I am fairly new in school nursing and trying to get a grasp on things. I have a 10 y.o. student that was diagnosed with diabetes a year ago. Last year, my health assistant had to do everything for him. He just got a pump right before the start of this school year. I gave a courtesy call before school started and mom said that he was going to do everything by himself this year in the classroom and would no longer come to the Health Office. I was taken aback and didn't say anything. The day school started, I decided I wanted him to come to the Health Office for awhile to make sure he was truly competent in self care.
The student (and mom) are very passive-aggressive. I am not at that school very often and he needs to check in with my health assistant. She is very frustrated because he will skip coming into the office to show her what he is doing at times. He has been confused counting his carbs at times and has made a few other minor errors. I told mom that it is important that he shows the assistant why/how he is doing as part of showing his competencies. Mom called me today and is very mad at me, feels it is outrageous what I am doing. I said it is to keep him safe. She has put all the responsibility on this 5th grader (from what I can tell). She says that he will have to live with it and knows himself best and better than anyone else. She says he is responsible, but then later says he forgot to check himself before the PE 1 mile run and was low after.
I was so bugged after a call, I was almost in tears.
Am I being too cautious? What is your protocol/policy on self-administration of diabetes. Does someone have a policy they can share?