Pittsburg in the news

  1. I know there has to be more to this story. I really hope that nurse documented everything she saw and did.

    Early on in my school nurse career I went to a workshop put on by the local children's hospital. I asked the respiratory therapist if all values were normal (no wheeze, no cough, good PSO2) and the only symptom the student was complaining of was chest tightness, should I withhold the inhaler? Nope, the answer was never withhold the inhaler....ever. Words I still live by: "You don't want to be that nurse, the one who took the inhaler away."


    Boy in hospital after mother says he was denied inhaler at school
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  2. 42 Comments

  3. by   Farawyn
    We have RTs that pop into this thread from time to time to warn us of that very thing.

    Ugh. The poor kid.
  4. by   OldDude
    I agree. Something isn't being reported correctly or something is omitted.

    Here is an example of my last post on the Insurance thread. All someone has to do is accuse you of something and you are immediately convicted in the media with the onus on you to prove yourself innocent; being too late to salvage anything by then.
  5. by   ruby_jane
    Quote from OldDude
    All someone has to do is accuse you of something and you are immediately convicted in the media with the onus on you to prove yourself innocent; being too late to salvage anything by then.
    That right there.
  6. by   OyWithThePoodles
    Yikes.

    I never withhold an inhaler even if the kids seems perfectly fine. That said, and it's easy to play Monday Morning Quarterback...the kid didn't have the proper paperwork filled out. And then it's somehow the nurses fault. The parent didn't do HER job. So, if it had been me and the child was seemingly fine, I'm talking VS, WOB, lung sounds, and if the kid had the original box with his name and directions, I probably would've given him a dose, regardless. If just a random inhaler I would've called mom and said "Johnny said he feels like he can't catch his breath, this is what I observed, if you feel like he needs his inhaler you will need to come and give him a dose or I can call EMS." Had he been struggling, I would've given him a dose. I'm not letting a kid struggle over paperwork.

    BUT, this is why it is so important to have your child's paper work completed. Don't put it on someone else, and then blame them for doing what they are legally supposed to do. What would this mom say if the inhaler hadn't been his, but Uncle Joe's and the nurse gave him a dose and he had some sort of reaction.
  7. by   GdBSN
    ^^^Yes!^^^ If this student has had this condition since 1st grade, why did Mom not have the proper paper work completed in the clinic. Parents get lazy and don't do what they are supposed to, and then want to blame someone when something happens. Our policy clearly states, that a student is not to have an inhaler at school unless proper documentation has been submitted. Not to say, I would not let them use there inhaler if they were having an asthma attack and address the paperwork issue with parents when they came to pick them up. Technically, I could probably lose my job for letting them use the inhaler, but I guess I would take that chance if the attack was severe enough.
  8. by   NutmeggeRN
    And it seems that when they get to HS, all bets are off for paperwork....I am chasing paper ALL. DAY. LONG!!!!
    That said, I would much rather they have the inhaler than the paperwork, but one can only hope the inhaler is the one prescribed to them and that it is not expired!
  9. by   Farawyn
    Quote from NutmeggeRN
    And it seems that when they get to HS, all bets are off for paperwork....I am chasing paper ALL. DAY. LONG!!!!
    That said, I would much rather they have the inhaler than the paperwork, but one can only hope the inhaler is the one prescribed to them and that it is not expired!
    Yes. What paperwork?
  10. by   GdBSN
    Quote from NutmeggeRN
    And it seems that when they get to HS, all bets are off for paperwork....I am chasing paper ALL. DAY. LONG!!!!
    That said, I would much rather they have the inhaler than the paperwork, but one can only hope the inhaler is the one prescribed to them and that it is not expired!
    This is the issue I have in HS also. I have told my teachers to never deny a student use of their inhaler if they need it in class. Then send them to the clinic if they don't have a self-carry form on file.
  11. by   OyWithThePoodles
    I can't tell you how many times a kid has come up with something like hydrocortisone cream, or calamine lotion asking me to put it on. I'm like "UGH!! If only you would've sneaked into the bathroom like any other kid and put it on without me knowing! Now I gotta call yer Momma."
  12. by   WineRN
    Quote from NutmeggeRN
    And it seems that when they get to HS, all bets are off for paperwork....I am chasing paper ALL. DAY. LONG!!!!
    That said, I would much rather they have the inhaler than the paperwork, but one can only hope the inhaler is the one prescribed to them and that it is not expired!
    I've posted before about my little one who came in with a family members inhaler and when I called and explained to mom I couldn't use it, she FREAKED out because she felt I was withholding life living treatment from her daughter. Now I am lucky to have standing order albuterol here, but I HATE telling that to certain parents because then they feel like they are off the hook for getting me their child's actual medication.
  13. by   BeckyESRN
    Quote from SullyRN
    I can't tell you how many times a kid has come up with something like hydrocortisone cream, or calamine lotion asking me to put it on. I'm like "UGH!! If only you would've sneaked into the bathroom like any other kid and put it on without me knowing! Now I gotta call yer Momma."
    More than once I've said "Don't tell me about them, don't share them and don't cause problems in class with them" in reference to cough drops. I don't want to know! Just keep 'em in your pocket and don't cause a scene with 'em.

    On topic; I wouldn't withhold an inhaler over paperwork. I would call and say "Little Johnny is here with an inhaler and he feels like he needs to use it. I wanted to confirm that this is his and he's okay to use it since we have no documentation on file" I feel like something is missing from this story.
  14. by   MrNurse(x2)
    Quote from GdBSN
    ^^^Yes!^^^ If this student has had this condition since 1st grade, why did Mom not have the proper paper work completed in the clinic. Parents get lazy and don't do what they are supposed to, and then want to blame someone when something happens.
    This is why I have NO regrets sending emails explaining EMS is a ten minute response and brain death occurs in four. Do not put me in a position where I know what to do but do not have the tools to do it. I never want to replay the what ifs because the inactions of a parent.

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