Guidelines for Training School Employees Who Are Not Licensed Healthcare Professionals - HB 984
House Bill (HB) 984, 79[R], relates to the care of students with diabetes in schools. The bill mandates that principals identify unlicensed personnel to assist with caring for students during the regular school day or while participating in a school activity. The bill also mandates that the Texas Diabetes Council (TDC) develop guidelines for training school personnel to be diabetes care assistants.
Guidelines for Training School Employees Who Are Not Licensed Healthcare Professionals (Updated August 2009. PDF, 193 kb, viewing information)
Frequently Asked Questions related to implementing House Bill (HB) 984 (PDF, 35 kb, viewing information)
Resources for Implementing HB 984
The Texas School Nurses Organization (TSNO) provides specific recommendations for nursing practice and campus implementation of HB 984, including sample protocols, fact sheets and training agendas.
» Go to the TSNO web site.
The National Diabetes Education Program (NDEP) has developed a guide, Helping the Student with Diabetes Succeed, A Guide for School Personnel. The purpose of the document is to educate school personnel about diabetes and to share a set of practices that enable schools to ensure a safe learning environment for students with diabetes. The guide can be reproduced without permission and shared with all school personnel, parents, and students.
» View NDEP resources for schools.
The American Diabetes Association has a two-part training curriculum, "Diabetes Care Tasks at School: What Key Personnel Need to Know," consisting of 1) a CD with 13 PowerPoint presentations, and 2) a DVD with corresponding video. The curriculum is available through the American Diabetes Association online store.
» Visit the ADA online store.
The National Association of School Nurses (NASN) has a training program, Helping Administer to the Needs of the Student with Diabetes in School (H.A.N.D.S.). H.A.N.D.S. is a live, one-day continuing education program developed by the NASN for school nurses. The program equips school nurses with current diabetes knowledge, and provides tools and resources to facilitate effective diabetes management for students at school. It is presented by a school nurse with a specific interest in diabetes and a certified diabetes educator.
» Find out more about H.A.N.D.S. by visiting the NASN web site.
Diabetes Care at School: Bridging the Gap is a 12-chapter, online, multimedia education program designed specifically for Texas schools. All school staff, including teachers, principals, coaches, UDCAs, administrative personnel and nurses may utilize the program. Schools may share the content with parents.
- Nurses (both RN's and LVN's) who complete the course will receive 6 hours of Continuing Nursing Education (CNE) credit.
- A skills training kit is included with the program. The kit includes the items required for a UDCA to practice and demonstrate the skills necessary to pass the skills check portion of their training. In addition, users will have access to text-fillable forms, training checklists, meeting agendas, summary sheets, and diabetes-related resources for parents.
- Appropriate certificates of completion are issued for Nurses, UDCAs, and users who complete diabetes awareness training.
» For more information, visit the web site at www.SalusEducation.com.
CDC School Health Guidelines to Promote Healthy Eating and Physical Activity
Schools play a critical role in improving the dietary and physical activity behaviors of children and adolescents. Schools can create environments supportive of students’ efforts to eat healthy and be active by implementing policies and practices that support healthy eating and regular physical activity and by providing opportunities for students to learn about and practice these behaviors.
CDC synthesized research and best practices related to promoting healthy eating and physical activity in schools, culminating in nine guidelines. These guidelines were informed by the Dietary Guidelines for Americans, the Physical Activity Guidelines for Americans, and the Healthy People 2020 objectives related to healthy eating and physical activity among children, adolescents, and schools. The guidelines serve as the foundation for developing, implementing, and evaluating school-based healthy eating and physical activity policies and practices for students.
» For more information, visit the CDC Adolescent and School Health website at http://www.cdc.gov/healthyyouth/npao/strategies.htm
Coordinated School Health Programs
Senate Bill 19 (SB 19), enacted in 2001 by the 77th Texas Legislature and amended by the 78th Texas Legislature, requires each school district, by September 1, 2007, to participate in training for the implementation of an approved coordinated school health program designed to prevent obesity, cardiovascular disease, and type 2 diabetes in elementary school students.
View Resources for Coordinated School Health Programs (Link to Texas Education Agency)
DSHS School Health Program
The mission of the School Health Program at the Texas Department of State Health Services is to provide leadership and support to communities in their efforts to meet the health services and health education needs of their children in a school setting. The program focuses on four major project areas, including
- School-based Health Centers,
- the Texas School Health Advisory Committee,
- the Texas School Health Network, and
- a Texas School Nurse Consultant.
Texas Risk Assessment for Type 2 Diabetes in Children
The Texas Risk Assessment for Type 2 Diabetes in Children is a legislatively mandated program developed, coordinated, and administrated by the University of Texas Pan-American Border Health Office (BHO). The program assesses children who may be at high risk of developing Type 2 Diabetes in Texas Education Agency Regional Education Service Centers 1, 2, 3, 4, 10, 11, 13, 15, 18, 19, and 20. During vision/hearing and scoliosis screenings of 1st, 3rd, 5th, and 7th graders in public and private schools, certified individuals assess children for the acanthosis nigricans marker, a skin condition that signals high insulin levels. Children who are positively identified with the marker undergo additional assessments of body mass index (BMI), BMI percentile, and blood pressure. Referrals are issued to the parents of these children, alerting each parent of their child's risk factors and encouraging further evaluation from a health professional. Becoming aware of and understanding what the risk factors suggest can help stimulate the changes necessary to prevent or delay future health problems for children at risk of developing Type 2 Diabetes and other conditions.
» For more information, visit https://rfes.utpa.edu/.
Evaluating for Insulin Resistance
Pediatric overweight is increasingly common. In response to inquiries, the Texas Department of State Health Services offers this resource information for primary care clinicians.
Click here to view (PDF, 52 kb)