Lock Down Diabectic Action Plan

  1. Does anyone have something in place for their Diabetic student(s) during a lock down. I am working on putting something into place for TD1 kiddo. I have already spoke to his parents and my administration and everyone agrees this is an area that needs to be addressed. I had mom provide zipplock bags with juice (for a quick carb), a low carb snack that would not require correction and a bottle of water. I will be distributing these to his teacher and all of his special area teacher. They already have information about his diabetes, symptoms and what to do in a normal situation. I want to give them instructions for the ER bag in the event of a lock down and they will be instructed to call 911 in the event of a potential diabetic ER and give them specific information about the student, the lock down and their exact location on the campus. I am in the process of typing something up, but thought I would get input and see if any of you already something in place. I don't want to miss anything and have all bases covered. Once I get things in order at my campus, I will then be sharing it with the rest of the district.
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    About AzElemNurse

    Joined: Aug '17; Posts: 12; Likes: 29

    21 Comments

  3. by   ruby_jane
    You've thought this through more clearly than I have. Hyperglycemia is something they could live with for an hour. Hypo...maybe not so much. Good thoughts.
  4. by   OldDude
    I make sure snacks are available anywhere along the trail my student with Type 1 might be on at the time of a lockdown and instructed him and all his teachers to have him eat if he is feeling low until the lockdown is cleared; then we'll figure out where to go from there. Like ruby_jane said, hyperglycemia isn't going to be a problem for the duration of a lockdown.
  5. by   KKEGS
    Our T1D have snacks in their classrooms as well. Usually they are just glucose tablets though.
  6. by   OldDude
    Remember, these guys are going to be huddling in a corner in the dark so it can't be complicated.
  7. by   AdobeRN
    Quote from OldDude
    I make sure snacks are available anywhere along the trail my student with Type 1 might be on at the time of a lockdown and instructed him and all his teachers to have him eat if he is feeling low until the lockdown is cleared; then we'll figure out where to go from there. Like ruby_jane said, hyperglycemia isn't going to be a problem for the duration of a lockdown.
    I do the same. Our teachers each have a little bag located by the doors they are supposed to grab for any type of drill (or the real thing) that contains a flashlight, student list, emergency policies, paper, pen etc etc. Those with diabetics and all the specials (art, music, PE, library) have glucose tabs, juice, a bottle of water in them for the diabetics if needed. I have had to use the "emergency supply" once so far - we had a bad A/C unit start smoking during lunch - my diabetic had taken his insulin and had just sat down to eat when the fire alarm went off he didn't think about grabbing his lunch bag. We ended up being outside for a good hour until cleared by the fire department so I had him drink the juice and eat a few of the tabs until we were able to get back into the building.
  8. by   AzElemNurse
    Yes,, I am definitely focusing on the potential for a drop in BG, as we've all agreed we would rather have him
    high for a while then to go low. Thank you all for your thoughts. He does already have snacks and juices pretty
    much everywhere. Our district has special Lock Down kits in every class, library, café, office, etc. These ER bagg
    will go in the kit so that no one has to look around for these item, anyone in that area would be able to find it
    when they opened the kit. The district provided lock down kits are not to be disturbed except in the event of a lock
    down, so that all items with be there if needed.
  9. by   WineRN
    Quote from AzElemNurse
    Our district has special Lock Down kits in every class, library, café, office, etc. These ER bagg
    will go in the kit so that no one has to look around for these item, anyone in that area would be able to find it
    when they opened the kit. The district provided lock down kits are not to be disturbed except in the event of a lock
    down, so that all items with be there if needed.
    We are the same at my district! As a part of our IHP template there is an area for "emergency planning" where I have written out the students symptoms for both hyper and hypo glyecmia and simple steps for each one. In emergency situations where I cannot get to my TD kiddos, I have listed out how to treat the symptoms.
  10. by   AdobeRN
    Just curious - what is in your lock down kits?
  11. by   AzElemNurse
    The district provided lock down kits have flash lights, toilet paper and a curtain for privacy and the bucket is used
    if someone need to potty. They had water, hand sanitizer, and book so the kids can read quietly. There is some
    other stuff, but I don't recall what it is. My TD1 ER baggy has juice, beef jerky snacks and water along with high
    and low symptom (esp specific to him - he's great at knowing thank goodness) and instructions about what to do
    if student complains of demonstrates symptoms.
  12. by   aprilmoss
    What age range are we talking about here? It was a tough battle, but I finally got them to allow my son to carry his meter/lancets, insulin, and some glucose tablets with him.
  13. by   Vette RN BSN
    smarties 3 rolls are the same as a glucose tab and taste better
  14. by   AdobeRN
    I am in elementary k-5. Our district does allow diabetics to carry or keep own supplies on them during the school day - the parents and school nurse will work together as far as when the student needs to come to see the nurse. More independent care is really done at the middle & high school level.

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