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Critical students

School   (333 Views | 5 Replies)

875 Profile Views; 44 Posts

Hello everyone! I hope you and your families are doing well. I know we have tons of questions for everyone especially those in higher authorities but I wanted to get your opinion on matters we face at school already along with COVID19 in the mix.

I have some students who have multiple underlying health issues. They are pretty critical and I am concerned for their health. Do you think it is best for me to mention to the parent and IEP staff of possibly making these students homebound due to the unforeseeable future due to this pandemic? I am concerned for the student and also the liability. If the student comes to school contracts COVID19, becomes very ill and something happens the parent/guardian would come back at the school. Especially the nurse (I would think). What do you think? 

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9 Followers; 3,807 Posts; 28,943 Profile Views

I think that’s up to the physician managing the patient. 

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beachynurse has 35 years experience as a ASN, BSN and specializes in School Nursing.

165 Posts; 1,414 Profile Views

I don't see how it can come back to the school if the student gets sick. Unless there is a widespread epidemic and no one is notified which I can hardly see happening, I think it would be up to the MD to decide if the student is to fragile to come to school because of a "potential" illness.That probably won't be approved by our homebound office.

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NutmeggeRN has 25 years experience as a BSN and specializes in kids.

2 Followers; 6 Articles; 4,016 Posts; 43,394 Profile Views

Agree with the above, need to tread lightly, especially if they are receiving services from SpEd. No matter how well intended, it might not be received well by the parents. Scary times for all of us!!

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ruby_jane has 10 years experience as a BSN, RN and specializes in ICU/community health/school nursing.

5 Followers; 2,835 Posts; 11,857 Profile Views

I imagine my documentation will look something like this: parent verbalized understanding of current issues with COVID and has been advised that their student may be high risk for this and other conditions and has declined homebound services offered at this time.

Similar to what I do when a parent documents an active health condition and doesn't provide medication or signs a vaccine exemption form....all that's documented in the EHR with a date and time. 

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amoLucia specializes in LTC.

1 Follower; 5,616 Posts; 47,217 Profile Views

ruby jane - would it be helpful if you had 2 persons avail for such a discussion so that a witness could be identified for charting purposes?

That way there'd be less chance of someone saying "nobody told me ...".

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