Lovewhatidointx 1,036 Views
Joined Oct 13, '12.
Posts: 30 (17% Liked)
I feel for you too OP.
I thought I missed something with the Oreos, but you are right. Autocorrect is kind of goofy.
Do your best and ride this one out. The truth is, after a couple of decades in this field, there seems to be no shortage of crazies with whom nurses must interact. It's hard to balance compassion and caring with a reasonable level of compartmentalization, but that's what you may have to do. You are a professional. As such, you can't let the unprofessional stuff sap you.
You legally covered yourself, and as long as it wasn't anything questionable in terms of safe or appropriate care compliance in following physician's order, and you documentated appropriately, you should be OK. Check with a reputable legal person if you think you may need to do so. Then move on. While you are carrying out what you are doing, if you have to start looking for another position, so be it.
But I am telling you, I have yet to work anywhere in any area in nursing or healthcare where there was not some level of "craziness" and reactionary nonsense. Do your best for your patient, family, and your own practice. Cover yourself legally, and then move on. It is impossible to please everyone, regardless of how hard you try. We say it, but as nurses, sometimes I don't think we really believe that that is is impossible to always please everyone--somehow we think on some level that it is possible. When it happens, it's great, but it is not always or even regularly going to happen, depending upon the situation. And people have so many complex issues going on. Half the time you feel like a shrink or a referee, but you really don't have too much time for any of that kind of thing in light of everything else you have to do.
Start planning a vacation and schedule some getaway days. Sounds like you need a break.
I had to report a doctor and parents for neglect because the doctor openly admitted that she wouldn't see one of my children (her patient) and deemed him as OK (I sent him home for an elevated temp of 100 and urine-consistency diarrhea) because a fever isn't anything below 100.4 and diarrhea is only a problem if it's happening 5-6 times a day. (It was 8:10 when I sent him home..school starts at 8 so I'm sure he had at least 5-6 that day...) The boy is a non-communicating austic and when I asked how she thought he felt she said, "He didn't tell me he wasn't feeling well so he must be doing fine". SERIOUSLY?!?!?!?! I advised the parents that they may want to start seeing a new physician but they expressed no concern and backed up her statements!! Both the parents and doctor said that I was dumb for sending him home and that I don't know how to do my job. I give my heart out to disabled children, especially when their parents aren't even advocated for their health.
Thank you so much for the update. What I can't believe is that your supervisor is okay with all other nurses keeping quiet! That sickens me more than the usual suspects. Our special needs children and school aged children in general have no voice. Again, I thank you for speaking up and being their voice. By replacing you, that supervisor continues to bury abuse that may one day haunt her/him. Kudos to you!!
You went out on a limb advocating for the children and I am just awe struck. I truly hope something wonderful happens for you and I am so proud of you as a nurse and a human being.
So, the agency fired you for reporting this? If so it would be nice to get some publicity about this. There should be absolutely zero tolerance for this kind of abuse in our schools.
I think that this situation is being swept under the rug because these are special needs children. It's unfortunate that the aide feels as if she has a right to slap someone's child. Are we allowed to slap pyche/mentally unstable patients? I don't think so. Same goes to the teaching staff. Special needs children can be violent, but if the teaching staff can't handle it, or learn to take the appropriate steps to make their classrooms a safe environment, then it's time for them to seek employment elsewhere. There are too many unemployed teachers who are more than willing to get the job done right.
You did good. My niece was abused by an older boy in her Special Ed class when she was 11 years old. The school never informed my brother when they knew all along what was going on. Your actions are helping raise the bar for her, and all the victimized children in what appears to be a sick, "go along to get along" environment. ((Lovewhatidointx)) Thank you.
Update...I followed everyone's advice. Reported incidents to the proper authorities. Have to say this has turned into one big mess. My student's mother has hired an attorney to fight for my job after being told there was nothing she could do but accept a new nurse. All of the children's parents were notified by the teacher's aide of the abuse. The secret is out. Saddest part for me is when my supervisor told me "Do you really think you're the only nurse who's seeing things like this? No, you're not! So, why is it that you're the only nurse I'm having a problem with keeping your mouth shut?". I am deeply saddened that my fellow nurses can in good conscience witness children being abuse & choose to ignore it. I didn't become a nurse to sit by quietly & watch any individual be harmed. If this is what being a nurse is, I'm in the wrong field! I became a nurse because I care about people. I want to make a difference in people's lives. I believe we become nurses to positively impact the lives we are trusted with not to give in to corporate policies that care more about profit than people. Correct me if I'm wrong.
