Grizzyguy

Eventually I would want to move away from it. I know there have to be some students who consistently eat their entire meals so there should be less worry about them eating less carbs than covered for. I think the suggestion to reach out to the provider and request a change to the plan so I am covered, but I will have to wait until I know the students more.

Thank you all for the replies! I believe overall it is just a policy in the district for most of our elementary kids. I think I will look in to perhaps getting a waiver or adjustment if needed. I understand the reasoning was just worried from a legal stand point I guess. I do know once I know the kids better I'll be able to make some more informed judgment calls. Just a tad apprehensive with the new atmosphere. Thank you again!

I'm relatively new to school nursing and have been actively scouring the internet to make sure I am working within my scope. One question that has arisen is the current policy for managing our young diabetics seems off. Due to some extreme lows the pre lunch glucose is checked and carbs counted, but insulin is given after the meal ( where the carbs are recounted since many of the little ones do not finish all if any sometimes). Basically I know this is in contrast to the order, but is it permissible in school. Overall I know the basis of trying to maintain tight glucose control, but they could Begin spiking during lunch before we have given insulin. I have aspirations to continue my nursing career and don't want to risk my license by following faulty practice.