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Presented by The Institute for Johns Hopkins Nursing.
Supported by educational grants from Lilly USA, LLC, and Medtronic, Inc.

Sarah Butler MS, RN, CDE, NCSN


Children and adolescents with diabetes mellitus spend much of their day in the school setting where the family caregiver is not available. During those times, families rely on school nurses to safely provide care to their children. To appropriately care for students with diabetes mellitus, school nurses must remain knowledgeable about effective strategies to manage students with the disease, including the implementation of individualized healthcare plans, the use of insulin pens and pumps, and the training of additional personnel to provide care. It is important that school nurses maintain up-to-date knowledge so that they can provide safe, effective, evidenced-based care for all students with diabetes throughout the school day and be able to teach other school personnel these techniques as well. The following case-based, interactive, enduring activity will educate school nurses about the nuances of managing a child or adolescent with diabetes mellitus in the school setting, including developing a partnership with the parent/guardian, implementing orders from the healthcare provider, insulin management, and educating other school personnel about identifying and treating students who have diabetes-related emergencies at school.


To provide school nurses and certified diabetes educators with up-to-date information on the treatment and management of children and adolescents with diabetes at school.


This activity has been developed for school nurses and certified diabetes educators. No prerequisites required.


The Institute for Johns Hopkins Nursing takes responsibility for the content, quality, and scientific integrity of this Continuing Nursing Education (CNE) activity. At the conclusion of this activity, participants should be able to:

  • INTEGRATE appropriate school team members into the plan of care for children and adolescents with type 1 diabetes (T1DM) in the school setting.
  • DEMONSTRATE an understanding of the skill required to administer insulin via syringe, pen, or pump and to address common problems associated with these techniques.

The Institute for Johns Hopkins Nursing is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.


This .5 contact hour Educational Activity (Provider Directed) is provided by The Institute for Johns Hopkins Nursing. Claim only those contact hours actually spent in the activity.

Estimated time to complete this educational activity: 30 minutes.

Release date: January 9, 2013. Expiration date: January 9, 2014.

Full Disclosure Policy Affecting CNE Activities

As a provider accredited by the American Nurses Credentialing Center (ANCC), it is the policy of The Institute for Johns Hopkins Nursing to require the disclosure of the existence of any significant financial interest or any other relationship a faculty member or a sponsor has with the manufacturer(s) of any commercial product(s) discussed in an educational presentation. The Course Director/Participating Faculty reported the following:

Sarah Butler MS, RN, CDE, NCSN (Course Director)

Director of Diabetes and Nursing Education
National Association of School Nurses
Silver Spring, Maryland
Ms. Butler reports having no significant financial or advisory relationships with corporate organizations related to this activity.

Jodi Shaefer, RN, PhD, CNE (Nurse Planner)
Assistant Professor
Johns Hopkins University School of Nursing
Baltimore, Maryland
Ms. Shaefer reports having no significant financial or advisory relationships with corporate organizations related to this activity.

The opinions and recommendations expressed by faculty and other experts whose input is included in this program are their own. This enduring material is produced for educational purposes only. Use of The Institute for Johns Hopkins Nursing name implies review of educational format, design, and approach. Please review the complete prescribing information of specific drugs or combinations of drugs, including indications, contraindications, warnings, and adverse effects, before administering pharmacologic therapy to patients.


Pentium 800 processor or greater, Windows 98/NT/200/XP or Mac OS 9/X or later, Microsoft Internet Explorer, Safari, Firefox, Windows Media Player 9.0 or later Flash player, 128 MB of RAM Monitor settings: High color at 800 x 600 pixels, sound card and speakers, Adobe Acrobat Reader.


The following is an interactive case simulation designed to help you gauge your basic knowledge of the topic and then direct you to areas you may need to focus on. It consists of 3 sections: an unaccredited pre-test, an interactive case study, and a CNE post-test. All 3 sections must be completed to receive CNE credit.


The Challenges of Managing Children with Diabetes in the School Setting:
The School Nurse Perspective

Sarah Butler MS, RN, CDE, NCSN


Please note: This activity is for reference only as credit has expired.

procced to pretest

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