School Resources

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

(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

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.

(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