☰ Revisor of Missouri


Chapter 167

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  167.803.  Training of school employees, content, requirements. — 1.  By January 15, 2014, the department of elementary and secondary education shall develop guidelines for the training of school employees in the care needed for students with diabetes.  These training guidelines shall be developed in consultation with:  the department of health and senior services, the American Diabetes Association, American Association of Diabetes Educators, School Nurses Association, Diabetes Control Program, and the state board of nursing.  The school board of each school district and the governing body of each charter school may adopt and implement the training guidelines and annual diabetes training programs for all school nurses and diabetes care personnel.  The training guidelines developed by the department shall address, but not be limited to, the following:

  (1)  Recognition and treatment of hypoglycemia and hyperglycemia;

  (2)  Understanding the appropriate actions to take when blood glucose levels are outside of the target ranges indicated by a student's diabetes medical management plan;

  (3)  Understanding physician instructions concerning diabetes medication drug dosage, frequency, and the manner of administration;

  (4)  Performance of finger-stick blood glucose checking, ketone checking, and recording the results;

  (5)  The administration of glucagon and insulin and the recording of results;

  (6)  Understanding how to perform basic insulin pump functions;

  (7)  Recognizing complications that require emergency assistance; and

  (8)  Understanding recommended schedules and food intake for meals and snacks, the effect of physical activity upon blood glucose levels, and actions to be implemented in the case of schedule disruption.

  2.  If the school board of a school district or the governing body of a charter school adopts and implements the training guidelines developed by the department, it shall ensure* that the training outlined in subsection 1 of this section is provided to a minimum of three school employees at each school attended by a student with diabetes.  If at any time fewer than three school employees are available to be trained at such a school, the principal or other school administrator shall distribute to all staff members a written notice seeking volunteers to serve as diabetes care personnel.  The notice shall inform staff of the following:

  (1)  The school shall provide diabetes care to one or more students with diabetes and is seeking personnel willing to be trained to provide that care;

  (2)  The tasks to be performed;

  (3)  Participation is voluntary and the school district or school shall take no action against any staff member who does not volunteer to be designated;

  (4)  Training shall be provided to employees who volunteer to provide care;

  (5)  Trained personnel are protected from liability under section 167.821; and

  (6)  The identity and contact information of the individual who should be contacted to volunteer.

  3.  School employees shall not be subject to any penalty or disciplinary action for refusing to serve as trained diabetes care personnel nor shall a school or school district discourage employees from volunteering for training.

  4.  If a charter school or school district adopts and implements the training guidelines outlined in subsection 1 of this section, it shall be coordinated by a school nurse, if the school district or charter school has a school nurse, and provided by a school nurse or another health care professional with expertise in diabetes.  Such training shall take place prior to the commencement of each school year, or as needed when a student with diabetes is newly enrolled at a school or a student is newly diagnosed with diabetes, but in no event more than thirty days following such enrollment or diagnosis.  The school nurse or another health care professional with expertise in diabetes shall promptly provide follow-up training and supervision as needed.  Coordination, delegation, and supervision of care shall be performed by a school nurse or other qualified health care professional.

  5.  Each school district and charter school may provide training in the recognition of hypoglycemia and hyperglycemia and actions to take in response to emergency situations to all school personnel who have primary responsibility for supervising a child with diabetes during some portion of the school day and to bus drivers responsible for the transportation of a student with diabetes.


(L. 2013 H.B. 675)

*Word "insure" appears in original rolls of H.B. 675, 2013.

---- end of effective  28 Aug 2013 ----

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