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Nurse shortage pushes sick students into one school

by JAKE WHITTENBERG / KING 5 News

Bio | Email | Follow: @jakewhittenberg

KING5.com

Posted on May 20, 2010 at 10:58 PM

EDMONDS, Wash. – If you are a parent, chances are good that you've seen budget cuts in your child's school. But when do schools cross the line between saving money and discriminating against students? Some parents in the Edmonds School District are being forced to make a decision they never thought they'd face.

Five times a day, Shelley Parish checks her daughter's blood sugar levels using a drop of blood from her little finger. Danielle, 5, is a Type 1 diabetic. Keeping her blood sugar balanced is a busy job.

Her diabetes is manageable. But in the fall, Danielle goes to kindergarten at Madrona Elementary where her parents want her to be. Parish expected a school nurse would help monitor her daughter's vital signs, but she recently learned that can't happen.

"She said you can't come here. Basically, you need to go to Chase Lake," said Shelley

Chase Lake Community School is now home to the district's only full-time nurse. Because of Danielle's severe diabetes, she is considered medically fragile, which means state law requires she be near someone who can monitor her at all times.

"She just basically said 'that is the safest place for her to be,' and I said 'I don't agree with you. How do I appeal?'" said Shelley.

"We really have provided as much flexibility as we can within the framework of making sure the student is safe," said D.J. Jakala, Edmonds School District.

The district says the idea of putting students with potentially life-threatening conditions into one school benefits the children, and they insist it's not one-size-fits-all.

"We are not taking any student that reports on their enrollment that they are diabetic and are immediately shuttled into the consolidated health program, because there are so many unique characteristics with every person's medical condition," said Jakala.

The program is in its first year. It's expected to save around $50,000

"Really, this idea of segregating kids with diabetes isn't sustainable," said Scott Heinze, a board member with the American Diabetes Association. He says moving all medically fragile children to the same school sends the wrong message to kids with a manageable illness.

"This idea that we would take young people and segregate them because of the standard of care that they need to manage their disease essentially ostracizes these kids," said Heinze.

So far in the Edmonds School District, only 13 out of 540 medically fragile students were asked to transfer to Chase Lake. Almost all are diabetic. Two families are fighting the move.

Consolidating nurses and relocating disabled students is becoming more common as school budgets shrink. KING 5 has found past or pending court cases in at least six other states where those decisions were challenged – California, Florida, Indiana, Kentucky, Louisiana and New York. In all cases, it's argued that children's rights are violated under the American Disabilities Act.

"It's tough that the budget has forced these people to make these choices," said Shelley

"Are we going to always make everyone happy with our decisions? No. But at the forefront of every one of these is the health and safety of the children," said Jakala.

Shelley has decided to compromise. In order to keep Danielle at the school of her choice, Shelley will make the trip to Madrona Elementary several times a day to check Danielle's blood sugar herself because a nurse won't be there.

"It didn't work for us, so I had to figure out a way to make it work. But, it was using our own resources," said Shelley.

In Washington state, there have been three civil rights complaints filed with the U.S. Department of Education over this same issue. In all three cases, Everett, Seattle and Yelm school districts, it was determined the districts did nothing wrong.
 

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Comments: Displaying 1 - 10 of 10

moblues said on May 22, 2010 at 8:12 PM

Already done. In fact, their case was used by the ADA in DC as part of testimony at a conference on discrimination concerns. To be clear, they have the school they want but it came after some hard work and support from several elements, including the Am. Diabetes Association in DC.

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mak2see said on May 22, 2010 at 6:31 PM

Moblues, since you are close enough to the case to know these details I encourage you to speak to the family about talking to the ORC (office of civil rights). What they are doing is wrong. They (not this school district) tried it on my daughter. I was not going to let it happen. MAKING the parents go in and take care of her during the school day is also wrong. The school can NOT make her do that. So if this family hasn't already, encourage them to talk with the ORC and the ADA.. the ADA has legal advocates that will help out in these situations.

