School Nursing: Guide to Practice - ISBE Updates - School Nurse Bootcamp Session 3

Oct 10, 2026

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School Nursing: Guide to Practice outlines what governs day-to-day school nurse practice in Illinois, focusing on the Illinois School Code, related administrative rules, and the Nurse Practice Act as applied to school nurses. It provides structured references for topics such as medication administration, anaphylaxis planning, asthma self-carry, endorsements on licenses, psychotropic medication actions, required health examinations and immunizations, and specific health-condition legislation including diabetes and seizure care. It also addresses onboarding requirements for students new to Illinois, emphasizing timelines, documentation, and compliance consequences.

LanguageEnglish

CategoryHealthcare

FormatPDF

Pages21

Reading Time53 min

AccessFree to download

What guides a school nurse's practice?

Illinois School Code

Nurse Practice Act and district policy

Links for School Code

Administering medications and anaphylaxis

Home hospital instruction and licensing endorsements

Required health exams

Health Condition Links in School Code

Diabetes and seizure care

Health Exam Requirements

Components, intervals, timetable, and reporting

What to do if a student is new to Illinois?

School Nursing: Guide to Practice Rebecca Doran, MSN, RN, PEL SN, NCSN Wellness Department August 7, 2023 Equity ● Quality ● Collaboration ● Community 1 What guides a school nurse's practice? ▪ Illinois School Code ▪ Related Rules, Administrative Code ▪ Nurse Practice Act (applicable to school nurses) ▪ District Policy 2 Links for School Code • Illinois School Code – Administering medications • 105 ILCS 5/10-22.21b – Anaphylactic policy for school districts • 105 ILCS 5/2-3.190 • Model Anaphylaxis Response Policy for Illinois Schools – Self-administration and self-carry of asthma medication and epinephrine injectors, administration of undesignated epinephrine injectors, administration of an opioid antagonist, administration ofundesignated asthma medication • 105 ILCS 5/22-30 3 Links for School Code • Illinois School Code – Home hospital instruction • 105 ILCS 5/14-13.01 • Medical Certification for Home/Hospital Instruction (ISBE Form 34-58) • Home-Hospital Instruction FAQ – Endorsement on licenses • Professional Educator License School Support Personnel • PEL School Nurse – Job description and responsibilities • 105 ILCS 5/21B-25 – Psychotropic or psychostimulant medication, disciplinary action • 105 ILCS 5/34-18.25 4 Links for School Code • Illinois School Code – Required health exams • Physical fitness and professional growth (employee physical exam, other tests) • 105 ILCS 5/24-5 • Institutes or in-service day shall include instruction on prevalent student chronic health conditions – 105 ILCS 5/3-11 5 Required health exams • Illinois School Code 105 ILCS 5/27-8.1 Health examinations and immunizations – Exclusion if not in compliance – Illinois State Board of Education • Public Health Code Section 665 – Requirements – Intervals – Components – Illinois Department of Public Health 6 Health Condition Links in School Code • Care of Students with Diabetes Act – 105 ILCS 145/5 – Delegated care aide – Diabetes Care Plan basis for 504 Plan – Accommodations – Training – Permits undesignated glucagon • Seizure Smart School Act – 105 ILCS 150/1 – Delegated care aide – Accommodations – Training 7 Health Exam Requirements School Code • Required health exams – Child Health Exam and Immunizations – Eye Exam – Dental Exam • Dates to be submitted to school • Consequences of noncompliance Public Health Code • Components of exams • Timetable • Report forms • Proof of examination • Basic immunizations/proof of immunity/boosters • Keeping list of nonimmunized attendees • Exemption or objection 8 What to do if a student is new to Illinois? • Physical within one year and that meets Illinois requirements written in Public Health Code. • Illinois form or out-of-state form that has required components may be accepted for first entrance to Illinois school. • Immunizations according to the Immunizations for School Attendance table. • Eye exam at kindergarten or first entrance to Illinois school. • Illinois kindergarten eye exam should follow with permanent school records. • Dental exam at required grade levels (kindergarten, second, sixth, or ninth) • If student enters at a different grade, not due until NEXT required grade level. • Out of country same as out of state • Exchange students • There are health requirements from sponsoring organizations. Work with student and host family to obtain copies. This Photo by Unknown author is licensed under CC BY-SA. 9 Health Exams –Child Health Exam and Immunizations • Pre-K • Kindergarten • Sixth Grade • Ninth Grade • Immunization Data Entry Worksheet 10

FAQs

What legal sources guide a school nurse’s practice in Illinois?

Illinois practice is guided by the Illinois School Code, related rules in the Administrative Code, and the Nurse Practice Act applicable to school nurses, along with district policy.

Which school code topics are covered for medication and emergency planning?

The guide references school-code areas including administering medications, anaphylaxis policies for school districts, and rules related to asthma medication and epinephrine.

What health examination requirements are emphasized, and what happens with noncompliance?

It highlights required health exams and immunizations, including exclusion for lack of compliance, and lists exam components, intervals, and reporting expectations under the Illinois School Code and Public Health Code.

Oct 10, 2026

Uploaded by Blitz