NutmeggeRN, BSN 8 Articles; 4,596 Posts Specializes in kids. Has 40 years experience. May 26, 2017 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....?And as you know, we are all mandated to report so...
KKEGS, MSN, RN 723 Posts Specializes in School Nursing. Has 10 years experience. May 26, 2017 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....?I have filed 2 CPS reports this year. Neither resulted in an investigation. I can always file a report. Doesn't mean CPS actually does anything with it but I've always gotten an answer back letting me know they aren't investigating.
GermanCookie, ADN, BSN, RN, EMT-P 23 Posts Specializes in Emergency Department. Has 6 years experience. May 26, 2017 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 One nail and three puncture wounds? Yeech!
NutmeggeRN, BSN 8 Articles; 4,596 Posts Specializes in kids. Has 40 years experience. May 26, 2017 I have filed 2 CPS reports this year. Neither resulted in an investigation. I can always file a report. Doesn't mean CPS actually does anything with it but I've always gotten an answer back letting me know they aren't investigating.SO Frustrating
Nurse in MT 52 Posts May 26, 2017 I'll be surprised if anything is done about this. I've had to call CPS frequently, but I don't know if I would have considered this abuse or neglect. The wound was treated... even if it wasn't the way we would have preferred. Unless they are claiming religious exempt , the child would be up to date on tetanus. Now if junior develops s/s of an infection and appropriate care is not sought, then I would call.
MrNurse(x2), ADN 1 Article; 2,558 Posts Specializes in IMC, school nursing. Has 28 years experience. May 26, 2017 Just to put this in perspective, if you have swam in a pool, you have put yourself in bleach water, unless salt water or mineral cleaned.
Missa310 14 Posts May 26, 2017 My mom has diabetic ulcers and her podiatrist has us Dakins. It does work well.
llg, PhD, RN 13,469 Posts Specializes in Nursing Professional Development. Has 46 years experience. May 26, 2017 Just to put this in perspective, if you have swam in a pool, you have put yourself in bleach water, unless salt water or mineral cleaned.Reminds me ... When I was a kid ... Mom would have us soak in the bath tub with some Clorox thrown into the water when we had poison ivy. It would dry it out. An alternative was to swim in a heavily chlorinated pool. Swimming and soaking in Clorox was a standard treatment for poison ivy back then.
allnurses Guide hppygr8ful, ASN, RN, EMT-I 4 Articles; 4,777 Posts Specializes in Psych, Addictions, SOL (Student of Life). Has 21 years experience. May 27, 2017 I was wondering what the ethnic background of the family is. Culturally many Hispanic people have traditionally used diluted bleach solutions for cleaning wounds. Bear in min that Clorox Laundry bleach is only 10% bleach and if she diluted it further it probably did no harm and may have actually disinfected the wound. If the child was in 2nd grade they would be like 7 years old and would have had a TDAP which would be on file in the school office. I don't know that I would have called DCFS over this. But to eachmandated reported must report what they feel is reasonable suspicion of abuse or neglect. Hppy
MrNurse(x2), ADN 1 Article; 2,558 Posts Specializes in IMC, school nursing. Has 28 years experience. May 30, 2017 Reminds me ... When I was a kid ... Mom would have us soak in the bath tub with some Clorox thrown into the water when we had poison ivy. It would dry it out. An alternative was to swim in a heavily chlorinated pool. Swimming and soaking in Clorox was a standard treatment for poison ivy back then.I still do it.
JenTheSchoolRN, BSN, RN 3,034 Posts Specializes in School nursing. May 30, 2017 I was wondering what the ethnic background of the family is. Culturally many Hispanic people have traditionally used diluted bleach solutions for cleaning wounds. Bear in min that Clorox Laundry bleach is only 10% bleach and if she diluted it further it probably did no harm and may have actually disinfected the wound. If the child was in 2nd grade they would be like 7 years old and would have had a TDAP which would be on file in the school office. I don't know that I would have called DCFS over this. But to eachmandated reported must report what they feel is reasonable suspicion of abuse or neglect. HppyTdap is typically given around age 12. At 7, hopefully this child is up to date on their DTap or DTP series.That being said, I do wonder after three puncture wounds and not following up with a doctor, bleach or no bleach (though, foot in a bucket of undiluted bleach...). Puncture wounds from a nail can be nasty things and if they were deep, they may just need to follow for education on how to properly care for such wounds. How were they dressed?Sometimes our spidey senses tingle after working with some families; we ride that line between calling for possible neglect or not. We are mandated if we think it could be neglect. And it is frustrating. I have filed, knowing I needed to, hoping it would at least open up some type of follow-up into a student's living situation and nope, nothing happens.
MrNurse(x2), ADN 1 Article; 2,558 Posts Specializes in IMC, school nursing. Has 28 years experience. May 30, 2017 Tdap is typically given around age 12. At 7, hopefully this child is up to date on their DTap or DTP series.That being said, I do wonder after three puncture wounds and not following up with a doctor, bleach or no bleach (though, foot in a bucket of undiluted bleach...). Puncture wounds from a nail can be nasty things and if they were deep, they may just need to follow for education on how to properly care for such wounds. How were they dressed?Sometimes our spidey senses tingle after working with some families; we ride that line between calling for possible neglect or not. We are mandated if we think it could be neglect. And it is frustrating. I have filed, knowing I needed to, hoping it would at least open up some type of follow-up into a student's living situation and nope, nothing happens.I stepped on a nail at school. The look on that nurse's face when I came in was priceless! She did little to no care except calling my mom and telling her to take me to my doctor. This was the 70's, pre-lawyers. I believe that was the only time I visited the nurse in elementary school.