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Discussion

504 Plans

Who handles the 504 plans at your school? As a first year school nurse, there was a lot I didn't know I didn't know (and still don't!). But I was almost completely hands off of the 504 plans. I'm thinking next year, I want to be more involved in them.

So, how much do you do in terms of creation, planning, maintaining, etc.?

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Just like previous post - this year our district started to really push and require us to review and offer 504's to those potential life threatening issues - (allergies, asthma) along with every other medical diagnosis or problem a parent states their kid may have so the counselor and I sat down and reviewed them. It was alot of work - thank goodness majority of parents declined. Our district was also pushing us nurses to do an IHP for all of these kids - what a headache.

You should be glad you are not more involved with them :)

Included in all of our care plans for parents to fill out is their 504 rights. How to request a 504, etc. I rarely have a parent actually request a 504. I am usually involved in 2-3 a year. In the past for my CF kid (rightfully so), a kid with a broken arm returning to school during standardized testing needing accommodations (a scribe, extra time, access to nurse for pain medication when necessary, etc), stable seizure kiddo that mom requested, but that one turned into more of a behavioral thing and I didn't have much input. You could do them for diabetes, but all of my diabetics thus far have been sped and have had IEP's.

It's kind of a slippery slope over here with 504 Plans. I am the case manager for strictly medical 504 plans, such as diabetics, seizure, Crohn's, CF, etc., but generally stay out of the ones that are dealing only with behavioral or academic. However, this is where it gets kind of sticky--I have quite a few ADHD 504 plans that I feel aren't truly medical and I'm trying to get out of them because the only thing I'm really involved with is the medication piece...I don't like to manage them because I'm not in the classroom and don't have a teaching background. I don't know what's going on in there and what has been tried; teachers usually have much more contact with parents than me. I mean, I can generate general accommodations, but it's just not my area of expertise. But, I still get suckered in somehow!

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