Nurse Files: includes Individualized Health Plans

Contains Instructions, Individualized Health Plans, Standards of Care, Provider Order forms, Documentation records/logs & resources

STANDARDS AND GUIDELINES:

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GETTING STARTED: 

INDIVIDUALIZED HEALTH PLANS: The Individualized Health Plan (IHP): Diabetes in School Setting and Addendums should be used in conjunction with the Final Standards of Care Aug 2021 and the individual student’s orders from their Health Care Provider.

I. HEALTH CARE PLANS FOR THE STUDENT THAT NEEDS ASSISTANCE WITH SELF CARE:  (Updated 2020-04)

2020 Instructions for IHP and addendums: Provides specific directions for using the Individualized Health Plan and appropriate addendum(s)for the student with diabetes. These are meant for the delegated unlicensed personnel (health assistants, teachers, coaches) providing services

II. HEALTH CARE PLANS FOR THE INDEPENDENT STUDENT :

III. OPTIONAL HEALTH CARE PLANS & FORMS:

SCHOOL LOG RECORDS

PROVIDER ORDER FORMS: The provider orders should be used in conjunction with the Final Standards of Care Aug 2021 The standards provide details of regarding standard of care for students with diabetes in the school setting. NOTE: The student’s health care provider may indicate exceptions to these standards on the student’s individual orders. These Standards were developed in 2013 by the Colorado Kids with Diabetes Care and Prevention Collaborative of local health care providers, nurses and stakeholders.

  • NOTE: The Barbara Davis Center will provide its own computer generated orders which align with the orders on this website. Additional school or district specific medication forms are unnecessary unless they contain additional information not specified here for this student’s diabetes care.

For more information on clarifying orders, see Clarification of Pump Orders from BDCThe school nurse can contact their region’s Diabetes Resource Nurses or contact the Barbara Davis Center for further clarification.

Emergency Response Tools:   Emergency Bucket for T1D

RESOURCES:

2020 #520 School Nurse FAQ Answers questions related to stabilizing snack, correction factors, out of state orders, lack of supplies, field trips, etc.

TSlim-X2-School-RN-Tips Jan 2020: This is a tip sheet for using the new Tandem Tslim X2 closed loop pump system

MiniMed-670G-System-School-Nurse-Guide: This guide is intended to help school nurses with the basic operation of a student’s MiniMed 670G system.

Medtronic 670G School RN FinalQuick guide for School Nurses and for training school staff

  • Helping the Students with Diabetes Succeed: A Guide for School Personnel/ADA: The purpose of this guide is to educate school personnel about effective diabetes management and to share a set of practices that enable schools to ensure a safe learning environment for students with diabetes, particularly those who use insulin to control the disease (all students with type 1 and some with type 2 diabetes).

NASN Diabetes Position Statement 2017

ADA Position Statement School

2018 ISPAD Position Statement on Type 1 Diabetes in Schools ispad_position_statement_on_ T1D

ISPAD Clinical Practice Consensus Guidelines 2018 https://www.ispad.org/page/ISPADGuidelines2018

#728 Developmental Stages and Diabetes: Students need to be encouraged and supported to gradually assume diabetes self-care as they mature and demonstrate confidence. Newly diagnosed students may temporarily be unable to perform tasks per their developmental age until they adjust to their diagnosis and new life. This general list can help guide discussions as a child matures and advances in responsibility.

ISPAD Psychological Care of Children with Diabetes