All rights reserved. [...] STUDENTS WITH BLEEDING DISORDERS This guide is meant as a starting point for discussions about how to best address the unique healthcare needs of students who have a bleeding disorder. [...] Not all school systems will do this) > Administered by parent or visiting nurse > Ancillary supplies needed • Equipment used (e.g., crutches, wheelchair) • Student’s level of understanding and independence • Access to the school nurse’s office (e.g., case-by-case basis, permanent pass for the year) • Student’s medical alert identification, such as bracelets, necklaces, or shoe tags 4. [...] Psycho-Social Considerations • Family status, support available • Family stresses and student’s concerns • Student’s and family’s understanding of the condition and ability to cope • Developmental issues • Disability awareness and/or bleeding disorder education to be provided to peers • Involvement in community support groups • Issues related to access to healthcare and bleeding disorder sup [...] All rights reserved. [...] Step 2: Individual Healthcare Plan (IHP or IHCP) • A formal written agreement developed through a collaboration by the school staff, the student’s family, and the student’s health care provider(s) • Identifies your child’s health needs, and creates solutions to potential health problems that can occur in a school environment • Provides a safe environment that helps your child learn and makes g [...] • The plan should include information related to training school staff and educational planning “Hallmarks” of a Good Individual Health Plan • Contains information, guidelines and standards that promote a student’s health and educational goals. • Avoids unnecessary risk, restriction, stigma, illness and absence. [...] Step 3: Emergency Care Plan (Some schools may include the Emergency Care Plan as part of the Individual Healthcare Plan) • Types of injuries: when to call parents, when to call the HTC, when to call 911 > Explain the difference between joint bleeds, muscle bleeds, soft tissue bleeds, mucous membrane bleeding > Emphasize areas that require immediate attention: head trauma, blow to neck or abdo [...] > Protective gear such as helmets, knees and elbow pads Step 4: Miscellaneous • Field Trips/School Sponsored Activities > All students have the right to participate – participation cannot be denied because of the need for medication/ treatment or requirement of additional assistance > If a field trip is planned, the teacher should give two weeks-notice to the school nurse so that a plan can be [...] The plan should always include factor and emergency supplies > In some cases, a nurse or parent may be needed to accompany a student > Prior to the field trip, the school nurse should provide to the teacher/staff member in charge copies of the student’s care plan • Staff Training - training of appropriate staff should include: > Definition of bleeding disorder > Confidentiality > Symptoms to
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