Medication Mishap - page 3

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   scuba nurse
    I also want to know, can you REALLY trust the secretary? The other day you posted that you didn't get along, maybe she just said that she threw it away, so she can get you in trouble. Did you look in the trash? I would not have given the second pill unless I personally saw the pill being thrown away and found it. Call the parent and explain what happened. Bottom line is you do not trust ANY students to take their meds without you personally overseeing it. Do what you can to make that happen (get a water pitcher and fill it every day and leave in your office with cups).
    I would encourage you to look for another job, maybe something that is not so demanding and has the potential for serious consequences.
  2. by   Amethya
    Quote from scuba nurse
    I also want to know, can you REALLY trust the secretary? The other day you posted that you didn't get along, maybe she just said that she threw it away, so she can get you in trouble. Did you look in the trash? I would not have given the second pill unless I personally saw the pill being thrown away and found it. Call the parent and explain what happened. Bottom line is you do not trust ANY students to take their meds without you personally overseeing it. Do what you can to make that happen (get a water pitcher and fill it every day and leave in your office with cups).
    I would encourage you to look for another job, maybe something that is not so demanding and has the potential for serious consequences.
    It was different secretary, who saw this and we found the pill in the trash can, and one on the floor too.
  3. by   Amethya
    Thank you all for the advice, and I understand the severity of what I have done.

    I'm never going to work in the health care profession again.
  4. by   River Song, RN
    Just some other things to consider doing for work, if you like working with children check into pediatric home health agencies or pediatric hospice. These agencies sometimes hire non-nurses to help with personal care tasks at home or in school ... basically like what a para does for the school district. I also know here in our metro some nanny agencies hire respite care givers or full time nannies for special needs children and might value your type of experience.

    Our school district does use non-licensed persons to help nurses at our larger schools and to conduct screenings but I don't know how common that is in other parts of Texas.
  5. by   tining
    carevan.org gives immunizations in the Houston area. Spring branch community health Center has all sorts of programs. Get creative, think outside the box. I googled Children's services and found lots of organizations.
    Depelchin's has a "Youth Worker" position.
    https://recruiting.ultipro.com/DEP10...postedDateDesc
    Houston Area Women's Center openings/"]http://www.hawc.org/en/about-us/job-openings/[/URL]
  6. by   rkitty198
    This is a terrible situation. At first I thought OP was an RN and was internally roasting her for the error. After reading through and realizing she has a position in which she does not have the skills qualified for the job, shame on the school for having a staff member give pills to kids who are not nurses. I feel for you OP. I see that you are in a hard place. You clearly love kids, need a job and want to help, and know you are in over your head. I don't think you go to work thinking "I can't wait to harm a child today!" It's a very hard position to be in I am sure. I do empathize with what you are going through.
    I would be direct with what happened. Don't get into any emotional aspects, just the facts, as anything more will shake you up and it won't bode well.
    Write a statement, one of the facts of what happened, what you plan to do personally to fix it and what you plan to do policy wise to fix it.
    Good luck.
  7. by   kidzcare
    Quote from River Song, RN
    Just some other things to consider doing for work, if you like working with children check into pediatric home health agencies or pediatric hospice. These agencies sometimes hire non-nurses to help with personal care tasks at home or in school ... basically like what a para does for the school district. I also know here in our metro some nanny agencies hire respite care givers or full time nannies for special needs children and might value your type of experience.
    I think this is a great suggestion.

    From your posts, you REALLY love working with kids and connecting with them is where you feel you do the most good!

    Social work may be your calling
  8. by   Julius Seizure
    Quote from Amethya
    It was different secretary, who saw this and we found the pill in the trash can, and one on the floor too.
    I thought there was only one not-taken pill? Were both pills that you found the same thing? I wonder where the other one came from?
  9. by   ANPGALESBURG
    I always make sure they actually take their meds while I am in the room. Ive had patients that pretend to take them but they actually hold on to them. Once I caught a patient snorting pills.
  10. by   Amethya
    I figured out what happened. I'm not sure how in the hell this brat did this, but she didn't even take my second pill.

    She was acting out a lot today, which is one clue, giving issues to all and even the person testing her today. She came to harass me for another pill but I didn't give her any because I was under direct orders from my AP just in case of overdose.

    Then another clue is today she hasn't come to cry about her stomach hurting or vomiting because her medication causes her to have sever stomach pains and vomiting. Same with eating, she doesn't eat and she ate today.

    So I wrote my statement and explained yes I made a mistake and I will make sure not to do it again but she did not take any medications today. Both pills were empty, she emptied the contents somewhere, and I don't know how.
  11. by   AJJKRN
    Quote from Amethya
    I figured out what happened. I'm not sure how in the hell this brat did this, but she didn't even take my second pill.

    She was acting out a lot today, which is one clue, giving issues to all and even the person testing her today. She came to harass me for another pill but I didn't give her any because I was under direct orders from my AP just in case of overdose.

    Then another clue is today she hasn't come to cry about her stomach hurting or vomiting because her medication causes her to have sever stomach pains and vomiting. Same with eating, she doesn't eat and she ate today.

    So I wrote my statement and explained yes I made a mistake and I will make sure not to do it again but she did not take any medications today. Both pills were empty, she emptied the contents somewhere, and I don't know how.
    Are you serious? This "brat" isn't the one that made the mistake! If the kid gets severe stomach pains, vomits, and can't eat on her medicine do you really not understand her "difficult" behavior. Aren't you the adult?

    Regardless of whether you truly want to help children and need your job, I find your reasoning both extremely jaded and dangerous. I have yet to meet a MA that has the skills and education to appropriately give medications. Your actions should have consequences...from somebody...like a state board or something and then maybe there would be a greater incentive to get your act together and keep it together.

    Geez, I did try to stay out of it but repeatedly bashing/blaming a child that is acting like a child just frustrates me to no end.
  12. by   klsm1968
    I worked in an adult day center and their policy was to watch the patient swallow the pill, but they were not allowed to request the patient open their mouth after swallowing to ensure they actually did swallow (regardless of past actions...those who routinely spit out pills later were treated the same as those who didn't). Actually they didn't call them patients, but "clients" - the idea was to respect them, and preserve their dignity. Interesting how differently we view a teenager. This brings up so many issues - most all of them have been covered in the comments regarding controlled substances, changing policy, transparency surrounding error. I think its also important to bring up the concept of patient rights. When you are under 18, do you have any right to dignity? Not advocating either way - its just an interesting question. The parents ultimately have the final say in how you deal with this child, yes? So talking to them is the most important step. You might also consider reporting this to the ISMP - they not only track and record medication errors, but can provide you with much needed support. Report Medication Error To ISMP
    If a report is made to the board of nursing, promise me you will talk to a lawyer - too many nurses go before the board without adequate support. Thank you for sharing - this kind of thing is so hard to get through - all the feelings...sigh. I have been there. As nurses I feel like the culture is that we are supposed to somehow just know better and do it all right the first time - so little room for humanity! Keep talking about it.
  13. by   Been there,done that
    You put yourself under the bus. You must always do a mouth check. No away in Hades, would I give another dose.

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