Freaking out about an injury!

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Today I got a forward email from a teacher which a parent sent a picture of the child's face with bruising and she was wondering why the nurse didn't give her a call about the head injury. The student told mom that he came down to the nurse and got an ice pack from me. The thing is I honestly can't remember if I saw the kid or not. He said he fell and came to the office after recess. I looked at my login sheet and I do see that a different student came down at the same time as he allegedly said but I would have written his name down. I am having a lot of self doubt because I am second guessing myself. My other line of thinking is if I don't see any marks, swelling, or bruising I don't give a call so maybe I just didn't see anything and the student is a frequent flyer of injuries too. Last year he was complaining his heart was hurting and was clutching the right side of his chest. I told him that his heart is on the left side. He came down an hour later swearing his heart was hurting. Teacher was absent that day!

Specializes in Pediatrics Retired.

Don't worry about it. You know you would have contacted the parent if you saw some sign or had some suspicion of injury. Move on until the next hysterical or unreasonable parent. You can't avoid em.

What Old Dude said...

But I do wonder, did you possibly confuse one student for another? I have done that.

If the student did come to see you, obviously he wasn't overtly injured. So he has a bruise..Is she claiming concussion as well?

One thing I do know, kids will fib at times too. To deflect scrutiny.

Either way, I wouldn't worry about it. If he has been that badly "injured," I am sure the teacher would have noticed.

I didn't mistake him for another student so that isn't the issue. The bruise is pretty nasty and it is basically all around the eye socket. Thankfully there was no concussion.

I am wondering if he even came to see you....

Specializes in Pediatrics Retired.

HMMMM. I've never run across an incident where there was no physical evidence of injury at the time that manifested in a raccoon eye the next day. Something isn't adding up here.

Specializes in Critical Care.

Or did it happen at home and mom is trying to cover her ***?

Specializes in School Nurse.

I always chart - "No swelling or bruising seen at this time." Some injuries look innocent at first and then look totally different later. Obviously we cannot predict what an injury or bruising will do.

Specializes in school nursing, ortho, trauma.

We've all been there - you come in in the morning and the "red light of doom" is shining on your phone. You just know it's an irate parent calling about some phone call you forgot to make. What's worse is that they seem to imply that you should have had time to call. Time to call? I barely had time to answer the call of nature - forget about lunch! Time to call, indeed! It's not that we wouldn't have called. It's that everyone expects everything NOW! And then after i've given my lunch meds, sorted out a dozen malingerers, taken care of 5 actual truly sick kids (3 of whom needed no less than 6 phone calls to actually find someone to come and get them) then got asked about medical issues, non medical issues, had to process a WC injury for a teacher that slipped on water on the floor... you get my drift... point is that I'm beginning to see that parents are becoming less and less forgiving of thing like "you forgot to call me" and parents seem to expect a call for every little bump and boo boo that it's not surprising that somewhere in all the mix and mass that somewhere along the way that a child and a visit may slip under your radar.

All you can do is tighten up your charting and move on. We are humans, not machines. And until the day that students have to swipe in with a barcode like the grocery store to get in my office, there will be occasional kids that may get missed in my charting (the kids that run in and out for a bandaid are a great example - sometimes they're in and out before i can even open my mouth to ask their names)

We've all been there - you come in in the morning and the "red light of doom" is shining on your phone. You just know it's an irate parent calling about some phone call you forgot to make. What's worse is that they seem to imply that you should have had time to call. Time to call? I barely had time to answer the call of nature - forget about lunch! Time to call, indeed! It's not that we wouldn't have called. It's that everyone expects everything NOW! And then after i've given my lunch meds, sorted out a dozen malingerers, taken care of 5 actual truly sick kids (3 of whom needed no less than 6 phone calls to actually find someone to come and get them) then got asked about medical issues, non medical issues, had to process a WC injury for a teacher that slipped on water on the floor... you get my drift... point is that I'm beginning to see that parents are becoming less and less forgiving of thing like "you forgot to call me" and parents seem to expect a call for every little bump and boo boo that it's not surprising that somewhere in all the mix and mass that somewhere along the way that a child and a visit may slip under your radar.

All you can do is tighten up your charting and move on. We are humans, not machines. And until the day that students have to swipe in with a barcode like the grocery store to get in my office, there will be occasional kids that may get missed in my charting (the kids that run in and out for a bandaid are a great example - sometimes they're in and out before i can even open my mouth to ask their names)

Well said Flare!! I have one in here now texting mom because she is about to die of a headache, mom freaking that I did not call her. She got bumped on the cheek in the hallway at lunch, not even a red mark. Now, she was in here at the same time as my 4 SPED kids for meds (1 who it takes an act of God and lots of cajoling to get down him and another who was tearing down my poster from my wall as the TA just watched), my diabetic for lunch care, a vomiting in a waste basket, 1 crying with menstrual cramps, a parent wanting paperwork, another one wanting his sling adjusted, 1 who was waiting and just finally gave up and left ( who knows what he needed or what his mom will be mad about tomorrow), and a partridge in a pear tree. So, I call her back down and we try to call mom back, no answer just keeps going to voice mail. :no:

Specializes in Acute Care, CM, School Nursing.

heehee, Flare... Red light of doom! I thought I was the only one that felt this way when that light is blazing first thing in the morning!!

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