Medication Mishap - page 2

Got a student who has ADHD badly and she tends not want to take her medication and I was told in the beginning that she's a liar and that we need to keep an eye on her to take her medication. I... Read More

  1. by   ruby_jane
    Quote from Amethya
    I was told to let parent know but I'm not sure if should too.
    Yes you should, and sooner the better.

    Dear Ms. M - your daughter was observed discarding her medication by Secretary X, who told me. I gave her another dose of the medication since she said she did not take the medication. To prevent any confusion moving forward, she will take her medication in the clinic in front of me.

    Then ask if mom has questions.
  2. by   Amethya
    Quote from tining
    So you would rather risk over and or under medicating a child . . .

    What will the next mishap (error) be? I shudder.
    Of course I don't wan to over or under medicating the child. And I understand this error, but please understand this is my only source of income and I am not able to leave until I can either find something or until summer vacation.
  3. by   tining
    Respectfully, I would hope you know what you should do.

    Your posts alarm me.

    For your reputation and the safety of the students in your care.

    We will have 2 weeks off soon, take some time to soul search (and job search?).
  4. by   Amethya
    Quote from tining
    Respectfully, I would hope you know what you should do.

    Your posts alarm me.

    For your reputation and the safety of the students in your care.

    We will have 2 weeks off soon, take some time to soul search (and job search?).
    I understand and I hope I can find something soon, because I understand your worry and I feel it too.

    If anyone here lives in Houston, Texas and actually needs a CMA to help a nurse at a school or knows of a job for me, please let me know.
  5. by   OyWithThePoodles
    Quote from ruby_jane
    Yes you should, and sooner the better.

    Dear Ms. M - your daughter was observed discarding her medication by Secretary X, who told me. I gave her another dose of the medication since she said she did not take the medication. To prevent any confusion moving forward, she will take her medication in the clinic in front of me.

    Then ask if mom has questions.
    I would most definitely add that when you confronted the student, she said she took the medication inside the capsule and just threw the capsule away (I hope you checked the trash to verify) because this was an overdose of medication. Legally you have to tell the parent.
  6. by   OyWithThePoodles
    Quote from Amethya
    I understand and I hope I can find something soon, because I understand your worry and I feel it too.

    If anyone here lives in Houston, Texas and actually needs a CMA to help a nurse at a school or knows of a job for me, please let me know.
    Please know that we mean well. Luckily you do not have a license at stake, but that does not exempt you from lawsuits, which are very costly. I would look at maybe a doctors office, where there are other MA's to look to for guidance.
  7. by   OhioBPH
    What is your support like in your department? Did you have a good training? Is it possible to get more support where you are? We have similar qualifications, and I know all districts are different, but I feel very well supported. If there is an issue I have help a phone call away. There are also detailed written policies about every little thing. I also have worked hard at building rapport with the administration here, and they trust that if I am over my head with a situation i will call my district RN for advice.
  8. by   Amethya
    I honestly don't feel supported. The person in charge of me is always getting up on my case on things, and throws me under a bus when something happens. Then the person above me, doesn't like me and is always upset with me.

    I'm honestly not comfortable here anymore, because while I understand I do mistakes, I'm not a nurse and I keep getting in trouble for things I wasn't told what to do for things that happen.

    I really want to find another job, but I don't want to work in clinics anymore, but in schools, helping an RN doing her job with children.
  9. by   OhioBPH
    Quote from Amethya
    but in schools, helping an RN doing her job with children.
    Here in Ohio that job is hard to find, however depending on your education, you may be able to look into paraprofesional work. this type of health aide usually works in sped though.

    Based on your last post I think that you should look into returning to school. You may find fufillment in social work or another capacity, and honestly, figure out what the schooling requires of you before you choose a new job. What if the program is only available days? You'd be better off working second shift or weekends in a hospital.
  10. by   Amethya
    Quote from OhioBPH
    Here in Ohio that job is hard to find, however depending on your education, you may be able to look into paraprofesional work. this type of health aide usually works in sped though.

    Based on your last post I think that you should look into returning to school. You may find fufillment in social work or another capacity, and honestly, figure out what the schooling requires of you before you choose a new job. What if the program is only available days? You'd be better off working second shift or weekends in a hospital.
    I rather not work in hospitals anymore or clinics.

    I can't go to school without any money, so I can't.

    I appreciate the help, but I'm looking for a paraprofessional job, hopefully I find one.
  11. by   JenTheSchoolRN
    Quote from Flare
    absolutely agree with Ruby. Pills are swallowed in front of my eyes, in my office - no distractions. Invest in a dollar store pitcher and a box of dixie cups if you don't have a sink in there.
    Yep. Or if my pitcher runs dry, I give the child one of my cups, tell them to walk outside to the water fountain, fill the cup and bring it back to my office where I give the med (no sink in my actual office either; I often have kids I observe refill my pitcher great way to assess if they are ready to go back to class!). I have a couple of students I will bring meds to in class, but I watch them take in front of me or I follow them to the water fountain and again watch them.

    I learned this after I had a student that I did actually watch cheek a pill. That was fun. But I will only give another dose if I have watched the first dose fall on the floor (which happens).

    Amethya, I do know you are trying your best, but this is a medication error. And that is a serious thing that cannot be debated. They happen to the best of us, but you really need proper supervision. How often is your supervising RN checking in?

    As for helping another RN in a school setting, at least by me that is a rare thing. Only RNs can be school nurses in my state, with the occasional LPN supervised by a RN.

    Perhaps being a 1:1 para is a good fit for you. But double check your state's requirements. In MA, you need a high school diploma, associate's degree and/or completed 48 college credit hours, and acheived a certain score on an official state assessment.
  12. by   WineRN
    Our middle and high school nurses have assistants and a few are MAs (but I'm all the way in MO)

    I do agree with everyone who has said you need a more supported position. Maybe look for all open positions in neighboring districts so at least that way you can get your foot in the door. One of our med aides was working in the districts main office until a position opened up and we immediately took her over the other candidates because she already worked for the district.
  13. by   bsyrn
    I never would have given the 2nd pill unless I, myself saw the student throw away the first one. I would rather risk the student being under medicated then over medicated. Either way, this would warrant a call to the parent.

close