advertisement

  1. This site uses cookies. By continuing to use this site, you are agreeing to our use of cookies. Learn More.

school nurse plan question

Discussion in 'Parents of Children with Type 1' started by Jake's mom in NC, Apr 15, 2012.

  1. Jake's mom in NC

    Jake's mom in NC Approved members

    Joined:
    May 31, 2011
    Messages:
    62
    Hey all! I have a question for those of you who have school nurses. So far my son has had a TA trained to help him in his classroom for all of his care. He is changing schools, one with a nurse present all of the time, which I am happy with, except now he will have to go to her in her office. This will be the case even for lows. She said they will send him with a buddy, but I am still uneasy about this. Is this the norm or do your children have a different plan of care? The school is a private school so I don't think that they are subject to some of the same regulations that the public ones are. Of course, if it's a true emergency she will come to him, but otherwise she needs to stay in her office. Which I get, they have 5 diabetic kids in the school and then kids with other issues as well, so they have her in a central location. Any ideas/suggestions? Thanks!
     
  2. ecs1516

    ecs1516 Approved members

    Joined:
    Dec 11, 2007
    Messages:
    7,025
    We are also in a private school and my kids walk down to see nurse. They can check in class though. Usually my son gets checks in class and treats there. If very low he will treat and then go stay in the nurses office until he feels better. If it was a real problem they would call the nurse down. He is 12 .
    My 15 year old never goes to nurse.

    How old is your son?
     
  3. Connor's Mom

    Connor's Mom Approved members

    Joined:
    Nov 10, 2011
    Messages:
    564
    My son is in public school. He was the first Type 1 kid in the school in years. He goes to the nurse with a buddy if he is mildly low. If he feels bad then she comes to him. He is allowed to test in class and has emergency supplies in the room. He has a bigger selection in the nurses's office.
     
  4. jbmom1b2g

    jbmom1b2g Approved members

    Joined:
    Aug 10, 2011
    Messages:
    277
    My dd gets walked down to the school nurse if she feels low. Next yr I will have her test in class if she needs to.
     
  5. DsMom

    DsMom Approved members

    Joined:
    Nov 9, 2010
    Messages:
    1,700
    My son enjoys walking to the nurse (with a buddy at all times)...and I think gets a power trip out of being able to choose who will be his buddy!:rolleyes: The nurses have been wonderful...like grandmothers to him.

    He is only 7 now, but I do want to eventually transition him to checking in the classroom...only so he does not miss so much class time. However, he will still need to go to the nurse at lunch...he will need supervision with his bolusing.

    We've never had any negative issues with him going to the nurse for checks.
     
  6. Becky Stevens mom

    Becky Stevens mom Approved members

    Joined:
    Oct 14, 2008
    Messages:
    8,719
    Steven does walk down to the nurse for testing and to get insulin before his snack and lunch. As far as when he feels low. He has glucotabs with him and can take some if he feels low. If he continues to feel low he is to tell the teacher and she will tell the nurse to come to the classroom and treat him there. Its too far from his classroom to the nurse to walk all that way not knowing what his blood sugar is. Im thinking that he will probably start having his meter with him next year when he is in 6th grade
     
  7. Mish

    Mish Approved members

    Joined:
    Aug 20, 2009
    Messages:
    1,393
    How old is your son and how long has he had diabetes?
     
  8. Jake's mom in NC

    Jake's mom in NC Approved members

    Joined:
    May 31, 2011
    Messages:
    62
    Thank you everyone for your responses, I feel better knowing many of you seem to have a similar plan in place. Jake is 8 and has had diabetes for a year and a half. He wears a pump and I have just started allowing him to enter his own bolus' in his pump without me double checking, only when I am home with him. If he is at school or with anyone else he still has an adult double checking him. So if he stays in the class for checks, he would have to do it on his own, I don't think he is old enough yet for that (going into 3rd grade next year).
     
  9. jessicat

    jessicat Approved members

    Joined:
    Jan 10, 2012
    Messages:
    151
    My son checks i nthe class if he feels low, and treats there if necessary. The teacher is pretty comfortable. She calls the nurse to confirm or if she is too busy to handle it. he does go to the nurse too, but I would prefer he stay in calss as much as possible and not walk around cmpus when low.
     
