Published Feb 17, 2015
loveschoolnursing
67 Posts
The school I work for doesn't have a medical system for me to use to document. Everything is done by hand/ hard copy. But we do have a system that the school uses for non-medical information....the demographics, contacts, ect (includes vision screening, ht wt) .........so my question is .....would I use the system that they have to enter diagnosis and medications? The system is called Harmony and my understanding is that the parents can log in to see alot that happens in this program but its limited for them. The teachers are asking me why I havent entered all students medications into the system. EVERYONE has access to this system and I sure dont have signed permission from parents to do this. I just assumed all medical info stays in my office unless teachers need to know and parents agree to that. Am I wrong?
kidzcare
3,393 Posts
I came across this same kind of issue. I was being asked to put health information (primarily r/t food allergies) into the school access system. I have pretty universal access along with the administrators and secretaries. The teachers have a limited view. I said it would violate HIPAA to list that info where so many have access to it. Sure, the teachers need to know, but the secretaries at our other schools would easily be able to see that information and have no need to know. It's a slippery slope in the school setting.
I told a teacher that I was not going to enter them because of FERPA/HIPPA laws and she looked at me funny. I am new this year and the nurse before entered all this information and sent out hard copies of any health info to every teacher and aide in the building. So me asking for parent signatures for this stuff, I get funny looks
That's exactly what I said and it was not well received. I explained that it's my license on the line and all it would take is one irate and vocal parent.
amoLucia
7,736 Posts
Listen to your inner voice!
Spidey's mom, ADN, BSN, RN
11,305 Posts
I don't although we have a system that allows you to put medical info in.
Personally, the nurse before me discouraged me from doing it because I would be double-charting. It is just easier to write it on the health insert in the cumulative file alone. I have eleven campuses.
Their "permanent file" that follows them forever . . . .
GmaPearl BSN RN
283 Posts
Our data management system is new, huge and web based. I enter life threatening health concerns for example: Severe peanut allergy, EpiPen in Health Room or Diabetic wearing insulin pump. All staff can see this much, which I think is good practice. For other health concerns like ADHD, moderate hearing loss etc, the classroom teacher can now view and print her own report.
Med administration is still recorded on the med log, kept in the med book, kept in the med room. Nobody's business but the kid and me as to what med he is taking. Teacher knows he is to come and take the med at noon, but not the name of the med.
The new system has a med recording feature, but until I can find out who has access, I'll stick to pen and paper!
I have a question - where do you guys put the health plans for the student with medical issues?
I keep a binder handy so that I can access an asthma action plan or allergy action plan easily and it is clearly marked so that any sub can get that info quickly in an emergency.
I have a running list of students with health issues and my administrators have access to it. For each individual kid, I email their teachers at the beginning of the year so they are aware. For diabetics, I include a list of symptoms of hypo/hyperglycemia.