This section of Life on Campus covers:

Telling People on Campus About Your Disorder

Life on Campus

Telling People on Campus About Your Disorder

Deciding when and if to disclose your disorder is a personal decision. Some people find value in disclosing to the school administration, their professors, friends, roommates, and if living in a dorm, their resident advisor (RA). If you are living away from home, some people close by might need to know about your bleeding or blood disorder in case of emergency.

Disclosure in an Emergency 

Having a plan in case of emergency is a good idea. Think about whom you want to tell about your bleeding or blood disorder. Think about when and how they could help:

  • If you need to go to the emergency department.
  • If you need your medication and supplies and can’t get them on your own.
  • If you are in an accident or unconscious. You may not be able to advocate or share about your bleeding disorder with health care providers on your own.

Once you have decided who you want to tell, then think about what they need to know and how they can prepare to help. If you want more information about how to prepare for emergency situations, please go to Emergency Preparedness.

Telling Those You Live with and Friends 

It may be helpful to disclose to roommates or close friends. Depending on your bleeding disorder medication, you may need to treat in your room. Your roommate may have questions about your treatment. You can let roommates know why you have supplies like needles, syringes, sharps containers, or other supplies. Communicating openly can prevent them from possibly getting the wrong idea about what you are doing, like taking illegal drugs. Similarly, it can be important to tell you residential advisor or assistant (RA) if you live in a dorm that has one. The RA is another student that is a mentor and peer leader for students staying in college housing. If your roommate is not comfortable with you self-treating, you may want to look into changing rooms or roommates. You can talk to your campus office of residential life and/or the office of disability services to find out about school policies on changing roommates and what your rights are.

It can be helpful to have a plan if something happens while you are out on campus or at campus parties or events. This is when disclosing to a close friend may be helpful. Close friends can then know what to do if they are with you when an emergency happens. Also, you may want a friend or RA to have access to your room in case you need someone to bring medication to you in an emergency.

Telling Your Advisor and Professors 

You may want to tell your academic advisor and your professors in case you miss any classes due to health reasons. If you miss class often, your professor may think you are not going to class and give you a poor grade. Communicating in advance can help. You also may need an accommodation for more time to complete an assignment due to a medical emergency or hospitalization. Some schools and professors have strict attendance policies. If you want more information on your rights at school, please go to Your Rights: Legislation and School Accommodations.

For more information on how to disclose your bleeding disorder, please go to Engaging School Faculty and Staff.

Life on Campus

Settling in to life on campus is a big transition. With a little planning, you’ll be ready to enjoy campus life and know where to find information and help.

Before School Starts

Meet with the school’s office of disability services to set up any assistance you may need. The office of disability services can provide information about storing your medication and treating in your room. They can also give you information on special transportation options. They can help you create a schedule that doesn’t strain your muscles and joints if needed. They also can guide you through academic assistance if you need accommodations.

You can also meet with the school’s student health center staff. If you will not be able to store your bleeding disorder medication in your room, you will need to talk about how to have your medication shipped and stored at the school.

Set up delivery of your bleeding disorder medication if needed. If your medication will be shipped directly to you and not to the school’s health center, talk with the mail services staff. Let them know about refrigerating any medication that needs to be kept cool. Make sure you’re notified as soon as your medication arrives. You should schedule deliveries of your medications, so you don’t run out.

Storing Your Medication and Supplies at College

Bleeding disorder medication may be climate sensitive and should be stored as directed by your pharmacist or health care provider.1,2 Some can be stored at room temperature for a specific length of time and others need refrigeration.

Remember that the temperature of your room may vary by season, so plan ahead. For medication that can be stored at room temperature, make sure to check the packaging and inserts. The packaging and inserts can tell you about the maximum safe temperature for your medication. For some that could mean up to 77°F but for others that may be 86°F. This information can be important if where you live does not have air conditioning and is in a warm climate.

If you do need to refrigerate your medication, there are some things to think about. In a typical dorm fridge, you might find pizza and old leftovers. Lots of different people may open and close the fridge. If the fridge is opened often, then the temperature is less stable. The best place to store any medications that need to be kept cool is in a separate refrigerator in your room. The campus office of disability services may be able to arrange this for you. If you don’t have a separate refrigerator, then storing the medication, clearly labeled, in the center of the fridge allows for the best temperature control. If the power goes out, don’t open the door of the fridge where your bleeding disorder medication is stored. For more information on storing medication, please go to Safely Storing Factor at Home.

Find out your school’s policy on sharps disposal if you infuse or inject your medicine and need to figure out what to do with the needles. You can also talk with your Hemophilia Treatment Center (HTC) to figure out how to properly dispose of your sharps containers and medicine.

Bring an Emergency Kit

You may want to put together an emergency kit with specific items. You can tell a roommate, friend, or someone who you can easily contact how to get to the kit.

Here are items that should be in your emergency kit:

  • First aid supplies
  • Emergency contact numbers
  • Health Insurance card or a copy
  • Medical history (on USB drive)
  • Your medication (or information on where it is stored so it can be added during the emergency)
  • Any treatment supplies
Setting Up a Support System at School

You can find support from many different places at school. If you’ll be using a new Hemophilia Treatment Center (HTC) close to campus, they can help. Your campus health center, RA, housing director, professor, advisors, school administration, employers, or friends are all potential sources for help. You may find that the office of disability services is your top place for support. Don’t forget to keep in touch with old friends.

Things to Think About When Adjusting to Life on Campus
  • Explore class registration options such as early registration.
    • This is a good plan if you need to attend classes in certain buildings or locations that are accessible to you.
  • Know the local hospitals and which one to go to.
    • You can speak to your new Hemophilia Treatment Center (HTC) about this. Your HTC can tell you if the hospital has staff knowledgeable about bleeding disorders.
  • Some students may do a work study, which is a part-time job for students as part of financial aid. Explore the choices early to decide if you will need special accommodations.
  • Be aware of any physical requirements for your plan of study.
  • Look into sports, recreation centers, and services.
    • Many schools have club, intramural, and division sports teams.
  • You may want to contact a local bleeding disorder organization that can offer support. They can give you information on social events and volunteer opportunities.
  • Know what mental health services are available.
References
  1. Center for Biologics Evaluation and Research. (2018, March 23). Impact of Severe Weather Conditions on Biological Products. U.S. Food And Drug Administration. https://www.fda.gov/vaccines-blood-biologics/safety-availability-biologics/impact-severe-weather-conditions-biological-products
  2. MedlinePlus [Internet]. Bethesda (MD): National Library of Medicine (US). Storing your medicines. (2022, Jan 29). https://medlineplus.gov/ency/patientinstructions/000534.htm