Neenah Joint School District 410 S Commercial St. Neenah, WI 54956 Diabetic Emergency Plan Section 1: Procedure If a known diabetic student is having a seizure or becomes unresponsive i.e. unable to talk, walk, or respond to questioning and is unable or unwilling to swallow oral sugar products: 1. Trained staff member administers glucagon, if available. 2. Dial 911 for an ambulance to transport student to hospital 3. Notify parent or emergency contact Section 2: Medication GLUCAGON: Inject IM thigh ! Glucagon 1mg ! Glucagon 0.5 mg Possible side effects: __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ over Picture Student ______________________________________________________________ Date ________________________ Grade____________________ Date of Birth __________________School __________________________________Teacher ____________________________________________ Address_________________________________________________ Parent/Guardian___________________________________________________ City __________________________________ Zip Code_________________________ Home Phone_______________________________________ Emergency Contacts: Name_____________________________________________ Number_____________________________ Relationship________________________ Name_____________________________________________ Number_____________________________ Relationship________________________ Name_____________________________________________ Number_____________________________ Relationship________________________