Health care providers in Baltimore City

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    (a)    (1)    In Baltimore City, the nurse practitioner, physician assistant, or other appropriate health care provider shall be assigned to Walbrook Senior High School, P.S. 411.

        (2)    The range of services provided by the nurse practitioner, physician assistant, or other appropriate health care provider with appropriate physician collaboration should, to the extent feasible, include:

            (i)    Total health assessment including history, physical examination, and neurological evaluation for all entering students and handicapped students, provided however, that existing health records of the student shall be used if available;

            (ii)    Referral to and follow–up with identified primary care sources for each student in the targeted population;

            (iii)    Follow–up on treated sports injuries;

            (iv)    Management of selected minor illnesses and injuries in the school according to treatment protocols which will be developed; and

            (v)    Establishment of working relationships with all teachers, especially health education teachers.

    (b)    The nurse practitioner, physician assistant, or other appropriate health care provider shall, to the extent practicable:

        (1)    Participate actively in the School Screening Committee;

        (2)    Be responsible for the basic medical evaluation and certification for student placement;

        (3)    Concentrate on early identification, health counseling, and referral for:

            (i)    Venereal disease;

            (ii)    Drug abuse;

            (iii)    Alcoholism;

            (iv)    Handicapping conditions; and

            (v)    Mental health problems;

        (4)    Evaluate the relationship between use of the school health clinic services and use of hospital emergency room services;

        (5)    Establish working relationships with parents, students, and community organizations to demonstrate the efficacy of involving parents, students, and community organizations in school health clinics to enhance recruitment and retention of students;

        (6)    Evaluate, to the extent possible, the effect of participation in the program on the physical and mental well–being and school performance of the students;

        (7)    Assess, to the extent possible, whether school health programs could be used as a basis for advising other family members of the student of other sources of primary care;

        (8)    Be responsible to the Bureau of School Health of the Baltimore City Health Department; and work closely with the school principal and staff;

        (9)    Continue to function within the Baltimore City Health Department when the schools are not in session, by managing his or her caseload of school–age children in the community, including follow–through on referrals made during the school year, and the assessment of selected children in summer programs for certification of school placement; and

        (10)    Be a part of the well–child clinic delivery system provided by the Baltimore City Health Department.

    (c)    (1)    Physician consultation and collaboration in medical management of care shall be available at all times on site or by telephone.

        (2)    Other consultant services in the school health program, in the maternal child health program, or in the community health nursing program will be available as needed by the nurse practitioner, physician assistant, or other appropriate health care provider.


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