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Accommodation Examples within 504 Plan/IEP for a Student with a Bleeding Disorder

Accommodations for onset of new bleeding

(Examples: nosebleed, injury, spontaneous, menstruation)

  • Call parent/guardian immediately if there is a bleeding event
  • School staff must respond to student’s verbal complaints about possible Symptoms may include: pain, tingling, swelling, warm feeling, limping, limited movement a joint
  • Allow student to go to the bathroom to change pads/clothes as needed
  • Permission/clearance provided by parent for school to take photos of bruises/swelling to send to parent/guardian to assist with bleeding/injury evaluation. Not including private areas or genitals
  • Circle bruises on outer skin with marker to see if bruise increases in size
  • Student should not sit in the nurse’s office for long period of time to see if bleed is getting worse prior to contacting parent.
  • Excused absences provided due to bleeding:
    • Note to school provided by Hemophilia Treatment Center
    • Notes for classes or missed work to be provided to student
    • Student allowed to turn in assignments late or make up testing


Accommodations for return to school after bleeding event or while resolving

  • While recovering from bleeding event, student may require activity modification or assistive device use throughout school.
  • Devices may include: wheelchair, walker, crutches
  • Modified recess or PE participation
  • Changing in seating location or modified chair
  • Writing assistance/scribe
  • Parental choice for participation in activities.
  • No contact or high risk sports during Physical Education class
  • Student is allowed to take prescribed medication and self-administer if student has the skill.


Accommodations for student with a central line

(Examples: Port, Broviac, PICC line)

  • If student has a fever, call parent/guardian immediately.
  • If trauma to the central line location occurs, check for overt signs of disruption, bleeding, swelling, pain, and bruising.
  • Photo of port can be taken and sent to parent/guardian if trauma to port has occurred