1. Illinois EMSC1 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 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

2. Illinois EMSC2 Planning for Students with Special Health Care Needs

3. Illinois EMSC3 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

4. Illinois EMSC4 INDIVIDUALIZED HEALTH CARE PLANS (IHCP) HISTORY ASSESSMENT NURSING DIAGNOSES NURSING INTERVENTIONS GOALS EXPECTED OUTCOMES

5. Illinois EMSC5 HISTORY REMEMBER THAT A GOOD HISTORY STARTS WITH GOOD QUESTIONS!!!!

6. Illinois EMSC6 ASSESSMENT Should include both subjective and objective information Should reflect the student’s medical diagnosis

7. Illinois EMSC7 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

8. Illinois EMSC8 N URSING INTERVENTIONS Goal-oriented Focus on the actions of the school nurse and how nursing services will be utilized

9. Illinois EMSC9 GOALS Should be written Should be measurable

10. Illinois EMSC10 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

11. Illinois EMSC11 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

12. Illinois EMSC12 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

13. Illinois EMSC13 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.

14. Illinois EMSC14 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

15. Illinois EMSC15 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

16. Illinois EMSC16 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

17. Illinois EMSC17 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

18. Illinois EMSC18 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

19. Illinois EMSC19 ANY QUESTIONS??