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Leukemia 504

Posted

Has 3 years experience.

Hi everyone! Has anyone on here ever had a 504 in place for a student with leukemia? What sort of accommodations were on there? What are some accommodations could be on there for virtual learning?

ruby_jane, BSN, RN

Specializes in ICU/community health/school nursing. Has 12 years experience.

What are you doing for the student? What do the orders say?

If you are not already in virtual learning mode, does the district have homebound services? I would argue that never have we ever been able to meet the needs of people with childhood cancer better than now as we have virtual capacity and can get kids hotspots.

nursex23, BSN, RN

Has 3 years experience.

39 minutes ago, ruby_jane said:

What are you doing for the student? What do the orders say?

If you are not already in virtual learning mode, does the district have homebound services? I would argue that never have we ever been able to meet the needs of people with childhood cancer better than now as we have virtual capacity and can get kids hotspots.

We are virtual but the student says they have a hard time even signing into the computer. I was told we won't do homebound tutoring because of covid. There's really no orders.  I talked to the student and the hospital social worker and we identified a few accommodations ex. not having to turn their camera on, being excused from class on certain treatment days. Our school social worker and teachers said that they can accommodate in any way but even with these accommodations the student has not been attending class. We're going to have a 504 meeting but there's not much else I can think of to help. 

ruby_jane, BSN, RN

Specializes in ICU/community health/school nursing. Has 12 years experience.

Gotcha. So...observation only - a LOT of our families (non-SPED, non-504, gen ED) are having trouble getting kids onto the Zooms at the right time. Crafty teachers have made a chart with links to help the kids. But the expectation is that someone at home turns on the Zoom.

Is there a medical reason (fatigue?) that the student is having the hard time signing in? If so, that needs documentation to prevent attendance triggers.

Here's how it is where we are: As long as you log in by 11:59 at night, you are counted for the day. So asynchronous classes may help with a "bad body day." But...it's the parent's responsibility to get the kid onto the virtual platform. Just as it is their  responsibility to get the kid on the bus. I would attempt to (as gently as I could) untangle the sign in issue - it's the teacher's job but it's a multidisciplinary effort, right? Good luck!!

nursex23, BSN, RN

Has 3 years experience.

21 hours ago, ruby_jane said:

Gotcha. So...observation only - a LOT of our families (non-SPED, non-504, gen ED) are having trouble getting kids onto the Zooms at the right time. Crafty teachers have made a chart with links to help the kids. But the expectation is that someone at home turns on the Zoom.

 Is there a medical reason (fatigue?) that the student is having the hard time signing in? If so, that needs documentation to prevent attendance triggers.

Here's how it is where we are: As long as you log in by 11:59 at night, you are counted for the day. So asynchronous classes may help with a "bad body day." But...it's the parent's responsibility to get the kid onto the virtual platform. Just as it is their  responsibility to get the kid on the bus. I would attempt to (as gently as I could) untangle the sign in issue - it's the teacher's job but it's a multidisciplinary effort, right? Good luck!!

Thank you so much! Our district spent all Summer prepping for in person learning and last minute switched to remote. EVERYONE is unprepared and soooo many of our kids are falling behind. We (social workers and I) thought remote learning might be better for this student but they still need extra support. When you say documentation to prevent attendance triggers, do you mean a doctor's note excusing for fatigue so that anytime the student does not log on we have that note to excuse? 

ruby_jane, BSN, RN

Specializes in ICU/community health/school nursing. Has 12 years experience.

Yes. Or that he's too nauseous to attend some days. Just something that covers him. Although not required by 504 process it may help.

NutmeggeRN, BSN

Specializes in kids. Has 25 years experience.

Also may have days where he really suffers from "chemo brain", general fogginess and inability to execute cognitive thinking.