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AM meds at school

School   (1,257 Views 26 Comments)
by NurseMMJ NurseMMJ (New Member) New Member

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I do give ADHD med prior to school. The buses start their routes so early that the med was wearing off before the end of the day, so caused struggling and difficulty focusing in the last two periods.  I give as soon as student unloads off bus. Schedule was changed to PE for first period, instead of a core class, and this has helped the student so much! 

 

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laflaca has 5 years experience as a BSN, RN and works as a Public High School Nurse.

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With proper orders and paperwork per our policy, I happily give them. Many of our kids spend more than an hour on the bus, getting picked up around 6AM, and they don't eat at home beforehand. Given the GI upset that can happen on an empty stomach,  administration with breakfast at school seems like the best solution. 

I actively encourage parents who report med compliance problems at home to set up administration with me at school.  At school I can offer education, elicit information about any side effects so I can advocate with doctors if needed, I can offer incentives for showing up for meds without a reminder, and I can call parents with "good news" reports when kids are taking meds consistently... increasing parents' confidence that YES, the kid actually can and eventually will learn to self-manage.  I make kids learn the name, the dose, and why they take it.  I make it a positive experience to see me and encourage their questions.   I really try to engage them in their own care.

Med pass is a chore, and I do kinda roll my eyes about doing all these cartwheels to get 17 year olds doing such a simple task, but if it gives them better odds of success, I'll do it!

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