Babysiting the "problem children"

Specialties School

Published

Do any of you have this issue? This is my first year as a school nurse, and I find my clinic is the default dumping ground for the kids that get kicked out of class. In fact, I'm often the one the teachers call to come remove the child from the room when the administrators are 'busy' doing other things.

I'm told to 'call mom/dad/whoever to come pick him up'... and more often then not, it takes hours to get someone on the phone, and even if they say they're coming, nobody shows until the end of the day. This means I get to babysit (these are kids that wont sit and wait, they are the kids that are ripping things off the walls, hitting other kids, or doing something else equally destructive, and have to be watched and contained closely.) This becomes especially tricky when I have a student come into the clinic with a fever or other complaint and I can't take my eyes off of the behavior issue for even a second (or he's running out the door, or getting into expensive medical equipment).

Because these students usually have an "ADHD" diagnosis- everyone thinks it's my responsibility when the medications aren't working! I literally had a teacher bring a student into my office and say, "He needs to stay in here for 30 minutes until his meds kick in (she had sent him to me earlier that day, 45 minutes too early for his medication. I had just given him his dose 5 minutes prior to her dumping him on me saying he needed to stay with me until it 'kicked' in). I arranged it to where I give this kid both his qam and lunchtime dose of medication so that we KNOW he is getting his meds every day. I really don't think it should be my responsibility that the drugs aren't producing the results they want. ADHD meds aren't a cure for an child who has zero respect for school authorities and rules.

I don't mind helping with these kids, but at what point would you tell the administrators "no". I would like to keep my job. :p

Specializes in med-surg, IMC, school nursing, NICU.

It's funny that this topic came up because it JUST became an issue for me the past few weeks. We have a little one with Down's and he recently got a new paraprofessional to work with him 1:1 throughout the day. The student was very attached to his old 1:1 and has not really taken to his new staff member very well. Lots of defiant behaviors, hitting, kicking, removing shoes and pants (yup) and for some reason this new para seems to think this is my area of expertise.

Don't get me wrong, I am more than happy to provide a curtained section of my office for privacy, especially when he is removing his clothing. However, bringing him to my office and then asking me "what do I do?" is not as acceptable. You can use my office but not my time. I can't be helping you convince this child to put his shoes on when I have a diabetic with a BG of 400, an asthmatic wheezing loud enough to hear from across the room and 10 kids waiting for their daily ADD meds. I can't do it and I won't do it. It's not my job. I know I'm not supposed to say that, but it's true. I help out whenever I can but my nurse duties always have and always will come first.

I understand how challenging it must be to be responsible for this student all day long. I am responsible for 600 of them. I get it. But my office is not a way for you to take a break or get help. What's worse is lately she has---

She just walked into my office with him. I kid you not.

Anyway. Crisis averted. As I was saying, lately she has been bringing him to me with "health problems" that I need to "check out and call mom" for. "His eye looks crusty." Well he was sleeping in class. It's called sleep sand. No redness or drainage, he is going back with you.

"He is developing chicken pox." Really? Because I have in my records that he was immunized for varicella so that's not the case.

Or my favorite "He looks like he has a fever." Ah those magical thermometer eyes. If only I was gifted with those...

Part of me thinks she is just hoping he will get sick and sent home so she can have a break. Or maybe we will see how overwhelmed she is and take pity on her. Once she is in my office she has a laundry list of complaints about him. All I can say is "I don't see any medical concern so he should go back to class."

I have more than enough to keep me busy. I don't need anyone else's work on top of my own.

Specializes in School Nursing.

I hear you Jersey......I have a one on one aide that constantly brings me her special ed student. Never for anything serious, just to fill up time in her day I guess. The students' parents are fed up with her calling them many times per day because of silly stuff.

I mentioned it to my Principal and it has slowed a bit, but not altogether. Ugh !! :no:

Specializes in family practice and school nursing.

My school is mostly special ed.. behavioral and emotional issues, also kids with autism. They sometimes come in here but we have 5 or 6 other areas the can go to calm down. If they choose to be my office I try to make the TA stay with them, usually they do

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