Wednesday, May 15, 2024

504 Accommodation Plan For Type 1 Diabetes

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Students Level Of Self

Your First 504 Plan Meeting “Nervous” “A Diabetes Tidbit”

3.1 As stated in the attached DMMP:

The student is able to perform the following diabetes care tasks without help or supervision:

________________________________________________________________________________ ________________________________________________________________________________

and the student will be permitted to provide this self-care at any time and in any location at the school, at field trips, at sites of extracurricular activities, and on school buses.

The student needs assistance or supervision with the following diabetes health care tasks:

_________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________

The student needs a school nurse or TDP to perform the following diabetes care tasks:

_________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________

3.2 The student will be permitted to carry the following diabetes supplies and equipment with him/her at all times and in all locations:

_________________________________________________________________________________ _________________________________________________________________________________

Vi Impartial Due Process Hearings

Parents who disagree with a school districts decisions regarding their childs eligibility and/or placement under the IDEA also have a federal right to request a due process mediation and/or hearing. Procedural rights to an impartial hearing provided by the local district if a parent disagrees with a Section 504 team decision are also required by federal law.

Train School Staff To Treat Your Childs Diabetes

You in conjunction with the school will identify the personnel that will be managing your childs Diabetes. This person needs to:

  • know how to test blood sugar levels and interpret the results
  • know how to measure and administer insulin,
  • know how to respond to hypoglycemia events in an event like this, they would need to know how t0 use Glucagon and/or Baqsimi.

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Objectives/goals Of This Plan

Diabetes can cause blood glucose levels to be too high or too low, both of which affect the students ability to learn as well as seriously endangering the students health both immediately and in the long term. The goal of this plan is to provide the special education and/or related aids and services needed to maintain blood glucose within this students target range, and to respond appropriately to levels outside of this range in accordance with the instructions provided by the students personal health care team.

Type 1 Diabetes 504 Plan

T1D 504 Process Pg 1

The Type 1 Diabetes 504 Plan will be different than most 504 Plans implemented at a school. The best 504 Plan should be personalized for the specific needs of each child. A Type 1 Diabetics 504 Plan should also adapt and change. A students age and grade level may impact self-management. Methods of management and equipment may also change mid-year.

And most importantly, Extracurricular Activities and Standardized Testing requirements should be added to create a purposeful plan.

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Parents Role In The 504 Process

In addition to submitting a formal request for a 504 Plan and a cover letter to the school, a parent or guardian is responsible for providing the school with the following:

  • All materials and equipment necessary for T1D care tasks, including blood-glucose testing supplies and insulin administration .
  • The parent is responsible for the maintenance of the equipment and must provide instructions to ensure the proper disposal of materials. A separate logbook should be kept at school for the staff or student to record blood-glucose-test results.
  • Supplies to treat hypoglycemia, including a source of glucose and a glucagon emergency kit.
  • Information about T1D.
  • Emergency phone numbers for the parent and the students diabetes doctor so that the school can contact these individuals with T1D-related questions or during emergencies.
  • Information about the students meal and snack schedule. The parent should work with the school to coordinate this schedule with that of the rest of the class as much as possible. For young children, instructions should be given for when food is provided during school parties and other activities.

Plans For Type 1 Diabeticssimplified

The 504 Plan for a Type 1 Diabetic is an important tool for students. The term 504 Plan comes from the legal disability right offered by the Rehabilitation Act of 1973. There are many legal rights that protect Type 1 Diabetic students.

504 accommodations can also be requested through college. However, 504 rights and accommodations at the post-secondary level require self-advocacy.

A good 504 Plan takes planning to accommodate the individualized needs for a Type 1 Diabetic student. The schools 504 Coordinator will implement the plan but parents should take on the responsibility of managing the plan. Managing the plan means updating it as needed. A good plan adapts with a child or teen through transition years. Parents can also coach teens in understanding the 504 process to self-advocate in college for their legal rights.

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Exercise And Physical Activity

5.1 The student shall be permitted to participate fully in physical education classes and team sports except as set out in the students DMMP.

5.2 Physical education instructors and sports coaches must have a copy of the emergency action plan and be able to recognize and assist with the treatment of low blood glucose levels.

5.3 Responsible school staff members will make sure that the students blood glucose meter, a quick-acting source of glucose, and water is always available at the site of physical education class and team sports practices and games.

What Steps Do I Need To Take To Apply

Part 1 What is a 504 Plan and When Should you Prepare it?
  • Ask your childs doctor to come up with a comprehensive Diabetes Medical Management Plan This will include things such as target blood sugar levels, insulin-to-carb ratios, pump settings or long acting insulin regimens, and symptoms of hypoglycemia and hyperglycemia. Essentially, it is an outline of treatment that the school can then carry out. Download a sample DMMP here.
  • Discuss the DMMP with the schools nurse.
  • Approach your childs school principal to facilitate setting up a 504 plan.
  • From there, the school will determine the students eligibility and then coordinate the setup of your childs plan.

