School Nurse: Medical Problem

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Specializes in School Nurse.

Hey School Nurses. What's your districts policy when it comes to ending Meal Accommodations for food allergies? Does your district require a PCP note stating student is no longer allergic or do you simply take the parents word?

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Specializes in Psych (25 years), Medical (15 years).

Until the mods move your thread, iRNman, check out the School Nursing forum under Nurses>Specialties>School Nursing.

Good luck!

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Specializes in OR, Nursing Professional Development.

Hello, @iRNman, we have moved your post to the School Nursing forum for best responses.

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Specializes in Pediatrics, Community Health, School Health.

In our district we require a letter signed by either the PMD or Allergist stating that the student is no longer requiring meal accommodations and is no longer allergic.  We treat it the same as when a student is taken off a medication that they have an order for, such as seizure medication, ADHD meds, etc.  

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We will accept a note signed by parent; personal preference is to have a doctor's note especially if I have Food/Allergy Action plans on file from the past - but that is up to the parents whether they want to provide that, I can't require it.  

Our cafe requires a doctor's note to have the allergies/accommodation flagged in their system but will accept a parent note to have the allergy/accommodation removed.

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Specializes in School Nursing.

I would definitely ask for a doctor's order to discontinue a special diet. 

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Specializes in Occupational Health.
5 hours ago, MHDNURSE said:

In our district we require a letter signed by either the PMD or Allergist stating that the student is no longer requiring meal accommodations and is no longer allergic.  We treat it the same as when a student is taken off a medication that they have an order for, such as seizure medication, ADHD meds, etc.  

This would be best practice. Taking the word of parents open up for a whole lot of liability issues, finger pointing, etc. should the child end up with a reaction (life threatening or not) to a food/substance they were supposedly not allergic to anymore and based solely on the word of mom and/or dad (who will not have any problem denying it was said or meant that way...especially if dollar signs are involved)

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Specializes in kids.

I would get a note, preferably from the allergist

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Specializes in School nursing.

Note from doctor on my end. But it can happen. I had a kid going through treatment to help with his severe milk and peanut allergies. Got him to a point where he could consume both without a serious reaction.

He didn't actively eat either but it meant we had less stress with any possible cross contamination. I had a doctor's note on file for that student. 

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