According to the US Department of Education, approximately 13.1% of all students have some disability. These children have the same need for safe transportation as all children. Many preschool and school-aged children with special health care needs are transported in school buses. Pediatricians can also play an important role at the state and local level in the development of school bus specifications. Pediatricians can help their patients by being aware of guidance for restraint systems for children with special needs and by remaining informed of new resources. Researchers provide the basis for recommendations concerning occupant securement for children in wheelchairs and children with other special needs who are transported on a school bus. Guidance that applies to general school transportation should be followed, inclusive of staff training, provision of nurses or aides if needed, and establishment of a written emergency evacuation plan as well as a comprehensive infection control program. With this statement, we provide current guidance for the protection of child passengers with specific health care needs. A plan to provide the most current and proper support to children with special transportation needs should be developed by the Individualized Education Program team, including the parent, school transportation director, and school nurse, in conjunction with physician orders and recommendations. 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.
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