We use cookies to improve security, personalize the user experience, enhance our marketing activities (including cooperating with our marketing partners) and for other business use.
Click "here" to read our Cookie Policy. By clicking "Accept" you agree to the use of cookies. Read less
Read more
Accept
Loading
Form preview
  • US Legal Forms
  • Form Library
  • More Forms
  • More Uncategorized Forms
  • Diabetes Emergency Action Plan Template

Get Diabetes Emergency Action Plan Template

732. 8419 Fax 613. 732. 2874 Website www. rcjtc.on.ca Email trans rcjtc.on.ca F.02. 02 DIABETES HYPOGLYCEMIA EMERGENCY ACTION PLAN Student s Name Place Student s Picture Here Classroom Teacher Parent/Guardian/Emergency Contacts Prioritize calls i.e. 1 2 3 Parent H 613- W 613- C 613- Other Names please print EMERGENCY TREATMENT FOR HYPOGLYCEMIA Signs and Symptoms Sweating Trembling Dizziness Mood changes Hunger Headaches Blurred vision Extreme tiredness/paleness Other please specify Optimum Level Range of Blood Sugar is Location of Sugar Treatment With Student WHEN IN DOUBT TREAT Select one treatment provided by parent from the following 6 oz. Renfrew County Joint Transportation Consortium 999 Cecelia Street Pembroke ON K8B 1A4 Telephone 613. 125 ml of fruit juice/drink junior juice box OR 3 4 tsp* 10 15 ml of sugar 3 4 packets OR 4 5 glucose tablets CALL PARENTS TO INFORM THEM Wait 10 15 minutes. If there is no improvement repeat the above treatment. DO NOT LEAVE THE STUDENT ALONE If t....

How it works

  1. Open form

    Open form follow the instructions

  2. Easily sign form

    Easily sign the form with your finger

  3. Share form

    Send filled & signed form or save

How to fill out the Diabetes Emergency Action Plan Template online

Filling out the diabetes emergency action plan template is an important task that ensures the safety and well-being of students with diabetes. This guide provides clear instructions for completing the template online, making the process quick and manageable.

Follow the steps to complete the diabetes emergency action plan template.

  1. Click ‘Get Form’ button to obtain the template and open it for editing.
  2. Enter the student’s name in the designated field at the top of the form.
  3. Insert the student’s picture in the designated area for easy identification.
  4. Fill in the classroom teacher's name in the provided section to ensure proper communication.
  5. List the parent or guardian's contact information, including home, work, and cell phone numbers in the prioritization order.
  6. Include other emergency contacts if necessary, ensuring that their names and phone numbers are clearly printed.
  7. Identify the signs and symptoms of hypoglycemia by checking all applicable boxes in the emergency treatment section.
  8. Specify the optimum level of blood sugar for the student in the appropriate field.
  9. Indicate the location of the sugar treatment, whether it is with the student or elsewhere.
  10. Select one treatment option for hypoglycemia from the list provided, based on the parent's preference.
  11. Make sure to include instructions for contacting parents and the necessary steps if the student is unconscious.
  12. Once all fields are filled out, review the information for accuracy before saving your changes, then proceed to download, print, or share the completed form.

Complete your diabetes emergency action plan template online today for the safety of your students.

Get form

Experience a faster way to fill out and sign forms on the web. Access the most extensive library of templates available.
Get form

Related content

DIABETES EMERGENCY ACTION PLAN
3. Contact trained diabetes personnel. 4. Disconnect pump. 5. Administer glucagon, if...
Learn more
Diabetes Emergency Plan PDF
evacuation from your home. Building a “diabetes kit” now can save a lot of worry and...
Learn more
Diabetes - Wikipedia
Diabetes mellitus (DM), commonly known as diabetes, is a group of metabolic disorders...
Learn more

Related links form

Business Use Application - Hernando County Seneca College Tax Forms Transfer Form: Continuing Education ... - Seneca College Royal Bank Of Canada Seneca College Form

Questions & Answers

Get answers to your most pressing questions about US Legal Forms API.

Contact support

If your level is too low, your blood glucose could become so high that it is unsafe. You might develop a serious problem called diabetic ketoacidosis (or DKA). This usually happens in people with Type 1 diabetes and those with glucose levels over 500.

Call 911. A coma is a medical emergency. ... Test The Person's Blood Sugar. If you have an idea of how to care for somebody with diabetes, call 911, and then try to test her blood sugar, suggests Greta. ... Move The Person To A Safe Position.

The more common emergency is hypoglycaemia which affects brain function and can lead to unconsciousness if untreated. Diabetic ketoacidosis (DKA) is a life threatening complication in patients with untreated diabetes or improperly managed diabetes.

Glycemic Targets in Hospitalized PatientsHyperglycemia in hospitalized patients has been defined as blood glucose >140 mg/dL (7.8 mmol/L). Blood glucose levels that are significantly and persistently above this level require reassessing treatment.

The bottom line. The three P's of diabetes are polydipsia, polyuria, and polyphagia. These terms correspond to increases in thirst, urination, and appetite, respectively. The three P's often but not always occur together.

In severe cases, very high blood sugar levels (well above 300 mg/dL) can result in coma. If you experience mental confusion, nausea, or dizziness, proceed to the emergency room. Ways to treat high blood sugar include: Take your medications as directed.

According to the University of Michigan, blood sugar levels of 300 mg/dL or more can be dangerous. They recommend calling a doctor if you have two readings in a row of 300 or more. Call your doctor if you're worried about any symptoms of high blood sugar. They can offer advice and reassurance.

If your blood sugar level tops 600 milligrams per deciliter (mg/dL), or 33.3 millimoles per liter (mmol/L), the condition is called diabetic hyperosmolar syndrome. Severely high blood sugar turns your blood thick and syrupy.

Give them something sweet to eat or a non-diet drink. If someone has a diabetic emergency, their blood sugar levels can become too low. This can make them collapse. ... Reassure the person. Most people will gradually improve, but if in doubt, call 999.

Most people with diabetes can tell when their blood sugar is low because of early warning signs like shakiness and hunger. They need to treat hypoglycemia as soon as possible to stop it from getting severe, which can lead to a seizure or a diabetic coma.

Get This Form Now!

Use professional pre-built templates to fill in and sign documents online faster. Get access to thousands of forms.
Get form
If you believe that this page should be taken down, please follow our DMCA take down processhere.

Industry-leading security and compliance

US Legal Forms protects your data by complying with industry-specific security standards.
  • In businnes since 1997
    25+ years providing professional legal documents.
  • Accredited business
    Guarantees that a business meets BBB accreditation standards in the US and Canada.
  • Secured by Braintree
    Validated Level 1 PCI DSS compliant payment gateway that accepts most major credit and debit card brands from across the globe.
Get Diabetes Emergency Action Plan Template
Get form
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Help Portal
Legal Resources
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Help Portal
Legal Resources
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232