IHP

[SchoolNurse91, BSN, RN]

What is your district/state policy on IHPs?

In my state, only RNs can initiate. I am the only RN in district. I was approached by my administrator about forming IHPs.. but this seems like an impossible task.

I am fully responsible for immunizations, immunization clinics, vision/hearing screens, growth and development, HIV education, training staff for medication administration and other procedures (straight cath, tube feeding), diabetes training and of course, first aid.

The administrator wanted anyone with a diagnosis of asthma, seizures, diabetes, heart conditions, etc to be on one. This requires me to write and meet with parents. I would estimate this would be over 300 kids..

I need advice on how to go about this.

["nursy", RN]

Is it mandated that you meet with parents? All I need is a signature on the ones that have medications to be given. We have a form for each diagnosis which lists all of the potential actions to be done. I check off the appropriate ones. If I need a signature I send the form home with the student clearly marked where I need a signature from the parent. I also make sure that any parent that brings in an order automatically signs the appropriate IHP form for that diagnosis.

I do know that before my DON provided us with the specific forms for each diagnosis, the IHP situation was quite a mess with nurses copy/pasting 20 page care plans that they found in textbooks. ? With the new system it's a piece of cake, and takes very little time.

[SchoolNurse91, BSN, RN]

I've been here 6 years and we've never done them..but our state "recommends" we meet with parents so they can have input. I do emergency care plans for my students and the LPNs do them as well. It's a lot of the same information, but law allows me to give these to teachers. IHPs are just for me, the parents, and the students. It seems redundant.

I will say that I work in a district with very little parent participation. If I send 20 emergency care plans home, I get one back.

[Supernrse01, BSN]

I only do IHPs for those students that have medications/rescue medications to be dosed during school hours.

[tining, BSN, RN]

I was just taking a break from doing those. I got my "Individualized Healthcare Plans for the School Nurse" from School Health. There is an IHP creator online. Plug in name, dx and tadaaaa. instant care plan.

[Flare, ASN, BSN]

for some of my students I only use the ECP. it's succinct and covers exactly what that child needs without adding a lot of unnecessary language. Kids that have medical needs that can't be covered by their ECPs get ihps - though i think i only have a handful of those right now.

[SchoolNurse91, BSN, RN]

Thank you guys!!