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Certificated school nurses with Bellingham Public Schools are appointed to:

A. Consult and coordinate with the parents/guardians and health care providers of students with diabetes; and

B. Train and supervise the appropriate staff in the care of students with diabetes.

The district will develop and follow an Individual Health Plan (IHP) for each student with diabetes. Each IHP will include an individual emergency plan element. IHPs will be updated annually, and more frequently as needed.

Parents/guardians of students with diabetes may designate an adult to provide care for their student consistent with the student鈥檚 IHP. At the parent/guardian request, school district employees may volunteer to be a parent/guardian designated adult under this policy, but they will not be required to participate.

Parent/guardian designated adults who are school employees will file a voluntary, written, current and unexpired letter of intent stating their willingness to be a parent/guardian designated adult. Parent/guardian designated adults who are school employees are required to receive training in caring for students with diabetes from the district certificated school nurse or from a nationally certified diabetes educator.

Parent/guardian designated adults who are not school employees are required to show evidence of comparable training and meet school district requirements for volunteers. Parent/guardian designated adults will receive additional training from a parent/guardian selected health care professional or expert in diabetic care to provide the care requested by the parent/guardian. The district certificated school nurse is not responsible for the supervision of procedures authorized by the parents/guardians and carried out by the parent/guardian designated adult.

In addition to adhering to the requirements of each IHP for the general care of students with diabetes, the district will:

A. Acquire necessary parent/guardian requests and instructions for treatment.

B. Acquire monitoring and treatment orders from licensed health care providers prescribing within the scope of their licensed authority.

C. Provide sufficient and secure storage for medical equipment and medication provided by the parent/guardian.

D. Permit students with diabetes to perform blood glucose tests, administer insulin and treat hypoglycemia and hyperglycemia by providing easy access to the necessary supplies, equipment and medication necessary under their IHP. This includes the option for students to carry the necessary supplies, equipment and medication on their person and perform monitoring and treatment functions wherever they are on school grounds or at school-sponsored events.

E. Permit students with diabetes unrestricted access to necessary food and water on schedule as needed and unrestricted access to bathroom facilities. When food is served at school events, provision will be made for appropriate food to be available to students with diabetes.

F. School meals will not be withheld from any student for disciplinary reasons. Students with diabetes will not miss meals because they are not able to pay for them. If a student with diabetes does not have food for whatever reason, the school will provide a meal for them. The charge for the meal will be billed to the parent/guardian or adult student and collected consistent with district policies.

G. Parents/guardians and health care providers of students with diabetes will be provided with a description of their student鈥檚 school schedule to facilitate the timing of monitoring, treatment and food consumption; and

H. Each student鈥檚 IHP will be distributed to appropriate staff based on the student鈥檚 needs and the staff member鈥檚 contact with the student.

The district, its employees, agents or parent/guardian designated adults who act in good faith and in substantial compliance with a student鈥檚 IHP and the instructions of the student鈥檚 licensed health care provider will not be criminally or civilly liable for services provided under RCW 28A.210.330.