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PEDIATRICS Vol. 108 No. 2 August 2001, pp. 516-518

AMERICAN ACADEMY OF PEDIATRICS:
School Bus Transportation of Children With Special Health Care Needs

Committee on Injury and Poison Prevention

School systems are responsible for ensuring that children with special needs are safely transported on all forms of federally approved transportation provided by the school system, and a plan should be developed to provide the most current and proper support to children with special transportation requirements. This statement provides current guidelines for the protection of child passengers with specific health care needs, including those with a tracheostomy, those requiring use of car seats, or those transported in wheelchairs. Guidelines that apply to general school transportation should be followed, including the training of staff, provision of nurses or aides if needed, establishment of a written emergency evacuation plan, and a comprehensive infection control program.

Research provides the basis for recommendations concerning occupant securement for children in wheelchairs and children with other special needs who are transported on a school bus. Pediatricians can help their patients by being aware of guidelines for restraint systems for children with special needs and by remaining informed of new resources. Pediatricians can also play an important role at the state and local level in the development of school bus specifications.

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Statements of reaffirmation:

AAP Publications Retired or Reaffirmed, October 2006

Pediatrics 119: 405-405. [Full Text]

AAP Publications Reaffirmed and Retired, February and May 2008
Pediatrics 122: 450-450. [Full Text]

The following policy statement has been revised:

School Bus Transportation of Children With Special Needs

Pediatrics 93: 129-130.



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