medically fragile child in cold weather (cross-post)

This was originally posted in the school nurse forum, however, I want to post it here also because I might have a better chance of getting a reply. (I am pasting original message).

Alright. I don't want to feed too much of my own opinion into this one, because I am worn out from discussing it this morning at work with administration.

Please give me your opinion/advice:

(Very) medically fragile child, not often awake or alert during school day, with a one on one nurse required on bus and at school per IEP.

Today (and tomorrow most likely) winter weather advisory, temp high will be -4 and with the wind chill it is expected to feel -40 (yes, forty).

Mom called nurse at home last night to make sure that bus will be coming because driver had suggested day before that maybe the child should stay home next two days. (whether that was ok for the driver to suggest is not my concern honestly).

Would you say something to the mother? Would you allow the child to be transpoirted on the bus these two days.

By the way, the nurse is on the bus in case the child needs to be suctioned. Child no longer has a trach, but secretions get tenacious periodically requiring deep suctioning of the airway.

Please discuss...

Thank you for reading!