1. Going to school with CCHS
ONE WORLD, ONE FAMILY, ONE HOPE
Going to school with CCHS
Intro by Wendy
Presented by Wendy Stroup & Marne Harvich

2. Expected Outcome Pertains to the American Public Education System
Individualized Health Plan (IHP)
Nursing at School
Individualized Education Program (IEP)
504 Plan
Q&A session
Expected Outcome

3. School Integration Meet with school staff before the start of the year
Educate staff about CCHS
Describe your child’s specific symptoms of distress (pale, sweaty, headaches)
What interventions will staff need to do? Explain need for mechanical ventilation
School Integration

4. Individualized Health Plan (IHP)
Most basic plan
Applies to children who have life-threatening conditions.
It is documentation on how the school nurse (or 1:1 nursing) will meet your child’s medical needs.
Developed by the family, school nurse and medical practitioners.
No classroom accommodations or specialized instruction.
Individualized Health Plan (IHP)

5. IEP vs. 504 Plan Individualized Education Program (IEP) 504 Plan
Individuals with disabilities education act of 1975 (IDEA)
States get per-student federal funding for eligible IEP students
Ensures children with disabilities a free appropriate public education (FAPE) with children like themselves in the least restrictive environment
Includes specialized instruction
Refers to Section 504 of the Rehabilitation Act of 1973
States do not get funding from IDEA, but can have funding taken away if they don’t comply
Section 504 allows children to learn at a typical level if they are provided appropriate accommodations
Typically does not include specialized instruction

6. Nursing at School 1:1 nursing is not available in every state
Trached patients receive 1:1 nursing care more easily then bi-pap patients because of need for invasive medical techniques
Stress that your child does not show typical signs of hypoventilation (for example: does not gasp for air)
Make sure staff can resuscitate your child in the event of an emergency (mechanical ventilation, ambu bag, suctioning, mouth to mouth)
Nursing at School

7. 1:1 Nursing at School Special Needs Nurse Third Party Nurse
Nurse is hired directly by School Board
School board is liable for nurse
Nurse may serve an individual student or a small group of students
Funded by IDEA, Special Education, categorical aid, and Medicaid school-based services
School contracts with an outside nursing agency OR family brings in their own nurse
Nurse is hired by agency or family
Agency or individual is liable for nurse
1:1 nursing only
Can be funded by IDEA, school system and/or Medicaid

8. You have options !!! Public Schools Voucher Schools Magnet Schools
Charter Schools
Private Schools
Home School
Unschooling
Virtual School
Public Virtual
Hospital Homebound

9. Least Restrictive Environment (LRE)
Placement with regular education peers
Based on your goals and objectives
Goal is to provide most appropriate environment
This does not guarantee you the school of your choice
Least Restrictive Environment (LRE)

10. Individual Education Plan IEP
Basics of IEP
Elements of IEP
Individual Education Plan IEP
Written specific to your child's needs
New one written every 12 months
Can be amended anytime
You can disagree
Prepared by students, parents, teachers and administrators
Present Level of Performance
Annual goals and objectives
Areas of concern or weakness
Related services
Testing and classroom accommodations
Transition Plan (14 and older)
Extended School Year
Placement (LRE< school where placed)

11. Goals
Measuring Goals
Present Level of Performance The students strengths and unique needs Affect disability has on learning Parents concerns Notation of all discussions taking place during IEP meeting
Specifically addressing needs(both academic and functional)
Measurable progress objectively determined at frequent defined data points
Achievable, realistic, related to most critical needs, achievable in one year
Results oriented with a standards outcome in mind
Time bound with beginning and ending dates within one year
Tests
Daily work samples
Portfolio
Benchmark tests
Statewide assessments
Objective evaluation

12. Related Services
Future Meetings
Accommodations nursing extra time for testing questions read to student frequent breaks bathroom breaks drinks allowed in room
Assistive Technology
Audiology
Counseling services
Occupational therapy
Physical therapy
Psychological services
Speech language services
Will meet annually to update
Can update or change anytime
Eligibility will be reevaluated every 3 years
Assessment and testing

13. 504 plan
Your child’s disability doesn’t impact his learning in ways that qualify him for special education services
Your child is no longer eligible for special education services under IDEA, but still needs supports or services at school
Your child is receiving informal accommodations or ongoing support at school already

14. Who Qualifies for a 504 Plan?
The process for getting a 504 plan is much simpler than the process for getting an IEP. 
Schools may offer a student less assistance and monitoring with Section 504 because there are fewer regulations by the federal government to instruct them, especially in terms of compliance.
Unlike with IEPs, there’s no legal requirement to review a 504 plan each year. But it’s a good idea to have an annual 504 plan review meeting anyway. 
Who Qualifies for a 504 Plan?
Any student between the ages of 3 and 21 years of age who meets the definition of “disabled.”

15. What Does A 504 Plan Look Like?
Generally includes only classroom accommodations, but can include special instruction.
Examples of classroom accommodations:
Teacher must allow child to sit out of P.E. or recess when tired
Allow frequent bathroom visits
Must sit close to front of class due to vision impairment
Frequent visits to health office.
Must have a buddy to walk with to the health office
Teacher must have assignments prepared if student is absent for prolonged periods
What Does A 504 Plan Look Like?

16. The Laws Governing Nursing, IEPs and 504s are Complex
Do your own research and be ready to advocate on behalf of your child.
Recommended online resources to learn more:
Understood.org details the differences between IEPs and plans.
Parentcenterhub.org
Wrightslaw.com
U.S. Dept. of Education Website ( run searches for “504 FAQ” or “IDEA”
The Laws Governing Nursing, IEPs and 504s are Complex

17. ONE WORLD,
ONE FAMILY
ONE HOPE