Specifications include, but are not limited to: Carrying out any written orders of the medical home and standing orders of the school physician. Conducting health screenings, which include height, weight, blood pressure, hearing, vision, and scoliosis pursuant to N.J.A.C. 6A:16-2.2; and monitoring vital signs and general health status for emergent issues for students suspected of being under the influence of alcohol and controlled dangerous substances pursuant to N.J.A.C. 18A:40-4 and N.J.A.C. 18A:40A-12. Maintaining student health records, pursuant to 18A:40-4 and N.J.A.C 6A:16-2.4. Recommending to the school principal students who shall not be admitted to or retained in the school building based on a parent’s failure to provide evidence of the child’s immunization according to the schedules specified in N.J.A.C. 8:57-4. Annually reviewing student immunization records to confirm with the medical home that the medical condition for the exception from immunization continues to be applicable, pursuant to N.J.A.C. 8:57-4.3. Recommending to the school principal exclusion of students who show evidence of communicable disease, pursuant to N.J.S.A. 18A:40-7,8, and 10. Directing and supervising the emergency administration of epinephrine and glucagon, training school staff designated to serve as delegates, pursuant to N.J.S.A. 18A:40-12.6 and 12:14. Administering asthma medication through use of a nebulizer. Directing and supervising the health services activities of any school staff to whom the certified school nurse has delegated a nursing task. Classroom instruction in areas related to health education pursuant to N.J.A.C 6A:9B-12.3. Reviewing and summarizing available health and medical information regarding the student and transmitting a summary of relevant health and medical information to the child study team for the meeting pursuant to N.J.A.C 6A:14-3.4(h). Writing and updating, at least annually, the individualized health care plans and the individualized emergency healthcare plans for student’s medical needs, and instructing staff as appropriate. Writing and updating, at least annually, any written healthcare provisions required under section 504 of the Rehabilitation Act of 1973, 29 U.S.C. 794(a), for any student who requires them. Assisting in the development of and implementing healthcare procedures for students in the event of an emergency. The school nurse shall provide emergency care to the students who are injured or become ill at school on a school vehicle or during participation in a school activity. This may include the transportation and supervision of any student determined to be in need of immediate care. The school nurse shall coordinate with the principal any notification to parents determined to be in need of immediate medical care. Instructing teachers on communicable disease and other health concerns, pursuant to N.J.S.A. 18A:40-3. Reviewing completed health history update questionnaires and sharing with the school athletic trainer for review, if applicable pursuant to N.J.S.A 18A:40-41.7. Providing other nursing services consistent with the nurse’s educational services certification endorsement as a school nurse issued by the State Board of Examiners and current license approved by the State Board of Nursing.