The guidelines are written to assist school systems in establishing an environment for the safe and well-adapted functioning of children with chronic illness, physically disabling conditions, and medical dependency. The guidelines provide a basic structure for operations and suggested procedures intended to help schools and families as they develop individually customized programs. Section I contains administrative guidelines, outlining procedures for entrance of the child into an educational setting and describing universal precautions regarding safe handling of blood and body fluids, disposal of waste materials, and basic hygiene. Section II includes useful sample documents: a Health Care Plan, an Emergency Plan, a log sheet, and permission forms. Section III contains procedural guidelines for tube feeding, intravenous lines, catheterization, ostomy care, and respiratory care. Section IV contains skills checklists for training direct caregivers on such procedures as gastrostomy feeding, heparin lock flush, tracheostomy care, nasal/oral suctioning, and others. Includes over 100 references. (JDD)