504 Plan?

Flare, ASN, BSN · Sep 12, 2011

only if the asthma is severe enough to have a real impact on their learning. The students that need an inhaler before PE or after running on the playground, not so much. Same goes for IHP. I will write one for an asthmatic that needs one, but not everyone really needs one.

Supernrse01, BSN · Sep 12, 2011

Thanks Flare... That is my common practice as well but I wanted to be sure.

Hope your day is going well!

Purple_Scrubs, BSN, RN · Sep 12, 2011

I do the same, but my district has a new initiative that they want a 504 done on any child who has a condition that MIGHT interfere with learning...so my counselor and I are working up a list of kids with things like asthma and ADHD (two conditions they mentioned specifically). The parents can refuse the 504 if they don't think it's an issue, which is what I think will be happening in many cases.

Flare, ASN, BSN · Sep 12, 2011

yikes, Purple scrubs! What a huge pain in the rear for you!!

Purple_Scrubs, BSN, RN · Sep 13, 2011

Yes, we are not terribly excited about this new initiative.

geocachingRN · Sep 14, 2011

Consider it job security

Supernrse01, BSN · Sep 14, 2011

Wow, purple scrubs... I do not envy you on that one.

nursejen63054 · Sep 15, 2011

My district got their hand slapped by the Office of Civil Rights a few years ago so we do alot more 504 plans now then we used to. It has to have a significant impact on any major life activity, and has nothng to do with the impact on learning. Diabetes, asthma, food allergies, etc all get evaluated, and most qualify.

schooldistrictnurse · Sep 15, 2011

Isn't it all about accommodations? What if the disease process exists but doesn't require accommodations to facilitate learning? Then what does the 504 reflect?

nursejen63054 · Sep 16, 2011

Isn't it all about accommodations? What if the disease process exists but doesn't require accommodations to facilitate learning? Then what does the 504 reflect?

If the disability has a significant impact an any major life activity then the child would quailfy, the student doesn't have to show that it has effected learning to have a 504 plan.

If a straight A student has a disability that effects any major life activity that requires the school to do basically anything for them, then they are entitled to 504 protection.

If an adhd student can take a pill before school, have a great day at school without any intervention, than he would not qualify as no accommodation are needed. A student with poor vision who can put on glasses and see is not entitled to accommodations.

A type 1 diabetic would always qualify. They would require monitoring/insulin through out the day and without it every major life activty would be effected.

My type 1 diabetics all have 504 plans that allow accommodations to test and treat anywhere on campus, unlimited water/restrooms, accommodations for standarized testing, etc.

geocachingRN · Sep 18, 2011

My teachers and principals are very accommodating and would prefer the cild learn to advocate for themselves. If the child's condition is well managed and the parent is in agreement, I'm OK going with a IHCP. I, too, would rather the child learn to advocate for themselves as well.

However, I came from a district that believed only a parent could call for a 504 plan even if the child's condition was not well managed and or the teachers were unhelpful.