Medical Professionals Assisting the School Health Program
Athletic trainers, according to their scope of practice, must have a "written referral or prescription from a licensed physician, dentist or podiatrist or is subject to a written protocol for treatment...from a licensed physician." Nurses may NOT delegate medication administration to athletic trainers.
School nurses may carry additional licensure as a CRNP. Job descriptions should be edited to reflect CRNP practice. CRNPs are required to follow licensure requirements, regardless of the setting in which they practice. The CRNP may NOT serve as the school physician. However, they may perform mandated school examinations.
A chiropractor’s scope of practice is limited to the neuro-muscular system. They may write excuses for PE and school if the student's condition falls within their scope of practice. It is NOT in their scope of practice to: complete student or staff physicals; write prescriptions for medications; sign medical exemptions for immunizations or write dietary restrictions.
Emergency Medical Services (EMS) Providers
PA Bulletin, January 17, 2015. This notice applies to emergency medical responders (EMR), emergency medical technicians (EMT), advanced emergency medical technicians (AEMT), paramedics (P), prehospital registered nurses (PHRN), prehospital physician extenders (PHPE) and prehospital physicians (PHP). EMRs, EMTs, AEMTs and Ps may only perform the skills identified, through either Statewide or other Department-approved protocols, or skills that may be ordered online by a medical command physician. The scope of practice for an EMS Provider does NOT allow for routine administration of medications.
Licensed Practical Nurse (LPN)
The LPN regulations require that they function as a member of the healthcare team. In the school setting, they serve as Supplemental Staff under the Certified School Nurse (CSN).
The PA may NOT serve as the school physician. However, they may complete mandated school examinations of student and staff.
Registered Nurse (RN), non-certified
49 PA Code, Chapter 21 State Board of Nursing, Subchapter A
An RN working in the school setting, who is not certified as an Educational Specialist- School Nurse through the Department of Education is considered Supplemental Staff working as part of the healthcare team under the CSN.
Updated: May 2018