I have found you all because I am searching for help. Like so many, I am starting the process of the 504 plan for my PA/asthmatic daughter now in 2nd grade. The school has been very cooperative, met with us frequently over the years, and I believe has our daughter's best interest at heart. We are very happy with all the accommodations that the school has implemented and are not needing any further modifications.
I've been persistently pressing that we formalize these plans in writing, and I think we are in agreement that a written plan would be beneficial. I put forward a draft of an "IHP" that represented our understanding of the school's procedures, but they don't want to sign it and have suggested a 504 plan as an alternative.
I've read through the School discussion board and have found 4 plans posted (Rebecca/mamagaona, Austin/nojiff4us, Kurt, and Mick/Vic). I am looking for a collection of plans that have been accepted in other school to bring to our principal as examples. Is there a way to access these? Rhonda RS, I have your wonderful outline. Do you (and anyone else) have any plans that you could share with me?
Thanks to you all. There have been times when I have felt all alone in this process and when I found this board I cried. I am grateful to you all for sharing your efforts.
On Dec 8, 2001
Hi Gail, Are you the same Gail that just e-mailed me? Here is another 504 Plan I found on the boards:
On Dec 8, 2001
Are there other kids in the school with food allergy?
Also, when I wanted to show our district how other districts are handling food allergy and Section 504, I collected plans from within a 35 mile radius of my town. These documents, being from such close proximity, really hit home with them. If you don
On Dec 8, 2001
Thanks, Rhonda. Yes, I'm the same Gail that emailed you. Thanks for Californiamoms posted plan. It has been very valuable to see actual accepted plans and I know that it will be useful to share them with my school. Thank you, thank you.
To answer your questions-- yes, I'm already pretty involved locally. I go to our area support group, and while most parents meet and discuss needs and do have an emergency plan for their PA child in place, NO ONE has a written preventive accommodation plan (a 504 or other). Since no one at the meetings ever seems to have information about any type of formalized written accommodation plans, I've not pursued it by approaching the schools/districts directly. Something I may need to reconsider.
By writing to the school nurses, I've managed to identify all 8 PA elementary children in our district and have organized 2 family get-togethers. While some of the PA children are older than my second grader, 2 of 4 schools have fewer accommodations in place than us. The other school has used our school as a model and has duplicated our protocal. FYI, There was another PA child in our daughter's class, but they have moved (in part due to this issue). In short, we have become the "leader" on the issue in our school district.
The reason we choose to provide the school with a draft of an Individualized Healthcare Plan (IHP) is because we thought it would be easier (less bureaucratic process and less threatening than 504). I'd done some research and found "The School Nurse's Source Book on Individualilzed Healthcare Plans" that showed care plans for health issues, including anaphylaxis. There book clearly states that an IHP shouldn't be confused with "just" an emergency plan, and we liked the goal/outcome oriention. The example of IHPs were very thorough. The National School Nurses Association had published a position statement endorsing that every child with a complicated health issue needed a thorough IHP. We thought this was a safe direction to go.
But we've really left it up to the school to stear us toward the mechanism (IHP vs. 504 vs. letters of understanding or other less formal document) that would best meet our request for written plans. My honest feelings are that while a signature or other binding document is probably ideal, I don't particually need it. I need to trust the school in order to send my daughter there, and all in all, I do. I just want a working document that we all can refer to that clarifies our agreed upon management of her PA and asthma.
Does this make sense????
On Dec 8, 2001
Gail- Mine was accepted by the district last year. It is working well for us. Arlene
On Dec 12, 2001
This plan has worked and has been accepted in my daughters school. It has had very little changes over the last year.
Our section 504 plan
A. Nurse will provide inservice to all teachers at a staff meeting twice during the year to educate them about nut allergies and treatment of anaphylaxis. Nurse and parent will provide detailed training to classroom teacher,instructional aide,librarian, and computer lab teacher regarding emergency procedures and contamination issues.
B. A classroom policy will be developed as follows: All food served to students in Rachel's class must be cleared by Rachel's parents or it will not be served. Unplanned,unexpected food brought into the classroom by other parents will either not be distributed, or be distributed outside the classroom as the students leave for the day.
C.School and parent will write a joint letter to parents of all classmates informing them of her allergy,the classroom food policy,and the nut free status of the classroom.
D.Parents will provide an epi-pak containing prescribed epi-pen,antihistamine,and other materials as determined by parent. Medication consent forms will be completed yearly by parent and signed by physician. Parent will be responsible for replacing medication when it expires.
E.Parent or designee will walk Rachel into school each day and supervise Rachel until teacher is present. Parent or designee will meet Rachel at the classroom door as she leaves for the day.Teacher will walk Rachel to the office if parent is late.
