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Planning for Students with Special Health Care Needs Objectives. Upon completion of this lecture, you will be better able to: Develop an individualized health care plan for students who have special medical needs

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planning for students with special health care needs objectives
Planning for Students with Special Health Care NeedsObjectives

Upon completion of this lecture, you will be better able to:

  • Develop an individualized health care plan for students who have special medical needs
  • Develop an individualized emergency medical plan for students who have special medical needs
  • Explain the importance of completing an emergency information form for students who have chronic health conditions
  • Understand and accommodate the provisions of Section 504 of the Rehabilitation Act of 1973

Illinois EMSC

plans and forms
Plans and Forms

The following plans/forms should be created as appropriate and filed with the student health record

  • Individualized Health Care Plan (IHCP)
  • Individualized Emergency Medical Plan (IEMP)
  • Emergency Information Form (EIF)
  • 504 Plan

Illinois EMSC

individualized health care plans ihcp
INDIVIDUALIZED HEALTH CARE PLANS (IHCP)
  • HISTORY
  • ASSESSMENT
  • NURSING DIAGNOSES
  • NURSING INTERVENTIONS
  • GOALS
  • EXPECTED OUTCOMES

Illinois EMSC

history
HISTORY

REMEMBER THAT A GOOD HISTORY STARTS WITH GOOD QUESTIONS!!!!

Illinois EMSC

assessment
ASSESSMENT
  • Should include both subjective and objective information
  • Should reflect the student’s medical diagnosis

Illinois EMSC

nursing diagnoses
NURSING DIAGNOSES
  • Use nursing diagnoses that correlate with the student’s needs to help organize the IHCP.
  • Nursing diagnoses can help the school nurse create goals for the students

Illinois EMSC

n ursing interventions
NURSING INTERVENTIONS
  • Goal-oriented
  • Focus on the actions of the school nurse and how nursing services will be utilized

Illinois EMSC

goals
GOALS
  • Should be written
  • Should be measurable

Illinois EMSC

expected outcomes
EXPECTED OUTCOMES
  • May be written for long–term or short-term use
  • Outcomes should reflect the most desirable state for the student to achieve
  • Write each outcome in a statement format
  • Outcomes should be achievable

Illinois EMSC

individualized emergency medical plan iemp
INDIVIDUALIZED EMERGENCY MEDICAL PLAN (IEMP)
  • Developed by the school nurse in conjunction with parent/guardian and primary health care provider
  • Can be used to train other staff
  • Available for immediate reference
  • Must be evaluated and revised regularly

Illinois EMSC

iemp should include
IEMP SHOULD INCLUDE
  • Step by step action for each presenting problem
  • Chain of command for management in school
  • Special precautions or adaptations for student
  • Request for transport to the ED

Illinois EMSC

slide13
IEMP

IT IS IMPORTANT TO REMEMBER THAT AN IHCP IS NOT THE SAME AS AN IEMP!!!!

  • An emergency care plan may be included in an IHCP
  • An IEMP gives procedural guidelines on how to handle emergency and life-threatening incidents.

Illinois EMSC

developing and utilizing an iemp
DEVELOPING AND UTILIZING AN IEMP
  • COLLECT INFORMATION
  • DEVELOP THE IEMP
  • REVIEW WITH PRINCIPAL
  • INSTRUCT STAFF ON IEMP
  • PROVIDE ACCESS TO THE IEMP
  • MONITOR PROGRESS OF EACH STUDENT WITH AN IEMP

Illinois EMSC

504 plans and accommodations
504 PLANS AND ACCOMMODATIONS

STUDENTS ARE DEFINED AS DISABLED IF THEY:

  • Have a physical or mental impairment that impedes activities of daily living (ADL’s)
  • Have a record of this impairment
  • Are regarded as having an impairment as defined in Section 504

Illinois EMSC

what to include in 504 plans
WHAT TO INCLUDE IN 504 PLANS
  • A description of the reason for the concern
  • A description of the basis for determining the disability
  • Details on how the disability affects ADL’s
  • Information on services, aids, and accommodations necessary for student
  • Date for review and reassessment
  • All individuals involved with the plan including the case manager

Illinois EMSC

emergency information form
Emergency Information Form
  • Developed by the American Academy of Pediatrics (AAP) and the American College of Emergency Physicians (ACEP)
  • Record of key baseline medical data for students with special healthcare needs
  • Copies can be filed at home, school, primary care provider, ED, local EMS and anywhere the student spends time
  • Requires review and updating on a regular basis
  • Copy of the 2-page form located in SNEC manual and available via AAP and ACEP websites

Illinois EMSC

summary
SUMMARY

An IHCP acts as a framework to help you maintain personalized care instructions for students with special medical needs or disabilities.

An IEMP is an invaluable adjunct to the IHCP, with step by step instructions for student care during an emergency.

Implementation of a 504 plan is essential in ensuring compliance with the relevant provisions of the Rehabilitation Act of 1973

The EIF form provides a clear, consistent record of emergency information that can be filed with all care providers and in places where the student spends time

Illinois EMSC

any questions
ANY QUESTIONS??

Illinois EMSC