Clorox and DFACS

I have a 2nd grader in my office waiting for pick up as we speak. Apparently, last night he stepped on a nail - three puncture wounds in the bottom of his foot - and grandma "put Clorox in a bowl and had me put my foot in it, so it's ok now". Um...WT actual F?

I've called mom and told her he needs to be picked up and seen by a doctor to ensure proper treatment and update his tetanus if needed.

:banghead: :banghead: :banghead:

UPDATE

After meeting grandma, DFACs is being called. Just don't have the warm fuzzies about the possibility of him actually going to the doctor.

[Jedrnurse, BSN, RN]

Back in the day, Dakin's solution (a bleach derivative) would be used on wet to dry wound dressings. (shudder...)

[Amethya]

Oh dear... I hope he's okay. Poor little guy!

[Wuzzie]

We use bleach baths for certain patients but it's only 1/4 cup in a full bathtub of water.

[tamarae1]

Dakin's is still used, very selectively. But its so very much not full strength clorox, not even close. Poor kid.

[NutmeggeRN, BSN]

I have a 2nd grader in my office waiting for pick up as we speak. Apparently, last night he stepped on a nail - three puncture wounds in the bottom of his foot - and grandma "put Clorox in a bowl and had me put my foot in it, so it's ok now". Um...WT actual F?

I've called mom and told her he needs to be picked up and seen by a doctor to ensure proper treatment and update his tetanus if needed.

:banghead: :banghead: :banghead:

UPDATE

After meeting grandma, DFACs is being called. Just don't have the warm fuzzies about the possibility of him actually going to the doctor.

Any signs of a chemical burn?? That poor kid.

[Spidey's mom, ADN, BSN, RN]

Back in the day, Dakin's solution (a bleach derivative) would be used on wet to dry wound dressings. (shudder...)

I work wound care too. And yes, we use it. I actually kinda like it.

[Flare, ASN, BSN]

i used a dakin's solution not all that long ago in home care.

[KKEGS, MSN, RN]

I remember giving diluted bleach baths to a patient of mine in the hospital with HORRIBLE eczema. Poor kid. We'd cover him in wet gauze like a little mummy and then put him in fleece pjs to sleep.

[grammy1]

Considering it's a 2'nd grader, he may not know the whole story. Maybe it was a very dilute solution she used.

[JKL33]

Hi, all - your topic here in the School Nurse forum caught my eye on the sidebar and kind of piqued my curiosity - - does DFACS normally follow these types of situations pretty closely? I'm in the ED and I've had them flat out decline to take my report on a couple of issues of similar intensity - they just weren't interested, wouldn't even give me a log # (I wasn't too enthusiastic about reporting these particular things in the first place but was compelled by other factors). Does this child not have records indicating UTD immunizations, or is the main concern the less-than-stellar bleach intervention or....?

[ruby_jane, BSN, RN]

- - does DFACS normally follow these types of situations pretty closely? I'm in the ED and I've had them flat out decline to take my report on a couple of issues of similar intensity - they just weren't interested, wouldn't even give me a log # (I wasn't too enthusiastic about reporting these particular things in the first place but was compelled by other factors).

It's a relevant question! And like many things in nursing...the answer is - it depends. My experience is that if a nurse calls something in to protective services, I at least get a phone call back. The one time I really needed them to do something before the busses ran, I had a forensic investigator and the local police in my office by 2 PM. I don't know why they'd discount your experience, other than perhaps you have a single scenario (one time occurrence) whereas in school someone sees this kid every day?

It's not an excuse for what happened but you did your diligence.

Also re: the TDaP booster....you get a booster around kindergarten age and again around the 7th grade. That's not 10 full years but a lot of docs want to boost mid-cycle (earlier than 10) especially if there's something like stepping on a nail!