I am at a relatively new (this is our third year) charter school and I am fairly confident that our SPED people are all new and not the most informed about the IEP and 504 process. Our Middle and High School has been around a lot longer than my campus and the process they have there is that the school nurse writes a letter that she sends to the physician informing the physician about the child's medical diagnosis, allergies, immunization status, date of last physical, etc. Then includes a questionnaire that the doctor is to fill out and return to us. Many of the questions ask the very information the nurse has included in her letter. Any the form they are using, I kid you not is from 1986!!!! It was likely typed up on a Commodore 64 back in the day
The font looked weird to me, like it was a ditto (I know I am dating myself here) and sure enough at the bottom it says Rev. 9/86!!!!
So anyway, I have many issues with this entire process and I just sent an email to the school nurse at the High School, as well as the person who leads the IEP and 504 eval process to indicate that this process was extremely redundant and a waste of time and resources.
Why am I telling the physician when the kid's last PE was, meds he is taking, what his allergies are, and his immunization status, when they are the ones who tell ME all that information every year???
And the language on the form we give them is embarrassing and outdated! It actually says "are there any handicapping conditions"?!
Anyway, can you tell me what your involvement is as a school nurse in terms of the initial IEP evaluation process? And did I mention that none of these kids even have medical issues, these are all behavioral kids!
If you DO get involved and request anything from a physician, can you share your paperwork or letter? I am very curious. I am going to design my own because the one we use is embarrassing.
Elementary School Nurse here. I typically get involved with IEP/504 only if there are medical considerations that may affect the student throughout the school day. I just came from and IEP meeting, actually.
If there is a significant medical history and/or the student will required accommodations due to that medical condition throughout their school day, I am asked to write a health assessment. I usually meet with parents/student and conduct and interview to gather detailed health history, obtain releases to speak with physicians, and discuss concerns that the parent may have if their child were to be enrolled in our school. My reports will summarize the health history and detail my recommendations/ concerns for that particular child during the school day. If there is a health assessment requested, I am invited to the IEP meeting to share my report. Sometimes daily treatments/procedures that will require the student to be out of class are entered onto the IEP. For a student with considerations that may not require leaving the classroom, I have the team note that there is an Individualized Health Care Plan that should be followed on the IEP.
Not sure if this helps, but this is my involvement in the process.
Last edit by GatezRN on Mar 9
: Reason: additional info