Our 6th grade MIDDLE SCHOOL 504/IHP

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I tried to cut/paste this, but because it is a form it will be difficult to read (there are shaded areas, boxes, etc.) But the meat of information is at least readable I hope.

A little background~ Our Middle School is 6th, 7th, 8th grades and has about 800 students. We have a building principal, a building full-time R.N., a grade-level counselor (who is the 504 case manager), and a grade-level principal. The School District's Director of Food Service is also a Team member, as well as t he School District's 504 Coordinator.

Please note that there are several additional documents including the 504 accommodation plan, an Emergency Plan, an Asthma Action Plan, Cafeteria Procedures, a sheet describing Mariah's responsibilities, and an Activity Planning Worksheet that are all referred to and included in the IHP as attachments. I'll post try to post these as well in separate posts.

I have not posted my 504 plan because I do not have it electronically, and it will take and long time to transcribe. I'll take the time if there are requests for it... it's not a problem, I just want to know that it would be helpful before going through the time to post.

Gail _________________________________________________________

[b]Individualized Health Care Plan[/b]

[b]I. IDENTIFYING INFORMATION[/b]

Student

On Apr 22, 2006

Here is the [b]Emergency Action Plan [/b]that is one of the attachments.

______________________________________________________ Emergency Plan for Mariah X X Middle School 2005 - 2006

If Mariah accidentally ingests a food found known to contain nuts, prompt administration of the EpiPen is required. However, it is possible that Mariah ingests a

On Apr 22, 2006

Here are our [b]Cafeteria Procedures[/b] that are an attachment to the IHP.

________________________________________________________

Cafeteria Procedures X Middle School April 2006

The following procedures will be followed by the cafeteria staff to ensure the health and safety of students with peanut and tree nut allergies.

1. Type A breakfast/lunches provided by Food Service will not include peanuts, peanut butter, tree nuts, and peanut and tree nut derivatives, oils and by-products and will be free of any cross-contamination of tree nuts and peanuts. 2. A la cart items: Peanut butter sandwiches will not be served. Other

On Apr 22, 2006

Here is the attachment called "Mariah's IHP Responsibilities" that is an attachment to her IHP.

______________________________________________________ Mariah X

On Apr 22, 2006

This is a worksheet that was developed to help Mariah become involved with the planning process of activities. It's referred to as the [b]Activity Planning Worksheet[/b] in her IHP.

________________________________________________________ School Activities Planning Process For Students who have Severe Food Allergies

This form is used to plan special activities.

Activity: Date:

1. Is eating food part of this activity? Yes No

2. If yes, what foods are involved?

3. Who is preparing the food? Can we talk with this person ahead of time about how the food is prepared, how to avoid cross-contamination, and what I can safely eat?

4. What foods can I eat?

5. Is there any possibility of contacting the food allergen during this activity? Yes No

6. If yes, describe the possible contact.

7. If yes, what can be done to avoid contact?

8. Who has an Epi-pen?

9. Who can administer an Epi-pen in case of emergency?

10. Who is my contact person?

On Apr 22, 2006

Mariah's IHP mandates that a written plan will be created for each special event and field trip. Here is an example of what a recent [b]Field Trip Plan [/b]looked like.

__________________________________________________

X Middle School Sixth Grade Social Studies Field Trip Tuesday, November 8, 2005 Holocaust Museum

Field Trip Plan for Mariah X

Food intake will be a part of this activity only in that students will be eating a lunch that they prepared and brought from home. The teacher, Ms. X, will ensure that the eating area at school, upon return from the field trip, will be cleaned prior to students having lunch. All students will have the opportunity to wash their hands.

There could always be a possibility of contact when on a field trip.

The teacher and Mariah will identify the location of the rest rooms upon arrival at the museum for the purpose of handwashing.

In the case of an emergency, please refer to the Emergency Action Plan. The teacher will have 2 epi-pens, Mariah's inhaler with aerochamber, Benedryl liquid with measuring spoon, Benedryl cream, handwipes, and a charged cell phone with her at all times while on the field trip (including the bus).

Mariah will not carry her epi-pen since students will not be separated from the teacher.

The following have received a copy of this plan:

Ms. W and Dr. T (parents) Dr. X, Director of Instructional Resources (504 Coordinator) Dr. Y School Principal Ms. Z, R.N., School Nurse Ms. M, School Counselor Ms. D, Social Studies teacher

On Apr 22, 2006

Unbelievably great!!! Thank you sooooo much!