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moblues said on May 22, 2010 at 5:28 PM

I am familiar with this case in detail. After hours of meetings with school and district staff, their initial reluctance, the assistance of the Am. Diabetes Association in DC, the establishment and hiring of a family friend to assist as a Parent Designated Adult (PDA), a complete run through of the 504 plan, the child will be going to the school. However, the district is warehousing children of similar needs into one school in an effort to save on ancillary costs, claiming it is legal. What they are doing is legally and morally wrong. In the end, both of the parents will be going to the school on the days off (they have rotating schedules) to take care of her needs and help the PDA. The child was diagnosed as a type 1 when she was 2 1/2. Interestingly enough, children with profound medical needs as well as a regional Deaf and Hard of Hearing (DHH) program exists at Madrona K-8 in the Edmonds school district. Other kids with managed diabetes were allowed or grandfathered.

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mak2see said on May 22, 2010 at 7:52 AM

cmeeverett, Shelly isn't the ignorant one here. Your 'tax dollars' go to fund the school, part of that is the school nurse.. part of that is to pay for the building, the heating, the water, the teacher's salaries (however little they are). Why don't you look up the American Disability ACT, IDEA and section 504.. You have no idea what you are talking about. This child has every right to go to her neighborhood school, as do your kids/grandkids/neighbors/neices/nephews/friends kids etc.. This is segregation and discrimination.

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mak2see said on May 22, 2010 at 7:48 AM

My daughter's school tried this. I said absolutely not. I got the state involved and they said "Absolutely not'. I talk to the office of Civil rights, they said "Absolutely NOT'.. I encourage any parent that is dealing with this to fight it.. call the office of civil rights. Our child have the right to go to their neighborhood school. And its against the law to require a parent to come in and do the blood sugar checks and dose insulin. I honestly don't care about the school's budget. Thats not my problem. Figure it out and let these kids go to school where they are suppose to.

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deafmack said on May 22, 2010 at 5:10 AM

I can't believe this is happening. There is no law requiring that a nurse be present to handle kids with diabetes. (I can't speak to other health issues) In fact Washington State has a diabetes care act in place for schools. RCW 28A.210.330 and RCW 28A.210.340 Volunteers are allowed to be trained in diabetes care. In fact if you go to the American Diabetes Website and click on the site map and then click on Discrimination and then click on schools you will come up with links to different states and laws etc regarding diabetes rights and diabetes care. Washington State has a diabetes care law in place which allows for the training of volunteers either school staff or other person to assist the student in their diabetes care. Kids do not need to be segrated to manage their medical needs like diabetes.

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aweechel said on May 21, 2010 at 8:13 AM

I love the last tid bit about how mom wouldn't have to go if a PCP, a nurse, were to accompany her that was said on the t.v. and not stated here......You do realize that the school district would have to pay for that!?! It's the school's responsibility to cover the cost of a nurse,DDD and private insurance will only pay for nursing in the home. With said budget cuts I know that wouldn't be happening soon. *cmeeverett* Shame on you for commenting about how you don't pay taxes for nurses to be at school!! Seriously?! LOOK UP I.D.E.A.!!! Everychild deserves a public education regardless of their disabilities!

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xmichellex said on May 21, 2010 at 7:23 AM

With respect to cmeeverett - What would you have this child do? Not attend school? Section 504 of the Rehabilitation Act of 1973 protects the rights of individuals with disabilities in programs and activities that receive federal funds. Section 504 provides that: “No otherwise qualified individual with a disability in the United States . . . shall, solely by reason of her or his disability, be excluded from the participation in, be denied the benefits of, or be subjected to discrimination under any program or activity receiving Federal financial assistance . . .” Perhaps on day your child may have asthma, or diabetes, or need a wheelchair, or need special education. When your child is warehoused at a "special" school, I'm sure you'll feel differently. Schools may not be doctor's offices, which is why we have nurses there.

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valentijn said on May 21, 2010 at 7:01 AM

Maybe we need schools that are consistently good and safe enough that mommy doesn't have a fit when her baby is sent somewhere else. This is about being denied her local school, not about that school lacking a full time nurse.

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cmeeverett said on May 21, 2010 at 3:09 AM

Schools are not hospitals, nor are they doctor offices, nor are my taxes instructed to use education dollars for medical care. Shelley Parish's ignorance of this fact & her expectation that a school "of her choice" should medically treat her daughter is mind boggling!

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