{"id":837,"date":"2009-07-06T15:12:33","date_gmt":"2009-07-06T20:12:33","guid":{"rendered":"http:\/\/www.wrightslaw.com\/blog\/?p=837"},"modified":"2020-05-04T10:38:14","modified_gmt":"2020-05-04T14:38:14","slug":"iep-faqs-do-nursing-services-belong-in-the-iep","status":"publish","type":"post","link":"https:\/\/www.wrightslaw.com\/blog\/iep-faqs-do-nursing-services-belong-in-the-iep\/","title":{"rendered":"IEP FAQs: Do Nursing Services Belong in the IEP?"},"content":{"rendered":"<div style=\"padding-bottom:20px; padding-top:10px;\" class=\"hupso-share-buttons\"><!-- Hupso Share Buttons - https:\/\/www.hupso.com\/share\/ --><a class=\"hupso_pop\" href=\"https:\/\/www.hupso.com\/share\/\"><img decoding=\"async\" src=\"https:\/\/static.hupso.com\/share\/buttons\/gallery\/share-button-gray.png\" style=\"border:0px\" alt=\"Share\" \/><\/a><script type=\"text\/javascript\">var hupso_services=new Array(\"Twitter\",\"Facebook\",\"Google Plus\",\"Pinterest\",\"Linkedin\",\"StumbleUpon\",\"Digg\",\"Reddit\",\"Bebo\",\"Delicious\");var hupso_icon_type = \"labels\";var hupso_background=\"#FFFFFF\";var hupso_border=\"#FFFFFF\";var hupso_image_folder_url = \"\";var hupso_twitter_via=\"wrightslaw\";var hupso_url=\"\";var hupso_title=\"IEP%20FAQs%3A%20Do%20Nursing%20Services%20Belong%20in%20the%20IEP%3F\";<\/script><script type=\"text\/javascript\" src=\"https:\/\/static.hupso.com\/share\/js\/share.js\"><\/script><!-- Hupso Share Buttons --><\/div><blockquote><p>If a child is wheelchair-bound and needs a catheter, is this something that belongs in the IEP?<\/p>\n<p>Exactly whose responsibility is it to handle catheters for wheelchair-bound students? I would think it qualifies as a medical procedure and that a nurse would need to do it?<\/p><\/blockquote>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter  wp-image-25441\" src=\"https:\/\/www.wrightslaw.com\/blog\/wp-content\/uploads\/2009\/07\/stethoscope.jpg\" alt=\"\" width=\"502\" height=\"335\" srcset=\"https:\/\/www.wrightslaw.com\/blog\/wp-content\/uploads\/2009\/07\/stethoscope.jpg 1000w, https:\/\/www.wrightslaw.com\/blog\/wp-content\/uploads\/2009\/07\/stethoscope-300x200.jpg 300w, https:\/\/www.wrightslaw.com\/blog\/wp-content\/uploads\/2009\/07\/stethoscope-768x512.jpg 768w\" sizes=\"auto, (max-width: 502px) 100vw, 502px\" \/><\/p>\n<p>Does the child need these services to attend school?<\/p>\n<p><strong>If he cannot attend school, how will he receive FAPE?<\/strong><\/p>\n<p>School nurse services are a related service (\u00a71401 (26)) and as such, should be listed in the child&#8217;s IEP (\u00a71414 (d)(1)(A)).<\/p>\n<p>The <span style=\"color: #0066cc;\"><a style=\"color: #0066cc;\" href=\"https:\/\/www.wrightslaw.com\/idea\/comment\/46547-46579.reg.001-100.definitions.pdf\">Commentary<\/a><\/span> to the federal regulations (p.46571) says &#8220;The public agency also is responsible for providing services necessary to maintain the health and safety of a child while the child is in school, with breathing, nutrition, and other bodily functions (e.g., nursing services, suctioning a tracheotomy, urinary catheterization) if these services can be provided by someone who has been trained to provide the service and are not the type of services that can only be provided by a licensed physician.&#8221;<\/p>\n<p><a href=\"https:\/\/www.wrightslaw.com\/idea\/comment\/46547-46579.reg.001-100.definitions.pdf\"><span style=\"color: #000080;\"><span style=\"color: #0066cc;\">https:\/\/www.wrightslaw.com\/idea\/comment\/46547-46579.reg.001-100.definitions.pdf<\/span><\/span><\/a><\/p>\n<p>In 1984, the Supreme Court held that a treatment like catheterization<br \/>\n(CIC) is a related service and the school is required to provide it.<br \/>\n<span style=\"color: #0066cc;\">(<a style=\"color: #0066cc;\" href=\"https:\/\/www.wrightslaw.com\/law\/caselaw\/ussupct.tatro.htm\"><em>Irving Independent Sch. Dist. v. Amber Tatro<\/em> 468 U.S. 883 (1984)<\/a>)<\/span>.<\/p>\n<p><a href=\"https:\/\/www.wrightslaw.com\/law\/caselaw\/ussupct.tatro.htm\"><span style=\"color: #000080;\"><span style=\"color: #0066cc;\">https:\/\/www.wrightslaw.com\/law\/caselaw\/ussupct.tatro.htm<\/span><\/span><\/a><\/p>\n<p>In 1999, the Supreme Court issued a decision on a similar issue in<br \/>\n<span style=\"color: #0066cc;\"><a style=\"color: #0066cc;\" href=\"https:\/\/www.wrightslaw.com\/law\/caselaw\/ussupct.garret.htm\"><em>Cedar Rapids v. Garret F., <\/em>526 U.S. 66<\/a><\/span>. The Garret F. case involved a<br \/>\nchild who was paralyzed in an accident, and was ventilator dependent.