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Home / Inclusive Support / Supportive Planning Templates

Use these forms and templates to support your work.

Regulation Support Plans

Use this plan to support any student who struggles with self regulation in the school environment.  These plans may stand on their own, or be used in conjunction with an Employee Safety Plan or Integration Plan.

Regulation Support Plan Guildelines

Regulation Support Plan Template

Coordinated Team Response Plan

Sample Escalation-Deescalation Guide

Escalation-Deescalation Template

Data Collection

This tool will support tracking of data related to dysregulation and inform enhancements of the programming supports as well as staff response to dysregulation.

Click here to download a sample.

This observational tool allows a third-party observer to better understand what the complex behaviour is communicating.

This observation tool tracks Antecedents, Behaviours, and Consequences.

Click here to download the document.

This observational tool allows a support person to track frequency/time of targeted behaviours (i.e. behaviours of concern).

This tool also allows the team to identify intervention strategies and times when a student is more successful. 

Click here to dowload a template.

 

Make observations about student behaviour by recording activities and time.

Click here to download the document.

The Domain Based Planning Tool has replaced the ISPPs for specific designations.

It is intended to support goal and objective development, and to asisst school teams with programming planning for a student with complex needs.

This tool DOES NOT need to be submitted as part of the eligibility paperwork, but should serve as a working document during IEP meetings.

Because it encompasses skills from all domains, it will not typically be used in it’s entirety.  Instead, Case Managers are encouraged to facilitate collaborative conversation with classroom teachers, parents/guardians, and other relevant support folks, around relevant sections.   

Medical Forms

Complete this form for for students living with Diabetes who do not have a plan provided through Nursing Support Services. 

Share information with all staff and ensure that a copies are stored: in the student file, first aid file, TTOC file, EAOC file. 

It is also important to make sure there is a poster, or cover on the binder where blood sugar levels are recorded, as a quick reference for everyone involved. 

The Ministry has refreshed information on Diabetic Care-  link to it here.

If you scroll to the bottom, there is a link to the most recent version of the Care Plan Template.  Where NSS is not delegating care, leave those sections blank and work with the family to ensure it’s accuracy.

Families are encouraged to confirm the details with their family doctor where the care is very complex. 

The Ministry has recently made changes to seizure support for students.

Please work closely with the student’s parents to develop a Seizure Action Plan, the template is available on the NSS webpage.   Please encourage families to obtain updated information from their family doctor to help inform this process.  You may also wish to share a copy of the Information For Parents that has been provided by the Ministry to explain this change.  

While students will no longer be followed for Delegated Nursing support, it is possible to request training if the student is using one of the specific medications listed on the NSS form, although the number of nurses in our area is limited, so it is necessary to develop a plan between yourselves and the parent, rather than waiting for the nurse.  This training can be requested using the Training Request Form.   Prior to requesting training, you are asked to develop the action plan, and to ask the parents to confirm some information.  Please use the Pre-Training Checklist to ensure these steps have taken place.

When developing the plans, please be  super thoughtful about where the line is in terms of calling 911, as many of these situations are very complex and the student health can be fragile.  We have schools that have held emergency meds without NSS support for students in the past, this is actually a practice that has been used for other emergency medications for some time.  Sometimes an IST or PVP have been responsible for the administration rather than an EA – although this can be difficult for students requiring seizure care because EAs are very front-line in observing the signs of an approaching seizure, and there is often a very short window between it’s onset and a significant medical concern.  Please collaborate as an SBT to ensure that everyone is feeling supported in the development of this plan.

 

Complete this form for a student living with anaphylaxis.  

Share information with all staff and ensure that a copies are stored: in the student file, first aid file, TTOC file, EAOC file.

Click here to download the document. 

Delegated Nursing Task form here

Click here for form.

Training Video  (To be previewed before the School Aged Therapy Team provides onsite training for your team.)

This plan should be prepared for students who require specialized planning for emergency evacuations.

It is most commonly used for students who are physically dependent, but may be prepared for other complex students if it is felt they can not be safely evacuated without specific, individualized support.

Link to it here. 

Learning Plans (formerly named Student Support Plans)

Learning Plans are created for a student that does not meet the criteria for a ministry designation and is either:

a.  Working outside the widely held expectaitons of grade level standards in one or more area(s) of their learning (Template)

OR

b.  Requires specific individualized interventions to be successful working within widely held grade level expectations (Template)

Learning plans are managed by the classroom teacher, in collaboration with parents and the appropriate members of the SBT.

For more information, refer to the Elementary Communicating Student Learning Guidelines (pg 14).

Integration Plans

Please work with your Principal/Vice Principal to develop Integration Plans for students.

Transition Planning

Student transitions can be a challenging time for students and their families. These are resources to help support the changes in their programs in a gentle and compassionate way. Whether it is to a new school, district, or grade, each student deserves to be welcomed and supported.