Teachers' Group Votes Against Helping Children w/Diabetes

Nurses Safety

Published

my sister sent this to me and i just wondered if anyone else had heard about this and what they thought of it. she has a 12year old son with diabetes and she has fought with the school system over and over trying to get someone to help him if he has some type of reaction. they won't give him any type of help if he needs it- basically will let him (god forbid) die or go into a coma because they are not willing to learn how to give a shot. :angryfire my sister has told them she will sign a paper saying it is ok for them to do whatever is necessary to help him if something happens but they still won't budge. she had to teach her 11 year old son and 5 year old daughter how to care for him and give him a shot if he ever has a reaction at school and can't help himself. -sad isn't it?

the american federation of teachers will convene on july 13 for their annual meeting, at which they will vote on a resolution that opposes allowing school personnel who are not nurses to provide any diabetes care at school. the ada has a major action alert going on about this today, and i wanted all of you to be aware and take action.

please read the following, and take a moment to click on the link and send letter of protest to the american federation of teachers.

please also forward this action alert to others. we need to raise awareness and fast.thank you!

teachers' group votes against diabetes

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as a person caring for children with diabetes, you have a very personal understanding of

why we must manage diabetes so carefully. please take a moment, read this,

and take action to help protect children with diabetes.

kids with diabetes must be kept safe and must be able to manage their

diabetes while they are in school or at school-related activities. to help

them do this, it is vital that an adult be present to assist younger or less experienced students with routine diabetes care

tasks or to come to the aid of any student experiencing a diabetes

emergency.

in a perfect world, a school nurse would be available for every student,

anywhere, any time. in fact, the american diabetes association supports

having a full-time nurse in every school. sadly, we live in a world where

most schools do not have a full-time school nurse. and even when a school

does a have full-time nurse, he or she is not usually present on field trips

or during extracurricular activities. even if they are, they can't be

expected to be everywhere a student with diabetes might be all the time.

but as we know, diabetes is a full-time disease

the country's top pediatric endocrinologists and nurses have come up with a

safe solution: train other school personnel to provide diabetes care when a

school nurse is not present.

experience has shown us that there is no shortage of school staff willing to

volunteer to provide this care. and we know that they can be trained to

effectively provide the assistance our children need. the only problem is

that sometimes state laws and policies prevent them from doing so.

unfortunately, at its convention starting on july 13th, the million-member

american federation of teachers (aft) is going to vote on a resolution that

opposes allowing school personnel who are not nurses to provide any diabetes

care at school. the resolution states in part that:

* the aft will lobby against school nurses training non-medical school

personnel to assist children with their diabetes care; and

* the aft will lobby against the use of non-medical school personnel

trained to administer routine and emergency care to students with diabetes.

this plan is a disaster for our students with diabetes. our children are

going back to school next month and there won't be a nurse in most of their

schools. they will go on field trips and will be in the band and will play

on the football team and there won't be a nurse available

our children need someone available who can provide the help they need.

let the aft know that the safety of students with diabetes is at risk before

their national convention convenes on july 13th. click here to take action:

https://secure2.convio.net/adap/site/advocacy?id=412&page=useraction&jservse

I think it would be reasonable for a teacher to recognize that something is happening, and knowing it is a diabetic child, to conclude that it's something diabetic related. I don't know that expecting a teacher to differentiate between what kind of reaction he's having is fair.

this is my point. It is one thing to know that susan has a bee-sting allergy and if she gets stung the protocol is to push the epipen and call 911/parents. It is a cut/dry issue, no room for interpretation and no confusion about "how much meds etc...". But what happens in the heat of the moment if the teacher thinks it is a hypoglycemic reaction rather than hyper? (or simply forgets which is which), As a non nurse (yet), I am just thinking of the sorts of things that I personally would be worried about in this situation. Parents are volatile people when it comes to health issues with their kids (and that's as it should be) but I don't think it is reasonable to expect someone from the general public to know what sort of reaction is happening with a complicated disease, and how to treat it. That is a nursing function. I know i wouldn't want angry parents calling because "didn't I see that little julie was having a hyperglycemic episode and needed her insulin?", or "didn't I know that bobby's blood sugar was bottoming out so he shouldn't have been running around on the playground?" on and on and on etc... Once you take responsibility for something, people expect a level of competency that just may not be there. No one WANTS to make a mistake with a child, but what happens if they do? What sort of forms are parents going to be willing to sign to release the schools from liability? In this sue-happy society, this is the key issue.

