ABSTRACTConcern is growing about the adequacy and safety of health services provided for medically complex children in public schools. A national survey of state health and education agencies was conducted to learn if guidelines existed governing the practice of eight selected nursing procedures in schools. Thirteen states (26) had no written guidelines, 13 states (26) had guidelines only for medication administration, and only six states (12) had guidelines for the eight selected nursing procedures.
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