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District

Managing Chronic Health Conditions at School

Washington State Law requires that students with a Life-Threatening Health Conditions have treatment orders from a Licensed Healthcare Provider, supporting medications and supplies, and a Health Care Plan in place at school before they can attend.

Here are some common conditions. Please contact your school nurse to begin your student’s 504 Health Care Plan.

  • WHAT IF MY STUDENT HAS ASTHMA?

    Please contact your school nurse ASAP. Who is my school nurse?

    Washington State Law requires that students with a Life-Threatening Health Condition, including Diabetes, have treatment orders from a Licensed Healthcare Provider, supporting medications and supplies, and a Health Care Plan in place at school before they can attend.

    PROVIDE THE SCHOOL NURSE WITH:

    • Asthma Action Plan completed by Health Care Provider and parent.
    • Rescue Inhaler and spacer to be stored in the health room or carried by the student. If the student “self-carries”, they will need to be checked-off by their School Nurse. Please make arrangements with the school nurse to drop inhalers and other asthma medication in the health room prior to attending school.


    ALL MEDICATIONS ARE REQUIRED:

    Daily Medication: (antihistamine, steroid inhaler, nebulizer treatment, etc.) should be taken at home whenever possible. We recommend having a “Three-Day Disaster Supply” of daily medications at school to be administered in case of lock-down. Please touch base with your School Nurse about overnight field trips / athletic trips / camps. Complete the Medication at School form for any additional medications not listed on the Asthma Action Plan.

     All Medications Must:

    • Be in their original pharmacy labeled container.
    • Match the order.
  • WHAT IF MY STUDENT HAS DIABETES?

    Please contact your School Nurse ASAP.  Who is my School Nurse?

    The School Nurse will create a Health Plan specific for your student based on information you provide. This plan outlines what action staff must take to support your student’s diabetes management. It is distributed to staff that work with your student.

    Washington State Law requires that students with a Life-Threatening Health Condition, including Diabetes, have treatment orders from a Licensed Healthcare Provider, supporting medications and supplies, and a Health Care Plan i place at school before they can attend.

    PROVIDE THE SCHOOL NURSE WITH:

    1. MEDICAL HISTORY: Use this Diabetes Care Information Form ​​​​​​​ 
    2. RELEASE OF INFORMATION: Allows the School Nurse to communicate directly with your student's healthcare provider.
    3. ORDERS: Ask your student’s endocrinologist to provide a Diabetes Care Plan for the school. It will have orders in it and needs to be signed by a Parent/Guardian. Even if your student is completely self-sufficient in their diabetic care, they still need orders at school.
    4. MEDICATIONS: Insulin & Glucagon
    5. SUPPLIES:
    • Low blood sugar (hypoglycemia) supplies (ie: glucose tablets, juice, carbohydrate/protein snack, etc.)
    • Insulin administration equipment (ie: pen, needles, alcohol wipes, pump, lancing device and lancets, test strips)
    • Glucometer with back-up batteries
    • Ketone strips


    Some families plan for their student to carry their supplies and medications with them. If this is the case for your student, the School Nurse will check with them to make sure they have everything.

    All Medications Must:

    • Be in their original pharmacy labeled container.
    • Match the order.
    • Not expired.


    NOTE:

    • Intramuscular Glucagon can only be administered by a School Nurse or Paramedic. Nasal Glucagon can be administered by staff that have been trained by the School Nurse.
  • WHAT IF MY STUDENT HAS A SEVERE ALLERGY?

    Please contact your school nurse ASAP. Who is my school nurse?

    Washington State Law requires that students with a Life-Threatening Health Condition, including Diabetes, have treatment orders from a Licensed Healthcare Provider, supporting medications and supplies, and a Health Care Plan in place at school before they can attend.

    PROVIDE THE SCHOOL NURSE WITH:

    • BISD Allergy and Anaphylaxis Emergency Plan completed by Health Care Provider and parent.
    • Emergency Epinephrine Auto-Injector and additional medications (antihistamine, inhaler, etc. as stated on the emergency plan) to be stored in the health room.  If the student “self-carries”, they will need to be checked-off by their School Nurse. Please make arrangements with the school nurse to drop medications in the health room prior to attending school.
    • Special events/non-routine days are the greatest risk for a life-threatening allergic reaction to occur.  Classroom parties, field trips, a substitute teacher, and after-school events are examples.  Be aware of when your child’s normal routine is changed and have “acceptable” snacks readily available for those special occasions.


    ALL MEDICATIONS ARE REQUIRED:

    • To be in their original pharmacy labeled container
    • To match the Licensed Healthcare Provider’s order
    • Not be expired
  • WHAT IF MY STUDENT HAS A SEIZURE DISORDER?

    Please get in touch with your school nurse ASAP. Who is my school nurse?

    The School Nurse will create a Health Plan specific for your child based on the information you provide. This plan outlines what action staff must take in case of seizure activity in school. It is distributed to staff that work with your student.

    If the plan includes giving medication, delegated staff will be trained by the School Nurse as appropriate.

    Washington State Law requires that students with a Life-Threatening Health Condition, which may include seizure disorder, have treatment orders from a Licensed Healthcare Provider, supporting medication, and a Health Plan in place at school before they can attend.  

    PROVIDE THE SCHOOL NURSE WITH:

    1. RELEVANT MEDICAL HISTORY: Please complete Seizure Disorder Information Form.
    2. RELEASE OF INFORMATION: Allows the School Nurse to communicate directly with your student’s healthcare provider.
    3. MEDICATION & ORDERS

     

    • Emergency Anticonvulsants can be stored and administered in school.
    • Some healthcare providers give parents/guardians a “School Care Plan” that includes orders for medications. Please sign this to authorize the order.
    • Licensed Healthcare Providers can also order an emergency anticonvulsant using this Authorization for Anticonvulsant in School. Please sign this to authorize the order.

    All Medications Must:

    • Be in their original pharmacy labeled container.
    • Match the order.
    • Not expired


    Please Note:

    • Rectal medications can only be administered by a School Nurse or paramedic. If your student has a rectal emergency medication that needs to be administered when a School Nurse is not available, paramedics will be called.
    • Daily Medications should be taken at home whenever possible. We recommend having a “Three-Day Disaster Supply” of daily medications at school to be administered in case of lock-down. Please touch base with your School Nurse about overnight field trips / athletic trips. Daily medications can be ordered by a licensed healthcare provider using this Authorization for Medication in School. Please sign this to authorize the orders.


    If your student has a SEIZURE DISORDER, please get in touch with your School Nurse ASAP.