We have had a number of issues with the school nursing since my son was diagnosed almost 1 year ago. What kinds of expectations do you have for school nurses? What do you think are reasonable expectations for a time frame for updating your child's IHP, for accuracy updating it, for following orders, for timing of training, and for competency of the trainer? Below are issues that we've had. -IHP updates: Nurse takes over 1 week to update the IHP with new orders. Every time, there are errors in the revision. Another week (or more) to revise. Still more errors. Another week or more to revise. So it usually takes at least 1 month to revise the IHP after any new orders. -Following practitioner orders: Orders aren't followed regularly, frequently the same ones repeatedly. Twice within the last month orders were followed that affected our son's safety, such as giving a corrective dose when shouldn't be given. He has been sent to the clinic more often than necessary (usually 1-3 times/week) and having BG tests and ketones tests unnecessarily because orders aren't followed. So he unnecessarily misses class and gets frustrated. The school doesn't respond to our concerns about this. -Training: Training is provided very delayed (usually 1-2 months after needed) and the trainers don't seem to have the required knowledge. Example: one nurse who recently trained the bus driver mixes up the names and functions of the pump and CGM.