Chiropracter orders?

[chasinRT]

I had a parent bring in a supplement that she wants me to give to her daughter, along with a written directive by her chiropracter as to what and when to give it. Your thoughts?

[Jolie, BSN]

Our state school health guidelines limit the definition of medical providers to MD, DO, APRN & PA-C. I will accept a note or order from a chiropractor if it is relevant to the issue in question, such as an excuse from PE due to a musculo-skeletal injury, but won't accept them for other reasons, such as a medical waiver for vaccines, which is often tried.

Dentists and optometrists have never been a problem. The notes they send have always been appropriate.

[OldDude]

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.)

Of course...we don't have issues with bonafide prescriptions wherein there is an accepted medical industry standard for the application; for instance I give Viagra at noon every day to a 1st grader for pulmonary hypertension. Where we have issues is when we get a note from a PA instructing us to apply "Caribbean Sunset" oil to both temples at noon for ADHD....stuff like that.