Missouri Revised Statutes













Chapter 167

Pupils and Special Services

←167.800

Section 167.803.1

167.806→

August 28, 2015

Training of school employees, content, requirements.

167.803. 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.







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