ajessrn

I struggle with this as well. I have multiple kids in my building that have different preferred name/pronouns that parents do not use. I have to be really careful and intentional when making calls home. I don't want to cause any riffs at home but at school I do my best to use preferred with my students.

Are there at least two people in the after school program willing to be trained? If so that is what I would probably do. You cannot be expected to stay after every day. mom needs to establish a relationship with the after school people. We got intranasal glucagon recently. thankfully havent had to use it but feel better having it because it will be easier and faster to administer if we really need it.

as others have stated if it is a school sponsored program after school then the district needs to hire a nurse to be present or train volunteer assistive personnel depending on the laws of delegation in your state. I have chosen not to do our after school program for my 8 yo because it is a separate program from the school and I would have to train someone and have a third set of supplies since they wouldn't have access to his stuff in the nurses office. He doesn't self carry his supplies yet other than his receiver for his cgm. so 1. is this a school sponsored program giving you or your district responsibility for training someone or hiring another nurse? 2. if so who is willing to be trained to manage things. 3. if not you need to pass the baton to the after school program and leave it up to mom and the head of the program to decide on what they are comfortable with. please don't over extend yourself and make sure you are setting boundaries for what you can and are responsible for. I would not expect my sons school nurse to stay after school for him. I cannot stay after school for my students.

sounds like things are going OK. my own type 1 kiddo is in 2nd grade and dx in pre-k. we have frequent convos about what he wants packed in his lunch. we don't do the lunch line because it just has always seemed easier with his pickiness, food allergies, and diabetes to pack lunches. one day that may change. he gets dosed before meals but within the first few months after dx we dosed after until we were able to help him understand the importance of finishing what he says he will eat. we keep fast and complex carbs in the nurses office for him as a back up. one time a yogurt tube burst inside his lunch box all over his other food so the nurse had to grab stuff from his supplies to make up for it quickly because he had been dosed not realizing his lunch was ruined (we don't pack yogurt tubes anymore). another time he also suddenly decided he hated his main food item in his lunch (he had taken it for an entire year straight because that is what he said he wanted). he also has ocd so he likes things to be the same for long periods of time but something in his little brain changed and said I hate that food and its disgusting now. so again his nurse had to quickly make up the carbs because he had been dosed not knowing he was going to do that. thankfully stuff like that doesn't happen super often and he usually finishes his food. Good luck to you and your new type 1!

so far my sons diabetic camp is still on (Indiana) but they are having campers only pay the deposit so far as things may change. they will have less campers and masks will be worn. so far that is all the info I've seen come out. fingers crossed!

yes we do double checks still for all insulin.

oh my gosh you guys are so smart!

good idea!! Thank you!

I asked the other high school nurses in my district and they said nope they don't want them. they still have hundreds of them too. I could see having like 20 on hand in case a parent asks for info but geez 200 for a school less than 400 is a bit much.

2 years ago the health department delivered about 200 magnets and brochures to me for meningococcal b. My kids don't want them. I can't think of anything to do with all of them and they just take up space in my filing cabinet. I have tried putting them out for the kids to take and parents in the main office. any ideas? I did not ask for them they just showed up at my door. I hate to throw them away but that's what I am thinking I'll be doing with them.

thanks all. I don't have my own budget at the school or manage any of the budget. I get all my supplies from one of the other schools. I asked another nurse in the district if she keeps meds for staff and she did say that she does keep otc and gets them at the dollar tree. I feel like yesterday I was asked twice and today already once for something. I may ask my principal if there is money from some pot he can pull from for me to pick up some basic otc meds like tums etc. I already spend some of my own money to get the girls tampons, thin pads, snacks, and bottles of water when they forget theirs. we supply basic pads for the girls but I just like to give them choices for feminine products so I have chosen to take that one on myself with donations as well. Its kind of surprising how often lately they have been asking me for meds.

Do you keep medications like tylenol or ibuprofen for staff in your office? When I first came to this school there were several bottles of otc meds left, not students meds. They have since expired and been disposed of but the teachers come in and ask me if I have anything for a headache or heartburn sometimes. I don't have standing orders and other than initiating workmans comp don't handle staff issues. I am happy to check an occasional blood pressure and of course respond to any emergencies that may come up but otherwise I don't think its my place to keep medications in my office for staff use. They should keep their own on their person in my opinion.

We are super small. less than 400 kids. I didn't really change much. I use a conference room close by for my covid suspect or students waiting for pickup that have been contact traced. if its open and available. with less visitors allowed its not used a ton but sometimes it is needed to be used for testing in small groups so some days I have to wing it and put kids wherever I can find a spot to stick them. we are small though and im high school so usually I don't have too many kids at once. They have been really good about not coming to school if they are having symptoms so its not been often I've had a student sent home for symptoms. my district came back in person in august then had to go to e learning over thanksgiving break then went to hybrid for secondary after christmas break and are working our way back to full in person. loving the hybrid because way less kids get traced because we can actually distance them better. thankful out community numbers are getting better, but worried about how that could change after Spring break.

1st dose of pfizer mid december and 2nd beginning of January. Only had a sore arm for a day or so just like when I get my flu shot. I was fortunate and didn't have any other side effects.

thank you. yes the recess thing happened once so far this year. trouble following directions in PE class so PE teacher held him from going to recess for 5 minutes. maybe it was needed, can't say for sure since I wasn't there but thankful it doesn't happen often. recess is so dang short as is so missing any of it stinks for them. I think that his school overall understands the importance of recess and movement. They have been trying to add in flexible seating to more classrooms and do brain breaks throughout the day etc. He started a new medicine Friday, gaunfacine. I told the pedi I wanted to steer away from stimulants for his adhd hoping whatever we try won't make anxiety worse. I finally got the neuropsych eval official report and he had a lot more recommendations so I will share the report with the school so they can have it as informational to add in things as we see the need and if they actually are helpful for him. Too many changes for an OCD kid at once isn't a good thing. He told me the teacher changed his seat in class. I tried to amp it up as an awesome thing that he gets to sit closer to the teacher so he can focus better in class. Grateful that his teacher also sent me a note telling me what an awesome day he had yesterday. I need some good to balance out the hard. I appreciate everyones help and input so far! Thank you!

