Sorry so long! Our small school district has NO nurses at all. For elementary school Lia has been cared for by the office staff and for the last few years, an aide who comes to her in class/cafeteria etc and assists her. I know many kids are capable of caring for themselves even in elementary school but with her having ADHD and poor focusing and math skills I have been reluctant to let Lia do this. Especially with gym some days but not others, sometimes having an extra afternoon recess, sometimes not etc. Next year she will be in sixth grade at the middle school. I know she is now capable of doing many of her tasks. I am hoping we can try no aide next year as I can see her complaining about having an aide following her around middle school already. Any BTDT recommendations etc? What issues have you had? Anything you would do differently? Right now our 6th grade is located in one small wing of an older building that they share with the district's early education program. However there is a possibility they will be moving to the main middle school with the 7th and 8th graders. However I've been assured that even now in the middle school each grade has their own wing, lunch period, lockers etc and are self contained. For the most part they do not see or interact with other grades except at arrival/dismissal. So really it will be a very small environment. We have just purchased a cell phone for her and added her to our family plan. It's Verizon and I have the parental controls so I can block a lot of things and it will be mostly used for medical reasons/to call me. I'm hoping she and I will be able to communicate through text with just the occasional phone call. So with all that here are some specific questions. If your child has a phone and uses it to communicate with you do they excuse themselves to the hallway or do they text right in class? I would assume for calls she'd have to go to the hall, but texts? If your child is low at class change time do they wait in the class they are in until they feel better or do they just proceed to class as long as they aren't feeling too weak? How do you deal with after school activities? Ask the teacher/coach in charge to be trained to assist in emergencies? My concern with this is that in our district many of the classes/activities are in six week blocks and so a new person every six weeks. IF they offer child care for 6th grade which is up in the air now with the building change, that won't be an issue. But they now offer after school activities two days a week in six week blocks and also tutoring another two days for kids who qualify (Lia probably will). We will be uitilizing these if there is no after school child care and will use the tutoring regardless. I assume we will still leave the back up supplies in the office as we do now (she already carries her regular supplies with her) and have the secretary(ies) trained in glucagon. Anything else you can suggest? Of course now that I think about it, IF 6th grade stays where they are she will be bussed to the other building for the tutoring so we would need back up supplies there etc. Ugh. I am SO not ready for this change esp not knowing exactly where she will be or if there will be child care available etc!!! Right now I work 7 am to 2:45 pm three days a week and can pick her up right after school on those days. The other days either my sister picks her up or my dh or she goes to the child care. But middle school gets out earlier and I don't know if I will be able to convince my employer to let me juggle my schedule even more!