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School nurse asks Board practice committee to review rules on mechanical ventilation in schools
Summary
A school nurse told the Kansas State Board of Nursing practice committee that current delegation language (KAR 60‑151‑01–04) needs clarification after a student with congenital central hypoventilation syndrome required daily ventilator support; the committee added the item to the December 2025 agenda.
A school nurse asked the Kansas State Board of Nursing practice committee on the record to review delegation rules covering mechanical ventilation in school settings and to place the item on the committee’s December 2025 agenda.
Lynelle, a school nurse who said she presented the issue to the committee after meeting attendees at the Kansas Association of School Nurses conference, told members the relevant administrative rules are KAR 60‑151‑01 through 60‑151‑04 and said the rules were last revised in March 2023. She described a current student with congenital central hypoventilation syndrome who requires one‑and‑a‑half to two hours of ventilator support during the school day and who uses diaphragmatic pacer leads. The district has assigned a 1:1 nurse with more than 400 hours of training for the student, but Lynelle said that does not make the routine assignment safe for the general school nurse staff.
"It's KAR6015101 through 1 0 4. And this was approved at the latest revision was in March 2023," Lynelle said. She added, "I don't think it's safe to ask a school nurse to assume responsibility for something that clearly, the 1 on 1 nurse has now up to 600 hours of care of this child." The chair agreed to put the topic on the December packet so members could review recorded practice questions and any background articles Lynelle provided.
Committee members also flagged related delegation questions that will be examined together, including whether school nurses may change a G‑tube to a GJ‑tube, who may administer fluid or food boluses in school, and whether reinsertion of enteral devices is within the permissible delegation. Linda Davies, a practice specialist on the committee, said staff would include Lynelle’s materials in the December packet and the committee would follow up with further questions.
The committee scheduled discussion and potential regulatory language work for its December 2025 meeting and invited Lynelle to share further experience and materials as the committee prepares recommendations.
