Life Threatening Conditions

  • Substitute House Bill (SHB) 2834 mandates students with life-threating health conditions may not attend school until they have medication and/or treatment orders and a nursing plan in place.

    These plans and orders need to be completed before the beginning of each school year even if there have been no changes in the plans from the previous year.

    There are treatment order forms in the documents area of this site. I provide them as a potentially useful framework for physician orders. They provide step by step orders that translate well into emergency care plans for students. Physicians are free to write orders within a different format.



    Diabetes and any student requiring orders for EpiPens for allergies are considered to have life threatening conditions.

    Please note: A licensed nurse may not delegate the assessment of symptoms to a non licensed person. If an antihistamine, such as Benadryl, is ordered a non licensed person will administer the EpiPen and call 911 first. They could then administer the antihistamine after giving the EpiPen and calling 911 if it was ordered. Shorecrest has a licensed nurse on site every day unless there is no sub when the nurse is out of the building. If there are orders for an antihistamine, such as Benadryl, to be given at signs of exposure and then orders to administer the EpiPen if symptoms progress, the licensed nurse will first give the antihistamine, and then administer the EpiPen if symptoms progress. 



    Students with asthma that have been hospitalized two or more times in the past year because of their asthma are considered to have a life threatening condition at least for that school year. Students with asthma that are controlled with medication and have not required hospitalization in the past 12 months are not automatically considered to have a life threatening condition.


    Seizure Disorders

    Some students with seizure disorders are considered to have life threatening conditions, please consult with the nurse about your student if they have seizures.


    Life threatening conditions are not limited to the above conditions, please consult the nurse if your student has health concerns that would be considered life threatening. The goal is to keep all of our students safe and healthy. Parents are an important piece in formulating this plan for their students. The treatment plans this process produces help insure the best care for students.

    Available for Download:

    • Diabetic treatment plans
    • Allergies treatment plans
    • Asthma treatment plans
    • Other - any other conditions

    Permission to Give Medications at School form needs to be completed by both the parent and physician if the student will require medications at school.

    Mutual Exchange of Information Form is often helpful for the nurses to have completed by the parent so we may consult with the student's physician regarding the care plan.

    Forms may be downloaded by going to the Documents link on the top left of this page.