Diabetes Care In The School And Day Care Setting
Diabetes is one of the most common chronic diseases of childhood (1). There are ∼186,300 individuals <20 years of age with diabetes in the U.S. Based on 2002–2003 data, the rate of new type 1 diabetes cases was 19.0 per 100,000 children and of type 2 diabetes was 5.3 per 100,000 (2). The majority of these young people attend school and/or some type of day care and need knowledgeable staff to provide a safe school environment. Both parents and the health care team should work together to provide school systems and day care providers with the information necessary to allow children with diabetes to participate fully and safely in the school experience (3,4). Federal laws that protect children with diabetes include Section 504 of the Rehabilitation Act of 1973 (5), the Individuals with Disabilities Education Act (originally the Education for All Handicapped Children Act of 1975) (6), and the Americans with Disabilities Act (7). Under these laws, diabetes has been considered to be a disability, and it is illegal for schools and/or day care centers to discriminate against children with disabilities. In addition, any school that receives federal funding or any facility considered open to the public must reasonably accommodate the special needs of children with diabetes. Indeed, federal law requires an individualized assessment of any child with diabetes. The required accommodations should be documented in a written plan developed under the applicable federal law such as a Section 504 Plan or Individualized Education Program (IEP). The needs of a student with diabetes should be provided for within the child's usual school setting with as little disruption to the school's and the child's routine as possible and allowing the child full participation in all school activities Continue reading >>
Diabetes Care Tasks At School: What Key Personnel Need To Know
Diabetes Care Tasks at School: What Key Personnel Need to Know The American Diabetes Association's Diabetes Care Tasks at School: What Key Personnel Need to Know is a 13-module training curriculum. Each module has a PowerPoint presentation and corresponding video segment. This curriculum is intended to be used with the National Diabetes Education Program's free Helping the Student with Diabetes Succeed: A Guide for School Personnel . If at all possible, this guide should be read prior to training. The school nurse or diabetes health care professional should use these modules to train non-medical school personnel to perform diabetes care tasks. These modules focus specifically on how diabetes care should be done in the school setting. In each PowerPoint, there are detailed talking points for the presenter to use. These are accessible in the "notes" view. The video segments are primarily intended to reinforce the hands-on training of staff who will provide direct care. However, selected segments may also be used at school staff and parent meetings to increase diabetes awareness. You may download all of the materials on this page. Continue reading >>
How Do You Plan Effective Diabetes Management In The School Setting?
How Do You Plan Effective Diabetes Management in the School Setting? How Do You Plan Effective Diabetes Management in the School Setting? Diabetes Medical Management Plan (Prepared by the Students Personal Diabetes Health Care Team) Individualized Health Care Plan (Prepared by the School Nurse) Emergency Care Plans for Hypoglycemia and Hyperglycemia (Prepared by the School Nurse) Prepare the Students Education Plan (As Needed) Collaboration and cooperation are key elements in planning and implementing successful diabetes management at school. As is true for students with other chronic diseases, students with diabetes are more likely to succeed in school when the students school health team and the students personal diabetes health care team work together. To work collaboratively, a school health team should be assembled that includes people who are knowledgeable about diabetes, the school environment, and Federal and State education and nursing laws. School health team members should include: the student with diabetes, the parents/guardians, the school nurse and other health care personnel, the staff members designated as trained diabetes personnel, administrators, the principal, the 504/IEP coordinator, office staff, the students teacher(s), the school psychologist or guidance counselor, the coach, and lunchroom and other school staff members. The school health team is distinct from the students personal diabetes health care team. Members of this team include: the student with diabetes, the parents/guardians, and the students doctor, nurse, registered dietitian nutritionist, diabetes educator, and other health care providers involved in the students care. The school health team members work together to implement the medical orders in the Diabetes Medical Management Pl Continue reading >>
New Laws Protect Kids With Diabetes At School
