Quote from Klimpys
She shadows him to keep him alive. As he gets older she will loosen the reigns. My ds does most of his own care, but puberty is wreaking havoc on his BG numbers. These are things you don’t learn in nursing school. The pediatric endocrinologist and the certified diabetes educator haven’t taught me diddly compared to other parents in the trenches. You sound like a caring and competent school nurse. Sadly there are some that aren't and that is why parents of Type 1 diabetics become anal retentive.
Thank you. I realize my perspective is compounded by how difficult it is to find a common ground between what the parent wants and what the diabetic educator RN and the doctors say. Which is one reason we have done what she asks.
Usually the health aide does the morning blood glucose and afternoon blood glucose. I'm technically only here for pushing the "GO" button for insulin. In California, only a nurse or physician may do this. (Of course the parent can do it and funny enough the parent can train someone who doesn't work for the school district to do it too).
The mom isn't worried about IOB with low blood sugars. She is worried about highs.
I guess my question is more pointed towards do we keep accommodating the mom in ways we are not necessarily supposed to do. Most school nurses here in my county say if the mom is there, the mom does the care for the student. That frees the school nurse to do more since most school nurses have more than one school and sometimes thousands of students. But we do all the care while she is there and she watches to make sure we do the right thing. I've been told we have bent over backwards for this family. Last year she didn't want him to go on the bus at the scheduled time because she fed him breakfast at that time. She didn't have a car to bring him to school. Our district decided to send a bus back for him after they'd already delivered the other kids.
There are no orders regarding IOB and what to do with insulin and/or carbs. All the examples of what to do with IOB are for the parents or the student as he gets older. We cannot do anything about that at school - I've been told not to pay any attention to that so I appreciate what you posted.
I do frequent the children with diabetes website. I've gone to training with the pump manufacturers. I've done the H.A.N.D.S. Diabetes training. I want to do the right thing for my students.
I appreciate your advice. I have a husband with Type 2 diabetes and he isn't exactly compliant. And if I had a child with diabetes, I'd be homeschooling him also. (I did homeschool my kids in early grades).