Diabetes Management: Guide for Training Unlicensed School StaffDiabetes Management Training Guide • September 11th, 2007
Table of Contents Page Introduction/Purpose 2 Definitions 3 Guideline Determinants 4 Roles and Responsibilities 6 Training Materials Needed 8 Curriculum Overview 9 Curriculum Content 21 Appendix 1 – Forms Individualized Health Plan Student Self-Management Agreement Parent Authorization For Medication Administration Assistance Form Delegation Agreement For Diabetes Care Tasks Form Appendix 2 – Training Assessments 36 Pre/Post Test on Diabetes Management at School for Unlicensed School Personnel Individualized Healthcare Plan Checklist Glucose Monitoring Checklist Carbohydrate Counting and Insulin Dose Checklist Urine Ketone Monitoring Checklist Insulin Administration By Syringe Checklist Insulin Administration By Pen Checklist Insulin Administration By Pump Therapy Checklist Glucagon Administration Checklist Appendix 3 – Handouts 58 General Guidelines For Diabetic Management At School Alaska Medication Administration Delegation Decision Tree Individualize
