Nursing services
Effective Sep 5, 2025Ark. R. 2025-14 (eff. September 5, 2025)Arkansas Code § 20-14-503; Arkansas Code § 6-87-101
(a) Nursing services provided to a program-eligible child may include:
- (1) The assessment of health status for the purpose of providing nursing care, including the identification of patterns of human response to actual or potential health problems;
- (2) The provision of nursing care to prevent health problems, restore or improve the child’s functioning and, or, or both functional abilities;
- (3) Instruction, training, coaching, and consultation with parents and other caregivers to support them in understanding how to promote their child’s optional health and development;
- (4) The administration of medications, treatments, and regimens prescribed by a licensed physician when such services are identified as necessary to support a child with a disability in participating in early intervention and, or, or both other learning programs or classrooms with their typically developing peers;
- (5) Instruction, training, coaching, and consultation with childcare providers and classroom teachers to support them in understanding how to promote the child’s participation, health, and development;
- (6) The administration of screenings, assessments, services, and medication or treatment administrations that are necessary to enable a child to participate in and benefit from other early intervention services.
- (b) Nursing services must be performed by a licensed registered nurse in good standing with the Arkansas State Board of Nursing.
- (c) Nursing services must be listed as a service on the IFSP and be determined necessary for the child to receive in order to reach IFSP goals and objectives and to participate in other early intervention services on the IFSP.
(d) A local provider program must maintain the following documentation in the child’s electronic record for each nursing service performed:
- (1) The date and beginning and ending time for each nursing service;
- (2) The name of the parent and other caregivers who participated in the nursing service;
- (3) The name of the registered nurse providing the nursing service and the name of their employer;
- (4) A narrative of the instruction, training, consultation, and interaction provided to the participating parent or other caregiver;
- (5) A description of how the nursing service supports the program-eligible child in participating in the specific goals and objectives described in the child’s IFSP;
- (6) A description of how the nursing service supports the program-eligible child to participate in the specific other early interventions listed on the IFSP;
- (7) Description of carry over activities or strategies the parent or other caregiver or caregivers present and participating in the nursing service home and community visit will do between nursing services service sessions to support the child’s participation, development, and early learning (may be included in the written progress note described in (h) below);
- (8) Written progress note or notes for each nursing service provided that are dated and signed by the registered nurse providing the nursing service.