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504/IEP

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by ARN ARN Member Nurse

ARN specializes in medsurg/school nurse.

165 Profile Views; 68 Posts

What is your role in the 504/IEP process? I have been sent forms in google docs from the person in our school that initiates evaluations to begin the process of requesting 504/IEP's, to fill out the medical information. IE vision, hearing screenings, medications, and medical diagnoses. I am happy to fill in this information if I have it. Often times I don't have it. I can request it but I do not feel comfortable filling in diagnosis or meds unless I have been given this information from their doctors office. As we know parents and kids aren't always accurate in what they report to us. What would you do? Or are you involved in filling in any of this information? 

What forms do you use and how do you get your forms to students to fill out medical information? I think our district uses blue cards but each nurse does things totally different at each school. I am going to look at our new student orientation packets but we have many students that I just don't have information on. they come in throughout the year and I may figure out by chance that they have an inhaler or they have a food allergy but parents aren't giving me this info in the beginning. So then I have to call and request they get an order. 

Thanks for your help. the staff in my building make me feel like I should know every detail about these kids home medications that they don't take at school but how would I know if they aren't voluntarily giving me this information. I would like to know and have it in the computer readily available for when they come in so I have the whole picture on them, but that just isn't the reality. Not to mention it can change and they don't update me if it doesn't affect their day at school. 

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NutmeggeRN has 25 years experience as a BSN and specializes in kids.

2 Followers; 6 Articles; 3,960 Posts; 43,151 Profile Views

I think a lot of info can come form their health record. Bring what you have to the referral meeting and go from there.

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by ARN Member Nurse

ARN specializes in medsurg/school nurse.

68 Posts; 165 Profile Views

I have yet to go to any referral meetings. I don't know what the last nurses role was in them but so far they just have asked me to fill this info out on a handful of students. 

since we are at the high school level often times the 504/IEP is already in place. I have actually never even seen any of our students 504's or IEP's. The counselor handles all of that and so far I haven't been involved. not that I don't want to. I started this job last year with no training and have been working on figuring it all out as I go. 

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by ARN Member Nurse

ARN specializes in medsurg/school nurse.

68 Posts; 165 Profile Views

this particular one I got today literally only has his immunizations documented in powerschool and a hearing screening in caredox that I performed this year. I don't have folder on him for some reason. he was here last year and the year before that he was at a private school. So I guess I just missed making one for him last year and nothing has been turned in or passed on. 

do private schools usually send students records to their next school? 

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CanIcallmymom has 4 years experience.

336 Posts; 1,027 Profile Views

I will do a new H/V screening if there is not a recent one, and fill out the health information that I have based on their enrollment health survey that the parents fill out each year. I only put meds that they receive at school, if that is the case. 

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137 Posts; 853 Profile Views

I am part of the IEP team, so I am invited to the domain meetings and the IEP case study eval meetings. I will do a full parent interview/questionnaire and get permission from the parent to contact the doctor. Both reports from parent and doctor are included in my report. I'll conduct hearing and vision screenings for the kiddos who have IEPs (its not mandatory for 504s).

As far as 504s, sometimes its just a chart review and quick verbal report because the ones that I'm invited to, I already have current MD paperwork (ie, allergies, diabetes, sz disorders). 

Regardless, I'm sitting in on meetings for both IEPs and 504s either in person or via phone.

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by ARN Member Nurse

ARN specializes in medsurg/school nurse.

68 Posts; 165 Profile Views

8 minutes ago, CanIcallmymom said:

I will do a new H/V screening if there is not a recent one, and fill out the health information that I have based on their enrollment health survey that the parents fill out each year. I only put meds that they receive at school, if that is the case. 

how do you get the form to parents each year? 

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by ARN Member Nurse

ARN specializes in medsurg/school nurse.

68 Posts; 165 Profile Views

we have care dox which could be used in place of a health form if parents would enroll and fill in the information but so far that isn't happening. I only have a handful of parents who have enrolled and nothing is filled in unless I put it there because they take a medication at school. 

I  am going to work on getting blue cards out next year for sure. even if I don't get many back at least I am trying to gather information. 

I wish things were more standardized at each of our schools. 

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4 Posts; 39 Profile Views

3 minutes ago, ARN said:
12 minutes ago, CanIcallmymom said:

I will do a new H/V screening if there is not a recent one, and fill out the health information that I have based on their enrollment health survey that the parents fill out each year. I only put meds that they receive at school, if that is the case. 

how do you get the form to parents each year? 

Our health forms are part of our enrollment packets for ALL students. So it has to be filled out every year. New students fill it out on paper. Returning students fill it out online. The parent can NOT continue the enrollment process if it isnt filled out.

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by ARN Member Nurse

ARN specializes in medsurg/school nurse.

68 Posts; 165 Profile Views

11 minutes ago, drvncrazy said:

Our health forms are part of our enrollment packets for ALL students. So it has to be filled out every year. New students fill it out on paper. Returning students fill it out online. The parent can NOT continue the enrollment process if it isnt filled out.

man i wish! I need to get with our secretary for next year to see what is in our enrollment packet. 

Thanks for the info! 

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NutmeggeRN has 25 years experience as a BSN and specializes in kids.

2 Followers; 6 Articles; 3,960 Posts; 43,151 Profile Views

1 hour ago, ARN said:

I have yet to go to any referral meetings. I don't know what the last nurses role was in them but so far they just have asked me to fill this info out on a handful of students. 

since we are at the high school level often times the 504/IEP is already in place. I have actually never even seen any of our students 504's or IEP's. The counselor handles all of that and so far I haven't been involved. not that I don't want to. I started this job last year with no training and have been working on figuring it all out as I go. 

So you are not casemanaging, I'm jealous!! I have 12

1-IDDM, 5 Ehlers Danlos, 2 hearing loss, 2 allergies, 1 hypoglycemia, 1 seizure disorder...

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by ARN Member Nurse

ARN specializes in medsurg/school nurse.

68 Posts; 165 Profile Views

1 minute ago, NutmeggeRN said:

So you are not casemanaging, I'm jealous!! I have 12

1-IDDM, 5 Ehlers Danlos, 2 hearing loss, 2 allergies, 1 hypoglycemia, 1 seizure disorder...

nope. I am down to one diabetic who does not have a 504 and overall hasn't needed any special accommodations.. he had a dexcom for a little bit so I did have to shoot out an email letting teachers know his reciever was not a cell phone so no one would give him a hard time about alarms or looking at it if he needed to. I have his orders from endo but he mostly self manages.

seizure disorder with an action plan but no 504. 

two students who self carry epi with action plans but no 504's. a third with a new unknown allergy i am waiting on orders for. 

they qualify for them but just don't have them. not having any issues with classes so guess parents haven't requested? 

I have some kiddos with asthma that self carry inhalers but haven't had any issues last year or this year so far...knock on wood! 

overall our teachers are pretty accommodating and our principal. This year we don't have anyone making outrageous demands. last year we did, but thankfully that student transferred. 

the counselor is pretty good at handling 504 and shooting out emails of accommodations. I feel like the last nurses just didn't have involvement which is why I haven't really been involved but I know that is not the case at all schools. I just feel like I should know more about 504's, and am surprised that I don't have a bigger role. maybe I should just count my lucky stars.

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