New Laws Protect Kids With Diabetes at School Tracy Milligan didn't want her 4-year-old son, Jared, to be forced into a "diabetes school." Jared had been diagnosed with type 1 almost a year before he was due to start kindergarten, and because of his age, it was clear he would need help at school caring for his diabetes. In Jacksonville, Fla., where the Milligans live, this would have meant Jared couldn't attend his neighborhood school but would have to catch a bus to one designated for students with diabetes, where a full-time nurse was on staff. In other words, Jared wasn't welcome in 98 of the Duval County school district's 103 elementary schools. In the Milligans' case, the only way around the transfer was for a parent to come to Jared's elementary school to give him insulin shots. So that's what his mom did. For more information about diabetes care at school or to request help from a legal advocate, call ADA's Center for Information and Community Support at 1-800-DIABETES (1-800-342-2383) or Every day for 2 1/2 years, Milligan, an administrator at a nearby research center, drove from her office to Chets Creek Elementary to give Jared his insulin before lunch and when his blood glucose levels ran high. She missed important conferences, meetings, and business trips. If she couldn't make it, her husband had to take a vacation day from work to fill in. Milligan didn't want the school policy to push Jared into trying to manage his own diabetes before he was ready, but the choice wasn't easy. "As much as I wanted to keep him in the school and as important as that was to us, it was a great challenge, and emotionally and physically a very difficult time for us," she says. Families in North Carolina also won a legal victory this year. The protections of the 2002 Care for Sc Continue reading >>
Dealing With Diabetes At School
DCSD / Nursing Services / Dealing with Diabetes at School Prior to your student with diabetes attending school: Please contact your school nurse to arrange a meeting to discuss your child's health care plan. The school nurse will work with you to ensure the safety and needs of your student are in place while at school. You will need to have current Health Care Provider orders for your student (the school nurse can provide the forms if needed). At this meeting, the school nurse, parent and student will collaborate and develop a health care plan for the school day, based on the health care provider orders, students' individual needs and school schedule. Once the health care plan has been developed for the school, a meeting with the school staff to disseminate this information is appropriate. Parents, student,teacher(s), school nurse, school health aide and anyone else you feel should be included, such as principal or assistant principal, special teachers, etc. Educate school staff regarding diabetes, individual students' needs and management of diabetes in the school setting. Training / handouts should include: general diabetes information, current health care plan, blood glucose testing schedules, what high and low blood sugars look like for your student, snacks, glucagon and insulin administration. Diabetes kits for health room and classroom including: Backup pump site insertion kits, blood glucose meter, lancing device and extra lancets, test strips, extra batteries, juice(s), glucose tablets, cake gel, snack(s), ketone test strips, insulin pen, needles, glucagon kit. Work with your school nurse to schedule snacks and testing during natural breaks in your student's schedule. Remind classroom teacher that you need to be notified of classroom parties. Carb counts would Continue reading >>
Salus Education - - Welcome
Is it okay for your school to use online diabetes training? The American Diabetes Associationmaintains a comprehensive database of state laws and regulations pertaining to diabetes training in schools. While many state laws address the minimum training contentthat must be covered, as well as the types of medical professionals that should deliver the training... Not a single statelaw directs districts or campuses to utilize a specific training resource to meet training requirements. Health service coordinators and lead nurses across the nation are completely free to select and utilize available resources that best meet their diabetestrainingrequirements. We are exceptionally proud that ourtraining content exceeds the minimum as specified in every state law in the country! Salus Education is committed to helping schools and families meet their diabetes training needs. Our comprehensive eLearning programs andresourceshelp to make it possible for you to create a safe and supportive learning environment for your students with diabetes through the highest quality training available. For nearly8 years, Salus has helped public and private schools, districts, and regions to meet their state and federal requirements for diabetes training through the innovative combinationof printed materials, computer-based e-learning, and thoughtfully designed hands-on training kits. Salus Education is committed to helping schools and families meet their diabetes training needs. How can we help you? Continue reading >>
Communication, Careful Planning Ensure Students With Diabetes Can Succeed At School