F.Teacher will leave a copy of this 504 plan and any other instructions in a spot easily accessible to substitutes. Parent or designee will talk with substitute before leaving for the day and be sure that substitute has located and understands plan.
G.All students will be taken to the restroom to wash their hands prior to entering the classroom.
H.Parent and nurse will show parent provided video on food allergies to Rachel's classmates and teach them (at age appropriate level) about allergies and about steps necessary to protect Rachel.
I.Teacher will keep a parent provided emergency box readily available which contains first aid supplies for Rachel. Parent will provide snacks for Rachel.
J.Rachel will take the epi-pak along with her whenever she leaves the classroom.
K.Computer keyboard in computer lab and in classroom will be cleaned prior to Rachel using it.
L.Rachel will eat snack and lunch at a table designated for her. Lunch table and seat where Rachel will be sitting must be wiped off prior to each time she uses it.
M.Parent will instruct Rachel she may not share food and utensils.
N.A classroom aide will be assigned to supervise Rachel between 10:45-1:15pm.Aide will be assigned to supervise cleaning of designated table prior to recess and lunch.Aide may take student to wash their hands,monitor snacks at the designated table,and will be responsible for direct supervision of Rachel during snack and lunch break,including playtime on playground.
O.Rachel will inform teacher or aide of any developing symptoms.
P.Students will not eat in classroom on rainy days.
Q.Rachel will only eat food brought from home or approved by parent or designee.
R.Parent will instuct Rachel not to use the school soap.Parent provided soap will be in her pack.
S.Rachel will have a parent provided water bottle to drink from so she does not have to use the water fountain.She will be allowed to have her water in class and on the playground.
T.Parent will volunteer in the classroom as agreed upon with classroom teacher.
U.Parent or designee will accompany Rachel on all field trips. ******************************************** This is our tentative plan. It is a little different then what I e-mailed some people because we combined some items.
The term epi-pak refers to a small purse type bag that we use at school to keep her stuff in. We got it at Old Navy and had the front embroidered(sp?) with a red cross and Rachel's epi-pen. The back we sewed on a clear window that has Rachel's picture and descibes the symptoms of a reaction. Epi-pen instructions are on a big laminated card on the inside.It is adjustable so her aide can wear it while she plays on the playground.
The letter to the parents is taken in part from Lisa Cipriano_Collins book and part we added. It will be signed by the distict nursing supervisor and the school principal.Here is the letter:
I would like to make you aware of a health issue that the children are learning about this year. One of their classmates,Rachel xxx,has a severe allergy to tree nuts,their products,and oils.Strict avoidance is the only way to prevent an allergic reaction.The allergy is life threatening. For this reason we must be most cautious with the classroom snacks and party foods.Your child is still welcome to bring nut snack items from home.However,each time he or she chooses to bring a snack without nuts,your child plays an important part in decreasing the risk to Rachel. To help further decrease the risk we have implemented the following food policy:
1.All food served to the students must be purchased in a store.
2. The teacher must be given prior notice about any food items being brought into the classroom excluding the student's daily snack. If this does not occur the food item will not be distributed until the end of the day.
3.All items must contain a complete ingredient list. If the list is omitted the food will not be distributed until the end of the day.
4.If nuts are listed as an ingredient or the label has a"may contain nuts" warning the food will not be distributed until the end of the day.
We want Rachel to partcipate fully in all class activities this year. With your help, we can keep our classroom safe for everyone. I am most appreciative of your understanding and cooperation.
hope this helps,
On Dec 12, 2001
Thanks for writing out your plan for me, Linda. I've been meaning to email you and ask you for it, and I appreciate that you shared it.
If it's okay, I'll read it over and email you directly if I have any specific questions.
Thanks again. I'm very appreciative of your time and generousity in sharing your plan.
On Dec 15, 2001
You can e-mail me with any questions.
On Oct 13, 2002
Simply re-raising in the hopes that Momma Bear might see it.
On Oct 14, 2002
I hope no one minds me borrowing the Parent's letter?
I still am frustrated knowing that needs addressed by the 504 should have been addressed by legislature already. Health issues tend to have basic universal needs. "Individualized health care" plans seem to be a misnomer.
