Quote from rdsxfnrn
What do u guys do if a student is sent to you that keeps falling asleep? No fever, no other s/s called mom, mom said she would not pick him up............. so i sent him back to class and told the teacher to send him to the office if it continues.............. that went over big.... lol HELP
First, if this is occasional, I'd encourage the teacher to speak with the child to find out what's up. And then go from there-to talking with the parent and maybe social services
Second, if this is a frequent thing and if the kid is not rousing to his/her normal LOC...being drowsy, disoriented or with unstable gait...those kinds of things, the parent should be notified immediately so they can transport the child to a physician for work-up. If the parent refuses to get the child, I'd consider calling 911. Something is wrong and you probably can't figure that out at school.
Third, if this is a frequent thing and if the kid can be roused to his usual LOC, (It shouldn't be dumped on the school nurse), the teacher should report it to the parents-it may be a chronic home/social/discipline issue. How late is the kid is staying up, doing what? What else in going on in that kid's life, etc. If it isn't that and assuming the parents are on their job, they should take the kid for primary a care work-up. If it continues, something is going on but it's iffy whether its a social or medical issue. If they refuse to pick up the kid, I'd encourage the teacher (and help her) to flood the parents with calls and notes while documenting it all to cover myself and the school. The child can't learn much is he's asleep in class, I'd involve the social service people and the principal as well.
Lots of unaddressed social kind of issues come up in school nursing....lice, unwashed bodies, dirty clothes, hungry children. It becomes a medical issue when it's longer term, chronic kind of stuff (a couple of weeks of dirty clothes, not washing, etc., is chronic to me). Otherwise, on a daily basis, my job is acute care and diagnosed 504 type care issues, self-medication oversight, health education, etc.