Break starts in 3 1/2 hours thank goodness! Yesterday was insane (pukers, a kid that stuck a bead waaayyy in her ear, plus the usual meds and stuff).
I have a new diabetic who was just diagnosed. Of course learning curve for everyone. This was his first week back at school. Student forgot to come to check his BG before he started eating his lunch. I called the cafeteria and got the student sent to me. I checked him and he was 110 and so i calculated his insulin based on carbs he was eating and we dosed him on that. He only gets correction with meals for >150. The kid is still learning when to come and I was busy and didnt have a chance to call and remind him that time. (3rd grade)
So mom calls me this morning to ask how i possibly dosed his insulin when he told her i did not check his blood sugar before he ate. Sigh. I told her i dosed him based on his carb count for his meal and that he didn't need a correction dose since his sugar was below 150. She was satisfied with that. But man I'm hoping this doesnt' turn into a thing. I'm already nervous having a newly diagnosed diabetic cuz it's all new for me at he everyday school level! (i have another diabetic but she's been doing it for 8 years and does it all more or less herself with my guidance)
I'm home finally. Three of the kids that I needed to see at the end of the day got in early but the last one started home on the bus forgetting that he needed to see me. Really? His mom brought him back.
Could you perhaps initially have him stop by the office for a couple of minutes in the beginning of each day to have a "collaborative planning session"? (Akin to a daily reminder of times he needs to see you combined with a chance for him to ask questions/you to do some teaching.) I have two 4th graders with T1D and I make a lightly competitive game of "Diabetes Question of the Day." If I forget to come up with one, they remind me...
Hopefully he will start remembering on his own soon! Parents are still adjusting too so I wouldn't be surprised if they wanted constant details for a while! I think if it was my child, I would want to know every BG check and dose for a while... and I know all the nurses I work with! I totally trust them but I would need to know!
ruby_jane, BSN, RN
3,142 Posts
We're done. I'll catch y'all in 2019!