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P.E.D.S. School Staff Action Tools

Tools for the school nurse, including the Individualized Healthcare Plan, procedures, resources and school staff action tools are contained in this section.

If you have already purchased your manual: "P.E.D.S. Pediatric Education For Diabetes In Schools: A Curriculum For Diabetes Care in Schools", please refer to the list of forms and procedures to download and print the most current version of each form.

If you would like to order a manual: "P.E.D.S. Pediatric Education For Diabetes In Schools: A Curriculum For Diabetes Care in Schools", which contains informational and training materials on care of diabetes at school for healthcare professionals, simply click here.


Federal and state laws and regulations guarantee the protection of education rights for students with healthcare needs in school. Healthcare services in school are those services prescribed by a student's physician, require medically related training and are necessary for the student to attend school. All students with diabetes qualify for healthcare services in school. In most states, the credentialed school nurse is the qualified school personnel responsible for implementing education code and regulations for safe management of healthcare services in school. Safe management includes development of an Individualized Healthcare Plan in collaboration with the parent/guardian to identify the student's healthcare needs and accommodation needs for school attendance. This section contains tools for the school nurse to ensure that proper training and standard management of healthcare services in school occurs for the student with diabetes. These tools have been specifically developed for school use. These tools must be used in compliance with individual state education codes and laws as well as professional recommendations that govern the practice of healthcare professionals.

 
NURSE TOOLS FOR SCHOOLS- NATIONAL
TITLE FILE NAME NUMBER OF PAGES LAST UPDATED
**NEW** Physicians Authorization Form paf.pdf 1 09/17/04
School Nurse Checklist for Diabetes Care at School Nat1.pdf 2 04/26/02
Parent Consent and Authorized Healthcare Provider Authorization For Management of Diabetes At School and School Sponsored Events Nat2.pdf 1 04/26/02
Parent Consent and Authorized Healthcare Provider Authorization For Insulin Dose During a Disaster Nat19.pdf 1 04/26/02
ISHP TOC Nat23.pdf 1 04/26/02
Individualized School Healthcare Plan (ISHP) Nat3.pdf 8 04/26/02
Individualized School Healthcare Plan (ISHP) - Word document Nat3.doc 8 04/26/02
Are you at Risk for Type 2 Diabetes? (flyer) Nat21.pdf 1 04/26/02
Parent Notification of Screening Information for Possible Risk of Type 2 Diabetes Nat22.pdf 1 04/26/02
Disaster Preparedness for Students with Diabetes Nat24.pdf 1 04/26/02
Hypoglycemia (low) Blood Glucose Treatment - Poster hypo.pdf 1 04/26/02
Hyperglycemia (high) Blood Glucose Treatment - Poster hyper.pdf 1 04/26/02


 
NURSE TOOLS FOR SCHOOLS- CALIFORNIA
TITLE FILE NAME NUMBER OF PAGES LAST UPDATED
Parent Consent and Authorized Healthcare Provider Authorization For Management of Diabetes At School and School Sponsored Events CAL2.pdf 1 04/26/02
Parent Consent and Authorized Healthcare Provider Authorization for Insulin Dose During a Disaster CAL19.pdf 1 04/26/02
       
 
PROCEDURES- NATIONAL AND CALIFORNIA
TITLE FILE NAME NUMBER OF PAGES LAST UPDATED
Diabetes General Information Nat4.pdf 1 04/26/02

Blood Glucose Testing- General Information
Procedure for Blood Glucose Testing

Nat5.pdf 2 04/26/02
Procedure for Mild or Moderate Low Blood Glucose-Hypoglycemia/Insulin Reaction Nat6.pdf 1 04/26/02
Algorithms for Blood Glucose Results Nat7.pdf 1 04/26/02
Procedure for High Blood Glucose- Hyperglycemia Nat8.pdf 1 04/26/02
Emergency Procedure for Severe Low Blood Glucose- Hypoglycemia Insulin Reaction- Glucose Gel Followed by Glucagon Injection Nat9.pdf 1 04/26/02
Emergency Procedure for Severe Low Blood Glucose- Hypoglycemia Insulin Reaction- Glucagon Injection Followed by Glucose Gel When Able to Swallow Nat10.pdf 1 04/26/02
Emergency Procedure for Severe Low Blood Glucose- Hypoglycemia Insulin Reaction- Glucose Gel Only Nat11.pdf 1 04/26/02
Procedure for Blood Ketone Testing Nat12.pdf 1 04/26/02
Insulin Administration- General Information Nat13.pdf 1 04/26/02
Procedure for Insulin Administration by Injection Nat14.pdf 1 04/26/02
Insulin Pen Delivery Systems- General Information Nat15.pdf 1 04/26/02
Procedure for Insulin Pen Delivery System Nat16.pdf 1 04/26/02
Insulin Pump Therapy- Student Independent Performance Nat17.pdf 3 04/26/02
Insulin Pump Therapy- Student Requiring Supervision Nat18.pdf 3 04/26/02
Pump Skills Checklist Nat20.pdf 1 04/26/02