My daughter just recently got her insulin pump. Her first day at school with it, there was a substitute nurse. I was going over different aspects of the pump with her, showing her how to use it, etc. When it came to site changes, she told me she "does not change sites. I have not been trained in how to do them, and I won't do them". I was kind of taken aback and said, well ok, I guess if it needs to be done, call me (knowing the regular school nurse will do it without incident). The next day was a different substitute nurse. We again went over all the aspects of the pump, etc, but didn't talk about site changes. Come recess timed we had an issue with the site needing to be changed. She called me and I had to drop what I was doing, drive 30 minutes, and put a new site in. The regular school nurse was back on Friday, and we discussed all this. She was not happy either. She spoke with her supervisor (who is not a nice woman, trust me) who then shared that it is district policy that no nurse change a site. My question after the long drawn out scenario are school nurses required to change sites if they need to be? I have been searching American with Disabilities Act and American Diabetes Association trying to find the answer, with no success. Thanks for any guidance you can give.