Annoyed -just a vent

Specialties School

Published

Well, as you guys know - I personally make the laws for my state. I am sure the rest of you do to. I try to go out of my way to make it as difficult and cumbersome as possible for both the parents and myself. I think it adds more to the job that way. Oh wait - no I don't - it's just what everyone thinks

The end of the first month of school has happened. I have taken a really laid back stance. The state says that kiddos need to submit a physical within 30 days of admission - i've even given a few day's grace beyond that. One of my colleagues now has a young relative in the school. I initially spoke to the relative's parent to inform them that i needed the info post haste - but there was little feedback. Then i find out there is an insurance issue and can it wait over 6 additional weeks for the insurance issue to clear up? I said no - and offered several ideas for low cost or no cost physical.

Fast forward to today. Relative comes in and gives me the paperwork i need. Was nice as anything. Still needs a vaccine, but has to wait due to shot timing. I advised that it would be fine if they had to wait an extra week until the insurance kicked in. Colleague stops me in the hall and gets nasty telling me that the physical cost her $200 because she had it done at the FastMed. And that the Doctor said I was wrong about the rules.

Excuse me?? The doctor said I was wrong about the rules of what is needed for healthcare documentation in education?? Are these the same professionals that routinely fail to realize that children coming from out of the country need varicella vaccine to start school? Or that kindergartners need DTP, polio, and an MMR after the 4th birthday? No, I deal with this day in and day out, that doctor i'll bet does probably 4 school physicals a year.

So go ahead - be annoyed at me, dear colleague. I've worked here for 4 years and in that time i've learned that you are difficult to get along with anyhow. I have no need to stay on your good side, but given the 6-8 field trip requests you dump on my desk a year (last minute, mind you) perhaps you have reason to stay on mine.

aah... i do feel a bit better now... thanks

Specializes in school nursing, ortho, trauma.

We have a state database for vaccines. I won't even let them in the door if their vaccines aren't in order - provisional status only works for certain students. This is One of those rare cases. The state database is great when a child is enrolled in it and it's kept up by the docs.

Thanks everyone for the kind words. sometimes, even after close to 14, 15 jeeze i have no idea now how many years of doing this, i can get in my own head. I have pretty thick skin, i think it's a job requirement but sometimes i feel like people just go out of their way to criticize just to have something to do. Some people aren't happy unless they're complaining - and then they're still not really happy.... some people just aren't happy... and i guess never will be.... how sad for them.

Up Vote Up Vote ×

We have a database in NY but I find many of the records are not in there or are incomplete. Very frustrating. Here no one is supposed to be able to start without my sign off but then I find out that administration said it would be ok. GRRRRR!

Up Vote Up Vote ×
Specializes in M/S, LTC, Corrections, PDN & drug rehab.

I would've sat her down & slapped her with all the paperwork showing her that the doctor was wrong. Who does she think she is? The doctor (I'm assuming) isn't a pediatrician so he doesn't know the rules. It was also their choice to pay $200 when you gave them options for low/no cost physicals.

Up Vote Up Vote ×
Specializes in School Nursing.

Did you offer your co-worker a BAND AID, since that's all we really do anyways! :laugh:

Up Vote Up Vote ×
Did you offer your co-worker a BAND AID, since that's all we really do anyways! :laugh:

Good one!!

Up Vote Up Vote ×
Did you offer your co-worker a BAND AID, since that's all we really do anyways! :laugh:

That was really hurtful. I also hand out ice packs.

Up Vote Up Vote ×

Don't forget the saltines! All of this could have been made better with your 3 saltine/day minimum.:roflmao:

Up Vote Up Vote ×
Specializes in school nursing, ortho, trauma.

oh no... this would have required the orange juice chaser!! it was that serious!!

Up Vote Up Vote ×
Specializes in kids.
Well, as you guys know - I personally make the laws for my state. I am sure the rest of you do to. I try to go out of my way to make it as difficult and cumbersome as possible for both the parents and myself. I think it adds more to the job that way. Oh wait - no I don't - it's just what everyone thinks

aah... i do feel a bit better now... thanks

Flare

I am so disappointed in you.... All these years I thought YOU had ALL the power.....this is so disheartening.....LOL!

Drives ya nuts huh?

Up Vote Up Vote ×
Specializes in School Nursing, Public Health Nurse.

I love those parents! I usually ask for the physician's name and number. Then show the parent the paper showing what the good law people in Sacramento has spelled out what the school requires and tell the parent I will send the information to the provider to let them know how confused and mistaken they are and if they have any issues with it they can take it up with the AMA or Sacramento. Parents usually hush it up at that point. Even the lawyers.

Up Vote Up Vote ×

I feel your pain. :yuck:

We are chasing a few of those kinds of parents too.

I can't get anyone to return the Action Plans (with signature) and some of the medication paperwork isn't signed by the doc. Only the parent.

And one kiddo who routinely has an exacerbation of his asthma and comes up to the office to use his inhaler has a NP who won't renew the Rx for a rescue inhaler and it expired in Sept. Mom told me the NP said he's stared on P.O. medication and doesn't need the inhaler anymore. Really? He's been up to the office 4 times in the last month. I've given mom paperwork to give me permission to talk to this NP - but the NP is someone I don't trust much and won't take my kiddo to her or go see her myself so it should be an interesting conversation.

November 1 - my last day! And yes, they haven't found a nurse to replace me yet.

Oh - I have a question since we're here . . . . I work 3 days a week and another nurse comes in the other two for 4 hours just to be there for a diabetic kiddo (he's young) who is on a pump. The nurse runs the pump and gives the insulin but there is a "paraprofessional" (aka aide) who can check his blood sugar and is trained to give glucose or use glucagon. In my state, we can train lay people and they can give insulin but I haven't felt comfortable doing this and so it has been me or the other nurse only giving insulin.

The parents are ok with the para learning to do insulin so I was going to have the new nurse and the para go to training for this pump but we have no new nurse yet. I'm worried about teaching the para to give insulin without a school nurse in the district.

What do you guys think?

Up Vote Up Vote ×
I feel your pain. :yuck:

We are chasing a few of those kinds of parents too.

I can't get anyone to return the Action Plans (with signature) and some of the medication paperwork isn't signed by the doc. Only the parent.

And one kiddo who routinely has an exacerbation of his asthma and comes up to the office to use his inhaler has a NP who won't renew the Rx for a rescue inhaler and it expired in Sept. Mom told me the NP said he's stared on P.O. medication and doesn't need the inhaler anymore. Really? He's been up to the office 4 times in the last month. I've given mom paperwork to give me permission to talk to this NP - but the NP is someone I don't trust much and won't take my kiddo to her or go see her myself so it should be an interesting conversation.

November 1 - my last day! And yes, they haven't found a nurse to replace me yet.

Oh - I have a question since we're here . . . . I work 3 days a week and another nurse comes in the other two for 4 hours just to be there for a diabetic kiddo (he's young) who is on a pump. The nurse runs the pump and gives the insulin but there is a "paraprofessional" (aka aide) who can check his blood sugar and is trained to give glucose or use glucagon. In my state, we can train lay people and they can give insulin but I haven't felt comfortable doing this and so it has been me or the other nurse only giving insulin.

The parents are ok with the para learning to do insulin so I was going to have the new nurse and the para go to training for this pump but we have no new nurse yet. I'm worried about teaching the para to give insulin without a school nurse in the district.

What do you guys think?

I would be worried, too. Is it allowed?

Is DDoyle still posting here? Isn't he, as an EMT considered a "para"?

I wonder if he is allowed to do that?

Up Vote Up Vote ×
+ Add a Comment