DMMP.pptx power point presentation point presentation

Dmmp

1. What Key Personnel Need To Know DIABETES MEDICAL MANAGEMENT PLAN (DMMP) Diabetes Care Tasks at School

2. All school staff members should have basic knowledge of diabetes and know who to contact for help. Optimal Student Health and Learning GOAL:

3. PARTICIPANTS WILL BE ABLE TO UNDERSTAND: Learning Objectives Why is the Diabetes Medical Management Plan (DMMP) important? What other kinds of plans are most often used? What is the purpose and content and who is responsible for each plan?

4. Used as the basis for all school diabetes written plans Developed by the student’s personal health care team and parent/guardian and signed by a member of student’s personal health care team Individualized Implemented collaboratively by the school diabetes team: School nurse The student Parent/guardian Other school personnel DMMP

5. Emergency contact information Level of self-care Blood glucose monitoring including continuous glucose monitoring (CGM) Insulin/medication administration Glucagon administration Meal and snack schedule Physical activity and sports Recognition and treatment of hypoglycemia (low blood glucose) and hyperglycemia (high blood glucose) DMMP Information

6. DMMP Review by Section

7. Table of Contents Section 1 – Demographic Info Section 2 – Supplies/Disaster Planning DMMP – Page 1

8. Parent/guardian to complete pages 1–2 (sections 1–5) Demographic information Student’s schedule Parent/guardian contact information

9. Section 2: Necessary Supplies/ Disaster Planning Supply list Disaster planning Expiration dates Disaster & field trip planning

10. Section 3: Self-Management Skills Smart phone Device independence Definition of full support, supervision, self-care

11. Section 4: Student Recognition of High or Low Glucose Symptoms Symptoms of high glucose Symptoms of low glucose History of severe hypoglycemia or diabetes ketoacidosis (DKA)

12. Section 5: Glucose Monitoring at School Glucose monitoring CGM CGM alarms Finger sticks Parent notification

13. Section 6: Insulin Doses at School Health care provider to complete remaining sections Insulin delivery device Timing of insulin Partial dosing Rounding

14. Section 6 Continued: Ketone monitoring Parent/guardian insulin dose adjustment

15. Section 6A: Dosing Table Health care provider to complete Meals & times Food dose Correction dose PE/activity dos

16. Section 6B Continued: Ketone monitoring Parent/guardian insulin dose adjustment

17. Section 6B: Correction Sliding Scale Sliding scale dose Section 6C Long-acting insulin dose Section 6D Other medications

18. Section 7: Low Glucose Prevention Early interventions Insulin pump management Exercise management

19. Section 8: Low Glucose Management Treating hypoglycemia Severe hypoglycemia

20. Section 9: High Glucose Management Ketone monitoring Sharing of school records with health care provider

21. Signatures Health care provider Parent/guardian School nurse or designee

22. Section 504 Plan, Individualized Education Program (IEP), or other written accommodations plan Individualized Health Care Plan (IHP) Emergency plans for hypoglycemia and hyperglycemia Other Written Plans

23. Location and timing of blood glucose (blood sugar) monitoring and insulin administration Identity of trained diabetes personnel Location of diabetes supplies Free access to water and restroom Nutritional needs, meals, and snacks Full participation in all school-sponsored activities with diabetes care provided by trained school staff Needs Addressed by 504 Plan/IEP Access to blood glucose checks and treatment supplies during exams Alternative times for academic exams if student is experiencing hypoglycemia or hyperglycemia Absences without penalty for doctors’ appointments and diabetes-related illness Maintenance of confidentiality and student’s right to privacy

24. Summarizes how to recognize and treat hypoglycemia and hyperglycemia Based on information from the DMMP or provider’s orders Distributed to all school staff and other school personnel who have responsibility for a student with diabetes Emergency Care Plans for Hypoglycemia and Hyperglycemia

25. Written Plans for Diabetes Management DMMP What it covers: Provider’s orders–detail all aspects of routine and emergency diabetes care. Who writes it: Student’s diabetes provider in collaboration with parent/guardian and school nurse 504 Plan/IEP What it covers: Education plans—details both health care and educated related aids, services, accommodations, and special education services the student needs. Who writes it: 504 team/ IEP team IHP What it covers: outlines the provision of diabetes care in the school setting Who writes it: School nurse Emergency Care Plans What it covers: Tool for school staff—how to recognize and treat hypoglycemia or hyperglycemia Who writes it: School nurse

26. Module Pre- and Post-Tests: DMMP This tool may be freely duplicated and distributed for training purposes

27. The DMMP should be implemented collaboratively by: School nurse Teachers and/or other school staff Parent/student All the above. Which of the following actions is not usually contained in the DMMP? Frequency of blood glucose monitoring Insulin dosing and frequency Treatment of low and high blood glucose Test taking at alternate times if blood glucose level is outside target range The Section 504 Plan should be based upon and implemented in accordance with the DMMP. True False The Section 504 contains insulin dosage information. True False Which of the following are the types of written plans a student with diabetes might have? Section 504 Plan Diabetes Medical Management Plan Individualized Health Care Plan Emergency/Disaster Plan All the above

28. Disclaimer This presentation is not intended to provide legal or health care advice. Please consult with a legal or health care professional regarding your specific questions or needs.

29. Where to Get More Information AMERICAN DIABETES ASSOCIATION 1-800-DIABETES (342-2383) DIABETES.ORG/SAFEATSCHOOL