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SCHOOL NURSE FORMS FOR STUDENTS WITH DIABETES

 

The Virginia Diabetes Council and the Department of Education: Office of Student Services supports the use of the these school forms as a way to provide quality and standardized care for children with diabetes in all school systems in Virginia.

Virginia School Diabetes Medical Management Forms (DMMP)


Virginia DMMP by Virginia Department of Education 
Updated June 14, 2017* 

Original Virginia DMMP Form 
Updated May 11, 2017

 


This process of using this form and creating proper protocol for students with diabetes involves 4 parts.

 

Part 1 - School nurse distributes this form to the parent/guardian to determine permission or denial of permission for insulin and/or glucagon administration by trained unlicensed personnel.

Part 2 - Physician distributes these forms to parents to sign and bring to their child’s school to authorize communication between the school and physician on diabetes care.

Part 3 - If the child wears an insulin pump, then this form needs to be completed by the physician and the parent/guardian to provide child’s proficiency of pump operation and where they will require assistance/supervision.

Part 4 – If the child is going to carry or self administer insulin and/or perform blood glucose checks in the classroom, this form is recommended to be completed by the physician, school nurse and parent/guardian to inform everyone of expectations and responsibilities.


*Note: After the posting of the new DMMP form the received notification by the Virginia Department of Education that there had been some concerns regarding the signature page that do not meet the law in Virginia. To rectify that Tracy White from the Department of Education worked with DOE staff to modify the document.  The new document has new language and only requires a signature on the last page. There were also some minor modifications in the Physical Activity section as well.  For those offices that are using the form outside of Virginia you may continue to use the original form posted.  We recognize that this is an inconvenience, unfortunately it is beyond our control.  Hopefully the new format will make life a bit easier for everyone and meets the needs of the school systems and the endocrinology offices.

 

504 Plan:

Many children with diabetes have a 504 plan in order to outline the best methods for diabetes management while in school. This plan, refers to a plan developed to meet the requirements of a federal law that prohibits discrimination against people with disabilities. (under Section 504 of the Rehabilitation Act of 1973.) A 504 Plan sets out the actions the school will take to make sure the student with diabetes is medically safe, has the same access to education as other children, and is treated fairly. If you know a child with diabetes that is newly diagnosed or does not have a 504 plan, use the links below to start the process of implementing a plan at their school. You may also contact the school's 504 Coordinator for more information. 
 
 
 
 

Other Recommended Resources: 

 

NIH NIDDK Helping the Student with Diabetes Succeed: A Guide for School Personnel

Virginia Department of Education: Manuel for Training School Employees in Insulin and Glucagon

Virginia Department of Education: Diabetes Management in the School Setting

Children with Diabetes: Diabetes at School

JDRF School Advisory Toolkit

American Diabetes Association: Safe at School


DIABETES IN SCHOOLS


The School Committee group holds monthly conference calls on the second Tuesday of every month at 5 pm. For more information or to join, please contact our School Committee Chair Jackie McManemin at jackie@virginiadiabetes.org.

The School Committee is working on upgrading the DMMP form and implementation of a statewide educational program for school nurses. If you are interested in learning more about this committee please contact Jackie McManemin at jackie@virginiadiabetes.org College Diabetes Network.

The College Diabetes Network (CDN) is a 501c3 non-profit organization whose mission is singularly focused on providing young adults with T1D the peer connections they value, and expert resources they need, to successfully manage the challenging transition to independence at college and beyond. Visit our website to learn more about our Campus chapters and informational resources for patients and clinicians. Visit www.collegediabetesnetwork.org for more information.

CHILDREN WITH DIABETES

Children with Diabetes | A national organization that focuses on children with diabetes. Includes resources, forums, and support groups.

 

JDRF | One of the most well-recognized organizations in diabetes, JDRF focuses on those with type 1 diabetes.

T1DE | Type 1 Diabetes Experience, or "T1DE" is a non-profit organization dedicated to supporting and resources for those with type 1 diabetes in the greater Lynchburg area.
 

CAMPS FOR CHILDREN WITH DIABETES

 

Diabetes camp helps children learn self-confidence, self-management skills, self-control, and that there are other children like them who have diabetes and similar challenges everyday. Camps for children with diabetes in and around Virginia include:

Camp Holiday Trails a camp for children with special health needs including diabetes, is located in Charlottesville, Virginia.

Camp Jordan hosted by Makemie Woods in Barhamsville VA (near Williamsburg VA), is for children with diabetes.

Camp Take Charge offers a week long overnight camp for campers ages 10-17 as well as a three-day family camp for younger campers. Part of Brainy Camps, this camp is associated with the Children's National Medical Center in Washington, DC.

Camp Too Sweet offers camp for children with diabetes near Roanoke, Virginia.

Lions Camp Merrick: Glyndon Diabetes Program in Maryland provides a camping experience not only for children with diabetes, but for their families as well. Children from the District of Columbia, Delaware, New Jersey, Pennsylvania, Virginia, West Virginia may also attend.  

Lions District 24D: Family Diabetes Camp offers camp for families in Chesapeake, Virginia.

 

COLLEGE STUDENTS & YOUNG ADULTS WITH DIABETES

 

The CDN provides resources and has chapters in colleges and universities across the country. In Virginia, chapters include the University of Virginia, Shenandoah University, George Mason University, The College of William and Mary, and University of Mary Washington.

Founded by Miss Virginia 1998 and Miss America 1999 Nicole Johnson, provides resources for both college students and young adults with diabetes as well as internship opportunities and conferences across the country.