C'Mon Now!

BrisketRN, BSN, RN · Dec 18, 2018

Student with G-tube that is a week old. Has para. Para assumes I know. I had no clue. Called parent and voicemail box is full so phone tag, email, text follow-up.Yep, a G-tube - I need to know about that.

Reminds me of my home health days. I show up to a child's home and find her playing in her room. I ask mom "uhhh where's her trach?" Turns out my company didn't think decannulation was an important update to inform me on before my shift.

ruby_jane, BSN, RN · Dec 18, 2018

Student with G-tube that is a week old. Has para. Para assumes I know. I had no clue. Called parent and voicemail box is full so phone tag, email, text follow-up.
Yep, a G-tube - I need to know about that.

OH COME ON!!! And of course...mailbox is full. Hang in there.

JenTheSchoolRN, BSN, RN · Dec 18, 2018

Uh, yes please. This something the school should be aware of. Do you have orders for giving anything per tube?

Nope. Per student, they give Ensure at home at night.

Student was complaining of discomfort at site, but everything thankfully looks good and infection free.

(Do need to brush up a bit on my G tube care, though, long term. It has been a bit since I've last seen one, so I would have really liked the head's up!)

kidzcare · Dec 18, 2018

(Do need to brush up a bit on my G tube care, though, long term. It has been a bit since I've last seen one, so I would have really liked the head's up!)

Does the student have a tube hanging down or a button? G-tubes are easy but if you haven't worked with one in a while then a quick refresher will help you and then it's all second nature!

Should the student have at least flushes at school? I imagine he/she must take food by mouth if he/she is only getting some ensure at night. What is the reason for the g-tube if he/she is able to eat?

kidzcare · Dec 18, 2018

Student with G-tube that is a week old. Has para. Para assumes I know. I had no clue. Called parent and voicemail box is full so phone tag, email, text follow-up.
Yep, a G-tube - I need to know about that.

I keep thinking about this! No one at the school was made aware? About a recent surgical site to the abdomen??? Just let the kid go to school, play at recess where the tube could be snagged or a dodgeball could hit the site or any number of things that would be a trauma to a new tube site. CRAZY!!! Can't believe they didn't let you know!!

JenTheSchoolRN, BSN, RN · Dec 18, 2018

I keep thinking about this! No one at the school was made aware? About a recent surgical site to the abdomen??? Just let the kid go to school, play at recess where the tube could be snagged or a dodgeball could hit the site or any number of things that would be a trauma to a new tube site. CRAZY!!! Can't believe they didn't let you know!!

Yep.

I'm drafting an email to send to mom shortly.

Student does eat food; I suspect G-tube to supplement a diagnosis of failure to thrive (student has extensive medical history - well, what the parents choose to share). I have orders for student to drive Ensure at lunch currently.

JenTheSchoolRN, BSN, RN · Dec 18, 2018

Does the student have a tube hanging down or a button? G-tubes are easy but if you haven't worked with one in a while then a quick refresher will help you and then it's all second nature!
Should the student have at least flushes at school? I imagine he/she must take food by mouth if he/she is only getting some ensure at night. What is the reason for the g-tube if he/she is able to eat?

It is a button. I know it will be like riding a bike if parents even want me providing any G-tube care.

I send Mom an email saying I found about the tube today and that I am happy to provide G tube care if needed per the doctor (with the doctor's order of course). We shall see.

ruby_jane, BSN, RN · Dec 18, 2018

It is a button. I know it will be like riding a bike even the parents even want me providing any G-tube care.
I send Mom an email saying I found about the tube today and that I am happy to provide G tube care if needed per the doctor (with the doctor's order of course). We shall see.

Yes, it is like riding a bike.

And that was a nice way to let the parent know you care about their kid!

jnemartin, BSN, RN · Dec 18, 2018

It's final's week and a student just visited me mid-class period. For lotion.

(Me: are you taking a final right now?

Her: yes, but I'm done... why? Are kids not allowed to see you during finals?

Me: They are, but not for lotion)

She spent like 5 minutes lotioning her legs.

JenTheSchoolRN, BSN, RN · Dec 18, 2018

G tube update: lovely chat with Mom, who appreciated the check-in. Student's energy levels have increased 10x with its placement because kid is getting nutrition that wasn't happening well orally. Right now feeding is just overnight with flush before and after.

I still wish I'd known a week ago (!) but I think I have a good line of communication open now, so here's hoping.

And shifting gears to another c'mon:

Student: I need an ice pack.

Me: Why?

Student: My arm still hurts from swimming. (Student had same complaint last week, full ROM, everything check out, etc.)

Me: Oh. Does Mom know it still hurts?

Student: Yes. She says I complain to much though. She says she is changing my name to "complainer."

I could not help laughing. I told the student I liked her mom. (She did get a very small ice pack because if not she would keep coming back and back. which is c'mon now itself.)

EnoughWithTheIce · Dec 18, 2018

SPED teacher walks kid to clinic "he has been lethargic, sleepy and not himself all day." Took a full set of vitals, neuro assessment, etc, etc. Called mom to check in see if there were any med changes (kid on lots of stuff). She said no "he is just complaining every morning this week because he is ready for break." Kid resting on cot, happily reading a book - then I get slammed busy after 6th grade PE and he is chit-chatting and laughing with every kid that comes in. I called teacher and said "come get him!!"

At the same time, I had one walked from the ISS room by a coach "he is going to throw up and feels dizzy." That coach dropped him off like a hot potato - he really thought the kid was gonna blow chunks. Amateur, knew right away it was the " I am in trouble drama game." 40 minutes and 2 cups of water later, NOTHING so i had VP walk him back to ISS. Pukers gonna puke, puke, puke. Fakers gonna talk, talk, talk. C'MON NOW!!! Only 2.5 more days.

BrisketRN, BSN, RN · Dec 19, 2018

OK who bled in my bathroom and didn't think to mention it to me? I went to go use the bathroom and see little splatters of blood all around the sink and tile behind the sink. I don't know how long it's been there or who it's from. Ugh.