504 plan for kindergarten

Posted on: Tue, 08/22/2006 - 3:50am
Lori Anne's picture
Offline
Joined: 07/13/2005 - 09:00

DD's 504 plan for kindergarten....

It's basic and changes will need to be made next year. For now we thought this was fine for a couple of reasons: 1. no lunch at school this year--only 1/2 day. and 2. they told us that we can easily make changes as we need to this year. If things don't work out, we meet with the nurse and add to the IHCP.

DD will be in a tree nut and peanut free classroom. Her teacher happens to be the parent of a child with PA.

DD has a 504 plan, but they put the accommodations all under the IHCP.

Page One

Section 504 Student Accommodation Plan
1. Describe the nature of the concern:
Student has a peanut allergy. Also at risk for allergic reactions to tree nuts such as walnut, pecan, hazelnut.

2. Describe the basis for the determination of a disability:
Physician questionnaire for student medical information.

3. Describe how the disability affects a major life activity:
The disability would limit breathing and learning if the student is experiencing an allergic reaction.

4. Describe the reasonable accommodations that are necessary:

XXXXXX will have an individualized healthcare plan and an emergency care plan for her allergy.

Person responsible: school nurse

Case manager: school nurse

Review date for 504 plan 6/2007

Participants: (it lists all who attended meeting)

(Page 2)
Section 504 meeting notes:
Purpose of the meeting: Develop, review or revise a Section 504 Accommodation Plan

(It then lists those in attendance again)

Revies student's current academic status and educational performance: XXXXXXX has not started school yet

Other relevant information discussed at meeting:

IHCP was developed for XXXXXXX
ECP was developed

All are in agreement with the plan.

Summary of Actions Taken:
Parent was provided written notice of rights under Section 504 at the meeting and with invitation.

A Section 504 Accommodation Plan was developed based on student's identification as a person with a disability under Section 504.

(Then it is signed by the recorder)

Page 3
Emergency Health Care Plan
Allergic Reaction

Student's Name and DOB Grade and Teacher and Picture of dd are included

Asthmatic: NO* *but being monitored for possibility (dd's allergist listed this statement right on all forms, so they included it in the emergency health care plan)

Allergic Reaction to: Peanuts and Tree Nuts

Signs and Symptoms of an Allergic Reaction Include:

(Then there is a chart that lists systems and symptoms. For example: Mouth is under system and symptoms include itching and swelling of the lips, tongue, or mouth, etc.)

Action:
1. If ingestion is expected, give epipen jr IM and Benadryl 2tsp
2. CALL 911
3. CALL: mother at xxx xxxx or father at xxx xxxx or emergency contacts.

It then lists emergency contacts and trained staff members.

On the back of this page is a picture of how to inject the epipen Jr and directions.

Page 4

Individualized Healthcare Plan

Chart (not good at doing those so I'll type each part separately)

Assessment Date Nurse (Date and nurse's inititials included here)

Functional Health Concern:
Risk of Anaphylactic reaction (life-threatening allergic response) related to the ingestion or inhalation of peanuts and/or tree nuts (protein component)

Risk of severe allergic reaction realted to the ingestion or inhalation of peanuts and/or tree nuts (protein component)

Student has an Individualized Emergency Care Plan

Student Objectives: Student will cooperate with staff 100% of the time by following school, classroom and IHCP rules in order to remain free of allergic reactions while in school. If student suspects that he/she has ingested peanuts, tree nuts, student will immediately notify staff who will implement the IECP according to the allergen specific plan.

Student will cooperate with staff members 100% of the time if they need to implement the IECP

Interventions:
Parents will:
*Inform school nurse and teacher of food allergy.
*provide a physician's order and medication for medical intervention.
*inform school nurse of any changes in health status as relates to food allergy and treatment.
*educate student in the self-management of his/her food allergies appropriate for his/her age level.
*Provide emergency contact information
*meet with school nurse, administrator and teacher to develop a prevention plan.
*provide safe snacks/treats for student to keep in school and, if desired, a list of appropriate foods for student to have at snack.
*provide hand wipes for XXXXXXX to use when necessary

Nurse will:
*meet with parents and teacher to develop a prevention plan.
*post "peanut/nut-free" sign outside of classroom.
*work with teacher to eliminate the use of peanuts/tree nuts in classroom.
*educate staff who interact with student regarding food allergy, allergic reaction symptoms, recognizing signs and symptoms of anaphylaxis, and prevention and treatment plans.
*train school staff in Epipen administration, as appropriate.
*develop and disseminate emergency care plan for student
*review cleaning/care of nut/peanutfree table in cafeteria with maintenance and cafeteria staff
*Follow the emergency care plan if student has a reaction.
*Carry epipen outside with fire drills

Teacher/classroom staff will:
*eliminate the use of treenuts/peanuts in classroom snacks, educational tools, and arts and crafts projects.
*be trained in the administration of epipen, as appropriate.
*consult in advance of field trips with the school nurse and parents.
*follow the emergency care plan if student has a reaction.
*notify parents of upcoming classroom parties

Student will:
*not eat any foods except those that come from home or have been approved by the parent
*inform teacher/staff if he/she is not feeling well, for any reason, but especially if he/she thinks he/she may be having an allergic reaction.

