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Joined Jul 11, '05.
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My suggestion is for the worry worts to lick a few doorknobs the first week they're there and get their exposure over with early.
Tell them to stop think if it as getting sick and start thinking of it as building immunity!
If a student is asking for their prn analgesic, i'll usually just give it - i will probably ask if they had anything in the morning or the last time they had it. Maybe ask about pain, but i don't usually put them off from having it unless they had it too recently to give it. If i see a pattern or a frequency, i will probably call the parent.
i have my own malpractice and i'm part of the union. I had a rider on my homeowners insurance too to protect from professional liability, but then changed companies so i don't think i still have it.
agreed - i am not keen on violating the written order. It is a matter of protection for me and a matter of the parent communicating with the doctor and letting them know that the orders need to be tweaked.
agreed - you have already spoken to her about the need to be consistent with her medication. The ramifications of not doing to should be clear by now. In order to safely do her job and teach her class, she needs to be consistent. If there is a reason that she is not consistent in taking the medications (side effects, cost, etc) the she should discuss with her doctor. But ultimately the safety and performance issues are administration issues.
Hang in there. I don't know about your state's laws, but in my office i would not be permitted to give tylenol for that fever unless the child already had an order in place - in my district i don't have a standing order for tylenol. The bottom line is that there is one of you. You triaged, you did the best you could and given the situation, 30 minutes is not a long wait. If they were to take the child to the ER or a dr's office, they would surely wait longer than 30 minutes to be seen. I am trying to picture the office staff trying to call these parents (whom i obviously don't know) and am wondering if they would have come if they knew the child hadn't been seen because you were tied up with a different emergency. My guess is yes - but that when the inevitable seizure happened at home that you would be in the hotseat anyhow.
I look at it this way, a parent has the right to pick up their child, but i don't have to make it an excused absence. If i don't get the opportunity to make the assessment and determination of excusal, then i don't excuse the absence. If the parent wants to bring in a doctor's note for absence excusal, then that's fine, but otherwise they do not get my SHBN coding and the free pass for tomorrow.
We do not have a peanut free school for the reason of the unrealistic expectations that peanut products have to be policed. By making the blanket statement of no peanut products, you may have some success. But you will also stop being mindful of their potential presence. So when Jimmy has to stay with Grandma or Aunt Debbie for a few days and they are not aware of the policy and pack his lunch and a big peanut butter sandwich because that's what they pack themselves for lunch -well, now we have a problem when Jimmy is sitting in a peanut free school with an illegal sandwich. It will ultimately be taken away, Jimmy doesn't have a lunch and the local paper has a story with a nasty twist either way.
We have peanut free zones. They serve us well.
i don't send out exposure notices for strep either, unless there seems to be an outbreak.
I am blessed to have 2 diabetics this year that are really with it and diligent kids. This isn't to say that they don't have their highs and lows, but they are responsible and report to me and their parents are responsive when i call with concerns. I have not always had such a break.
In fact, i have a student that I called a parent with concerns with acanthosis nigricans last year who told me he started metformin last week. I called mom who tells me he is not diabetic, but pre-diabetic and does not need to test sugars or count carbs in school. I told her i need documentation from the doctor. I have yet to get anything. Coming soon from me - a release form for me to call the doctor. Shall we start a pool on whether or not it get signed / how long it takes?
they've had a few more issues this year that i've had to call tech support about - i think the last update was not their best work.
i get a bit of the blue circle spinning - just checked on my last kid - maybe about 2 seconds while it was thinking bringing the kid's name up. then about 2 seconds to apply my personal template. Then about 5 seconds when i finished to save and close the student.
Yes! I had a student with a laundry list of ailments per the parent. Parent stated the student was getting treated for cancer too. I told the parent that I NEEDED medical documentation. The documentation I got was incredibly limited, mostly just excusal notices for minor injuries - none of it ever said anything about cancer.
Now - sort of related, i've got a student that has a concussion. The student has "gotten worse" after improving after a week. He is fine one minute in class, terrible in the classes he finds challenging. Stumbles in front of the teachers that challenge him, but walks fine with everyone else. He has been enjoying his rest periods in my office, but leaves after a few minutes when he realizes that I am not going to spend my time that he's here chatting with him and i'm going to work / attend to other students. (walking fine, btw) But according to mom, it's all gloom and doom.
You're in a unique situation compared to the rest of us. In my case I get get the students that will want to tap out of PE then I will SEE them as you are on your way home getting ready for practice or a game. Talk about a miracle recovery.
In your case, I would collaborate more with the coaches to figure on maybe a no practice no play rule.
In general I would not permit them to not participate for anything that i typically would not be sending home in my school: so headaches, minor nausea, cramps, congestion - all have to buck up.
Why didn't the parent catch that? Aren't they taking their child for routine physicals? I am sure they are managing the needs of a lot less children than you are. Why didn't the doctor catch that?? stupid question i know, as I regularly have children come to me fresh from the doctor with a newly filled in vax record full of shots they didn't really need to get in school and none of the shots they DID need.
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