We had our first meeting with the middle school in Feb. It went very well. They were very receptive. We brought a proposed 504 plan and they agreed on everything. We are working on getting the whole bus driver fleet trained on use of Epi-pens. The nurse is trying to push that through. My child will keep the epi in his backpack/locker, but won't carry it with him during the school day. We will have them placed throughout the school.

I think the admin will be fine, but I have heard more than a few comments from the PTA that lead me to believe that they don't take this too seriously. Hopefully, with education, that will change.

We aren't sure on how we wanted to deal with the cafeteria. I don't want him at a table with a giant peanut that has a slash on it. We think we are going to take a risk the first few days to see where nature seats our son. Once it is established that he sits at the same table each day that table will be cleaned prior to his lunch period with disposable wipes. I don't want any attention brought to him during lunch- he is that kind of kid. That first week will be tough, but he will be eating from a disposable lunch tray, so the risk of him ingesting nut residue is tiny. He will just have to be careful about where he touches. The school does not serve anything containing nuts/traces so that is great. We will meet with his teachers prior to the start of school to make sure everyone is on the same page regarding his allergy.

Thanks again for your phenomenal post.

On Apr 22, 2006

Quote:

Originally posted by Lidia: [b]Unbelievably great!!! Thank you sooooo much![/b]

You're welcome! I hope you'll post your son's plan when it's completed. There's not very much info on the boards about Middle School, and I think it would benefit others.

Quote:

Originally posted by Lidia: [b]We had our first meeting with the middle school in Feb. It went very well. They were very receptive. We brought a proposed 504 plan and they agreed on everything. We are working on getting the whole bus driver fleet trained on use of Epi-pens. The nurse is trying to push that through. My child will keep the epi in his backpack/locker, but won't carry it with him during the school day. We will have them placed throughout the school.[/b]

This is how we do it also. Exactly. There is an epi-pen in each classroom and also throughout the building in 'trauma kits'. We wanted Mariah to be able to carry her epi-pen, but didn't want the staff to depend on her to always have it.

Quote:

Originally posted by Lidia: [b]I think the admin will be fine, but I have heard more than a few comments from the PTA that lead me to believe that they don't take this too seriously. Hopefully, with education, that will change.[/b]

Can you incorporate a section in your plan regarding PTA food? Ours says, [i]"Parent Association provided food: The parent association will be informed of the list of approved foods. The school administration will work with the Parent Association so that food they provide will be from the list of approved foods. Should a new food item be needed that is currently not on the list, the food label will be submitted to the Food Services Director for analysis, pre-approval, and then added to the list."[/i]

I'd say adding that (PTA food) into the plan has been one of the biggest positive changes for me. Before the school was responsible for the PTA food, it was really crazy to monitor and I always had to check the food at the event. Having the school assume their responsibility to oversee this has been wonderful.

Quote:

Originally posted by Lidia: [b]We aren't sure on how we wanted to deal with the cafeteria. I don't want him at a table with a giant peanut that has a slash on it. We think we are going to take a risk the first few days to see where nature seats our son. Once it is established that he sits at the same table each day that table will be cleaned prior to his lunch period with disposable wipes. I don't want any attention brought to him during lunch- he is that kind of kid. That first week will be tough, but he will be eating from a disposable lunch tray, so the risk of him ingesting nut residue is tiny. He will just have to be careful about where he touches. The school does not serve anything containing nuts/traces so that is great. We will meet with his teachers prior to the start of school to make sure everyone is on the same page regarding his allergy. [/b]

This is exactly how we handled it. It took a couple weeks for Mariah to identify "her table". The staff were great about allowing that process to happen naturally, and to keep all the tables spick and span until she'd settled into her space. Except for 3 Little Debbie "may contains" all in one basket marked 'may contain', all the food provided by the school is nut-free. The kids, however, can bring in whatever in their sack lunch from home, so there's definitely PB in the cafeteria.

So glad to hear your process is going well. I hope you will continue to post so that others can benefit.

Gail

[This message has been edited by Gail W (edited April 22, 2006).]

On Jan 12, 2007

raising for TwokidsNJ

On Jan 12, 2007

Gail W this is awesome!! Thanks for posting and raising it!!!

On Jan 12, 2007

Gail,

Thank you so much! I've been meaning to get back to you on your Middle School 504. We making the progression from the Elementary School to the Intermediate School next September which is grades 5-7.

I will print yours out and use it as my sample to flow from our current one to a detailed middle grade model.

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