This manual aims (1) to provide a standard, well-referenced resource for Iowa special education nurses and (2) to provide direction and continuity for health services to pupils with special needs. The first chapter provides an overview of the special education nurse's role, including philosophy, definitions of assignments, levels of service, and nurse's sample monthly reports on pupils. Subsequent chapters cover immunizations; handicapping conditions; high incidence health problems such as constipation, dehydration, colds, and otitis media; screening and health assessment; specialized physical health care such as emergency care, postural drainage, intermittent catheterization, and tube feeding; medications; control of communicable diseases; and child abuse. Lists of resource organizations, audiovisual materials, and over 100 references are included. (PB)