North Vancouver School District
the natural place to learn©
Medical Alerts

Updated August 2020:

Click HERE for a Print Copy of Medical Alert Management Guidelines



Background

There are students in school who may have a physician diagnosed, potentially life-threatening medical condition, and may require emergency care by school staff. This is referred to as a Medical Alert Condition. The purpose of this document is to provide parents/guardians, students, administrators and school staff with guidelines for the development of the Medical Alert List and for managing the emergency plans for life-threatening medical conditions. Parents/guardians, students and staff all have a shared responsibility for keeping students safe at school.

‚Äč ‚Äč ‚Äč ‚Äč ‚ÄčGuide to Medical Alert Conditions for Schools
‚ÄčMedical Condition ‚ÄčDescription ‚ÄčEmergency Plan ‚ÄčTraining ‚ÄčVCH Contact
‚ÄčAnaphylaxis


(see Policy 304: Anaphylaxis and the Administrative Procedures)

Previous severe allergic reaction(s) which required or may require emergency care and use of Epinephrine (EpiPen).

Does not include mild allergies that do not require urgent intervention or allergies to medications.

‚ÄčAnaphylaxis Emergency Plan

VCH Anaphylaxis Emergency Plan.pdf
‚ÄčTraining for all school staff (yearly)‚ÄčSchool Public Health Nurse
‚ÄčAsthma

Previous asthma episode(s) requiring immediate medical treatment.

Does not include controlled, stable asthma (needing rescue inhaler less than once per week).

‚ÄčAsthma Emergency Plan

VCH Asthma Emergency Plan.pdf
‚ÄčNone‚ÄčSchool Public Health Nurse
‚ÄčDiabetes ‚Äč

‚ÄčRequiring support at school:

Students with Diabetes who require the assistance of school staff for blood glucose monitoring and/or insulin administration.

‚ÄčDiabetes Support Plan and Medical Alert Information
(pages 1&2)

VCH Diabetes Emergency Plan.pdf

Nursing Support Services delegated care plan

‚ÄčIndividual Care Plan, Training and Delegation for staff designated to provide extra support for student

All staff review Taking care of Diabetes at School online module

‚Äč
Nursing Support Services
Referral Process

‚ÄčIndependently Managed:

Students with Diabetes who independently manage their diabetes care at school (e.g. blood sugar testing, insulin injections).

‚ÄčDiabetes Support Plan and Medical Alert Information
(pages 1-3)

VCH Diabetes Emergency Plan.pdf
‚ÄčAll staff review Taking care of Diabetes at School online module‚ÄčNursing Support Services
Referral Process

‚ÄčWho request glucagon at school:

Students with Diabetes whose parents have requested that glucagon be administered as an Emergency treatment in the event of severe low blood glucose.

‚ÄčDiabetes Medication Administration Form‚ÄčDesignated school staff trained (yearly)‚ÄčSchool Public Health Nurse
‚ÄčSeizures ‚Äč  

‚ÄčWith Rescue Medication:

Ongoing seizures that require first aid AND emergency rescue medications (e.g. Midazolam).

Does not include one-time seizure more than 12 months ago.

‚ÄčNursing Support Services Care Plan‚ÄčIndividual Care Plan, Training and Delegation for staff designated to provide extra support for student‚Äč

Nursing Support Services
Referral Process

‚ÄčWithout Rescue Medication:

Ongoing seizures that require first aid only.

Does not include one-time seizure more than 12 months ago.

‚ÄčSeizure Emergency Plan

VCH Seizure Emergency Plan.pdf
‚ÄčTraining for all school staff (yearly)‚ÄčSchool Public Health Nurse
‚ÄčOther Conditions Requiring Emergency Care‚ÄčConditions that are potentially life-threatening or may require emergency support. For example: heart conditions that may require emergency intervention; blood clotting disorders that require immediate medical care in the event of injury (e.g. haemophilia).‚ÄčGeneric Care Plan

VCH Emergency Plan.pdf 

To be filled in by parent (Public Health Nurse is available for support and clarification)
‚ÄčAs needed, can consult with family and Public Health Nurse‚ÄčSchool Public Health Nurse


 

Roles and Responsibilities

As per Policy 303: Student Health Services and Medication Management, the Board will cooperate actively with parents/guardians, public health services, and other social agencies to foster the good health and well-being of students.

Parent/Guardian Responsibilities:

  • Provide the school with accurate and timely information about your child‚Äôs Medical Alert Condition, both at the time of registration and any time there is a change in the student‚Äôs emergency plan or care.
  • At the beginning of the school year:
    • Complete and return the appropriate parent/guardian and physician-signed Medical Alert forms.
    • Meet with designated school staff on an annual basis to confirm emergency plan.
    • Provide required medications and determine with the school where and how these should be stored and administered. Ensure that the medications have not expired. 
    • Inform school staff if your child has the demonstrated maturity to carry and self-administer their own medication.
  • Ensure your child wears a Medical Alert bracelet/necklace.

