IHP? How often are you doing them?

[Schoolnurse73, ADN]

It seems really foggy how often I am suppose to be doing IHPs. Seeking advice. Obviously on those severe kids that need unusual accommodations. Any pointers?

[OldDude]

I really don't generate IHP's. If there is a care plan submitted by a physician, I'll integrate that into the ARD paperwork or 504 plan but if the student is not in either one of those programs I keep it simple. For instance when I get an inhaler for a student with the prescription label stating, "2 puffs every 4 to 6 hours as needed for cough or wheeze," that is my asthma IHP for that student...the inhaler label. Same way when I get epipens with no specific allergy action plan submitted, the prescription label explains the care plan.

[MHDNURSE]

What he ^^said

[KKEGS, MSN, RN]

I didn't do IHPs in my last district and in this new one it seems to only be for unusual cases that don't require an emergency care plan. For example I've written one for a student who just had her foot amputated and needs some physical accommodations in the classroom. She has an IEP and these accommodations will be added to that but for a quick start to get a plan in place I wrote up a simple IHP relating to limited mobility with instructions about pain relief in our health office if it's required.

[Windchaser22]

We have to write them and update at least annually according to state code. Keep it simple if you can and like olddude said, incorporate into other existing docs when possible.

[Amethya]

The physician needs to submit one in for us, we don't have any, unless specified. Granted we just started to use Skyward this year, so I'm still learning how to use it.

[aprilmoss]

When I was working in the elementary schools I was involved in setting a lot of these up as well as sometimes participating in the IEP.

Now, they're pretty much set by the time the kid gets to me (High school). While I have a stack of them to review on the kids moving up from middle school, I don't typically have to spend much time on them.

[KKEGS, MSN, RN]

The physician needs to submit one in for us, we don't have any, unless specified. Granted we just started to use Skyward this year, so I'm still learning how to use it.

I used Skyward at my old district! We use Synergy this year in my new district.

[JerseyTomatoMDCrab, BSN]

I wrote IHPs for any child with a HEALTH accommodation. For example:

My T1DM who required snacks and drinks, special trips to my office, etc

A student with migraines who required rest periods and to keep water with him

A student with brain cancer who required staff assistance, an evacuation plan and special splints.

That being said, once they were written I NEVER looked at them. I knew the kids enough to not have to refer to a plan. It was really more for if there was an issue when a sub was there and I don't think any of my subs ever read them.

[kummerspeck]

I have diabetic/seizure/asthma careplans, all of which seem to hit most of my regulars. I do have a few odd little ducks that don't really fit in those categories because they have an unusual diagnosis, so I'll check their 504s and IEPs, and possibly generate an IHP with a parent, but that's about it.