Chiropracter orders?

morte, LPN, LVN · Mar 13, 2015

i thought caffeine WAS a treatment for ADHD.....

mamahuff · Mar 13, 2015

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.

I love this OldDude! You are speaking my language. If I have to hear about Essential Oils one more time, I am gonna pull my hair out!!...oh, well it is getting gray anyway!!! I have already changed my med. permission portion of the Health Enrollment form for next year, for OTC meds for next year. To specifically say that "Essential Oils are not FDA approved and will not be administered"

allnurses Guide · Mar 13, 2015

That is a great idea!

I have family and friends who use essential oils and other homeopathic "stuff". Including a daughter-in-law who is looking for a "crunchy" pediatrician when they move to Texas in a couple of months. I have a 15 month old granddaughter and DIL uses homeopathic OTC meds with her (drops with melatonin to help her sleep).

OldDude · Mar 13, 2015

They do smell good.

SnowyJ, RN · Mar 13, 2015

:roflmao:

Ridiculous. This essential oil thing is getting out of hand. I was in a store the other day and they had 2 "diffusers" going. After 15 minutes, I felt like my throat was closing up..Runny nose..Etc. I had to take a Benadryl. Too much of anything isn't good!

SnowyJ, RN · Mar 13, 2015

Oh, forgot to add, we do not allow "supplements" because generally they don't have FDA approval.

lifelearningrn, BSN, RN · Mar 13, 2015

Even if caffeine is useful in treating ADHD, treating ADHD is far beyond the scope of practice for a chiropractor.

AdobeRN · Mar 16, 2015

We can only give them if student has it in their IEP or 504 and a physician order and if the medication needs to be given during school hours. We have a special form the physician must fill out listing all details of the herbal/diet supplement/essential oil - any special requirements of supplement, expected benefits & potential adverse reactions etc.

The few requests I have had have been from parents of students without really any medical issues and as soon as I tell them the process they decided it was too much trouble.

Flare, ASN, BSN · Mar 17, 2015

i think the only thing i've given over the years that i remembered as iffy was digestive enzymes to a child with cystic fibrosis - and those may have been fda approved it was quite a few years ago...

morte, LPN, LVN · Mar 17, 2015

i think the only thing i've given over the years that i remembered as iffy was digestive enzymes to a child with cystic fibrosis - and those may have been fda approved it was quite a few years ago...

I have never worked pedi, but i did learn about digestive enzymes and CF, so must have been in the early 80s, in nursing school..... usually labelled "pancreatic"...

JustBeachyNurse, LPN · Mar 17, 2015

I have never worked pedi, but i did learn about digestive enzymes and CF, so must have been in the early 80s, in nursing school..... usually labelled "pancreatic"...

Pancrease is one of several FDA approved digestive enzymes often necessary in the treatment of CF and may even slow the progression of the disease if diagnosed early enough.

My son has nutritional supplements ordered by his GI based on his condition and labs. Easy solution we dose at home. a few recommendations are implemented by the school nurse with MD written orders. The success in my child's progress is definitely evident and I appreciate her willing participation in non-traditional interventions. (The usual medications ordered cause severe effects in my son that would necessitate home schooling. That school nurse was stinking awesome in calling that quack who didn't believe me at the severity. ) they take minimal effort and she now has a new best friend in my son because he knows she cares and helps when his teachers or substitutes try and not follow the medical recommendations in his IEP.

The caffeine supplement "ordered" by a chiropractor would be not accepted and technically reportable to the BME as prescribing anything other than manual therapy & diagnostic X-rays is out of the scope of DC's in my state.

Julius Seizure · Apr 7, 2015

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.

But there are cases of medications being used "off-label" for things. Do you make exceptions for those? (For instance, many medications aren't officially approved for pediatrics, but only for adults. Yet they will be prescribed for children. Or meds that are officially seizure meds that are used "off-label" as mood stabilizers.)