Principal or Delegate Responsibilities:

  • Inform the school community (parents/guardians, staff, etc.) of the school district‚Äôs policies, procedures, and intent to provide a safe environment for all students with Medical Alert Conditions.
  • Provide access to the appropriate Medical Alert forms with instructions to return to the school office.
  • Meet with the parent/guardian to review the Medical Alert Condition emergency plan for the student. This is essential for new and newly diagnosed students with life-threatening medical conditions. An annual review of the Medical Alert emergency plan should also occur (if no changes to the medical condition/emergency plan, the parent/guardian may initial and date the emergency plan. Meet with the teacher to review the Medical Alert Condition emergency plan for the student.
  • Ensure appropriate staff are aware of the Medical Alert List.
  • Consult with the Public Health Nurse for training for school staff (e.g., use of an auto-injector, how to manage anaphylaxis, glucagon administration for diabetic student).

School Staff Responsibilities:

  • Be familiar with students who have Medical Alert Conditions in your school/classroom. Be familiar with the student‚Äôs Medical Alert emergency plan and location of emergency medication.
  • Maintain and update the Medical Alert List (annually and as required throughout the year).
  • Receive training offered through the school/Public Health regarding Medical Alert Conditions, anaphylaxis prevention and management, diabetes care and emergency treatment, etc.
  • Inform the teacher teaching on call (TTOC) of students in their classroom with Medical Alert Conditions, emergency plans, and location of emergency medication.

For student(s) with Anaphylaxis:

For field trips/extra-curricular activities:

  • Bring a copy of the Medical Alert List, Medical Alert emergency plans, and appropriate medical supplies/medication as required.
  • Ensure that you have a way to contact emergency response if needed (e.g., cellphone).
  • Inform supervising adults/chaperones of students with Medical Alert Conditions and Medical Alert emergency plans.

Student Responsibilities:

  • Be aware of your Medical Alert Condition.
  • Let an adult know if you think you might be experiencing a medical emergency.
  • For mature students (age-appropriate) follow the Medical Alert emergency plan.
  • Wear a Medical Alert bracelet/necklace.

Role of Public Health Nurse and/or Nursing Support Services:

  • Act as a consultant to the school community in their effort to provide a safe environment for children and youth who may require emergency medical management at school (Medical Alert Conditions).
  • Provide information/resources about specific medical conditions.
  • Offer health education on emergency procedures/responses and use of medications.
  • Provide student-specific training as required by their Medical Alert emergency plan (or care plan for Students with Special Needs).
  • Assist with ‚Äúallergy awareness‚ÄĚ education for the school community.

 

Note: Medical Alert action plans, care plans and medications should be taken on field trips and school evacuations.

Advise Staff:

Staff (including casual/TTOC/volunteers) must be made aware of any student with a life threatening medical condition.



       Additional Resources

Food Allergy Canada (formerly Anaphylaxis Canada): http://foodallergycanada.ca/

Food Allergy Canada educates, supports and has resources to support individuals and communities to promote allergy aware environments. Some examples to support school environments include:

Sample Posters and Back to School checklist, online learning for Educators:

https://foodallergycanada.ca/professional-resources/educators/school-k-to-12/

 

Allergy Asthma Information Association (AAIA): http://www.aaia.ca/

The AAIA provides resources to promote safer environments and improve quality of life for Canadians affected by allergy, asthma, and anaphylaxis by empowering individuals and providing education, leadership and a national voice.

Anaphylaxis in Schools and other settings:

http://www.aaia.ca/en/Anaphylaxis 3rd Edition.pdf


Ministry of Education - Diabetes Resources and Support

https://www2.gov.bc.ca/gov/content/education-training/k-12/administration/program-management/safe-caring-and-orderly-schools/diabetes

 

Vancouver Coastal Health, North Shore:

School Nurse: 604-983-6700

School Health Manual:http://www.vch.ca/public-health/children-youth-schools/school-health/north-shore-school-health-manual

Section #12:  Medical Alerts, Allergies and Anaphylaxis

http://www.vch.ca/public-health/children-youth-schools/school-health/north-shore-school-health-manual/medical-alerts-allergies-info-north-shore-schools

  • Sample posters: i.e. Nut Aware Classroom
  • Management of anaphylaxis in schools and facilities
  • Allergy Aware School and Childcare Settings: Tips for Parents