(1) Definitions.
(a) Diabetes. Diabetes is a disease that
impairs the body's ability to produce or properly use insulin, a hormone that
is needed to convert food into energy.
(b) Diabetes Medical Management Plan (DMMP).
A DMMP is a medical authorization for diabetes treatment that includes
medication orders from student's healthcare provider for routine and emergency
care.
(c) Emergency Care Plan
(ECP). An ECP is a child-specific action plan to facilitate quick and
appropriate responses for an individual emergency in the school setting. The
ECP may be a component of the Individualized Healthcare Plan (IHP) that is
developed consistent with Sections
1002.20(3)(j)
and 1006.062(4),
F.S. The ECP shall specify when the emergency number (911) will be called and
describe a plan of action when the student is unable to self-administer
medication or self-manage treatment as prescribed.
(d) Individualized HealthCare Plan (IHP). An
IHP is a written plan of care developed at the local level to outline the
provision of student healthcare services intended to achieve specific student
outcomes. The IHP is part of the nursing process that is detailed in the
National Association of School Nurses Position Statement: Use of Individualized
Healthcare Plans to Support School Health Services (2020), (
http://www.flrules.org/Gateway/reference.asp?No=Ref-12105),
which is hereby incorporated by reference and available online at
https://www.nasn.org/nasn/advocacy/professional-practice-documentsx/position-statements/ps-ihps.
A hard copy may be obtained by contacting Student Support Services, Turlington
Building, 325 West Gaines Street, Suite 644, Tallahassee, Florida 32399. The
IHP is developed from the DMMP by a registered nurse (RN) in collaboration with
the family, student, student's healthcare providers, and school personnel for
the management of diabetes while in school, participating in school-sponsored
activities, and in transit to or from school or school-sponsored activities.
The IHP is child-specific and includes a written format for nursing assessment
(health status, risks, concerns, and strengths), nursing diagnoses,
interventions, delegation, training, expected outcomes, and goals to meet the
healthcare needs of a student with diabetes and to protect the safety of all
students from the misuse or abuse of medication, supplies, and
equipment.
(e) Self-Administration.
Self-administration means that a student with diabetes is able to self-manage
medication, supplies, and equipment in the manner directed by a licensed
healthcare provider without additional assistance or
direction.