This educational content on Back to School 2021 is made possible with support from Lilly Diabetes and editorial control rests solely on Beyond Type 1.

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How To Create A 504 Plan For A Child With Diabetes

When I first heard the term 504 plan, I assumed it was the plan of action if your blood sugar if 500 mg/dL. Which it is not. But my type 1 diabetes diagnosis in 1986 left my family responsible for assembling an unofficial, ad hoc version of a care plan that worked for us and the school system the concept of a structured plan being in place was beyond us, even though the groundwork for these plans was put into place in the 1970s.

Despite growing up without a 504 Plan, I wanted to learn more about these smart plans to help protect students with diabetes.

What is a 504 plan?

A 504 plan is named for Section 504 of the Rehabilitation Act of 1973, which is a federal civil rights law that prohibits discrimination on the basis of disability. The plan itself is an outline for the actions taken by a school to ensure that a child with diabetes, or other health condition specified as a disability, is treated fairly. According to the American Diabetes Association, its a tool that can be used to make sure that students, parents/guardians, and school staff understand their responsibilities and to minimize misunderstandings. Its designed to help students with disabilities in public schools or publicly funded private schools create customized educational plans.

With so many variables in play for a child with diabetes, the need to minimize misunderstandings is important. .

Ive heard of a DMMP. But what exactly is that?

How do 504 Plans help?

Schools Role In The 504 Process

It is the responsibility of the school and its personnel to have an understanding of T1D and be trained in its management and in the treatment of T1D emergencies. Knowledgeable, trained school personnel are essential to a students safety and physical well-being when dealing with immediate health risks of high or low blood-glucose level. Furthermore, an individualized 504 Plan should be developed and signed by the school, the parent or guardian, and the childs T1D management care team. The 504 Plan should address the specific needs of the child and provide specific instructions related to the following:

  • Times/places for blood-glucose monitoring, including accommodations for testing and treating
  • Ensuring that staff members are trained in checking blood-glucose levels, recognizing and treating high and low blood-glucose symptoms, and administering both insulin and glucagon
  • Allowing the student to eat whenever and wherever necessary, including eating lunch at an appropriate time and allowing enough time to finish eating
  • Allowing extra trips to the bathroom or water fountain
  • Ensuring the students full participation in all sports, extracurricular activities and field trips, with the necessary care and/or supervision
  • Permitting extra absences for medical appointments and sick days when necessary, without penalty

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How Will My Child Benefit From The 504 Plan

The 504 Plan will allow for every child with Type 1 to participate in school normally without ever being excluded from any activity, with the support of teachers, the schools medical team and the childs doctor. The students doctor will outline a specific diabetes management plan for the school to be followed during school hours. In short, the 504 Plan makes certain that everyone is on the same page in order to provide the safest and most enjoyable experience possible throughout your childs education!

Checklist: Who May Administer Insulin In Californias Schools Pursuant To An Iep Or A Section 504 Plan

504 Plans for Type 1 Diabetics

Business and Professions Code Section 2725 and the California Code of Regulations, Title 5, Section 604 authorize the following types of persons to administer insulin in Californias public schools pursuant to a Section 504 Plan or an IEP:

  • Self administration, with authorization of the students licensed health care provide and parent/guardian
  • School nurse or school physician employed by the LEA
  • Appropriately licensed school employee who is supervised by a school physician, school nurse, or other appropriate individual
  • Contracted registered nurse or licensed vocational nurse from a private agency or registry, or by contract with a public health nurse employed by the local county health department
  • Parent/guardian who so elect
  • Parent/guardian designee, if parent/guardian so elects, who shall be a volunteer who is not an employee of the LEA and
  • Unlicensed voluntary school employee with appropriate training, but only in emergencies as defined by Section 2727 of the Business and Professions Code .3 When no expressly authorized person is available under categories 2-4, supra, federal law – the Section 504 Plan or the IEP – must still be honored and implemented. Thus, a category #8 is available under federal law:
  • Voluntary school employee who is unlicensed but who has been adequately trained to administer insulin pursuant to the students treating physicians orders as required by the Section 504 Plan or the IEP.
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    Section 504 Plan The Safe At School Campaign Of The American Diabetes Association Provides This Series Of Recommendations And Tips For Parents/guardians In Preparation For The Return To School After Nationwide School Closures Due To Coronavirus

    Debridement converts a chronic wound into an acute wound by removing necrotic tissue, decreasing bacterial burden and biofilm, and reducing inflammatory cytokines. Type 1 diabetes mellitus description of how this disability limits a major life activity: Can all children with type 1 apply? This plan must be modified to meet the individual needs, abilities, and medical condition of each student with t1 diabetes. A 504 plan is a legal document specifying what reasonable modifications and accommodations the school must provide for a student with a disability . 504 process for type 1 diabetes step 6:

    It is not intended as medical and/or legal advice. Debridement converts a chronic wound into an acute wound by removing necrotic tissue, decreasing bacterial burden and biofilm, and reducing inflammatory cytokines. Always consult your doctor for medical advice. Who should have a 504 plan? 504 plan diabetes type 1 accommodations rise.

