Outline of the state of Washington

Chronic Conditions

Chronic Conditions

State law addresses plans for managing chronic conditions.

Healthy Schools Washington

This addresses addresses plans to manage chronic health conditions in schools

Policy Type

RCW 28A.210.330

(1) School districts shall provide individual health plans for students with diabetes, subject to the following conditions:

  • (a) The board of directors of the school district shall adopt policies to be followed for students with diabetes. The policies shall include, but need not be limited to:
  • (i) The acquisition of parent requests and instructions;
  • (ii) The acquisition of orders from licensed health professionals prescribing within the scope of their prescriptive authority for monitoring and treatment at school;
  • (iii) The provision for storage of medical equipment and medication provided by the parent;
  • (iv) The provision for students to perform blood glucose tests, administer insulin, treat hypoglycemia and hyperglycemia, and have easy access to necessary supplies and equipment to perform monitoring and treatment functions as specified in the individual health plan. The policies shall include the option for students to carry on their persons the necessary supplies and equipment and the option to perform monitoring and treatment functions anywhere on school grounds including the students' classrooms, and at school-sponsored events;
  • (v) The establishment of school policy exceptions necessary to accommodate the students' needs to eat whenever and wherever necessary, have easy, unrestricted access to water and bathroom use, have provisions made for parties at school when food is served, eat meals and snacks on time, and other necessary exceptions as described in the individual health plan;
  • (vi) The assurance that school meals are never withheld because of nonpayment of fees or disciplinary action;
  • (vii) A description of the students' school day schedules for timing of meals, snacks, blood sugar testing, insulin injections, and related activities;
  • (viii) The development of individual emergency plans;
  • (ix) The distribution of the individual health plan to appropriate staff based on the students' needs and staff level of contact with the students;
  • (x) The possession of legal documents for parent-designated adults to provide care, if needed; and
  • (xi) The updating of the individual health plan at least annually or more frequently, as needed; and
  • (b) The board of directors, in the course of developing the policies in (a) of this subsection, shall seek advice from one or more licensed physicians or nurses or diabetes educators who are nationally certified.
Policy Type

RCW 28A.210.370

(1) The superintendent of public instruction and the secretary of the department of health shall develop a uniform policy for all school districts providing for the in-service training for school staff on symptoms, treatment, and monitoring of students with asthma and on the additional observations that may be needed in different situations that may arise during the school day and during school-sponsored events. The policy shall include the Standard and skills that must be in place for in-service training of school staff. (2) All school districts shall adopt policies regarding asthma rescue procedures for each school within the district. (3) All school districts must require that each public elementary school and secondary school grant to any student in the school authorization for the self-administration of medication to treat that student's asthma or anaphylaxis, if:

  • (a) A health care practitioner prescribed the medication for use by the student during school hours and instructed the student in the correct and responsible use of the medication;
  • (b) The student has demonstrated to the health care practitioner, or the practitioner's designee, and a professional registered nurse at the school, the skill level necessary to use the medication and any device that is necessary to administer the medication as prescribed;
  • (c) The health care practitioner formulates a written treatment plan for managing asthma or anaphylaxis episodes of the student and for medication use by the student during school hours; and
  • (d) The student's parent or guardian has completed and submitted to the school any written documentation required by the school, including the treatment plan formulated under (c) of this subsection and other documents related to liability.
Policy Type

RCW 28A.210.380

(1) The office of the superintendent of public instruction, in consultation with the department of health, shall develop anaphylactic policy guidelines for schools to prevent anaphylaxis and deal with medical emergencies resulting from it. The policy guidelines shall be developed with input from pediatricians, school nurses, other health care providers, parents of children with life-threatening allergies, school administrators, teachers, and food service directors. The policy guidelines shall include, but need not be limited to:

  • (a) A procedure for each school to follow to develop a treatment plan including the responsibilities for [of] school nurses and other appropriate school personnel responsible for responding to a student who may be experiencing anaphylaxis;
  • (b) The content of a training course for appropriate school personnel for preventing and responding to a student who may be experiencing anaphylaxis;
  • (c) A procedure for the development of an individualized emergency health care plan for children with food or other allergies that could result in anaphylaxis;
  • (d) A communication plan for the school to follow to gather and disseminate information on students with food or other allergies who may experience anaphylaxis;
  • (e) Strategies for reduction of the risk of exposure to anaphylactic causative agents including food and other allergens.
Policy Type