what do you do?

ruby_jane, BSN, RN · Nov 28, 2017

Help me. (They won't let me have wine here.) :-/

I'm sorry.

What does your policy say? Ours says check now, check the next day, check in 7 days (Old Dude would remind us here that 7-10 is the real window) and then episodically at day 14 (Old Dude would say day 20).

Daily lice checks don't help unless you're attempting to demonstrate that there are still live lice. If there are still live lice then it's likely the student was not treated with a permethrin/alcohol/ivermectin type product. That may be grounds for a neglect complaint.

Tell teacher that it's not necessary to check every day if you've verified there are no live bugs. Get admin involved if you continue to see live bugs because they're not treating the student. Why? Don't know. It could be they don't want to use a chemical and are using rosemary or olive oil or another home remedy that isn't completely efficacious. It could be neglect. You just have to document it all.

Sorry!!!

WineRN · Nov 28, 2017

That stinks.

Our policy says that the nurse checks when the student returns to confirm treatment, but parent's lie all the time and then you are stuck. We have had nurse's report for neglect but it was after months of going back and forth with the family because they kept claiming they were doing everything asked of them and that their little one was getting it from the school.

OyWithThePoodles, RN · Nov 28, 2017

Is the kiddo old enough to ask if he/she is being treated or combed through at home? If so, and kid says no, I would say your neglect argument has more of a leg to stand on.

nursetlm, ADN · Nov 28, 2017

following.

halohg, RN · Nov 28, 2017

You have to follow your policy, is there actual live lice or only nits?

Rubor · Nov 28, 2017

What has mom BEEN doing to treat the lice? What products has s he used? Has she contacted the child's health care provider?

Amethya · Nov 29, 2017

At least your admin isn't making you check the WHOLE school (568 students) for lice to be "proactive".

:banghead:

Farawyn · Nov 29, 2017

At least your admin isn't making you check the WHOLE school (568 students) for lice to be "proactive".

That is so wildly inappropriate.

OhioBPH · Nov 29, 2017

I found out that in our district we have had families with orders for PRN NIX at school. If live lice were found, the clinic staff would treat in the clinic bathroom and return to class.

scuba nurse, BSN, MSN, RN · Nov 29, 2017

If ONLY we could have wine at school, it would make things SO much better!!! LOL:yes:

Anyway, Do you have a social worker at your school? Or a school adjustment councilor? Someone else in your district to help deal with family matters? I would get them involved as well.

Also, your principal needs to be more proactive, maybe you 2 can "tag team" the mom and find out WHY she isn't doing the treatments (can they not afford it? not sure how to do? can't read the directions? is overwhelmed by the entire thing? Has too many kids to deal with? or is just your typical lazy @ss parent?). If you have a policy I would give that to the parent as well. Good luck!

kunaspud · Nov 29, 2017

Got a phone call from a mom this morning about her student having lice. Wouldn't tell me who the student is, just that she was embarrassed about it and could I inform others to watch out for it. Am I supposed to check the entire Middle School on that limited information, tell every teacher, cause mass hysteria? What exactly did she want me to do with that information?