Chiropracter orders?

Farawyn · Mar 12, 2015

The supplement must be given during the school day?

What is it?

Farawyn · Mar 12, 2015

Here is what I found for NY based school nurses. I would go to your state website:

(Copy and pasted)

[COLOR=#000000][COLOR=#0066ff]NOTES / EXCUSES[/COLOR] [/COLOR]

[COLOR=#000000]

Can notes be accepted from acupuncturists?

You can accept orders from

physician or dentist

if it is in their scope of practice as defined below from the office of professions. A certified acupuncturist is a licensed physician or dentist who has completed at least 200 hours of instruction in programs in acupuncture registered by the department, or in programs determined by the department to be the equivalent of registered programs, and at least 100 hours of supervised experience acceptable to the department. This information can be found on the NYSED Office of Professions found at the following link:

[COLOR=#000000]http://www.op.nysed.gov/prof/acu/[/COLOR]

.

Can notes be accepted from chiropractors?

The Office of Professions at the State Education Department has offered some guidance on the issue of chiropractic care for school age children. School nurses are able to accept notes from chiropractors that relate to their scope of practice. This would mean that a school nurse may accept a physical education excuse or scoliosis evaluation, but would not be able to accept a physical examination form or a note related to treatment of a communicable disease. If there is a question about the specific order, check with the school medical director for guidance. The information regarding scope of practice for chiropractors from the Office of Professions can be found at the following link:

[COLOR=#000000]http://www.op.nysed.gov/prof/chiro/[/COLOR]

Can notes be accepted from physical therapists?

School nurses are able to accept notes from physical therapists that relate to their scope of practice. You may accept a note from the PT if the diagnosing physician indicated in writing that the PT could clear the student based on their assessment or specific guidelines. Information regarding the scope of practice for physical therapists from the Office of Professions may be found at

[COLOR=#000000]http://www.op.nysed.gov/prof/pt/[/COLOR]

A physical therapist may provide a letter or report indicating that the physical therapy treatment has been completed. Depending on the nature of the injury and the required treatment, it may be possible in some circumstances for a physical therapist to indicate that a student may return to activity, especially if the physical therapist is the one who removed the student from activity and has provided treatment pursuant to the direct access provisions of Education Law section 6731(d). If a physician or other referring professional directs that the student return to him or her for evaluation before returning to activity, the physical therapist would not be authorized to return the student to activity. Additionally, a school district may choose to require that return to activity clearances come from a physician.

Can notes be accepted from podiatrists?

A podiatrist, may clear a student for an injury or condition related to feet. "

A podiatrist is a doctor of podiatric medicine (DPM) who is a licensed health care professional who diagnoses, treats, operates and prescribes for any disease, injury, deformity, or other condition of the foot."

Podiatrists can treat any condition of the feet, such as the following:

injuries to bones (including fractures), tendons and soft tissue
foot problems resulting from illness such as diabetes, arthritis, AIDS, and cardiovascular diseases
bacterial and fungal infections
skin and nail disorders
benign and cancerous tumors
congenital and acquired foot deformities

Information regarding the scope of practice for podiatrists from the Office of Professions may be found at

[COLOR=#000000]http://www.op.nysed.gov/prof/pod/[/COLOR]

[/COLOR]

OldDude · Mar 12, 2015

Our policy used to be that we would adhere to a doctor order; pretty much regardless of how ridiculous we thought it was. But with the onslaught of "essential oils" (whatever that really is) being used to cure everything from toe fungus to ADHD we changed the school policy to read that the only way school personnel will administer any substance is the substance has to be approved by the FDA for use with that particular diagnosis. I think the PA order to rub XYZ oil on little Johnny's temples and abc oil on his neck at lunch for ADHD was the straw that broke the camel's back.

allnurses Guide · Mar 12, 2015

Yeah, we don't even allow petroleum jelly. So, no . . . I would not do this.

I will admit to a personal bias against the movement towards naturopaths and holistic therapy. This just doesn't belong in schools though. Aren't we busy enough?

Windchaser22 · Mar 12, 2015

Is it necessary to take it 4 times a day? If not then they can dose at home. If it's not FDA approved, then no unless serious extenuating circumstances exist like participation in a clinical trial.

Farawyn · Mar 12, 2015

Yeah, we don't even allow petroleum jelly. So, no . . . I would not do this.
I will admit to a personal bias against the movement towards naturopaths and holistic therapy. This just doesn't belong in schools though. Aren't we busy enough?

Me as well. The bias, I mean.

If an order comes in, run it past your district/school medical director.

Or maybe the mom can come up and administer it to her kid. I know in MY school the parents would have no problem rushing up to do that!

chasinRT · Mar 12, 2015

Well....now that I have eyeballed the supplement, I see that it has more caffeine than a can of Red Bull, and says it's not recommended for kids under 18. No way! Thanks for the input.

Farawyn · Mar 12, 2015

Bwahahahaha!

Medical purpose is...?

chasinRT · Mar 12, 2015

Bwahahahaha!
Medical purpose is...?

ADHD.

allnurses Guide · Mar 12, 2015

Me as well. The bias, I mean.
If an order comes in, run it past your district/school medical director.
Or maybe the mom can come up and administer it to her kid. I know in MY school the parents would have no problem rushing up to do that!

We have no medical director. I'm it. :whistling:

lifelearningrn, BSN, RN · Mar 13, 2015

Wow, they specialize in ADHD now?