Communication, careful planning ensure students with diabetes can succeed at school Type 1 diabetes remains one of the most common chronic diseases of childhood. According to the ongoing SEARCH for Diabetes in Youth study, about 200,000 U.S. children and adolescents have type 1 diabetes. By 2050, that number is expected to rise to 600,000, according to JDRF. The numbers mean more students with the disease will be attending more schools, where proper management is critical but confusion about the law and what children are entitled to has led to situations that sometimes result in discrimination or put children with diabetes at risk, experts told Endocrine Today. When a child and his or her family are coping with a new type 1 diagnosis, members of the care team ranging from pediatric endocrinologists to certified diabetes educators and primary care providers often find themselves preparing families for battles on several fronts. In the school setting, to manage type 1 diabetes well and prevent acute and long-term complications, planning, training and ongoing communication are required, Anastasia Albanese- ONeill, PhD, ARNP, CDE, assistant clinical professor in the division of pediatric endocrinology at the University of Florida, told Endocrine Today. Youre monitoring glucose levels, taking insulin as prescribed, counting carbohydrates, learning to recognize low blood glucose. There are a lot of elements. The broader challenge is that, often if a kid is diagnosed in the middle of the school year, its an abrupt change in that childs life. They may be the only child in their school with diabetes, they have to learn a new routine and, in some cases, the school nurse hasnt cared for a child with diabetes for many years, if at all. There are a whole series of challenges that m Continue reading >>
Video Aims To Educate School Staff About Students With Diabetes
Video aims to educate school staff about students with diabetes The start of a new school year can be stressful for any family. But when your child has a chronic health problem, it's even more challenging. Type 1 diabetes affects one out of every 500 school-aged children -- and Ethan Rass is one of them. The Beverly Hills 8-year-old was diagnosed when he was in kindergarten. It was during a Halloween party that his parents noticed a red flag. "He was constantly drinking and going to the restroom, so we just knew that something was off," said Ethan's dad, Eric. The day after the party, Ethan said he started to feel sick. At a hospital, his blood sugar tested at more than 500. "After we got to the hospital and I was in my room, they said, 'We think you have diabetes,'" Ethan said. The diagnosis meant Ethan's body was no longer producing insulin, and he would have to deal with replacing it for the rest of his life. The family said they felt overwhelmed, shock and sadness, but they had no choice but to learn a new lifestyle. "How to poke his finger, check his blood sugar, how to count carbs, correction factors, carb ratios. It's a lot to take in," Eric Rass said. And while Ethan quickly learned a routine to manage his disease, the family was worried to send him back to school. "That's one of your first reactions if you have school-age kids. What am I going to do? How can I send my kids to school with this? I barely understand it," Eric Rass said. Dr. Julie Surhigh, a pediatric endocrinologist at Beaumont Children's Hospital, said it's not enough to rely on a school nurse's knowledge because many of them have been eliminated in a growing number of districts. "It's often the secretary in the office or some other administrative person that's doing the diabetes care at the sch Continue reading >>
School And Diabetes
Schools might be prepared to deal with kids with diabetes, but parents also should be part of the process. This usually means gathering the information that the school needs, making sure that it gets to the right people, and meeting with school officials to discuss their plans. You'll also need to prepare your child to manage diabetes away from home. It may sound complicated, but your child's diabetes health care team can help. And school administrators and nurses often have experience in helping kids with diabetes participate safely and successfully at school. Most of the things you need to care for your child at home are needed at school, including a specific diabetes management plan, diabetes medications, and testing supplies. take insulin or other diabetes medications eat lunch at a certain time, with plenty of time to finish have easy access to water and time to take bathroom breaks get physical activity and participate in school events like field trips recognize and get treatment for low blood sugar episodes Diabetes management materials that need to go to school might include: a medical identification bracelet or necklace You might arrange these items into packages for teachers, the school nurse, coaches, your child, and others. The American Diabetes Association (ADA) recommends giving the school a packet with general diabetes information, including how to recognize and treat hyperglycemia and hypoglycemia , in addition to the management plan. Also include emergency contact information for you and other caregivers, your child's doctor, and other members of the diabetes health care team. The school staff should be made aware of your child's diagnosis and current health status. It's also good to clarify: any accommodations that the school might need to make To kee Continue reading >>
Tips For School Nurses
