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Students with special health care needs present challenges to persons involved with their education, but school staff are accepting the challenge to create safe, nurturing, and stimulating environments for these students. This article proposes guidelines for school staff working with students having special health care needs. The guidelines evolved from the authors' experiences and are child-related, family-related, and school-related. Discussion of each guideline includes illustrations of issues arising from them. Considerations for implementing the guidelines are presented and include discussion of school policies and procedures and state laws and regulations related to school staff working with students having special health care needs. (J Sch Health. 1993;63(8):335-338), For most children, providing health care involves responding to acute or episodic occurrences of trauma or childhood diseases. Most situations can be managed successfully at home, through guidance and intervention [...]