Action Steps for a Diabetes Management PlanOnce the school has been told that a child has diabetes, the school nurse initiates the following action steps for development of the plan of care for the student:
- The school nurse initiates the Healthcare Plan Checklist and arranges for a family conference prior to the student's entry or return to school.
- The school nurse interviews the parent/guardian, completes the Health History, Healthcare Action Plan, Emergency Action Plan and the Universal Release of Information that is signed by the parent.
- The parent/guardian provides the school with blood glucose monitoring equipment (or a plan to bring it to school daily), medications and snacks, and treatment measures for hypoglycemia.
- The school nurse trains appropriately designated staff in emergency action procedures and disseminates information regarding diabetes to appropriate staff. For example, the classroom teacher and assistant, playground supervisors, lunchroom monitors, bus drivers, coaches, etc.
- The school nurse completes the Blood Glucose and Insulin Procedures form after observation of the student (if the student will do self monitoring at school).
- The school nurse plans for the nutritional needs and supplementary snacks and initiates a 504 dietary plan if necessary.
- The school nurse initiates and evaluates the student's individualized health care plan and makes modifications as needed.
- The school nurse maintains consistent communication with student, staff, parent/guardian, in order to provide for the appropriate plan of care.
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