Hospitals have standards of care that are universal no matter where you go within the U.S. As a matter of fact the care you recieve for certain diagnosis is universal no matter where you go in the civilized world. PA should be the same way. Basic life protecting interventions should be established especially since this is an issue associated with minors. You cannot assume all parents or guardians are knowledgeable or able to address these issues. Children need the protection of legislation regarding these issues. The legislation needs to be standardized and universal. EXEPTIONS to legislation should be addressed in a 504 plan. Unfortunately, we are the forefront of issues such as these. For example: The school nurse has been curiously absent from meetings associated with health and my son's care. Unforgivable. How can we take the school seriously? She is a direct extention of the safety we are to expect for our child and is doing a poor job in our eyes. It leaves us uncomfortable with the whole situation. Hmmmmmmmmmmmmmmmmmmm. I have an idea for a post.
On Oct 15, 2002
My daughter Jamie started Kindergarten this fall. Here's our 504 plan that was accepted. I lifted a lot of this from other plans I found here.
PART C: SUMMARY OF 504 PLAN
The purpose of this 504 Plan is to protect Jamie from the life-threatening aspects of her severe allergy to peanuts and tree nuts. Although this 504 Plan appears lengthy, at its core, there are only 4 critical points:
1. Jamie must not be exposed to peanuts or tree nuts, either through ingestion, physical contact or inhalation; 2. Adults responsible for supervising Jamie must be trained to recognize the symptoms of an allergic reaction; 3. An epi-pen must be available in the clinic and in Jamie
On Jan 4, 2006
raising--great resource for 504 plans! Thanks to those who posted theirs!
On Jan 5, 2006
Here's link to our accepted Kindergarten plan from a few years ago. Personally, I preferred our draft language to the final outcome, but overall, this plan worked.
On Jan 6, 2006
Thanks! We'd love to get things in place before dd starts kindergarten. We've done step #1: we wrote the allergist. DD has an appointment next week anyway and we'll speak to him then. I'm gathering info for the next step.
On Jul 13, 2006
link to our 504 plan: [url="http://uumor.pair.com/nutalle2/peanutallergy/Forum7/HTML/002310.html"]http://uumor.pair.com/nutalle2/peanutallergy/Forum7/HTML/002310.html[/url]
link to Lam's 504 plan: [url="http://uumor.pair.com/nutalle2/peanutallergy/Forum7/HTML/002404.html"]http://uumor.pair.com/nutalle2/peanutallergy/Forum7/HTML/002404.html[/url]
[This message has been edited by Gail W (edited July 13, 2006).]
On Aug 21, 2006
Lam's updated 4th grade 504 plan from here: [url="http://uumor.pair.com/nutalle2/peanutallergy/Forum7/HTML/002469.html"]http://uumor.pair.com/nutalle2/peanutallergy/Forum7/HTML/002469.html[/url]
PLAN OF PREVENTION concerning (child's name) food allergies
CLASSROOM GUIDELINES: (For classroom in which (child) is a student.)
* The classroom will be declared
On Aug 22, 2006
Guess I should've thought of this thread!
Sorry for starting a whole new one! [img]http://uumor.pair.com/nutalle2/peanutallergy/smile.gif[/img]
[This message has been edited by Lam (edited August 22, 2006).]
On Aug 22, 2006
Originally posted by Lam: [b]Thanks, Gail!
Guess I should've thought of this thread!
Sorry for starting a whole new one! [img]http://uumor.pair.com/nutalle2/peanutallergy/smile.gif[/img] [/b]
No, no, no! [img]http://uumor.pair.com/nutalle2/peanutallergy/smile.gif[/img] I think [i]both [/i]threads are important. [img]http://uumor.pair.com/nutalle2/peanutallergy/smile.gif[/img] The other one (yours) focuses on one plan, and this one could be helpful to someone wanting a 'collection' to puruse to compare content and formats. I hope everyone continues to post their individual plans separately to get feedback and answer specific questions. Thank you for posting your plan. It's excellent. I was very excited to see it and just wanted to add it to the collection here. [img]http://uumor.pair.com/nutalle2/peanutallergy/smile.gif[/img]
On Aug 22, 2006
[This message has been edited by Lori Anne (edited May 20, 2007).]
On Mar 9, 2007
can I re-raise this for new people...good info!
On May 17, 2007
raising for DonovansMom
On May 27, 2007
Has anyone put anything about after school events in their plan? If not what do you do about after school events? We currently have this in our plan. I was just curious.
------------------ mother of 2 children. 8yr old son 11yr old daughter(Ana to Peanut and tree nuts.) sesame seed, animal dander, dust mites, grass,and trees Has eczema. Has outgrown shellfish
On Jun 4, 2007
Can you please share the info. in your plan regarding after school activities? We currently do not have that but I'm interesting in adding it.
On Aug 16, 2007
raising for Lori Jo and others...
On Aug 17, 2007
On Oct 11, 2007
On Feb 26, 2008
raising for wackattack69