If you provide PDN services at school?

[nursenmom3]

If you provide 1:1 nursing services to a child at school, can you tell me if you also provide educational accommodations? My husband and I are thinking about transitioning our 9 year old to school next year. He is a kid with lots of medical complexities and technology, moderate physical disabilities, and no cognitive or behavioral issues.

He currently receives home/hospital instruction, and on his IEP it specifies that he is able to dictate to a scribe for all written work. Of course, in home/hospital where he's working 1:1 with a teacher, the teacher provides it, but I'm wondering how it would be provided in a regular classroom. Is this a reasonable thing to ask the nurse to do? Or does the school need to provide a nurse and an aide?

[caliotter3]

Appropriate and dignified manner: when I worked with a student in the school, if there were accidents, or a need for toileting, or intermittent cath, I took the child to appropriate area(s) for required privacy.

[kaliRN]

28 minutes ago, Kitiger said:

One problem with using a school nurse is transportation, since the private duty nurse would ride the bus with him. The school 1:1 nurse would need to meet him at his house to ride the bus with him. And the parents would have to see him off and be there when he gets home; this can be hard to do when both parents must work.

I'm not sure what is meant by, "specific times the LVN attends to the child in an appropriate and dignified manner)". That wouldn't be needed with a 1:1 nurse, and it wouldn't be enough with a 1:1 aide.

Agree that there’s certainly challenges with using a school nurse - just giving the OP another perspective as I would if she was one of my patient’s parents to consider. This might be a transportation policy where you are - the parent would have to find out if this is the case where she is. I have many cases where the night nurse stays and gets the child ready for school or the and sees them to the bus and the afternoon nurse accepts the patient from the school nurse or the parent is available at one of those times. Of course as in all situations, it could be very stressful for a parent to be reliant on the availability of back-up care, that’s the primary reason I’m suggesting the school nurse.

The 1:1 aide and LVN doesnt apply to this child per the OP’s statement. The OP’s child doesn’t fit what I had in mind, I was considering a child who needed very scheduled specific tasks - such as GT feedings or administration of routine and low-risk medications vis GT or scheduled catheterization times but only safety monitoring during class times.

[nursenmom3]

Thank you all, you’ve given me a lot to think about. We have some time because he’s scheduled for surgery in the fall and we will need to get through recovery and rehab before this is an option. His current IEP doesn’t reflect what his current needs would be in a school setting, so I will probably bring it up at his next meeting in the fall.