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    Supporting Students with Physical Health Needs
Hawaii State Department of Education
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Table of Contents

  • Foreword
  • Acknowledgements
  • Supporting Students with Physical Health Needs
    • Introduction
    • Educational Settings
    • Confidentiality
    • General Guidelines
    • Individualized Education Program (IEP) Consideration
    • IEP Team Roles and Responsibilities
    • Section 504, Subpart D/Chapter 53
    • Eligibility and Modification Plan (MP)
    • Section 504 Team
    • Personal Devices/Appliances
    • Medical Services/Procedures
    • Emergency Evacuation Plan
      • Fire Evacuation
      • Bomb Threat
      • Tsunami
      • Hazardous Materials Incident
      • Earthquake
      • Evacuation Checklist
    • Emergency Procedures for Accident or Illness
    • Do Not Resusitate (DNR) Policy
    • Excursions (Field Trips)
    • After-School Plus (A+) Program
  • Mobility and Students with Physical Limitations
  • Lifting Students
    • Management: Think Things Through Before You Start Lifing the Student
    • General Rules for Lifting
      • Two-Person Lift
      • Ceiling Hoist
      • Hoyer Lift/Mechanical Lift
  • Special Dietary Needs
    • Physician’s Statement for Children with Disabilities
    • Cases of Food Allergy
    • Other Special Dietary Needs
    • Medical Statement for Children with Special Dietary Needs
    • Food Preparation
  • Feeding in School
    • Dysphagia and Feeding Considerations
      • Symptoms of Dysphagia
      • Primary Concerns within the School System for Students with Dysphagia
      • Developing a Dysphagia/Swallowing Plan
    • Tube Feedings
  • Student Transportation Services
    • Transportation Request Procedure
    • Special Instructions
    • How Safe is School Bus Transportation?
    • Best Practice Suggestions for Travel
    • Parent Responsibilities
    • When No One is Home to Receive a Student
    • Natural Disasters and Emergency Situations
  • Facilities and Specialized Equipment
    • Minimum Facility Requirements
    • Equipment Recommended
    • Oxygen Storage Requirements
    • Facility Modification Requests
  • Students with Complex Physical Health Needs Residing in a Nursing Facility
  • Case Management Services
  • Appendix A
    • Allergic Reaction (Anaphylaxis)
    • Asthma
      • Asthma is a Lung Condition
      • What is an “Asthma Attack”?
      • Triggers of Asthma
      • Signs of Asthma Attack
      • Asthma/Wheezing/Difficulty Breathing
    • Diabetes
      • Hypoglycemia (Low Blood Glucose)
      • Hyperglycemia (High Blood Glucose)
      • Blood Glucose Monitoring
    • Seizure Disorder
      • Guidelines for the Care of Students
      • Seizure Algorithm
    • Hydrocephalus
    • Other Health Considerations
      • Stomas
      • Tracheostomy
      • Gastrostomy
      • Colostomies, Ileostomies, Urostomies
      • Definitions
      • Other Common Terminology
  • Appendix B
    • General Summary of Waiver Programs Under DHS
  • Appendix C
    • National School Lunch Program/School Breakfast Program Meal Substitutions for Students with Disabilities, Medical, or Other Special Dietary Needs (OHCNP SA DRAFT Policy: 02/13/06)
  • Forms F-1 (400KB PDF)
    • Emergency Information Form (EIF) - Parent Letter F-1
    • Emergency Information Form (EIF) F-2
    • Emergency Information Form for Children With Special Needs F-4
    • Authorization for Use or Disclosure of Protected Health Information (PHI) [sample] F-6
    • Instructions for Request for Administration of Individualized Health Care Procedures in School by Special Needs Nurses F-7
    • Request for Individualized Procedures in School - Gastrostomy F-8
    • Emergency Action Plan (EAP): Gastrostomy Tube F-9
    • Instructions for Nursing Personnel, Procedures for Gastrostomy Tube Replacement with Foley Catheter F-10
    • Request for Individualized Procedures in School - Tracheostomy F-11
    • Authorization for Use or Disclosure of Protected Health Information (PHI) F-12
    • Policies and Guidelines for Request for Administration/Storage of Medication in School F-13
    • Request for Administration/Storage of Medication F-14
    • Instructions for Request for Administration/Storage of Medication in School F-15
    • Emergency Action Plan - Contact List F-16
    • Emergency Action Plan for Severe Allergy to _____ F-17
    • Epi-Pen Administration F-18
    • Request for Administration/Storage of Medications (Asthma) F-19
    • Request for Individualized Procedure in School: Students with Diabetes F-20
    • Algorithms for Blood Glucose Results F-21
    • Diabetes Emergency Action Plan (EAP) - Hypoglycemia (Low Blood Sugar) Less than 70 mg/dL F-22
    • Diabetes Emergency Action Plan (EAP) - Hyerglycemia (High Blood Sugar) More than __ mg/dL F-23
    • Emergency Action Plan for Convulsive Seizures F-24
    • Increased Intracranial Pressure (ICP) Emergency Action Plan F-26
    • School Food Services Program: Medical Statement for Disabled Child Special Needs F-27
    • Procedures for Professionals who Implement a Feeding/Swallowing Plan F-28
    • Dysphagia/Swallowing Plan F-29
    • Capital Improvement Program (CIP), Preliminary Table R F-30
    • SAMPLE - Waipahu High School, Evacuation Plan F-31
  • References
  • Resources for Additional Assistance
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