Guidelines for the Management of the Student with Diabetes in New Jersey - PowerPoint PPT Presentation

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Guidelines for the Management of the Student with Diabetes in New Jersey


Guidelines for the Management of the Student with Diabetes in New Jersey s Public Schools – PowerPoint PPT presentation

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Title: Guidelines for the Management of the Student with Diabetes in New Jersey

Guidelines for the Management of the Student with
Diabetes in New Jerseys Public Schools
Addressing 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

N.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

Purpose 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

Goal Optimal Student Health and Learning
  • All school staff members should have basic
    knowledge of diabetes and know who to contact for

New Law Requires
  • An Individualized healthcare plan (IHP)
  • An Individualized Emergency healthcare plan
  • Annual written parent healthcare practitioners
    authorization for the provision of diabetic
    health care
  • Authorization for release and sharing of certain
    medical information

Ten Element Plan for Diabetic Care
  • 1.School Wide Posting of S/S of Hyper/Hypo
  • 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

Ten 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
  • 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

Purpose 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

Purpose 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).

Three 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

Level Two Student Specific Training
  • For those with direct contact with the student
  • IHP/IHEP procedures, protocols and emergency
  • Child-specific exercise or nutrition issues
  • Emotional and behavioral issues
  • General information about care such as glucose
    testing or insulin administration

Level 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

Level Three Volunteer Glucagon Delegates
  • 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

School 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
  • Serves as conduit for sharing of medical
    information and communications with parents

Students Diabetes ManagementWritten Plans
  • IHP
  • IEHP
  • Education Plans
  • 504 Accommodations
  • IEPs
  • Other

  • IHP
  • ECP
  • Full participation in all school-related
  • Accommodations made for school trips, activities,
  • 504 Plans as needed in conjunction with Guidance

Hypoglycemia A Medical Emergency
  • Hypoglycemia is a medical emergency that can
    progress from
  • Mild
  • Moderate

What 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

Glucagon 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

Glucagon 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

Delegation 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.

Delegate Considerations cont.
  • Delegates must be sensitive to privacy issues and
  • Delegates must complete a training course.
  • Delegates who transfer to another school must be
    retrained and evaluated by the nurse in that
  • Delegates will complete an annual refresher

Delegate Considerations cont.
  • CPR-AED certification is highly recommended for

How Do I Become a Delegate?
  • Call Lee, Nan or Francine at 4877 or 4878 to
    enroll in the upcoming Delegate Training Workshop

Always Remember..
  • You cant educate a child who isnt healthy and
    you cant keep a child healthy who isnt
  • Dr.
    Jocelyn Elders
  • 15th
    Surgeon General of the
  • United
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