By September 2018, all school boards in Ontario will be required to have policies and procedures in place to help support students with certain medical conditions, including diabetes. School board that already have policies will need to ensure that existing policies meet minimum requirements.
Here are some of the policies in place right now:
- States that neither insulin nor glucagon can be administered by school staff, and are the responsibility of parents and paramedics respectively.
- Provides for support with self-management, including insulin pumps (though not injections).
- Students incapable of self-care are referred to Community Care Access Centre (CCAC).
- States that insulin will not be administered by staff or educational assistants (EAs), nor should glucose be tested or the results interpreted.
- Students ineligible for CCAC funding should explore the option of parents monitoring the child’s diabetes.
- Guidelines for creating safe and healthy schools for children with diabetes, created with Children’s Hospital of Eastern Ontario.
- Detailed diabetes policy, describing responsibilities of principal, staff, parents and students.
- School staff will not administer glucagon.
- No explicit provisions for children too young for self-care.
- Recommends creating and supporting and individual plan (including a template) for each student with diabetes.
- Diabetes management plan created for each student.
- Those unable to be independent will be supported through staff, parents and CCAC as necessary.
- Brief directive stating that a written action plan should be developed for each student with diabetes.
- Board staff not required to administer insulin or glucagon.
- Students incapable of self-care will be supported within the existing staff complement of the school. EA support is not specifically allocated to diabetes care alone.
- States: “Educational assistants will provide assistance with glucometers, insulin pumps, and other procedures related to diabetes given the required training.” BUT: “Education staff (e.g., principals, teachers, educational assistants) do not administer insulin injections.”
- “School personnel should be trained to administer glucagon, if required in the [plan], particularly if the emergency response time is not guaranteed to be less than 20 minutes.”
- One of the only districts we found that specifically states that students would be helped with insulin administration by a school staff member.
- Describes the development of a Diabetes Management Plan.
- Recognizes that some students may be unable to provide self-care, but is not explicit about how those situations should be managed.
- States that children should self-manage: “They can do it.”
- Describes glucagon and states that staff will not administer it.
- Does not specifically mention insulin and/or administration.
- See pages 20 through 23 for specific diabetes policy.
- Insulin administration is a responsibility of CCAC nurses.
Last updated: October 2017