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Planning for Students in school - 504

The HCMA is offering this information as a guide only and takes no responsibility if you should choose to use the language contained within.  

General:
·         Students with HCM should have access to water at all times, thus ‘water bottle privileges’ should be extended while in school and during transportation.
·         A set of text books should be issued to students to be kept at home, a set should be kept in the classroom and books that need to be carried to and from lockers should not be too heavy – in the event they are large books a helper may be required to assist the student to and from locker to carry books.
·         Passing to classes – students with HCM may require additional time to pass from class to class depending on the floor plan of the school and the use of stairs, some students with HCM should be issued elevator passes should the school have an elevator, other students will be fine with the stairs.
·         Extreme temperatures should be avoided if possible.
·         Physical education classes will require specific physician approval for participation on a case by case base.
·         Students on medication, including beta blockers and calcium channel blockers may experience fatigue and loss of concentration and thereby be permitted to have extra time taking tests and consideration for rest time in the evening that may require extra time for homework assignments.

Emergency Action Planning:
A student specific emergency action plan is required for those with HCM and should include the following:
·         Contact the school nurse
·         Activate Emergency Medical System (911) if determined by nurse to be needed.
If the student is unconscious:
·         Check student breathing, check for pulse and check airway.
·         Teacher may need to begin CPR while waiting for nurse/911 to respond. 
·         Teacher, student or nurse should retrieve an automatic external defibrillator as soon as possible and bring it to the HCM student.
·         Contact the student’s parent/guardian

 
If the student is conscious:
·         Teacher should call school nurse – if student is not feeling well and it is NOT heart related – student may be sent to nurse with a companion. – if student is not feeling well and is dizzy, has specific cardiac complaints, looks pale – the nurse should come to assess the student – the student should remain sitting or lay down while waiting for the nurse to arrive.
·         Teacher, student or nurse should retrieve an automatic external defibrillator as soon as possible and bring it to the HCM student.
·         Contact the student’s parent/guardian
 
Individual students may require additional accommodations as deemed appropriate by their personal physician and parent/guardian.   This document is offered as guidance for those with HCM, by the Hypertrophic Cardiomyopathy Association (HCMA).  The HCMA is not responsible for individual 504 plans and use of this document is voluntary and may not be appropriate for all students with HCM.