Diabetes in Kentucky Schools KBN 2014. States Currently Allow Insulin Administration by Unlicensed Personnel in School Settings O Louisiana- July 12,

Diabetes in Kentucky Schools

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States Currently Allow Insulin Administration by Unlicensed Personnel in

School Settings

O Louisiana- July 12, 2012O Arizona-April 2013O Missouri –July 3, 2013O California- August 12, 2013O Kentucky - JULY 15, 2014

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Breakdown of Public Schools• 173 School Districts across KY (school year 2011-2012)

– 1,233 schools• Elementary – 669• Elementary/middle – 77• Middle – 217• Middle/high – 20• High – 202• Elementary/Middle/High – 12• Preschool – 36• These figures include two 6th-grade-only and two 9th-grade-

only schools.

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Number of StudentsO 675,530 Students in the Commonwealth

public schools

O For the school year 2011-2012, it is estimated there were 537 students PK-5 with a diagnosis of diabetes (Type1)

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Catholic and Private SchoolsO KRS 156.502 Health services in school setting

defines “school employee to mean an employee of the public schools of the Commonwealth

O Private and Catholic Schools are not governed by the law mentioned above

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School Nurses………..O Coordinate diabetes care in the schoolO Supervise diabetes careO Provide direct care (when available)O Counsel, health teaching, trainO Communicate about health concerns to

parents/guardian and health care teamO Evaluate care provided

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Number of School Nurses

O As of October 2013 there are O 582 RNs in the Public School settingO 136 LPNs

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DelegationO Wikipedia defines delegation as: the

partnership of authority and responsibility to another person … to carry out specific activities.

O Webster's Dictionary: O the act of giving control, authority, a job,

a duty, etc., to another personO the act of empowering to act for another

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KRS Chapter 314Kentucky Nursing Law

KRS 314.011(2) defines "delegation" as:

... Directing a competent person to perform a selected nursing activity or task in a selected situation under the nurse's supervision and pursuant to administrative regulations promulgated by the board in accordance with the provisions of KRS Chapter 13A.

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201 KAR 20:400Nursing Delegation of the Administration of Insulin and Glucagon in the School Setting

O Delegatee: means a person to whom a nursing task is delegated

O Delegator: means a registered nurse who delegates a nursing task to another person

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Who Can DelegateKRS 314.011(6) defines "registered nursing practice" as:

…The performance of acts requiring substantial specialized knowledge, judgment, and nursing skill based upon the principles of psychological, biological, physical, and social sciences in the application of the nursing process in:

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Registered Nurse Registered Nurse (RN) is the “delegator”

KRS 314.011(6)…. d) The supervision, teaching of, and delegation to other personnel in the performance of activities relating to nursing care.

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