Specializes in LTC,Hospice/palliative care,acute care.
What sort of forms are parents going to be willing to sign to release the schools from liability? In this sue-happy society, this is the key issue.
I would say absolutely NONE

.QUOTE>..I don't disagree with the concern here, but there has to be a level of involvement for people supposedly intelligent enough to teach and therefore accept compromised children into the school environment. I do appreciate all the points presented >QUOTE> I would have to say that the schools have been FORCED into accepting compromised children-we know that there are many profoundly dis-abled children mainstreamed these days---maybe they should not be doing so? Teachers cannot be held responsible for anything other then basic CPR.....Would you expect the maitre d to give you tracheotomy if you choked and the Heimlich was not successful?

I would say absolutely NONE

.QUOTE>..I don't disagree with the concern here, but there has to be a level of involvement for people supposedly intelligent enough to teach and therefore accept compromised children into the school environment. I do appreciate all the points presented >QUOTE> I would have to say that the schools have been FORCED into accepting compromised children-we know that there are many profoundly dis-abled children mainstreamed these days---maybe they should not be doing so? Teachers cannot be held responsible for anything other then basic CPR.....Would you expect the maitre d to give you tracheotomy if you choked and the Heimlich was not successful?

This is an interesting discussion. I work in the schools as an RN for one medically fragile child. Yes, there are many profoundly disabled children in our school, and many more all the time. This is a factor of both the push towards inclusion and the ability of our medical system to keep these kids going. I believe that these children have a right to be there and that they do gain from the school experience. Yet the more there are the harder it becomes to deal with finding appropriate classrooms, teachers, aids, buses, and yes Nurses! There are open applications for substitute nurses in my district. Regular school nurses do a wonderful job; given their ratios; of putting appropriate protocols in place for chronic conditions such as Asthma, Seizure Disorder, Diabetes. These spell out for school staff what actions to take; call parent, 9-1-1, etc. The problem as I see it, and why I think the teacher assoc. made a big deal about the diabetes is that the demands and pressures are increasing on school staff related to health care issues in the classroom. As smkopke pointed out, there are huge liability issues once you go beyond basic emergency care. The school nurses I know are careful to follow delegation rules to train anyone on any care beyond this level; and this is done regularly! My concern is that as nurses we are delegating away our needed role in education, a role that is growing. I think the teachers are right to say diabetes care is a nursing responsibility. The nursing care should be there whether thru protocols or delegation to deal with a child who maybe having a diabetic reaction; but how thin can school nurses be stretched?

Interesting. I see that recognition of a change in a child's behavior as extremely important with teaching or any profession connected to children. Using that point, it wouldn't "be exactly fair" to expect a teacher to at least suspect something if a child is acting oddly or differently when sexual, physical or emotional abuse is occurring. I am not suggesting that teachers be diagnosticians, but if a responsible parent informs a teacher what signs hallmark the aura of a seizure or hypo glycemic reaction, or that lethargy combined with a fruity smelling breath at least warrants further action, I expect and laud that teacher for at least trying to get things done and initiated...And to the person who said that as a nurse I should at least omewhat recognize the familiarity of issues affecting people out on the street who may be having symptoms to which I am unfamiliar given my chosen specialty of OB, I do agree for the most part, although I also think that being away from something for numerous years does NOT qualify me to either intervene or diagnose...JUST like your teacher issue...I don't think most seasoned teachers are being credit here and it interests me that they are not being advocated more...But, that is why so many abuse laden children are getting missed in the system. It isn't that teachers don't care. It IS because that is something they either aren't or don't feel they should be made familiar with. A little education goes a long way...I don't expect anyone to cure, diagnose or treat. I just expect them to open their eyes long enough to perhaps save a child....MY child.....Thanks again for your point...I still disagree with the majority of it....But, your point is well taken...NOT sending my children to schools housing teachers with similar thoughts.

I hope I misunderstood you, because nowhere did I see anyone say he/she didn't care about these children. Remember, while you are worrying about your child, there are probably 29 other children with parents who feel that their child's needs are just as pressing. Who is the teacher supposed to worry about first? The child with severe asthma? The child with HIV? The child with a tube feeding?

What responsibility does the schoolchild have in terms of managing his illness? I used to be a peds nurse, and most of the kids we saw were very savvy about their disease...even the very young ones. It seems to me that a parent who wants his/her child to be mainstreamed would also be just as concerned that the child understood his illness, too. (Obviously, I am not including children who are not mentally competent to do so.)

