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Diabetes School Health Resources


Legislation, Guidelines, and State Reports

Training Materials for School Personnel

Educational Materials for Children and Families

Individualized Health Plans for Children with Diabetes

Evaluate the School Health Resource Website



Legislation, Guidelines, and State Reports

National Organization Resources

  • American Diabetes Association. American Diabetes Association State Laws and Policies. The ADA provides a state-by-state school resource page that has an updated comprehensive list of state resources that have been identified and collected over the years. State Diabetes Prevention and Control Programs produced some of the resources.

State Resources

  • State School Health Policy Matrix. The State School Health Policy Matrix outlines relevant state-level health policies for the following topics: competitive foods and beverages, physical education and physical activity, and administration of medication in the school environment. It also it indicates which political entity or agency adopted the policy or issued guidance and has a direct link to the policy. The guide was prepared by The National Association of Chronic Disease Directors (NACDD), the National Association of State Boards of Education (NASBE) and the American Alliance for Health, Physical Education, Recreation and Dance (AAHPERD).

  • Indiana Statute. Statute covers diabetes care in schools and use of a trained volunteer health aide in providing diabetes services when the nurse is not available. Provisions include training requirements for school nurses and volunteer health aides as well as requirements that a health aide must have continuous access to a licensed school nurse personnel. View statute.
  • Kentucky Glucagon Statute (effective 2005). Statute requires every public or parochial school to have a person trained and available to administer emergency injectable medications including glucagon.KY Board of Nursing allows non-medical professionals to administer the injectables in statute specified emergency situations. View statute.
  • Kentucky. A Legislative Research Commission Report (July 2010) discusses health services including diabetes in schools. In KY, schools must provide health services to students with diabetes, asthma, severe allergy, or epilepsy. However, the laws and regulations are complex and oversight is fragmented and inadequate. Health services may be provided by physicians, nurses, or trained unlicensed school staff. There is controversy about the proper role of unlicensed staff. It appears that inappropriate care and improper limitations on care have occurred. These problems appear to occur less often when school nurses are present. The report’s seven recommendations cover facilitating access to health and educational records under federal law, clarifying relevant state laws, and coordinating services among school districts and health service providers.
  • Oregon. Oregon developed a law regarding emergency glucagon administration in schools. A training manual and slide set is available for providers are on their website.
  • Rhode Island. Statute outlines the training and supervision of school personnel for the administration of glucagon to children with diabetes in schools. View statute.
  • Texas. Statute for training unlicensed diabetes care assistants (UDCA). View statute.
    • Texas. Frequently Asked Questions related to Implementing House Bill 984. This document addresses questions that have been raised by school staff and families following the enactment of House Bill 984 in May 2005. Questions were developed based on the types of consultation provided by the Texas Diabetes Program’s nurse consultant. The document is updated routinely.
    • Texas. Guidelines for training school employees that are not licensed healthcare professionals to implement House Bill 984 (79th Legislative Session) related to the care of elementary and secondary school students with diabetes. The Texas Diabetes Prevention and Control Program with many partners developed the Guidelines. See Guidelines on Texas Diabetes Council website.
    • Texas. Texas Risk Assessment for Type 2 Diabetes in Children: A Report to the Governor and the 82nd Legislature of the State of Texas. The Texas Risk Assessment for Type 2 Diabetes in Children is a state mandated program developed, coordinated, and administered by UTPA. This assessment includes screening for the presence of acanthosis nigricans; if positive students are then assessed to calculate BMI and assess blood pressure. This is a report of the 2009-2010 school year results.
  • Utah. Statute directs a public school to train school personnel who "volunteer” to be trained in the administration of glucagon in an emergency and permits a student to possess and self-administer diabetes medication, when requested by parents. View statute.
  • West Virginia. The Diabetes Care Plan Act. The State Board of Education shall adopt guidelines for the development and implementation of individual diabetes care plans for students with diabetes. View statue.


