These standards were obtained from the agencies and organizations listed in California Education Code section 49414 and represent the standard of care determined by health and medical experts in this field.

Daily Management
  1. Parents and nursing team will discuss plan for designated times for glucose testing and insulin administration.
  2. At designated time and place, student will collect supplies and test blood glucose with the assistance or supervision of trained staff.
  3. Trained staff will document time and result immediately on student log to be kept in student’s binder.
  4. If insulin administration is required and the student is able to self-administer but not independent, trained staff will observe student administer insulin per physician’s authorization.
  5. If student is independent, student is still encouraged to check in with health office for daily care.
  6. If student requires assistance with insulin administration, the licensed care will determine dose and administer insulin per physician’s authorization.
  7. Parent will be contacted for any irregularities or problems, and procedures will be changed as needed with written physician’s authorization.
School Staff Responsibility
  1. Teachers will access health conditions via Infinite Campus (IC) class roster (substitute teachers via the sub binder).  The itinerant staff (music and PE teachers, bus drivers, classroom aides, yard duty staff, and librarians) will be alerted to those students with a diagnosis of anaphylaxis.
  2. Teachers will review the Emergency Care Plan for their student and the Student Health Emergency Procedure.
  3. The teacher includes the following information in the Substitute Binder:
    • Hard copy of Emergency Care Plans
    • Student Health Emergency Procedure
  4. If a student notifies staff that he or she is not feeling well, staff is instructed to compare the symptoms with those listed on the student’s Emergency Care Plan, to follow the plan and activate emergency procedures immediately, if needed. Student should never be left alone when not feeling well.
  5. Teacher will provide to parent/s a two-week advance notification regarding any upcoming food activity or field trip.
  6. Extra snacks or supplies provided by parents will be stored with the disaster supplies.
  7. Students should not be excluded from school activities solely based on their health condition.
  8. Notify parents at the end of the year that medication must be picked up by an adult or it will be discarded during summer break.
  9. In case of teacher absence, all teachers prepare a ‘substitute binder’ which includes procedures, protocols and care requirements for students with diabetes. Substitutes are NOT authorized to perform any procedures or give any medication. This must be done by trained staff. Office staff will communicate with sub teacher and nursing team.
  10. For students who need assistance with insulin administration, office staff will notify nursing team in the case of student’s absence.
Field Trips and Off-Site Activities
  1. Teacher will notify nursing team and parent 2 weeks in advance.
  2. All student medications kept in the office and the Emergency Care Plan are sent with the teachers. Trained staff/parent/parent designee must accompany student at all times during the entire field trip, including riding to and from the field trip location. Unless student is independent.
    • Parent designee: a non-PAUSD employee for whom the student’s parent has provided the school with written authorization to respond to an emergency. Parent designee must accept in writing.
    • Student Independence includes written consent by both the health care provider and parent. Student must sign off understanding of their responsibilities.
  3. On overnight trips, parent is encouraged to participate or to provide a designated person to go with the child. If this is not possible, the school will schedule a meeting with parents, teacher and nursing team for the purpose of developing an alternative plan.
Parent/Guardian Responsibilities
  1. Parents will notify the school of their child’s health condition when they register on Infinite Campus or when a health condition is diagnosed.
  2. Current school year physician authorization must be on file and updated with any changes during the school year.
  3. It is recommended that parents provide the physician authorization to the Student Services Department two weeks before the start of school.
  4. It is recommended that parents provide enough supplies for 72 hours in case of disaster.
    • Recommended supplies include: blood glucose meter, lancets, test strips, meter batteries, insulin, syringes/pen needle tips, pump supplies, glucagon, glucose tablets, juice, carbohydrate containing snacks, ketone strips.
  5. If parents choose, they may also provide extra snacks or supplies to be kept with disaster supplies.
  6. Any communication related to the care of the child needs to be verbally communicated to the office staff and nursing team.
  7. Parents are responsible for coordinating care for non-school sponsored activities.
  8. Parents are encouraged to personally contact their child’s teacher, coaches, etc. to share pertinent information regarding your child’s health condition at the beginning of every school year.
  9. If the student's pump or CGM gets disconnected during the school day, the school will contact family to replace the site. School staff will not replace the pump or CGM site.
Diabetes Supplies for School Site and Disaster Planning

In order to ensure the safety of students with diabetes, their supplies must be available at all times. In addition to supplies for daily use there must be enough supplies for 72 hours in case of disaster. Disaster supplies also serve as back up supplies for when daily supplies may run out. These supplies should be stored in two consistent places on campus; in the classroom and in the health office for elementary students or with the student and in the health office for secondary students.

Supplies should be in soft sided, compact lunch boxes or equivalent packs and be clearly labeled with the student’s name and photo.

Diabetes supplies for classroom or to be carried by the student:

  • Blood glucose meter, lancets, test strips
  • Fast acting glucose source: glucose tablets and/or juice.
  • Glucagon emergency kit
  • Insulin and insulin delivery equipment:
    • Insulin pump
    • Insulin vial, syringes, alcohol wipes
    • Insulin pen, pen needles and alcohol wipes

Back up/Disaster preparedness supplies (72 hour supply) to be kept in office:

  • Recent photo of student
  • Extra blood glucose meter, lancets, test strips, meter batteries and instruction book for meter.
  • Insulin: short and long acting insulin in unopened vials or pens
  • Injection supplies: syringes or pen with needle tips
  • Pump supplies: insertion set, prep pad, extra reservoir, pump batteries, coin to open battery compartment (if applicable)
  • Alcohol wipes
  • Glucagon emergency kit
  • Fast acting glucose source – glucose tabs and/or juice
  • Carbohydrate containing snacks
  • Urine and/or blood ketone test strips and meter
  1. All staff members working with a student with Diabetes will be trained on signs and symptoms of hypoglycemia and hyperglycemia and how to respond.
  2. Staff members willing to be trained in Glucagon administration, will complete the online training and do a hands-on return demonstration with the District Nurse.
    • Training includes review on how to recognize signs and symptoms of hypoglycemia/hyperglycemia, how to respond to an emergency, and how to administer glucagon.
  3. District Nurse may conduct an all staff training in the signs and symptoms of hypoglycemia and hyperglycemia and how to respond.
  4. Principal/Administrator/Secretary to keep a copy of trained staff, training standards, and the education code.
  5. Best practice to encourage all staff to have current CPR certification.
  6. Staff members can refuse to be trained in the use of Glucagon.