Guidelines for School Health Services: Chronic Conditions Management

Students with chronic conditions often have unique educational needs and health considerations that require individual planning. Every student with a chronic condition should have access to school nursing care. Better management and control of the chronic health condition is key to success for these students, both in school and in their community. Care for these students should include teaching and encouraging self-care skills, as the locus of control for making decisions about health shifts to the individual. 

To help schools eliminate discrimination against students with disabilities, due to chronic conditions or other reasons, the Office of Civil Rights created this resource: Parent and Educator Guide to Section 504. Many students with chronic conditions will qualify for accommodations through Section 504 of the Rehabilitation Act of 1973. 

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Asthma		Diabetes
Maine CDC Asthma Program  US CDC Asthma Resources  US CDC-Strategies for Addressing Asthma in Schools   School-based Asthma Management Program- National Association of School Nurses (NASN)     American Lung Association – Improve Asthma Management in Schools    AIR Now – Air Quality Flag Program    US Environmental Protection Agency – Creating Healthy Indoor Air Quality in Schools		Guide to Diabetes Management  Quick Guides/Posters HighBS/LowBS Path to Successful Management Important for All Staff Sample Forms Actions for the School Nurse Daily Log Equipment and Emergency Supplies List Glucagon Skills Checklist Nurse Intake Interview Skills Checklist Glucagon Transportation Plan Other Resources Maine CDC Diabetes Program  US CDC Managing Diabetes Resource  School Nursing Evidence-Based Clinical Practice Guideline: Students with Type 1 Diabetes Toolkit (NASN)
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Seizure Disorder		Life-threatening Allergy
Maine Seizure & Epilepsy Resource Guide Sample Forms Nurse Checklist  Intake History Form Seizure Management Form Emergency Action Plan (Classroom) Emergency Action Plan (Transportation) Other Resources US CDC Seizure Resources  US CDC Training Materials  School Nursing Evidence-based Clinical Practice Guideline: Students with Seizures and Epilepsy (NASN)  Epilepsy Foundation Preparedness		NASN Resources  Clinical Conversation Guide NASN  Training Tools: NASN  Sample Collaborative Practice Agreement  (PDF) (Word)  Epinephrine Standing Order Sample    Food Allergy Action Plan   Student Self-Carry Assessment   Anaphylaxis Management Training  Pre-Test  Post-Test  Schools may utilize programs to assist in supplying stock Epinephrine:  EpiPen4Schools: https://www.epipen4schools.com/  ConvenientMD Urgent Care: https://convenientmd.com/wp-content/uploads/2022/04/ConvenientMD_School-Nurse-Partnership-Flyer_2021.pdf