[acabj5]

Hi! I am looking for delegation paperwork re: insulin delegation. Does anyone have access to that? Thanks!

[luvschoolnursing]

Do you mean who can give insulin? Who can observe a student giving his own insulin? Who can calculate insulin dose? Not sure what you're asking. When it comes to insulin, we only have licensed people give it. We do have some kids on pumps who take care of themselves unless they have a problem. (high school) In elementary school if they are on a pump, any adjustments are overseen by a licensed person.

[okschoolnurse]

what state are you in? What do your board of nursing guidelines say? What legislation do you have regarding diabetes in the schools? What is your work situation. Do you have a good nurse:student ratio or is it too high?

Delegation is a tricky subject. Have you read the NASN position statement on delegation and diabetic care?

[acabj5]

hi, I am in Oregon, we are able to delegate here, I am trying to find the paperwork that the schools use for delegation. Thanks, Kathi

[okschoolnurse]

http://www.orschoolrn.org/
This is the link to your states school nurse organization. I am sure you can get local info from them. No need to reinvent the wheel if someone already has a sample form.
Good Luck
Lana

[Jeanine]

The NASN puts out a book "Ouality Nursing Interventions in the School Setting: Procedures, Models, and Guidelines". It contains a 5 page model for procedure development (based on Oregon Law), for "Delegating to and teaching unlicensed persons". It also contains a Diabetic Action Plan and Evaluation Tool, which is another 8 pages. My version is from 6/96, but if you want, I can mail or fax a copy to you.