health office vs spec needs

schooldistrictnurse · Mar 2, 2015

You know we're all going to ask why the aides can't do this if they do it for other students and have a designated spot.

Flare, ASN, BSN · Mar 2, 2015

i'm going to take it a step further - are you the only nurse in your office? Will her toileting needs have to wait should you be tied up with an emergency of a larger scale? I think an aide should be assigned to this duty - even if its in tandem with other duties.

lvnforschool · Mar 2, 2015

Exactly!

The last RN wanted to keep the special needs room totally seperate from this health office.

The new RN, is trying to accomidate both of worlds, but honestly this office is not the place for that.

lvnforschool · Mar 2, 2015

I am here M-F so only licensed nurse.

They want a schedule set in place for her to come up 2x a day.

I used to only be back-up in these situations if the Aide was sick or something.

If I dont come in, I tried to bring up the fact who would assist her, and the RN just kinda shrugged it off! Thats not a very good plan :banghead:

OldDude · Mar 2, 2015

The special education department is responsible for everything but medical care. Don't even go there.

lvnforschool · Mar 3, 2015

I got email back this morning, saying that 2 people have to be present for liabilty and saftey. Im only the only person up here, and im pretty sure the office staff, wants nothing to do with this. Hopefully they will figure out a 1 on 1 aide for her next year also.

NutmeggeRN, BSN · Mar 4, 2015

She needs someone else to do it. Whoever is in charge of this needs to stop and look at it from both sides, carefully.

If the child is on on toileting regime, it needs to be adhered to.

If there is an emergency, the child with the injury needs to be attended to. End of discussion.

You cannot tie up your day, for a scheduled, unskilled activity, when you may be needed to tend to the many others.

OldDude · Mar 4, 2015

I got email back this morning, saying that 2 people have to be present for liabilty and saftey. Im only the only person up here, and im pretty sure the office staff, wants nothing to do with this. Hopefully they will figure out a 1 on 1 aide for her next year also.

If that is the policy, the special education department is required to hire another person. In the same manner that you don't teach the curriculum, mow the grounds or prepare food, you don't work for the special ed department.

Wave Watcher · Mar 4, 2015

You will soon become potty patrol at school if you take on the full-time responsibility of the changing the child. Nurses are very capable of cleaning up a student/patient and we don't want our kiddos to sit in urine or poop because that breaks down the skin and it hurts BUT if there are aids there already then they need to take responsibility. Like others have said, you can't have her in the middle of changing and then a real emergency happen where you are needed. Stand your ground with the RN. Have a solid foundation as to why you should not be responsible for changing. Your RN is more than likely to listen if it sounds like reasoning and not whining (I know you are not whining). :-)

lvnforschool · Mar 5, 2015

The RN is here today, and we were discussing it. She feels like the Spec Ed needs to help, but she basically told me that she doesnt have time to deal with it! WTH!! Im sorry, but as the District school nurse, she has to make these calls. I can't believe she is saying this. WOW!