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From Missoula, Montana, USA:

We are having a problem with students coming to the nurse's office to check blood sugars and take insulin if needed. One physician in this city says that he is trying to get the students to take the responsibility and take care of themselves and they should be able to do what is needed where ever and when ever they need arises. We at the school agree, but we are responsible for all of the students at this school, over 1300, and we are concerned about the needles and syringes in the halls without supervision and what could happen if an irresponsible student were to have access to these items. Do you know of any law or statute that would cover this situation and give us the necessary protection?


Your concern is understandable, both from the health and safety of the individual student and the general student population point of view. Nowadays patients are more likely to adjust their own insulin based on their blood glucose reading, food intake, and activity level. In the school setting, this can be a problem. Each state is different. Where I practice, in New York State, a child may determine their own insulin dose if they are "self-directed" (decided by the prescribing practitioner and school nurse). For younger children, we would give the nurse a range of insulin before lunch. Where I practice, most school systems will not allow students to carry the syringes and monitoring supplies, but have to keep the supplies in the school nurse's office. This is a problem if there is no nurse available.


Original posting 30 Jan 1999
Posted to Social Issues: School and Daycare


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Last Updated: Tuesday April 06, 2010 15:09:02
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