Section 504 of the Rehabilitation Act of 1973 prohibits discrimination on the basis of disability.
Students in regular or special education are entitled to the related services and program and policy modifications that enable them to attend school and benefit from their instruction.
"Disability" is defined as "any physical or mental impairment which affects one or more body systems or substantially limits one or more major life activities...for example, breathing.
US Department of Education regulations implementing S. 504 require schools to follow procedures to safeguard parents' rights, to ensure that decisions about a child's needs and how they will be met are fair and appropriate, and to ensure that schools and parents act as equal partners in planning an decision-making.
(Reference: The Civil Rights of Students with Hidden Disabilities under Sec. 504, U.S. Department of Education Office for Civil Rights, www.ed.gov/OCR)
What are the Risks? air quality animals art field trips fire drills infection exposure lunchroom meals/parties overcrowding physical education playground plays/dress up recess renovation schedule changes science siblings special events sports substitute teasing testing transitions transportation visitors other
Legal Issues in School Health Services: A Resource for
School Administrators, Attorneys and Nurses, (Schwab & Gelfman, Eds., 2001,
North Branch MN: Sunrise River Press.
Managing Life Threatening Food Allergies In Schools,
Massachusetts Department of Education
The School Nurse's Source Book of Individualized Healthcare
Plans, 1993. Marykay B. Haas, et al.
Food Allergies: Building the Coordinated Care Plan
A coordinated care plan ensures that care is safe, reliable, continuous and effective.
Your child's IHP and 504 Plan provide the information, guidelines and standards that promote
both your child's health and educational goals while avoiding unnecessary risk,
restriction, stigma, illness and absences. It establishes a basis for ongoing
teamwork, communication and evaluation.
Health Plan (IHP) is your child's health security plan.
A licensed school nurse develops the IHP in collaboration
with the student's parents
in accordance with applicable laws and standards of practice for nursing in the
school setting. (See the National Association of School Nurses www.nasn.org.)
An IHP is
based on the student's physician's documentation of the student's diagnosis and
recommendations for the student's health and safety in all
locations and during all activities during the school day.
The school nurse ensures that the plan for comprehensive health
management, safety and emergency response is safe, reliable, continuous and effective in
all school settings and activities.
addition, a 504 plan defines and coordinates roles, responsibilities, guidelines, policies
and practices for all school staff to enable your child to access and benefit from all elements
of his/her educational program.
The IHP and the 504 plan provides school personnel with the necessary information and authorizations to
make appropriate decisions, the family's and staff's concerns are addressed,roles and responsibilities are clear. (What if......?)
How do school routines, policies, staff roles and responsibilities fit student's needs? What adjustments or changes are necessary?
What is the teacher/administrator's/ school nurse's relationship with student's physician(s)? Who is the parent's school contact?
How will medication/treatment be administered? health monitored?
When should the teacher/school nurse call the parent or physician(s) with a question or a concern?
What special emergency provisions are necessary? What planning should be done with local rescue team? nearest emergency treatment center?
What places, materials, supplies, events or situations require special caution or guidelines to ensure preventive measures are implemented and that staff have appropriate knowledge of child's needs?
The Emergency Plan
first responders, back ups, chain of command
sequential action lists
full participation in drills
in every classroom.
drills at intervals throughout the year
the drills (who, what, where, when)
Medication - Epinephrine is available at all times.
The school nurse will train all personnel
to recognize the signs of an allergic reaction, to act promptly, and to summon
All personnel must know where an EpiPen is
at all times, and how to use it.
nurse documents training dates, topics, names of instructors, outlines or
texts of presentations, tests or other means of verifying attendees
understanding of the material, copies of all handouts, and signed attendance
sheets. (Training is required for any change in staffing or school routine, and
after each incident.)
Documentation, Reports and Analysis
Experience. Revise guidelines. Replace old copies!
and Communication. (parent/school, school/child, child/parent,
Teachers: Precautions and Practical Issues/ Best Practices
students' limited self-report skills.
rehearse cues, signals, key words to ensure child can communicate needs.
Food Safety plan. Include monitoring of food products, guidelines for storage,
hygiene, handwashing protocols
Reminders for children and staff.
substitute snacks, emphasize healthy choices.
preference to the universal option.
handling - develop, post and enforce guidelines to prevent cross contamination.
importance of personal hygiene (frequent hand washing) and environmental
expectations for supervision. Report conditions when appropriate
vigilance by staff is compromised by overcrowding, activity demands, etc.
expectations and win cooperation by educating peers, peers' parents, and
confidentiality guidelines to staff and families.
to do in case of an emergency.
are also opportunities for altruism, building peer support (students and
parents), teaching peer refusal skills
substitutions presented as challenges, problem solving, categories, math sets