Title: Guidelines for the Management of the Student with Diabetes in New Jersey
1Guidelines for the Management of the Student with
Diabetes in New Jerseys Public Schools
2Addressing N.J.S.A. 18A40-12.11-21
- Collaboration
- Cooperation Planning
- Students are more likely to succeed in school
when student, parent, nurse, principal, teachers,
coaches and others work together to manage care
3N.J.S.A. 18A40-12.11-21
- Became law on October 1,2009
- Effective January 29,2010
- Requires schools to take specific actions to
ensure that students with diabetes are able to
manage their disease while at school and to
ensure the health and safety of the student and
the school community
4Purpose and Beliefs
- Diabetes requires management 24 hours a day
- Students with diabetes must balance their blood
sugar levels, food intake, medications, and
physical activity while at school - School nurses will coordinate care and educate
school staff to provide a safe, therapeutic
environment for students with diabetes. - Diabetes can interfere with a students ability
to concentrate and learn
5Goal Optimal Student Health and Learning
- All school staff members should have basic
knowledge of diabetes and know who to contact for
help.
6New Law Requires
- An Individualized healthcare plan (IHP)
- An Individualized Emergency healthcare plan
(IEHP) - Annual written parent healthcare practitioners
authorization for the provision of diabetic
health care - Authorization for release and sharing of certain
medical information
7 Ten Element Plan for Diabetic Care
- 1.School Wide Posting of S/S of Hyper/Hypo
Glycemia - 2. Allowing for Blood Glucose testing throughout
the building grounds - 3. Written Authorization from a student's
Physician and Parent/Guardian - 4. Full Participation in Physical Education
Sports
8Ten Element Plan cont.
- 5. Accommodations for school trips, after-school
activities, class parties, and other school
related activities - 6. In-service Education for ALL SCHOOL PERSONNEL
who may come in contact with a diabetic student
on - How to recognize and treat hypo/hyper glycemia
- When to call for assistance
- 7. Medical Treatment issues that may affect the
educational process - 8. How to maintain communication between student,
parent/guardian, school nurse educational staff
9Purpose of Diabetic Law
- Purpose of the law is to ensure the health and
safety of both the student and the school
community while providing support to the student
to self-mange his/her diabetes to the fullest
extent possible - Law states that the school nurse shall designate,
in consultation with the Board of Education,
additional employees of the school district who
volunteer to administer Glucagon when the school
nurse is not physically present at the scene
10Purpose of Diabetic Law cont.
- No School employee shall be held liable for any
good faith act or omission consistent with the
provisions of the law - It also states that licensed athletic trainers
who volunteer to administer Glucagon will not be
held in violation of the Athletic Training
Licensure Act (P.L. 1984,c.203).
11Three Levels of Training
- Level One Education for All
- Overview of Diabetes
- Signs and Symptoms
- Common issues such as exercise, meals, and access
to medication - General emergency actions
12Level Two Student Specific Training
- For those with direct contact with the student
- IHP/IHEP procedures, protocols and emergency
actions - Child-specific exercise or nutrition issues
- Emotional and behavioral issues
- General information about care such as glucose
testing or insulin administration
13Level Three Volunteer Glucagon Delegates
- Student-specific information in Level Two plus
- Student specific information on hypoglycemia
symptoms and IHP/IEHP procedures - Successful demonstration by delegate of glucagon
administration and emergency protocols
14Level Three Volunteer Glucagon Delegates
cont.
- These volunteer designees must be trained by the
school nurse or other qualified healthcare
professionals to administer the drug Glucagon
in the event of a Hypoglycemic Emergency
15School Nurse Responsibilities
- Coordinates the provision of care
- Educates all personnel about diabetes
- Develops and updates students IHP/IEHP
- Has primary responsibility for emergency
administration of glucagon - Trains volunteer delegates for glucagon
administration - Serves as conduit for sharing of medical
information and communications with parents
16Students Diabetes ManagementWritten Plans
- IHP
- IEHP
- Education Plans
- 504 Accommodations
- IEPs
- Other
17WHRHS REPORT CARD
- IHP
- ECP
- Full participation in all school-related
activities - Accommodations made for school trips, activities,
parties - 504 Plans as needed in conjunction with Guidance
18Hypoglycemia A Medical Emergency
- Hypoglycemia is a medical emergency that can
progress from - Mild
- Moderate
- SEVERE
19What Can You Do?????
- If you or someone you know is a Diabetic you
should become a GLUCAGON DELEGATE - Glucagon is available at all times and is the
treatment for SEVERE HYPOGLYCEMIA - Glucagon is an injection that provides a rapid
boost of glucose to the body
20Glucagon Delegates
- School nurse may delegate task of glucagon
administration to personnel who have been trained
and have demonstrated the appropriate skills and
knowledge to do so safely. - Delegates may only be used when the school nurse
is not physically present at the scene
21Glucagon Delegates
- Delegates must be
- School district employees who volunteer to serve
as a delegate - Selected by the school nurse in conjunction with
the Board of Education - Trained by the school nurse or other qualified
health care professional to administer glucagon
22Delegation Considerations
- The delegate should be reasonably expected to
have regular responsibility for or contact with
the student. - The delegate should not be a high school student
employed by the district in an afterschool or
summer program. - The delegate MUST be an employed of the district
the delegate cannot be an older sibling or
relative attending the school, a neighbor or
school volunteer.
23Delegate Considerations cont.
- Delegates must be sensitive to privacy issues and
confidentiality. - Delegates must complete a training course.
- Delegates who transfer to another school must be
retrained and evaluated by the nurse in that
school. - Delegates will complete an annual refresher
training.
24Delegate Considerations cont.
- CPR-AED certification is highly recommended for
delegates
25How Do I Become a Delegate?
- Call Lee, Nan or Francine at 4877 or 4878 to
enroll in the upcoming Delegate Training Workshop
26Always Remember..
- You cant educate a child who isnt healthy and
you cant keep a child healthy who isnt
educated - Dr.
Jocelyn Elders - 15th
Surgeon General of the - United
States