Specializes in MS Home Health.

I would not want a teacher giving any of my 5 kids a shot. One of my boys had seizures and they would call 911.

renerian

I agree with the teachers' union, and the other posters here. Teachers are there to teach and must not be expected to act as nurses, as well. The schools will just have to suck it up and hire some NURSES.

Just a few thoughts...IMO, if a diabetic child is so brittle he will likely have a reaction at school, perhaps he should be home schooled OR put in a private school where a school nurse is available to assist do fingersticks at intervals, etc.

I am appalled at the mainstreaming I see today: children immobile in wheelchairs, with seizures, trachs, you name it. Teachers don't need to be babysitting kids with such problems IMHO and this is what I see parents of special needs children expecting today.. I empathize with parents of, for example, the cerebral palsy child but using the school to babysit someone whose level of understanding precludes any real educational benefit is a ridiculous burden for our public schools to shoulder IMO. I've heard that today's teachers are expected to suction, manage tube feeds, change diapers, manage seizures, etc in the classroom....and from the other children's POV (my kids and their friends) it is disruptive. I sure wouldn't want the liability.

I'm surprised the school system is not taking a stronger stand against this stuff...if they insist the teachers take on extra responsibilities I would think the school system itself would share liability. And a couple lawsuits would put the district in a real pickle.... but I guess the taxpayers would just have to pick up the slack, eh?

Well, thankyou for acknowledging your misunderstanding. No where did I EVER say the teachers you speak of don't care. Care doesn't predispose that cognizance is apparent...Nothing anyone says here will detract me from my views and I hope you respect that I am in no way attempting to change yours...That is the purpose of discussion, at least as far as I am concerned...My children go to schools where teachers are not so skittish about getting directly involved. That is not to say that any teachers you represent are fearful, wrong or incompetent, but I would not allow my compromised child to be in a class ( and I thoroughly interview them) where a teacher isn't willing to get involved. That is why they send the paperwork home about "tell me about your child and his or her needs and concerns." If I tell you, you had better be paying attention...I know you aren't going to like this, but I am paying your salary, or at least contributing to it and in Massachusetts, not one but a possibility of two pensions...Live with it..Learn, and if you (teacher) can't or won't be on the same page as I am, you will be teaching other people's children with no prejudice or hard feelings from me....Period...

And again, you did most definitely misunderstand me...

Specializes in MS Home Health.

When I attended school many moons ago some of the kids were mainstreamed into the standard classes. Actually I learned alot from those children and without having been exposed to it at a young age I may not have developed a sense of what exactly that means for the one with health problems.

The behavioral children did go to other classes.

renerian

Well, thankyou for acknowledging your misunderstanding. No where did I EVER say the teachers you speak of don't care. Care doesn't predispose that cognizance is apparent...Nothing anyone says here will detract me from my views and I hope you respect that I am in no way attempting to change yours...That is the purpose of discussion, at least as far as I am concerned...My children go to schools where teachers are not so skittish about getting directly involved. That is not to say that any teachers you represent are fearful, wrong or incompetent, but I would not allow my compromised child to be in a class ( and I thoroughly interview them) where a teacher isn't willing to get involved. That is why they send the paperwork home about "tell me about your child and his or her needs and concerns." If I tell you, you had better be paying attention...I know you aren't going to like this, but I am paying your salary, or at least contributing to it and in Massachusetts, not one but a possibility of two pensions...Live with it..Learn, and if you (teacher) can't or won't be on the same page as I am, you will be teaching other people's children with no prejudice or hard feelings from me....Period...

And again, you did most definitely misunderstand me...

ok please don't take this the wrong way, it just seems that your manner of posting or "tone" seems very demanding and uncompromising. Which, of course no one would want to compromise their childs healthcare, but if I were a teacher (based solely on your posts), I would be hesitant to get too involved, because I would think to myself, "this person doesn't seem likely to be understanding of a mistake." I obviously don't know you, am just basing this off of what I perceive to be the tone to your posts on this thread. In the litigious society that we live in, I have to say that putting yourself in the position of responsibility over someones care, when you aren't trained/educated to do so is a scary thing,...and even more so if you percieve the person that is going to hold you accountable as a mite uncompromising. Again I obviouly don't know you and it is hard to tell tone from a BB, so i apologize if I'm out of line.

Specializes in MS Home Health.

One thing about the net and email is the lack of face to face, the interpretation of body language and tone.

renerian :)

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