Tips for School Nurses provide ideas to help the school nurse coordinate diabetes care in the school setting. Tips include planning for the care newly diagnosed or returning student, where to seek training resources, preparation for field trips, what information to provide to transportation, and other information. Meet with parent/guardian before the school year begins or after diagnosis to review the student's Diabetes Medical Management Plan/physician's orders (DMMP) and secure needed diabetes supplies, equipment, medication, and snacks. Determine if parents/ guardian is authorized to make adjustments to insulin as indicated in the student's DMMP. Make sure the parent/guardian provides notification of any changes to the student's diabetes regimen and obtains an updated DMMP to document changes. Seek out training as needed to update your skills and gain knowledge about new technologies such as the insulin pump or continuous glucose monitor. Put an Emergency Action Plan in place for prompt recognition and treatment of hypoglycemia (low blood glucose) and make sure the student has immediate access to a quick-acting form of glucose (regular soda, fruit juice, glucose tabs). Put an Emergency Action Plan in place for prompt recognition and treatment of hyperglycemia (high blood glucose) and make sure the student has immediate access to a water and insulin as prescribed in the DMMP. Inform school employees that a student with diabetes should never be sent anywhere alone if feeling hypoglycemic or hyperglycemic. Inform parent/guardian that their child has rights under relevant federal laws such as Section 504 and be a member of the team that determines eligibility for services under federal law and develops the 504 plan or other written accommodations plan. Identify and recr Continue reading >>
Students With Diabetes
Ohio Revised Code Section (RC) 3313.7112 outlines the required care for students with diabetes. Each board of education must ensure that each student enrolled in the district who has diabetes receives the appropriate and needed care for his or her diabetes, in accordance with a signed order from the students treating physician. Checking and recording blood glucose levels and ketone levels, in which the student may need assistance; Responding to levels outside the students target range; Administering glucagon and emergency treatment in the case of severe hypoglycemia; Administering insulin or assisting the student with self-administration; Following the physicians order for food intake and physical activity. Notice. The board of education must inform the students parent or guardian, within 14 days of receiving a signed order by the treating physician, that the student may be entitled to a 504 plan regarding the students diabetes. ODE is required to develop a 504 plan information sheet that the board may use when notifying the students parent or guardian of the 504 plan entitlement. Administering medication. A school nurse or an employee trained in diabetes care may administer diabetes medication. Training. The board may provide training to school employees in the area of diabetes care for students. The training must comply with RC 3313.7112 (D) and must be coordinated by the school nurse or a licensed health care professional, if the school does not employ a nurse. The licensed health care professional must have expertise in diabetes and be approved by the school in order to provide training. If offered, the training must occur prior to the school year or as needed, but not later than 14 days after the board receives an order signed by a students treating physician. Onc Continue reading >>
105ilcs145/care Of Students With Diabetes Act.
provide students with diabetes equal educational opportunities and a healthy and safe environment. (5) A school nurse is the most appropriate person in a school setting to provide for all students' healthcare needs; however, a school nurse may not be available when needed, and many schools do not have a full-time nurse. (6) Many students are capable of checking their blood glucose levels, calculating a carbohydrate-to-insulin ratio, and administering insulin independently. Allowing capable students to manage diabetes independently in school is consistent with the recommendations of pediatric endocrinologists and certified diabetes educators and other specialists. (7) Because appropriate and consistent diabetes care decreases the risks of serious short-term and long-term complications, increases a student's learning opportunities, and promotes individual and public health benefits, the General Assembly deems it in the public interest to enact this Act. Sec. 10. Definitions. As used in this Act: "Delegated care aide" means a school employee who has agreed to receive training in diabetes care and to assist students in implementing their diabetes care plan and has entered into an agreement with a parent or guardian and the school district or private school. "Diabetes care plan" means a document that specifies the diabetes-related services needed by a student at school and at school-sponsored activities and identifies the appropriate staff to provide and supervise these services. "Health care provider" means a physician licensed to practice medicine in all of its branches, advanced practice registered nurse who has a written agreement with a collaborating physician who authorizes the provision of diabetes care, or a physician assistant who has a written supervision agreemen Continue reading >>
Diabetes In Schools Responsibilities Of Trained Staff
