(a) As additional funding is made available for the school nurse program within the
general appropriation acts, new school nurse positions may be created within the program. However, in order to ensure orderly, efficient, and effective development, expansion
of the program shall occur incrementally and shall not, in any given year, exceed
the level at which quality of service or standards of supervisory control may be lowered.
(b)(1) Nurses within the program shall be administratively attached and assigned to
the various county and district health departments or local education agencies (LEAs)
across the state; however, such nurses shall remain under the supervisory control
and direction of the executive director of the school nurse program.
(2) Until such time as the program shall employ school nurses in sufficient numbers
to adequately provide services, i.e., a ratio of at least one (1) permanent, full
time, school nurse per three thousand (3,000) students, but in no case, less than
one (1) permanent, full time, school nurse for each county-wide system, to all LEAs,
the executive director shall give priority in the assignment of school nurses to those
health departments or LEAs that serve counties that are plagued by problems of poverty,
unemployment and underemployment and are medically underserved to the greatest degree.
(c)(1) In order to supplement the personnel resources otherwise available to the program,
the executive director is authorized to enter into internship or residency agreements
with any nursing school, accredited by the board of nursing, that offers a program
of education and training for students preparing to become school nurses.
(2) In the event of any such agreement, the executive director shall formulate guidelines
to ensure that the activities of the student nurses are appropriately supervised and
reviewed by departmental personnel.
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