Personal insurance is rather cheap for the high level protection offered. In additon to the consultation services often availed to you if you run into unique situations such as this.
I'd definitely think twice before putting my name out there in the media, perhaps consult with someone in the know such as an attorney or otherwise. While some reports are public information, many regarding children are not. If the parents want to step forward that is one thing as they have the right to make their children's information as public as they so choose. Remember you need to be careful in what you say so as to not reflect poorly on your employer or reveal confidential information about your patient or other students. Some of your knowledge is covered under HIPAA and other information is covered under FERPA (the educational privacy act) since you work in a school system. HIPAA was recently beefed up by the HITECH laws that increased fines and punishments for releasing confidential medical information without consent. Certain medical information obtained in a school setting falls under FERPA since there is not a total provider client relationship and insurance billing is not part of the equation. Common sense is not so common.
I'm always amazed at individuals who are constantly afraid of intervening when witnessing bad acts. Don't risk your own safety (such as stepping out to help in the middle of a gang fight (extreme example) but you can call the authorities to intevene (whether child protective services for institutional abuse or the police).
Feel good that the mother's clearly sees that you have made a difference in her child. It's entirely possible that the school district requested another nurse be assigned and not solely your agency's decision. Mom can find out her rights in this situation as several states have decided that parents have the right to choose their nursing agency & service provider is used for their child in the school setting within certain guidelines.
Just started Lamar program 9/17/2012. Computer final later this week. I took Nutrition at Odessa Jr. College online and it was not a problem. Very well done. Let me suggest that you take Patho online before 2013. It is not that hard. If you take it you will have more time for the Assessment class. My credit transferred from Paris Jr. College and that was a 16 week course. Again that class was well done. You can find some 8 week online classes I am sure.
Good luck..... Russell Roach
Not a school nurse, but consider calling your personal malpractice/liability insurance for advice. Like others said nurses are manditory reporters, regardless of what your agency says. Compliance is likely involved because they know this is the truth. There is one agency that is now under manditory compliance oversight because of failure to address issues such as this (as well as several other unscrupulous business practices). Good luck.
you can check your board of nursing website for information and support regarding manditory reporting of child abuse.
I think the advice from Just Beachy Nurse is good. Unfortunately neither your agency or the school are going to be interested in anything other than protecting themselves from liability.
I found a couple of websites you might find helpful. Both are ".gov" - the first is from HHS called the Child Welfare Information Gateway. It's very user-friendly. You check a box for the state you live in and check others that apply to your situation, the site will then provide you with the appropriate statutes and other info.
I have some experience with Special Ed through two family members. I know that a great deal of their funding comes from the federal government, and they are very concerned that money is used appropriately and offer information on what to do about abuse and allegations of other types of misconduct. Here:
US Dept of Education Office of Special Education and Rehabilitative Services.
Hope it all works out for the best.
You are a mandated reporter and thus should be protected under whistleblower laws. Good luck
As for telling the parent, you could always say something like, "I saw that <victim-child> was <struck/choked/slapped/whatever> by <aggressor-child>, so you might want to be on the lookout for s/s of pain, contusion, swelling, etc.
That is you relaying medical information that is relevant to your charge, rather than "tattling" about abuse.
I'll answer your question OP. No, nurses aren't all lovey-dovey, do-gooders, we aren't those sweet little helpers pure of heart and soul everybody thinks we are. You won't be entering this wonderful group of team-workers and friendly types. Actually we probably couldn't be farther from what the public thinks we are. Except maybe for Nursel56, she's just truly all rainbows and sunshine.
This comes as a shock to everyone usually. Really, no lie.
I'll also add this: Early on I met a nurse, a second career one just like me. She told me that I'd meet the most maladjusted people as I continued on through school and work. They are all bat-**** crazy - just wait you'll see she said. We'd laugh and laugh about these people over a beer every so often. Reminds me to call her.
I'm not sure just what the point of your OP is. I'm assuming, perhaps incorrectly, that it's a vent, which we all do from time to time. If your "group presentation/members" voted to cut your presentation, how could it be for the sake of their own grade when your grade is included in the group? And I don't understand how your (reduced) minutes became "senseless broken English". Overall, I get the impression that's it's difficult for you to be in a student role/critiqued after declining a "near 6-figure promotion". Your professor told you not to sweat it. Sounds like good advice to me.
There IS a camaraderie in nursing for most nurses but I don't believe it's exclusive to nursing. There are also cliques in nursing... and nursing school. Perhaps you're finding that out? Best of luck to you.
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