• Members of your child's Early Intervention or Individualized Education Program "Team" (if your child is eligible for special education).

  • Your child's primary care provider (PCP). If the PCP is unable to attend meetings, ask him or her to make contact with your child's school nurse.

  • Care Coordinators or Case Managers from your community, the Massachusetts Department of Public Health, or another state agency.

  • The MASSTART vendor in your area. Contact MASSTART at 800-882-1435 (in MA only) or 978-851-7261 x4022.

It is important to identify who will make decisions and provide care or services to your child while in school. This information should be part of your child's Individualized Health Care Plan (IHCP) and/or Individualized Education Program (IEP). For example, if your child needs one-on-one nursing care while at school, be specific about who will be responsible for coordinating that care. No changes should be made to an IHCP or IEP without your written approval.

It is also important to identify back up staff in case the school nurse or caretaker is absent. Back-up staff need training and should be familiar with your child's IHCP.

School nurses must follow specific rules. There are some types of health care that can only be performed by the school nurse. Non-health professionals may perform other types of care. Discuss your child's specific care needs with the school nurse.

Some schools and families arrange for the parent to come to the school to care for their child if the school nurse is absent. You do not have any legal obligation to act as back-up staff. It is your choice if you wish to do so.