  10. Beach bum

    Beach bum Approved members

    Joined:
    Nov 17, 2005
    Messages:
    11,315
    We were lucky because 90% of the time, the nurse came to my daughter, otherwise she got a bit to social (my daughter not the nurse) with everyone she met along the way:D
    If she felt low, the nurse would come to her, or an available adult (never a student due to distance) would walk her (it was a long walk for a kid but not an adult, so if something happened really all they would have to do is shout).

    3rd grade we transitioned to in room testing, but that was also because there was a TA in the class who kept an eye on things and called down to the nurse with her numbers. Then, the nurse would come to her for a bolus or the TA would walk her down if she was low (after giving her something first).

    4th grade was in room testing, in a portable. My daughter would test, and call the nurse. The nurse would tell her what to do (no bolus, have your snack). The nurse would then walk out to her if she needed a correction. 5th grade is pretty much the same and I'm thinking we will probably, for the first half of 6th continue. She does stop at the nurse for lunch checks/bolus and PE.

    One thing to keep in mind is class time missed. Usually around 4th grade, the jaunts to the nurses office, no matter how short, do result in the student missing out. In fact now, my daughter hates having to be pulled out of class to go up (for one reason or another) because she is totally lost when she gets back and the teacher doesn't always have time to bring her up to speed right then and there.
     
    Last edited: Apr 16, 2012
  11. lgouldin

    lgouldin Approved members

    Joined:
    Jun 27, 2011
    Messages:
    249
    My daughter loves going to the nurse and everyone in her classes loves to walk with her if she feels low:cool: (which is not very often so it's not like it is a every day thing). The nurses office is not very far from her classes and if it is needed the nurse will come to her.
     
  12. CAGrandma

    CAGrandma Approved members

    Joined:
    Mar 14, 2006
    Messages:
    529
    I really question the appropriateness of having a 7 year old responsible for escorting another 7 year old down what might be empty hallways to a nurses office. Sending a diabetic child feeling low alone would be dangerous. Sending two 7 year olds may take a long time if they get distracted (gee, do 7 year olds get distracted easily?). It's a lot of responsibility for the non-diabetic child. Odd that school personnel can't be responsible for diabetes care but it is ok for another student to do it.
     
  13. Beach bum

    Beach bum Approved members

    Joined:
    Nov 17, 2005
    Messages:
    11,315
    We have it specifically in our 504 that ONLY and ADULT, and not a fellow student is allowed to escort our child. When we spoke to the rational of why, the school had an ah ha moment. Oh, and not to mention the fact that when a child did escort my kid it turned into a social hour. The admin caught the two of them in a totally different area than where they needed to be....
     
  14. Mrs. C.

    Mrs. C. New Member

    Joined:
    Apr 18, 2012
    Messages:
    1
    I am a school nurse with 5 Type 1 diabetics at my school. For the students of mine that are not in our main building test in class and call me. (3rd to 6th grade). Depending on their numbers determines my actions. They all have low treatment supplies in class. If a child "feels" low or test and "is " low, I always go to them. We do have the buddy system in our district, but I do not agree with this. I feel if a diabetic has had their juice or tabs, they still may be dropping. I would not feel comfortable with that child walking to my office. The key is communication with teachers, staff, parents, and the child. If a school does not agree with the nurse or medical staff going to the child, then I would highly suggest a 504 plan and adding the information to the 504 requiring an adult walk him up if nurse is unable to go to them. The child's safety should always be number 1 !!!!
     
  15. Mom2Will

    Mom2Will Approved members

    Joined:
    Oct 11, 2007
    Messages:
    1,051
    Our 504 states "meter with student at all times, may test when needed". No, it is absolutely not acceptable to walk to the nurse's office - especially when low, poor kid that would have to be the escort should the kid fall out on them. If low, he needs to get that up right away. We too did not have a full time nurse at school and the TA did all the D care, we now have a "more than she was there" nurse but I've never had to fight about testing and/or treating in the class room. If a site comes out he goes to the nurse that's about it, the teacher handles carb counting, etc.
     

Share This Page

advertisement