Camp RN assessment/mgmt : Child hit in eye by rock

This happened to another nurse at a prior session and I heard about it. I hear child was in severe pain and vision was blurred. The child turned out to have a corneal laceration (deep corneal abrasion) to the stroma and severe iritis. Parents weren't notified and RN/camp chose to wait and watch. When child got home 6d later parents noted pupils were very different sizes and injured eye did not respond to light and got her diagnosed. I hear the girl's vision is now blurred due to scarring and iritis lasted several weeks & most of pupil function returned. I of course know that I would follow the "if in doubt ship 'em out" motto with any eye injury especially with a high-velocity object.

An outside doctor was available by phone for consult, but not contacted. Eye was flushed copiously with saline (without anesthetic drops) and then natural tears eye drops were put in every three hours during the day the remaining five days of the camper's stay. Child c/o photophobia, feeling of something in eye, lid swelling, eye pain for several days. Yes, I hear child was in serious pain night of injury. Hearing about this situation broke my heart.

I couldn't agree more about the malpractice insurance. I will always be haunted by that story. There's something about how vulnerable that child was! Thanks for the input everyone!