Policy Details Page

Policy No. 3422

The Board of Directors and the Superintendent directs that a district ESA (Educational Staff Associate) School Nurse will:

  • Consult and coordinate with the parents and health care providers of students with diabetes; and
  • Train and supervise the appropriate staff in the care of students with diabetes.

The district shall develop and follow an individual health plan for each student with diabetes. Each individual health care plan shall include an individual emergency plan element. The health plans shall be updated annually, or more frequently as needed.

Parents of students with diabetes may designate an adult to provide care for their student consistent with the student’s individual health care plan. At parent request, school district employees may volunteer to be a parent-designated adult under this policy, but they shall not be required to participate.

  • Parent-designated adults who are school employees shall file a voluntary, written current and unexpired letter of intent stating their willingness to be a parent-designated adult. Parent-designated adults who are school employees are required to receive general staff training in the care of students with diabetes from the ESA school nurse or from a nationally certified diabetes educator.
  • Parent-designated adults who are not school employees are required to show evidence of comparable training and meet school district requirements of volunteers.
  • All parent-designated adults (both school employees and volunteers) shall receive additional training from a parent-selected health care professional or expert in diabetes care to perform procedures and give the care requested by the parent. After completing this training, written documentation shall be provided by the individual prior to his/her performance as a parent-designated adult.

The School Nurse is not responsible for the supervision of procedures authorized by the parents and carried out by the parent-designated adult.

In addition to adhering to the requirements of each individual health care plan, for the general care of students with diabetes, the district shall:

  • Acquire necessary parent requests and instructions for treatment.
  • Acquire monitoring and treatment orders from licensed health care providers prescribing within the scope of their licensed authority.
  • Provide sufficient and secure storage for medical equipment and medication provided by the parent. 
  • Permit students with diabetes to perform blood glucose tests, administer insulin, treat hypoglycemia and hyperglycemia, with easy access to the necessary supplies, equipment and medication necessary under their individual health care plan. This includes the option for students to carry the necessary supplies, equipment and medication on their person and perform monitoring and treatment functions wherever they are on school grounds or at school-sponsored events.
  • Permit students with diabetes unrestricted access to necessary food and water on schedule and as needed, and unrestricted access to bathroom facilities. When food is served at school events, provision shall be made for appropriate food to be available to students with diabetes.
  • Not withhold school meals from any student for disciplinary reasons. Students with diabetes shall not miss meals because they are not able to pay for them. The charge for the meal will be billed to the parent or adult student and collected consistent with district policies.
  • Provide parents and health care providers of students with diabetes with a description of their student’s school schedule to facilitate the timing of monitoring, treatment and food consumption.
  • Distribute each student’s individual health care plan to appropriate staff based on the student’s needs and the staff member’s contact with the student.

The district, its employees, agents or parent-designated adults who act in good faith and in substantial compliance with a student’s individual health care plan and the instructions of the student’s health care provider shall not be criminally or civilly liable for services provided under RCW 28A.210.330 (1) (viii) , RCW28A.210.350.

Cross References:

  • Board Policy 2162 Education of Students with Disabilities Under Section 504
  • Board Policy 3416 Medication at School
  • Board Policy 3520 Student Fees, Fines and Charges
  • Board Policy 4130 Volunteers

Legal References:

  • RCW28A.210.330 Students with diabetes – individual health plans Section 504 of the Rehabilitation Act of 1973
  • RCW28A.210.350 Students with diabetes – compliance with individual health plan - immunity

Adoption Date: 2/26/09 

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