<br \/>\nThe question presented in Garret F. was whether the definition of<br \/>\n&#8220;related services&#8221; in \u00a71401(a)(17) requires a school district to<br \/>\nprovide a ventilator-dependent student with nursing services during<br \/>\nschool hours. The Court held that that the school must provide these<br \/>\nservices. Without these services, the child would not be able to<br \/>\nattend school and would not receive FAPE.<\/p>\n<p><a href=\"https:\/\/www.wrightslaw.com\/law\/caselaw\/ussupct.garret.htm\"><span style=\"color: #000080;\"><span style=\"color: #0066cc;\">https:\/\/www.wrightslaw.com\/law\/caselaw\/ussupct.garret.htm<\/span><\/span><\/a><\/p>\n<p><span style=\"color: #000080;\"><span style=\"color: #000000;\">Catheterization is a<\/span><\/span><span style=\"color: #000080;\"><span style=\"color: #000000;\"> nursing procedure and should be done by an appropriately trained nurse. Most teachers are not trained nurses so they should not be asked to do this procedure.<\/span><\/span><\/p>\n<p><span style=\"color: #000080;\"><span style=\"color: #000000;\">The definition of school nurse services in 300.34(c)(13) has been expanded and re-named school health services and school nurse services. The expanded definition clarifies that \u201cschool nurse services\u201d are provided by a qualified school nurse, and \u201cschool health services\u201d may be provided by a qualified school nurse or other qualified person.<\/span><\/span><\/p>\n<p><a href=\"https:\/\/www.wrightslaw.com\/idea\/law\/idea.regs.sumry.chngs.pdf\"><span style=\"color: #000080;\"><span style=\"color: #000000;\"><span style=\"color: #000080;\"><span style=\"color: #0066cc;\">https:\/\/www.wrightslaw.com\/idea\/law\/idea.regs.sumry.chngs.pdf<\/span><\/span><\/span><\/span><\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>If a child is wheelchair-bound and needs a catheter, is this something that belongs in the IEP? Exactly whose responsibility is it to handle catheters for wheelchair-bound students? I would <a class=\"more-link\" href=\"https:\/\/www.wrightslaw.com\/blog\/iep-faqs-do-nursing-services-belong-in-the-iep\/\">Continue Reading \u2192<\/a><\/p>\n","protected":false},"author":1,"featured_media":25441,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"om_disable_all_campaigns":false,"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"_uf_show_specific_survey":0,"_uf_disable_surveys":false,"footnotes":""},"categories":[3,35,57,8,5,18,7,11,64,136],"tags":[1291,1309,1299,802,225,1311,121],"class_list":["post-837","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-advocacy","category-eligibility","category-fape","category-faqs","category-idea-2004","category-ieps","category-legal-news","category-special-ed-law","category-special-education-regulations","category-strategies","tag-advocacy","tag-fape","tag-ieps","tag-nursing-services-in-th-iep","tag-related-services","tag-special-education-regulations","tag-unique-needs"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/www.wrightslaw.com\/blog\/wp-json\/wp\/v2\/posts\/837","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.wrightslaw.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.wrightslaw.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.wrightslaw.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.wrightslaw.com\/blog\/wp-json\/wp\/v2\/comments?post=837"}],"version-history":[{"count":20,"href":"https:\/\/www.wrightslaw.com\/blog\/wp-json\/wp\/v2\/posts\/837\/revisions"}],"predecessor-version":[{"id":25750,"href":"https:\/\/www.wrightslaw.com\/blog\/wp-json\/wp\/v2\/posts\/837\/revisions\/25750"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.wrightslaw.com\/blog\/wp-json\/wp\/v2\/media\/25441"}],"wp:attachment":[{"href":"https:\/\/www.wrightslaw.com\/blog\/wp-json\/wp\/v2\/media?parent=837"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.wrightslaw.com\/blog\/wp-json\/wp\/v2\/categories?post=837"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.wrightslaw.com\/blog\/wp-json\/wp\/v2\/tags?post=837"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}