I'm the health aide at 500 student K-2 school. I have a few children with ADHD, too many to count with asthma, a little one with cystic fibrosis, and a kinder diabetic. I run a very busy health room, so when my 13 month old started getting a fever a Friday evening 3 weeks into the school year, I immediately started my sub planning. In the event that I'm absent, one of the two secretaries in the office take over. In the morning, my daughter was up at 4 with a 102 fever. I went into my office at 5 to finalize my istructions, print them and place them strategically through my office and on the secretary's desk, and send out emails to teachers explaining that we were using the "emergencies only' rule that day. In the notes for the secretary were very detailed step-by-step instructions on how/what time meds were given. My cystic fibrosis child needed his capsules opened and mixed with applesauce and my diabetic was newly diagnosed and had very frequent peaks and dips. I was close with the mom of the diabetic and talked to her the night before and she asked that if I was indeed staying home the next day, to have the secretary call her and she would come in and monitor her son's blood sugar (I wish all parents were like this!)..that tid-bit was also in the note..first bullet actually. Well a couple hours into the day I recieve a phone call. The district RN who usually does our screanings was in my office as a sub because the secretary was overwhelmed. She was calling to find out where the MAR was (3rd bullet down on my note, she would read it's right by the computer at the desk she was sitting at). 15 minutes later I recieve another call this time asking if the cystic fibrosis student in the office got meds at that time (because my instructions that at 10:00 he has 2 capsules opened, emptied, and mixed into two spoonfulls of applesauce in a Dixie cup and fed to him in four small bites, w/o letting him chew it wasn't clear enough!) I continued to recieve numerous calls throughout the day asking questions that could have been answered by reading the note that I left. (Can the diabetic check his sugar at the time? Yes, in my note it says he comes in frequently as he feels it's needed plus 3 scheduled visits at 9:45, 11:30 and 2:00. It reads 64, what is his protocol? As the note says, if a reading is below 80, he gets an apple juice, sits for 15 minutes, then another check needs to be performed to assure it is above 80.) Smoke had to have been flowing from my ears..Not only was I dealing with my daughter's pharmacy that was taking hours to fill her antibiotic because it had a low priority due to it being faxed over, I was dealing with the most absent minded woman as a sub that would always end the phone conversations with, "Oops, I suppose I should have read the note more carefully!"...Once Monday rolled around I was very happy to be able to take over my office once again. My great mood was instantly shattered when I found new, undocumented meds in my desk drawers and a MAR that wasn't filled out! While trying to sort those things out, in storms the diabetic's mom wondering why she was never called to come in and why her son's sugar was only checked once. I showed her the instructions that I left the secretary and RN and she was understandably livid, as was I! Checking a diabetics sugar only once?! Meds in a desk drawer?! Undocumented medication administration?!
Needless to say, I had many complaints and the district hired a new sub that has been doing a much better job for the other schools...I'm still too terrified to take another day off!!