 

Training Materials for School Personnel

National Organization Resources

  • National Diabetes Education Program (NDEP).
    • Helping the Student with Diabetes Succeed: A Guide for School Personnel. The purpose of the document is to educate school personnel about diabetes and to share a set of practices that enable schools to ensure a safe learning environment for students with diabetes. The guide can be reproduced without permission and shared with all school personnel, parents, and students. Promotional tools include a Powerpoint presentation for training school personnel. The Resource Page provides a table that lists organizations and the type of information/services they provide:
      • Speakers for school personnel
      • Trainers for school personnel
      • Training programs/resources
      • Educational materials/lay audiences
      • Educational materials/school nurses
      • Information assistance on Federal laws
      • Guidelines/standards of care
      • Position statements
    • Transitioning from Pediatric to Adult Health Care Online Tool Presentation. This slide set contains information about transitioning from pediatric to adult health care and is designed for health care professionals and community organizations to help explain and promote materials and tools (Transitions: From Pediatric to Adult Health Care resource) to ease this transition.
  • American Diabetes Association.Diabetes Care Tasks at School: What Key Personnel Need to Know. This two-part training is for health professionals to train school nurses and other school personnel on their responsibilities for caring for students with diabetes. PowerPoint presentations are available from this website.
  • National Association of School Nurses.Helping Administer to the Needs of the Student with Diabetes in School (H.A.N.D.S.SM) is a live continuing education full day program to equip the school nurse with current diabetes knowledge, and provide tools and resources to facilitate effective diabetes management for students at school. It is presented by a School Nurse with a specific interest in diabetes and a Certified Diabetes Educator (CDE). NASN also compiles other helpful diabetes resources for school nurses.

State Resources

  • Alabama. The Diabetes in School website has information on lesson plans for kindergarten-twelfth grade, a diabetes overview, and diabetes nutritional management is provided for school nurses. Continuing Education Opportunities for school nurses on diabetes are available.
    • Back to Basics: A Diabetes Overview for School Nurses
    • Back to School: Diabetes Nutritional Management.
  • Colorado.The Colorado Kids with Diabeteswebsite has toolkits for school nurses, families, and health providers. It also has statewide guidelines for safe management in schools, standardized medical and health forms to be utilized by school nurses, parents and health providers, a listing of diabetes resource nurses who provide consultation to school nurses, and a description of the Diabetes Resource Nurse program.
  • Kentucky2011 Diabetes in School Webcasts. The KY Diabetes Prevention and Control Program regional staff annually conduct "diabetes in schools” school nurse trainings. One of the 2011 trainings was webcasts with continuing education on KY TRAIN. The title of the sessions and the course numbers to register on TRAIN are below.
    1. Diabetes in School: Students with Insulin Pumps – 1029415. Originally aired July 28, 2011 has been approved for nursing continuing education as follows: Kentucky Board of Nursing Provider Number: 7-0038-01-2013-1375 WEB Contact Hours = 1.0
    2. Diabetes in School: Diabetes in Children Pathophysiology Diagnosis and Management – 1029410. Originally aired July 28, 2011 has been approved for nursing continuing education as follows: Kentucky Board of Nursing Provider Number: 7-0038-01-2013-1374 WEB Contact Hours = 3.3
    3. Diabetes in School: School Nurse Role / Problem Solving – 1029428. Originally aired July 28, 2011 has been approved for nursing continuing education as follows: Kentucky Board of Nursing Provider Number: 7-0038-01-2013-1376 WEB Contact Hours =1.0
    4. Diabetes in School: School Nutrition and Meal Planning – 1029435. Originally aired July 28, 2010 has been approved for nursing continuing education as follows: Kentucky Board of Nursing Provider Number: 7-0038-01-2013-1377WEB Contact Hours = 1.0
  • New Hampshire has the following resources for school nurses.
  • New Mexico. The School Health Plan includes standing orders for the school nurse when delegating nursing actions in the care of students with diabetes. Officers of the New Mexico Department of Health by state statute have oversight of school nurse practice and have issued standing orders to assist school nurses who might delegate nursing actions in the care of students with diabetes. The standing orders were issued to provide school nurses with medical support and backup when making the choice to delegate nursing actions in the care management of students with diabetes through licensed or unlicensed care givers when a school nurse is not available.
  • Ohio. The Ohio Department of Health School Nursing Program developed a medication administration training program. Medication Administration in Ohio Schools: Training for School Personnel is an online train-the-trainer program available to school nurses and other licensed health professionals for their use in training school personnel how to safely and appropriately administer prescriptive medication. This training provides licensed health professions with PowerPoints, handouts, tip sheets, sample forms, skills checklists, teaching tips, etc., for use in training. It includes extensive resources that support management of students with diabetes in the school setting, including a Roadmap for care. View training information.

View the Glucagon Training Module appendix on the Ohio Train website.

