educators 9 20 2019. pdf  \nDEFINITIONS:  \nAssistive Personnel (AP) - Individuals who are trained to function in an assistive role to the RN or LPN in the provision of patient care activities as delegated by the licensed nurse. This term includes but is not limited to licensed nursing assistants and unlicensed personnel.  \nDelegation-The transfer of responsibility for the performance of an activity to another, with the former retaining accountability for the outcome. Delegation allows a delegatee to perform a specific nursing activity, skill, or procedure that is beyond the delegatee’s traditional role and not routinely performed. In schools, delegation occurs when the SN/ASN assigns the performance of a specific nursing task to another person, often a LPN or AP.  \nREQUIRED SCHOOL NURSE/ASSOCIATE SCHOOL NURSE ROLE:  \n• Determine activities that can be delegated based on the State Board of Nursing delegation decision tree and the nurse’s assessment of:  \no The needs and condition of the patient or student.  \no Potential for harm.  \no Stability of the student’s condition.  \no The complexity of the task and the setting.  \no Predictability of the outcomes.  \no The competency of the designated person to whom the task is to be delegated.  \no The proximity and availability of the school nurse to the designated person when the selected nursing task will be performed.  \no The school’s policies and procedures.  \no Access to supporting resources, e.g., medical care, emergency medical services, parent/primary caregiver, other trained school staff.  \n• Ensure that the delegatee:  \no Complies with the assigned documentation protocol.  \no Demonstrates how to and who to contact with any questions about the student or situation that alters from the assigned protocol when the SN/ASN is not available.  \no Demonstrates when and how to notify the SN/ASN of any incident that requires emergency, nursing, or administrative follow-up.  \n• Develop Individual Health Plans with written procedures for students who may require more complex nursing services.  \n• Instruct the LPNS and AP, document the instruction and assess the competency of the individual in providing the specified care.  \n• Document the ongoing review and supervision of LPNs and APs, including demonstration and evaluation of care, and share with the principal or building supervisor for purpose of performance evaluations.  \n• When the SN/ASN is absent from their regular work schedule:  \no The SN/ASN can delegate coverage to persons able to demonstrate the competencies needed for the activities that may occur during the assigned period.  \no An RN substituting for the regular SN/ASN is functioning under the auspices of their own RN license. Both the regular SN/ASN and the substituting RN must use nursing judgment to determine what additional information, support, and orientation are needed by the AP to provide safe care. The SN/ASN assesses the comp","cbCaiqycG0Km39QJ","https://ap.wps.com/l/cbCaiqycG0Km39QJ","pdf",284079,"English","# Statement of Purpose\n# Authorization and Legal Reference\n# Definitions\n# Required School Nurse / Associate School Nurse Role\n## Determine delegable activities\n## Ensure delegatee compliance and communication\n## Develop Individual Health Plans and training\n## Ongoing review, supervision, and delegation coverage\n# Recommended School Nurse / Associate School Nurse Roles\n# Resources","[{\"question\":\"Who may a school nurse delegate school health services to?\",\"answer\":\"A school nurse (SN) or associate school nurse (ASN) may delegate to appropriately trained and supervised Licensed Practical Nurses (LPNs), Assistive Personnel (AP), or school staff, consistent with state law and nursing delegation requirements.\"},{\"question\":\"What factors must the school nurse use to decide which activities can be delegated?\",\"answer\":\"The nurse must consider student or patient needs, potential for harm, stability, task complexity and setting, predictability of outcomes, delegatee competency, proximity and availability of the nurse, school policies, and access to supporting resources.\"},{\"question\":\"How does delegation work when the SN/ASN is absent from their regular schedule?\",\"answer\":\"The SN/ASN can delegate coverage to persons demonstrating required competencies for tasks during the assigned period. Any substituting RN functions under their own RN license, and both the regular and substitute nurses must apply judgment to determine needed information, support, and orientation.\"}]","Delegation of School Health Services - Statement of Purpose, Roles, and Legal References | PDF",1790773542]