Sunday, May 19, 2013

Diabetes Care in Washington, DC, Public Schools

By Dr. Fran Cogen, Health Pro Thursday, October 25, 2012

DC schools reach agreement to provide aid to diabetic students

 

By Emma Brown, Published: August 29, 2012 Washington Post


"DC public schools officials will ensure that two staff members at every school with diabetic students are trained to give insulin shots and other medical treatment, according to an agreement signed last week with the U.S. Department of Education. The staff members must be trained by Oct. 19. Officials also said they would not require or request that students transfer schools because of a need for diabetes care. The school system agreed to establish a grievance process for diabetic students who think their rights have been violated. The agreement, signed Aug. 22, resolves a civil rights complaint brought in July by University Legal Services, a legal aid organization in the District, and the American Diabetes Association. The complaint alleged that a D.C. third-grader was forced to miss days of classes last year when the school nurse was absent and other staff members couldn’t provide adequate treatment for her diabetes. The federal government is investigating similar complaints about inadequate diabetes care at the city’s charters schools, said Victoria Thomas, a staff lawyer with University Legal Services. On Friday, the city adopted emergency regulations that allow trained staff members at traditional public and public charter schools to administer emergency medication to students with diabetes.”


"The Agreement does not require a full-time nurse for each student with diabetes. It requires DC Pubic Schools to train full-time staff at the school in addition to any school nurse so that there is always someone available to administer diabetes care. The agreement also addresses field trips. It requires that a nurse or trained staff be available to provide diabetes care on field trips and extracurricular activities."

 

-Victoria Thomas, staff attorney at University Legal Services

 

The District of Columbia has now joined the ranks of several major cities that will ensure diabetes care in the school setting even if there is no nurse immediately available to provide care due to staffing or other concerns. This agreement is a major win for all the people who interact with our students with diabetes on a day-to-day basis. The next step was the training for the non-health related staff employees to provide care to the students. The Childhood and Adolescent Diabetes team of Children’s National Medical Center received a call from the District of Columbia’s Department of Health to request our services for the training.

 

We prepared online material that included information from the American Diabetes Association’s “Safe at School” program to be studied prior to the face-to-face practicum offered to all non-health related employees who serve as “back-up” to school nurses. DC Schools also provided a pre-test in conjunction with the Department of Health.

By Dr. Fran Cogen, Health Pro— Last Modified: 10/25/12, First Published: 10/25/12