****************************

That's it! These things were discussed, but not put in the plan. If we find that they really need to be included, then we'll have her add these items:

drinking fountain--we didn't include it because her teacher said she only uses dixie cups. We will probably change the 504 and let dd have a water bottle next year.

peer education--we didn't include this on paper, but the nurse said she will show the alexander movie from FAAN.

As for storage of meds...in our district, students can only carry meds if they can self administer. DD is not capable of this right now. So the meds will be in the nurse's office, but we were told that they will NOT be locked up until the nurse leaves at the end of the day. She does not keep them locked up in a cabinet.

[This message has been edited by Lori Anne (edited August 22, 2006).]

Posted on: Tue, 08/22/2006 - 9:41am
Gail W's picture
Offline
Joined: 12/06/2001 - 09:00

Congratulations, Lori Anne. I know you worked hard to get this 504 plan in your hands. [img]http://uumor.pair.com/nutalle2/peanutallergy/smile.gif[/img]
I know you're not there yet, but you might want to start planting the seeds regarding the nurse's role in after school activities. I think both my girls starting participating in 'clubs' and school district-sponsored after-school programs in first grade. While I understand you probably just want to get your feet on the ground and get through this first year, it's good to keep this in the back of your mind just to 'mention' at meetings with the nurse. . .
Nice job! I'm sure you're relieved to have made it over this hurdle!

Posted on: Tue, 08/22/2006 - 12:01pm
Lori Anne's picture
Offline
Joined: 07/13/2005 - 09:00

Gail--Thank you! Thanks so much for your help along the way too.
Great suggestion too. I will keep that in mind.
I'm still learning!!

Posted on: Wed, 08/22/2007 - 6:09am
artlvr's picture
Offline
Joined: 05/01/2007 - 09:00

Thank you! Thank you! Thank you!!!
I am so grateful to you for posting your 504 Kindergarden plan. My DS1 (PA) will be entering kindergarden next year and I'm starting my very first (of what I'm sure will be many) 504. Since I am so very green at this, it's really nice to have a something to go by to create one for my DS.
Thank you so very much!
------------------
Kimberly
Wife to Joel (since 1999)
SAHM to:
DS1 (May 2003) PA since Feb 2004
DS2 (Jan 2006) KNA
[i]"With God all things are possible." ~ Matthew 19:26[/i]

Posted on: Wed, 08/22/2007 - 9:29am
Lori Anne's picture
Offline
Joined: 07/13/2005 - 09:00

This is a very BASIC plan and only what we agreed upon after much debating. We have added to it bit by bit. (Although it is still pretty basic). This first plan included nothing regarding cafeteria because dd was in 1/2 day kindergarten. If you have any questions, let me know.

Posted on: Tue, 08/22/2006 - 9:41am
Gail W's picture
Offline
Joined: 12/06/2001 - 09:00

Congratulations, Lori Anne. I know you worked hard to get this 504 plan in your hands. [img]http://uumor.pair.com/nutalle2/peanutallergy/smile.gif[/img]
I know you're not there yet, but you might want to start planting the seeds regarding the nurse's role in after school activities. I think both my girls starting participating in 'clubs' and school district-sponsored after-school programs in first grade. While I understand you probably just want to get your feet on the ground and get through this first year, it's good to keep this in the back of your mind just to 'mention' at meetings with the nurse. . .
Nice job! I'm sure you're relieved to have made it over this hurdle!

Posted on: Tue, 08/22/2006 - 12:01pm
Lori Anne's picture
Offline
Joined: 07/13/2005 - 09:00

Gail--Thank you! Thanks so much for your help along the way too.
Great suggestion too. I will keep that in mind.
I'm still learning!!

Posted on: Wed, 08/22/2007 - 6:09am
artlvr's picture
Offline
Joined: 05/01/2007 - 09:00

Thank you! Thank you! Thank you!!!
I am so grateful to you for posting your 504 Kindergarden plan. My DS1 (PA) will be entering kindergarden next year and I'm starting my very first (of what I'm sure will be many) 504. Since I am so very green at this, it's really nice to have a something to go by to create one for my DS.
Thank you so very much!
------------------
Kimberly
Wife to Joel (since 1999)
SAHM to:
DS1 (May 2003) PA since Feb 2004
DS2 (Jan 2006) KNA
[i]"With God all things are possible." ~ Matthew 19:26[/i]

Posted on: Wed, 08/22/2007 - 9:29am
Lori Anne's picture
Offline
Joined: 07/13/2005 - 09:00

This is a very BASIC plan and only what we agreed upon after much debating. We have added to it bit by bit. (Although it is still pretty basic). This first plan included nothing regarding cafeteria because dd was in 1/2 day kindergarten. If you have any questions, let me know.

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