 

  • Rhode Island. All of the following resources are available on the RI Website Diabetes Information for Schools.
    • Physician standing orders for the development of the school care plan to treat hypo- and hyperglycemia and administer Glucagon if needed.
    • Hypoglycemia and Glucagon administration proof of training and skills checklist.
    • Authorization for Glucagon Administration by Non-Medical School Personnel.
    • Parent permission form authorizing Glucagon administration to children by a non-medical school employee.
  • Texas.
    • Diabetes Care at School: Bridging the Gap. This is a 12-chapter, online, multimedia education program designed specifically for Texas schools. All school staff, including teachers, principals, coaches, unlicensed diabetes care assistants (UDCA), administrative personnel and nurses may utilize the program. Schools may share the content with parents.
      • RNs and LVNs who complete the course will receive 6 hours of Continuing Education (CE) credit.
      • A skills training kit is included with the program. The kit includes the items required for a UDCA to practice and demonstrate the skills necessary to pass the skills check portion of their training. In addition, users will have access to text-fillable forms, training checklists, meeting agendas, summary sheets, and diabetes-related resources for parents.
      • Appropriate certificates of completion are issued for Nurses, UDCAs, and users who complete diabetes awareness training.
    • Texas School Nurses Organization (TSNO). TSNO provides specific recommendations for nursing practice and implementation of House Bill 984 (passed by the Texas Legislature in 2005 and requiring the training of unlicensed diabetes care assistants in schools), including sample protocols, fact sheets and training agendas.
  • Utah.
    • Glucagon Administration: A Guide for School Personnel. Reviews the use for and administration of Glucagon administration kits and outlines the proper medical procedure to follow. View Guide.
    • Glucagon Administration Authorization Form. Form for parents that authorizes glucagon administration in school. View form.
    • Training Guide for School Staff. Power Point presentation to educate school staff about diabetes, the care and management of students with diabetes and when and how to give Glucagon. View presentation.
    • Glucagon Education Module Skills Checklist. View checklist.
  • Vermont. Managing Diabetes at School. Focused on type 1 diabetes with some details for type 2 diabetes, document includes daily management issues, roles for members of school team, information for parents, regulations, and miscellaneous appendices. A PowerPoint presentation that addresses insulin pumps is also provided.
  • Virginia. Virginia’s Diabetes Medical Management. School Nurses and the Care of Children with Diabetes at School: Virginia’s Diabetes Medical Management Plan’s Guide for School Personnel is to be used as a quick reference guide to promote and ensure excellence, safety and support for children with diabetes in Virginia’s schools.

  • West Virginia.
    • Department of Education. Web-based program to teach the roles and responsibilities of school personnel for students with diadetes. View program.
    • Basic and Specialized Health Care Procedures Manual for West Virginia Public Schools. View manual.
    • Appendix C of the RN Board position statement discusses the authority of a school nurse to delegate the administration of student medications to a teacher or other school employee in emergency situations (such as Glucagon administration to treat profound hypoglycemia in a student with diabetes). View position statement.

 

Educational Materials for Children and Families

  • National Diabetes Education Program.
    • Tips for Teens with Diabetes. These tip sheets provide useful information about diabetes and encourages teens to take action to manage their disease for a long and healthy life.
    • Diabetes Health Sense. Diabetes Health Sense provides users with a searchable database of research, tools, and programs to address the wide array of psychosocial and lifestyle-change challenges associated with diabetes self-management. Resources included in Diabetes Health Sense have been reviewed by a team of leading independent experts on psychosocial issues with specific expertise in the science of behavior change. Resources for school health personnel and nurses are provided.
  • Juvenile Diabetes Research Foundation.JDRF School Advisory Toolkit. The JDRF school webpage contains resources for students with diabetes, their families and school personnel.
  • Children with Diabetes. This website, part of the Johnson and Johnson Family Companies, is an online support network for families with children with diabetes. The site has a resource page, Diabetes at School, that outlines school issues.

 

Individualized Health Plans for Children with Diabetes

National Organization Examples

  • The American Diabetes Association outlines the plans needed to care for students with diabetes in schools. The plans discussed on this site are the Diabetes Medical Management Plan, Individualized Health Plan, Section 504 plan, and an Individualized Education Plan.

State Examples

  • New Mexico: Individualized Care Plan for Diabetes Care in School. View plan.
  • Rhode Island: Physician standing orders for the development of the school care plan to treat hypo- and hyperglycemia and administer Glucagon, if needed.View standing orders.

 

Evaluate the School Health Resource Website

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