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Administrative Procedures

Administrative Procedure 317

A - Student Medication Type 1 Diabetes

Background

Wild Rose School Division emphasizes the need to support the needs of each child individually and provide appropriate care in the school based on the student’s Diabetes Medical Management Plan.

 

Diabetes care should be provided in a way that encourages self-management of diabetes by the student whenever appropriate and which ensures that adequate numbers of trained personnel are available to protect the student’s health and safety whenever the student is in the school or participating in school sponsored activities.

 

1. The administration of a quick acting glucose source (e.g., Glucose tablets, unsweetened juice, sugared candy) or the provision of follow up snacks (e.g., digestive biscuits, crackers, cheese) is acceptable and can be dispensed by any staff in accordance with written instructions from the parent (refer to the Diabetes Medical Management Plan). Parents should be advised when a quick acting glucose source for low blood sugar has been administered.

In an emergency, staff members are permitted to administer a glucagon injection as per the Diabetes Medical Management Plan. *Note: the glucagon must be mixed with saline prior to administering as per emergency instructions.

 

2. When developmentally capable, students shall be allowed to test their own blood levels or upon request of the parent or student. If requested, the students should be allowed to conduct blood testing in the classroom OR schools are to provide an environment of confidentiality that enables and enhances the student’s ability to manage their health condition.

 

3. When developmentally incapable to test their own blood or ketone levels, the student will be provided with support. This will be done with two people, to ensure the medical plan is accurately followed.

 

Insulin Pumps

  1. Where the student is unable to dial in the correct dosage when an insulin pump is in use due to age (<9 years of age) or diagnosed with developmental challenges (FS IQ <70), two staff members will provide support as follows:
    1. One staff member must administer the blood test reading using the apparatus provided. This reading is programmed to transmit directly to the Insulin Pump; a beep will indicate its receipt.
    2. One staff member will observe while one staff member enters the correct corresponding carbohydrates consumed during a specified time period.
    3. The Insulin Pump will calculate the carbohydrate/insulin ratio. Both staff members will confirm the accuracy of the insulin to be administered as directed by the carbohydrate count and enter “ACCEPT” into the pump. This pump will ask for confirmation by repeating this process.
    4. All results and actions will be recorded on the Diabetes Medical Management Plan.

*Regardless of age or developmental level, no student shall be left alone while experiencing a low. Due diligence must be followed as outlined in the Diabetes Medical Management Plan.

 

Syringe Injections: At present time, Wild Rose School Division does not prevent school staff from administering syringe injections, but, neither does it impose an obligation to do so. Presently the Wild Rose School Division protocol for administering syringe injections is that school staffs DO NOT administer insulin injections.

 

Administrator Responsibilities:

  • Assuring that trained school personnel are available to provide routine and emergency diabetes care at school and school-related activities.
  • Requiring development and implementation by the school of a Diabetes Medical management Plan approved by the child’s health care provider.
  • Assuring that school choice is not restricted because of diabetes.
  • Requiring development and implementation by the school of a Diabetes Medical Management Plan (DMMP) approved by the child’s health care provider.
  • Wild Rose Public schools will not mandate that any staff member provide ongoing medical support, nor shall they prevent any staff member from providing ongoing medical support.
  • No staff member shall be disciplined for their refusal to provide ongoing medical support.
  • In an emergency situation, Wild Rose School Division are expected to dial 911 and provide emergency care as outlined in the Diabetes Medical Management Plan.

 

The Diabetes Management: A Protocol for Schools is an information and resource manual to be used by school staff to assist in managing and supporting students diagnosed with Type 1 Diabetes so students can learn in an environment that is safe and supportive.

Procedures

The school administrator along with the Student Support Facilitator will ensure that three staff members are designated each year and that these staff members remain properly trained. This training is to be provided by certified medical personnel.  All staff will receive a 30 minute hour overview, once per year to support their understanding of diabetes and procedures to follow in an emergency situation.

 

Forms:       Please see Staff Connect for forms/Diabetes Management: A Protocol for Schools

 

        

 

Reviewed:               June 2013

Next Review by:      July, 2016

 

References

Legislative References:

 

         School Act Section 45, 60, 61

         Medical Aid Act Protection from Action Section 2

 

Board Policy:

 

         Policy 11 Delegation

 

Cross-references:

 

         AP 315 Accidents to Students

         AP 318 Consent to Medical Treatment