Attached is the list I have come up with that I am going to ask for. I don't think anything I am asking for is unreasonable and its mostly the basics. Would love your input @ruby_jane@JenTheSchoolRN @NutmeggeRN and anyone else who would like to read it. 504 sawyer.docx

It is so hard. I try not to be pushy but it is my job as his mom to advocate for him. I do think that even if SPEd reviewed it that he would still not qualify. he is extremely bright and I think until it starts to affect his ability to test/do his work he probably won't qualify. Everything I read about IEP's says that it has to adversely affect their educational performance and since it isn't at this time I will wait and see. At least I can get the 504 going, work on meds and therapy, and maybe next school year things will be different. I will be on the ball getting him an eval by sped if he starts to fall behind at all.

It may come to that. I am trying to be extremely diplomatic since I work in the district and they really have been accommodating thus far when it comes to helping him. My biggest hope is that therapy and meds will help get him to a place where we are doing better. His teacher is very helpful and overall they are all great so far. I worry about any future teachers who aren't so great which is why I know I need to get everything needs in writing officially for him.

Thank you. He meets or exceeds almost everything at the moment so he doesn't qualify for an IEP. I can see that changing later when graded work and completed work will start impacting his grades...and if we don't get him the help that he needs now. So far it all doesn't seem to be impacting his ability to learn and keep up but I know that could change quickly. @JenTheSchoolRNI requested an iep not really knowing exactly what qualifies someone for one and thinking that he would certainly benefit from having additional help where he struggles but since he is testing well and meeting/exceeding expectations his principal told me he didn't qualify for one at this point but we can reevaluate that anytime. I asked her to take a closer look at his handwriting and written work as that is where he does struggle the most academically right now and she discussed it with the school psychologist and they both came to the conclusion that he doesn't qualify right now. Thanks for all your help! And support! I spoke with the counselor and a special education teacher at my school to ask their advice on what accommodations I should ask for and they gave me a few suggestions and also told me to look at LD online and understood.org so I will be looking at those. I don't want to put together a ridiculous list of requests but also want to make sure he is getting what he needs to succeed.

thank you. it has been a year for sure. hopefully we are at the beginning of a path to helping him be the sweet smart little dude that he is. T1d is doing OK. always a battle with pump sites not absorbing the same from one to the next but thanks to all his tech we keep his a1c in the 6's. I don't know about para's. I know they have rotating TA's. His 1st grade and kindergarten year they had the same TA each day which was nice. For whatever reason in 2nd they don't' have a designated TA.

I wanted to ask for input here on what you have seen help your elementary students with T1D, ADHD, OCD, and anxiety as far as 504 plans. edited to add food allergies. not sure how I could forget about them. peanut treenut and egg. he does not self carry any of his supplies they all live in the nurses office. My son is 8 years old has had t1d since age 5. recently was diagnosed with adhd, ocd and anxiety (we knew it was likely but just finally buckled down and paid for testing because this year has been tough at home and at school with behavior). we didn't push for a 504 because his school has been very accommodating thus far but I know that as he goes into 3rd grade next year he will need the 504 for standardized testing accommodations. I go next week to meet with his counselor to go over accommodations we would like and what his teacher suggests would be helpful. He has an insulin pump, cgm (using a cell phone as his receiver so I can follow him), we are working on figuring out adhd medication with his pediatrician. I know it really boils down to him personally and his needs but I appreciate any advice or input. the things he struggles with at school is getting started on tasks, finishing them. he is very smart and usually knows how to do the work. easily distracted, can be impulsive, blurts out answers, gets stuck when things aren't the way he thinks they should be. he also was diagnosed with a mild motor delay however it is very mild. his anxiety does increase with writing assignments. I think that is partly due to his ocd, and wanting words to be spelled perfect and getting upset if he does something wrong. we try really hard to take the emphasis off getting something right vs trying it or completion. also we are getting back into therapy. we did some in pre k before his t1d dx but then took a break because schedules and he was doing better. we got by OK in kindergarten and first grade but this year has been harder. I work at a high school in the district and I don't do much in the way of 504's so I just want to make sure we get started on the right foot with ours.

my first dental apt was over the Summer I think so I was honest and just said "so are nurses not able to get care because we are exposed to covid patients?". they said let me double check and call you back. they said it was fine and I was able to have my apt. Now I just answer no. If I am not quarantining due to actually being a close contact then my answer is no and I leave it at that. I had to reschedule an apt for my kiddo and myself because we were quarantining due to my husband being positive. I know the difference between an actual close contact and my work so I just don't even talk about it if it doesn't come up. my sons eye doctor isn't seeing children under a certain age and so we had to switch his eye doctor. their reason is that most of their population is elderly and high risk.

oops I was wrong. It was the pfizer vaccine. I thought we were getting doses of moderna. the clinic was a smoothly ran ship. In and out and next dose is scheduled January 12th. looking forward to being fully vaccinated soon before I sign up for any more shifts. Since I work in the float pool they can put me anywhere in house and sometimes that means the covid floor. I have been lucky and mostly worked the med surg floors since this pandemic started.

I am getting mine today on my lunch break! I still work PRN for our local hospital and they started a clinic Friday with the moderna. I am so excited that my hospital is a vaccination site.

I attached the form they use. Has all the details on it ? BIRTHDAY_ORDER_FORM (4).doc