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Diabetes Management Protocol for Schools

1. This document provides guidelines for checking a student's blood glucose levels and responding appropriately based on the results and how the student feels. 2. If the level is below 70, the student should be given a fast-acting sugar source and retested after 10 minutes; if still low, more sugar should be given and the nurse notified. 3. If between 70-180 and the student feels okay, they can resume activities with additional treatment as ordered. If feeling low, retest immediately and treat accordingly. 4. If a student becomes unconscious or has seizures, call 911, turn them on their side, and give glucose or glucagon if ordered. Notify the nurse and parents.

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2K views1 page

Diabetes Management Protocol for Schools

1. This document provides guidelines for checking a student's blood glucose levels and responding appropriately based on the results and how the student feels. 2. If the level is below 70, the student should be given a fast-acting sugar source and retested after 10 minutes; if still low, more sugar should be given and the nurse notified. 3. If between 70-180 and the student feels okay, they can resume activities with additional treatment as ordered. If feeling low, retest immediately and treat accordingly. 4. If a student becomes unconscious or has seizures, call 911, turn them on their side, and give glucose or glucagon if ordered. Notify the nurse and parents.

Uploaded by

princessandthepump
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

Algorithms For Blood Glucose Results

(Attach copies to Physician Authorization page and student’s ISHP)

Check Blood Glucose


(Refer to appropriate procedures for further details)
STUDENTS
PHOTO

Above _____
Below 70 70- ______

If Student Feels Ok Student Does Not Feel


OK
1. Give fast acting sugar source*.
2. Observe for 10 minutes. 1. Call parents to pick up student.
3. Retest blood glucose, if less than 70 1. Provide water if student is thirsty 2. Provide water if student is thirsty
repeat sugar source according to proce- 1. If 70 or above and student feels OK, may and/or has dry mucous mem - and/or has dry mucous mem-
dure. If ordered, give appropriate resume school activities. Provide treatment branes branes.
snack or within one hour to next meal, according to orders. 2. Provide additional treatment per 3. Provide additional treatment per
feed early. ISHP. (this may include insulin ISHP (this may include insulin
4. Notify school nurse if two or more 2. If 70 or above and student is feeling "low",
administration, ketone check administration, ketone check
episodes in one week. retest immediately. and/or activity restriction). and/or activity restriction).
If Student Becomes Unconscious, • If 80 or below, treat for "below 70". 3. May resume classroom 4. Notify school nurse if there are
Seizures, or is Unable to Swallow: • If 81 or above, consult immediately with activities. further immediate concerns or
1. Call 911. 4. Document action and questions. Document action and
2. Turn student on side to ensure school nurse.
provide copy to school nurse. provide copy to school nurse.
open airway. 3. If student is hyperglycemic and feels ill, call
5. FOR VOMITING WITH CON-
3. Give glucose gel and glucagon if parents to pickup child (in the meantime FUSION, LABORED BREATH-
ordered. provide treatment according to orders). ING AND/OR COMA
4. Notify school nurse and parents. Call 911
Notify parents
Contact school nurse

Student’s Name:
Fast Acting Sugar Sources School:
• 15 gm Glucose tablets • 1/2 c. apple juice School Nurse:
• 15 gm. Glucose gel • 1/2 c. grape juice Nurse Contact Number:
• 1/3 c. sugared soda • 1 tube Cakemate gel (19 gm.) Parent’s Phone Number:
• 1/2 c. orange juice • 3 tsp. sugar (in water)
Alternate ER number:
Communicate with school nurse via telephone or written documentation depending on urgency of situation. School nurse will notify parent and healthcare provider per ISHP.

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