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Specialized Physical Health Care Services (SPHCS)

​​​​These guidelines and procedures were prepared for CREDENTIALED SCHOOL NURSES to assist them in training unlicensed district personnel, and they represent a standard of care for Orange County public schools.  Each district must make it's own determinations as to which guidelines and procedures to follow.

These guidelines must be individually customized into a health care plan that takes into account the unique needs and circumstances of each student, and involves the student's authorized health care provider, family and other medical and educational professionals.

Catheterization - Clean Intermittent

Emergency Treatment of Allergic Reactions

Latex Allergy


Mechanical Nebulizer


Naso-Gastric Tube Feeding