Diabetes in schools responsibilities of trained staff Diabetes in schools responsibilities of trained staff As a member of school staff, whether you have volunteered to be trained about a childs diabetes or it forms part of your contract thank you! The help and support you will offer them will not only help make sure they get the most out of their time in school but you will also be making sure their parents can be confident that their child is getting the right support. Many of the responsibilities around supporting children with diabetes are for the schools management team, governors or responsible body. A lot of them exist to make sure you get the support you need to confidently look after a child with diabetes. On this page you wil find infomation and support on: Any member of school staff can volunteer to look after a child with diabetes, whether it is a teacher, teaching assistant, a SENCO, pastoral year head, a deputy head, head teacher or a member of staff in the office. Simply because you have volunteered to be trained about a childs diabetes, it doesnt mean it is just you who is responsible for them. If a school has a child with diabetes in there should be at least two trained members of staff. The school must also be prepared for absences and staff turnover so there should always be a trained member of staff available. As part of a schools medical conditions policy all members of staff should understand the role they play in making sure children with diabetes are supported properly. This means each teacher who takes a child with diabetes for a lesson should understand and help you make sure the childs Individual Healthcare Plan (IHP) is followed. The headteacher, schoolgovernors or responsible body have overall responsibility for making sure the medical cond Continue reading >>
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Care Of Students With Diabetes In Schools: Frequently Asked Questions
The law was signed on October 1, 2009 and is effective January 29, 2010. Does the law apply to nonpublic schools or early childhood programs? No. The law defines a school as an elementary or secondary public school located within the state. Who coordinates diabetes care in the school? The law requires the school nurse to coordinate the provision of diabetes care at that school. The school nurse develops the individualized healthcare plan (IHP) and an emergency healthcare plan (IEHP), communicates regularly with the student, parents/guardians, and the healthcare team, and documents care. Why does the law require an individualized healthcare plan (IHP) and an emergency healthcare plan (IEHP)? The IHP and the IEHP are developed by the school nurse, in consultation with the parent/guardian and other appropriate medical professionals, to establish a set of procedural guidelines and directions for the care of the student with diabetes while at school or at school-sponsored activities. What information must be included in the IHP/IEHP? The law states each individualized health care plan (IHP) shall include, and each individualized emergency healthcare plan may include the following information: the symptoms of hypoglycemia and recommended treatment; the symptoms of hyperglycemia and recommended treatment; written orders from the students physician or advanced practice nurse outlining the dosage and indications for insulin administration and glucagon, if needed; the times of meals and snacks and indications for snacks with exercise; full participation in exercise and sports and any contraindications or accommodations; accommodations for field trips, after school activities, parties, and other school-related activities; medical and treatment issues that may impact the education Continue reading >>
Diabetes In Schools - Information For Teachers & Staff
Diabetes in schools - information for teachers & staff Diabetes in schools - information for teachers & staff This page is an overview of what teachers and staff should know about diabetes with links to further support and resources If you have a child with Type 1 diabetes in your care at school, youll know that theres a lot to think about. Or if a child with Type 1 diabetes is joining your school, there will be lots of things to put in place to ensure the child is cared for correctly. Over the past two years weve been busy supporting schools to put the right care in place for children with diabetes through our Type 1 diabetes: Make the grade campaign . Weve developed lots of easy to follow, free resources to help schools know what to do and how to do it. On this page you will find information on: Watch this video from the Safe in School campaign to hear from children, staff and parents about what good care involves. Students with Type 1 diabetes moving class in the same school Talk about if their childs classes are changing, or the staff responsible for caring for them at school. Let them know about any planned trips. And consider if there are any other changes that might affect them, such as changes to the school curriculum, timing of lunch and breaks or storage of medication and equipment. Ask parents if any aspects of the students care might change, or if there is any particular area they would like the schools help on, e.g. taking responsibility for certain aspects of care as the student grows up Arrange training for new carers, involve the diabetes nurse and parents in this. Allow time for new carers to work with current carers so that they build up their confidence and the student feels comfortable with them. Update the students individual healthcare plan if nec Continue reading >>