    It is not intended as medical and/or legal advice. In the fall we are hoping to be back into school full time. However, every child will undergo an individual assessment. This video series from the diabetes research institutes della matheson, r.n., c.d.e., and raj hirani, ph.d., and the dri foundations tom karlya, who are all. Who should have a 504 plan?

    Typical Provisions In 504 Plans:

    • Multiple staff members are trained to check blood glucose levels and administer insulinand glucagon.
    • All school staffincluding teachers, coaches and bus driverswho interact regularly with the student know how to recognize high and low blood glucose levels and respond appropriately.
    • Capable students are allowed to self-manage anywhere, anytime, and keep their diabetes supplies with them.
    • Needed assistance is provided in the classroom to increase safety and decrease missed class time.
    • Full participation in all sports, extracurricular activities, and field trips, with the necessary diabetes care assistance and/or supervision provided.
    • Permission to eat whenever and wherever necessary, including eating lunch at an appropriate time with enough time to finish eating.
    • Permission to take extra trips to the bathroom or water fountain.
    • Permission for extra absences for medical appointments and sick days without penalty.
    • Alternate arrangements for classroom time missed for medical appointments, because of periods of high or low blood glucose, or illness related to diabetes.

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    Recognizing Low Blood Sugars

    All school staff in charge of your child should be trained on how to recognize these low glucose symptoms:

    • shakiness
    • irritability
    • saying things that do not make sense

    If any of these symptoms are present, the school nurse/school personnel needs to test your childs glucose levels, and give carbs to place your child in range if they are below 70 mg/dL.

    Field Trips And Extracurricular Activities

    Part 2 Customizing the 504 Plan for Your Child

    8.1 The student will be permitted to participate in all school-sponsored field trips and extracurricular activities without restriction and with all of the accommodations and modifications, including necessary supervision by identified school personnel, set out in this Plan. The students parent/guardian will not be required to accompany the student on field trips or any other school activity.

    8.2 The school nurse or TDP will be available on site at all school-sponsored field trips and extracurricular activities, will provide all usual aspects of diabetes care , and will make sure that the students diabetes supplies travel with the student.

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    Iii The Idea And Students With Diabetes Who Require Diabetes Health Related Services During The Day In Order To Safely Attend K

    The primary purpose of the IDEA is to ensure that all children with disabilities have available to them a free appropriate public education that emphasizes special education and related services designed to meet their unique needs and prepare them for further education, employment, and independent living. , 1401 .) California law sets the same standard for educating individuals with exceptional needs as the reauthorized IDEA. .)

    A. Eligibility

    The IDEA requires LEAs to conduct child find activities to ensure that children with diabetes are identified, located, and evaluated. .) Under the IDEA, a child with diabetes is evaluated for eligibility under one of the 13 categories of disability, including the disability of other health impaired . 34 CFR sec. 300.8 Cal. Ed. Code sec. 56026 Cal. Code Regs., Tit. 5, sec. 3030.) The reauthorized IDEA defines child with a disability in the following way: The term child with a disability means a child – with … other health impairments …. and who, by reason thereof, needs special education and related services. .)

    The term other health impairments is further defined in the recently promulgated regulations as follows: Definitions of disability terms. The terms used in this definition of a child with a disability are defined as follows:

    is due to chronic or acute health problems such as diabetes and adversely affects a childs educational performance.

    B. Special Education Defined

    C. Individualized Education Program

    Do You Need An Iep Or A 504 Plan

    As a parent of a child with a medical condition, such as diabetes, you need to set in place everything in your power to keep your child safe, but that he/she is successful at the same time in school.

    For a child with Type 1 Diabetes, you need a 504 Plan for these school accommodations to take place.

    An IEP , is written for kids who have a severe mental health condition, low IQ, behavioral issues, or struggles severely with their academics.

    Diabetes is considered to be a disability due to the child/adolescent needing insulin 24/7, and they require to be under adult supervision in order to prevent severe impairment or death. Most of the kids fall into this category.

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    S To Implementing A School Plan

    1. Ideally, you should contact the school before your child comes home from the hospital after diagnosis. Talk with the principal, your childs teachers and coaches stating your fears, concerns and hopes for your child in general and while in school. This will help and provide the school with a deeper sense of whats going on for you and your child.

    2. Try to arrange a general meeting for school personnel where you and someone from your healthcare team present a brief presentation on T1D in school age children. It should be a brief, basic review of the essentials of what T1D is and how it is generally managed. The end should focus on outlining your childs specific plan. Assure the school staff that you want to build a partnership between the childs diabetes care team and her school team.

    3. Before sending your child to school, make sure that you have prepared a School Diabetes Emergency kit that stays in the school nurses or administrators office. Minimally, the kit should include:

    4. Replenish the kit from time to time. Replenishing the kit from time to time also gives you, the parent, an opportunity to have face-to-face time with school personnel, checking in with them to see how things are going.

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