School Nursing and Health - Legal

Finding Rules and Statutes

• Tutorial - Finding Rules and Statutes (State of Colorado eLearning course)
• Code of Colorado Regulations (CCR) - Official Publication of the State Administrative Rules
• Colorado Revised Statutes (CRS) - Official Publication of the statutes by the Office of Legislative Legal Services, hosted by LexisNexis

Rules and Regulations

• Essential School Health Services (2022 PDF) - identifies which services are mandated 
• Rules and Regulations Governing Schools in the State of Colorado (6 CCR 1010-6)
• Rules and Regulations Governing the Health and Sanitation of Child Care Facilities (6 CCR 1010-7)
• Colorado Rules for Administration of Medications (1 CCR-301 68)
• Colorado Nursing Rules and Regulations (3 CCR 716-1, page 81 delegation)
• Colorado Nurse Practice Act (DORA link-CRS Title 12, Article 255:Nurses and Nurse Aides)
• CDPHE Inspections - General Compliance Guidance for Schools (exiting CDE)
• Private Schools and Home Schools - Colorado Regulations (US Dept of Education)
• Colorado Board of Nursing Laws, Rules and Policies (DORA)

Documentation & Confidentiality 

• School Nursing: Documentation, Recordkeeping & Confidentiality (PDF)
• CDPHE Guideline on Reportable Diseases (Exiting CDE)
• Guide to Protecting the Privacy of Student Information: State and Local Education Agencies (PDF)

Child Protection Resources

• Kempe Center for the Prevention and Treatment of Child Abuse and Neglect (Exiting CDE)
• Tips for Testimony (PDF)
• Child Abuse and Neglect: an Introductory Manual for Professionals and Paraprofessionals (2006)
• Mandatory Reporting Resources (CDPHE) 
• Child Abuse and Neglect Hotline 844-CO-4_KIDS
• Child Abuse and Prevention CDE Guidelines (2004) (PDF)
• National Resource Center for Health and Safety in Child Care and Early Education (Exiting CDE)

Delegation

• Chapter 13 - Rules and Regulations Regarding the Delegation of Nursing Tasks (3 CCR 716-1, start on page 81)
• Guidance on Delegation for School Nurses (PDF)
• National Guidelines for Nursing Delegation (NCBSN & ANA)
• Delegation Decision Grid (10/2015 Word)
• Contact Information for State Boards of Nursing (for out of state field trips) (PDF)
• See Training Tools page for nursing procedure sheets

Delegation for Child Care During COVID-19

• Teleconsultation Guidance for Colorado CCHCs (2020 PDF)
• Delegation Guidance via Teleconsultation for Colorado CCHCs (2020 PDF)
• MAT Part 2 and Delegation Teleconsultation Guidance for Colorado CCHCs (2020 PDF)

HIPAA/FERPA

• Updated April 2023 - U.S. Department of Education:  Protecting Student Privacy  (exiting CDE)
  • Family Educational Rights and Privacy Act: Guidance for School Officials on Student Health Records (exiting CDE)
  • Know Your Rights:  FERPA Protections for Student Health Records (exiting CDE)
• Joint Guidance on Application of FERPA and HIPAA to Student Health Records (exiting CDE)
• HHS HIPAA Resources (exiting CDE)
• HIPAA Form for Communicating with Schools (PDF)
• Tips for Testimony (PDF)
• Click HERE for more information on FERPA