2. Types of diabetes. E. Principles of medication administration. 1. Right student b. Support the student’s healthy response to diabetes. G. Monitoring of student …
VIRGINIA BOARD OF NURSING
GUIDANCE DOCUMENT 90-36
TITLE: Guidelines for Training of Public School Employees in the
Administration of Insulin and Glucagon
Authorization: Code of Virginia Chapter- 570 of the 1999 Acts of the
Assembly, An Act to amend and reenact 221-274, 221-2751, 541-2901,
541-3001, 541-3005, and 541-3408 of the Code of Virginia relating to
care of public school students diagnosed with diabetes See copy of Chapter
570 attached
Training Guidelines
I Parameters of Training
A Qualifications of instructional personnel The trainer must
be:
1 A registered nurse or licensed physician with recent training or
experience in the management of diabetes mellitus in children
2 Trained in relevant sections of law and regulations, such as
Individuals with Disabilities Educational Act IDEA and Occupational
Safety and Health Act
OSHA
B The course shall continue until competency is demonstrated, but
shall not be less than four hours
C Retraining shall be completed at least yearly and last not less
than one hour
D Training shall be documented and
shall include skills checklist,
instructors name, trainees name, date of training, and documentation
of competency of trainee to administer
II Content of the Training Curriculum
A The need to have authorization for treatment initially received and
updated annually from the following:
1 The student parent or guardian
2 The treating physician, who may further authorize the parent or
guardian to alter dosages as necessary
B The requirements for an individualized health care plan for each
student to be initially prepared and updated annually
C Rights and responsibilities of the student, the physician, the parent or
guardian, tile administrator, and the trainee which are consistent with
existing laws and policies of the local school board and with relevant
state and federal laws to include, but not be limited to the following:
1 Individuals with Disabilities Educational Act IDEA
2 Section 504 of the Rehabilitation Act
3 Occupational Safety and Health Act OSHA; and
4 The Drug Control Act Chapter 34 of Title 541 of the Code of Virginia
D Overview of diabetes mellitus
1 Definition
2 Types of diabetes
E
Principles of medication administration
1 Right student
2 Right medication
3 Right dose
4 Right route
5 Right time
F Therapeutic management of diabetes
1 Nutrition
2 Exercise
3 Medication
4 Support of independence
a Support the students developing independence through assisting with
self- care
b Support the students healthy response to diabetes
G Monitoring of student
1 Using insulin pump
2 Testing blood glucose
3 Testing of urine
H Insulin administration
I Proper storage of drug
2 Administration only from a properly labeled prescription vial from a
pharmacy
3 Essential techniques of administration
I Hyperglycemia
1 Prevention
2 Recognition
3 Treatment
J Hypoglycemia
1 Prevention
2 Recognition
3 Treatment, including administration of glucagon
K Storage and disposal of medical supplies
1 Standard precautions
2 Security of medication and syringes
3 Expiration date of medication
L Necessity for documentation to be maintained and to include:
1 Signed authorizations, updated annually, from the students parent or
guardian and from the physician
2 The individualized healthcare plan, updated annually, for each student
3 Medication
administration that is signed and consistent with required
procedures
4 Description of any complications
M Emergency plan
N Existing resources in community, such as organizations and written
materials
Adopted: July 20, 1999 Virginia Board of Nursing
July, 1999 Virginia Board of Medicine
July 22, 1999 Virginia Board of Education
Reviewed: November 18, 2003
