Med admin difficulty

Is he SPED? If not, I would consult parents. That is far too immature for a normally developed sixth grader. I would suggest crushing in applesauce if it is a crushable med, if parents are amenable.

Is he SPED? If not, I would consult parents. That is far too immature for a normally developed sixth grader. I would suggest crushing in applesauce if it is a crushable med, if parents are amenable.

He has adhd and odd plus HTN

i'm not above doing mouth checks, no matter the age, if I suspect that the medication is being cheeked. I agree though that the parents should be in the conversation if not already aware that there are concerns about compliance. - i will add though -i agree with OD - i am not here to fight with a student to take their meds. They refuse, i chart it, contact parents if necessary and move on. I am not here to force anyone. If they cheek it, I ask them to swallow it, if they won't or spit it out, then we move on. No games, no fights. Their parents can have that fun.

I don't even go there. I'm not running a behavioral facility. I'll hand the medicine to the student. If they want to play games about taking it, that is an issue to be addressed on a completely different level than a school health clinic. So if you never take on that responsibility you can never be accused of not making sure the medicine was taken.

I'm not sure I'm reading this right... I think, as the nurse, we have the responsibility to make sure the student/patient has taken the medication. If the student refuses or is otherwise playing games about it, then we document. At that point it is a behavioral issue and admin can deal with it.

So what do you do if there is refusal or faking or other games?

Then it is a behavioral issue and turned over to admin and the parents.

Then it is a behavioral issue and turned over to admin and the parents.

Exactly this, I had this issue last year with a very emotionally and mentally disturbed student (She got expelled at the end) and she would not take her medications. She almost got me in trouble and told my old admin I didn't administer her medication when I did. I found the empty pill shell on the floor and I told my admin.

After that I told them I'm not responsible for her behavior and if she doesn't take her medication, it's not on me if she refuses.

I'm getting different points of view and I completely understand where ya'll coming from. Now this is my plan, I will speak to admin and parents about it. If he continues to act like this then the mom can give the meds in morning before coming to school. How does that sound?

I'm getting different points of view and I completely understand where ya'll coming from. Now this is my plan, I will speak to admin and parents about it. If he continues to act like this then the mom can give the meds in morning before coming to school. How does that sound?

It's a morning dose and not an afternoon/lunch time? Then I'd say yes, he can do it at home.

The problem I've run into with that is that sometimes parents leave for work before the kid and (if it's a stimulant for ADD/ADHD) then they want it to be at full effectiveness while the child is at school. But he cannot be missing class time playing games or being difficult in the health office.