insulin injections, blood glucose tests, ketone tests, and
responding to hyperglycemia and hypoglycemia including administering glucagon. A
written back-up plan will be implemented to ensure that an ADCP is available in the
event that the primary ADCP is unavailable.
Any staff member who has primary care for the student at any time during school hours,
extracurricular activities, or during field trips, and who is not an ADCP, shall receive
training to be a DCAP. Primary care means that the staff member is IN charge of a class
or activity in which the student participates.
Any bus driver who transports the student when neither an ADCP nor DCAP is present
must be a BDDCP.
The following school staff members (including but not limited to school administrators,
teachers, counselors, health aides, cafeteria and library staff) will be trained to become
Authorized Diabetes Care Providers (ADCPs) by [nurse], RN, CDE on 8-23-02.
The following School staff members (including but not limited to school administrators,
teachers, counselors, health aides, cafeteria and library staff) will be trained to become
Diabetes Care Assistant Providers (DCAPs) by [nurse], RN, CDE on 8-23-02
The following bus drivers will be trained to become Bus Driver Diabetes Care Providers
(BDDCP) by [nurse], RN, CDE on 8-23-02
SNACKS AND MEALS
An ADCP will work with the student and his/her parents/guardians to coordinate a meal
and snack schedule in accordance with the attached Health Care Plan that will coincide
with the schedule of classmates to the closest extent possible. The student shall each
lunch at the same time each day, or earlier if experiencing hypoglycemia. The student
shall have enough time to finish lunch. A snack and quick-acting source of glucose must
always be immediately available to the student.
The parents/guardians will pack snacks for each day and will provide a supply of
additional snacks to be kept at the school to treat hypoglycemia or for emergency
All school personnel will permit the student to eat a snack in the classroom or wherever
the child is (including, but not limited to classrooms, gym, auditorium, playground, field
trips, and school bus) at times designated in the Health Care Plan and whenever needed
to treat hypoglycemia or in response to a change in the student’s regular schedule. A
source of glucose will be immediately available wherever the student is.
A designated ADCP or DCAP will ensure that the student takes snacks at the specified
time(s) each day.
The attached Health Care Plan sets out the regular time(s) for snacks each day, what
constitutes a snack, when the student should have additional snacks, and where snacks
WATER AND BATHROOM ACCESS
The student shall be permitted to have immediate access to water by keeping a water
bottle in the student’s possession and at the student’s desk, and by permitting the
student to use the drinking fountain without restriction.
The student shall be permitted to use the bathroom without restriction.
TREATING LOW BLOOD SUGAR
The student shall have immediate access to blood glucose testing equipment, insulin
and syringes, and to glucose in the form of food, juice, glucose gel or tablets in order to
treat hypoglycemia. The student shall be permitted to carry this equipment with him/her
at all times.
When any staff member believes the student is showing signs of high or low blood
sugar, the staff member will seek a designated ADCP for further assistance while
making sure an adult stays with the student at all times. Never send a student with
actual -- or suspected -- high or low blood sugar anywhere alone.
High or low blood sugar levels should be treated as set out in the attached Health Care
Any staff member who finds the student unconscious will immediately contact the
school office & dial 911. The office will immediately do the following in the order listed:
1. Call 911 (office staff will do this without waiting for the ADCP to administer
glucagon); and ontact the student’s parent/guardian and physician at the
emergency numbers provided below.
2. Contact an ADCP who will confirm