grammy1 3,179 Views
Joined: Jun 25, '14;
Posts: 401 (73% Liked)
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Then you've never had really good rye bread. The best kind has fennel seeds in it.
this is a good idea. my principal did back me up by sending a strongly worded email (your child may be removed by the dept of health after Nov 15), but I don't think we were strong enough from the onset. of my 52 students, 11 of them have appointments scheduled for AFTER the reporting date. so annoying.
This school is not regulated by a district, but I plan to look into writing a policy if our parent company/school doesn't have one (I doubt it).
Next year our plan is to require the immunization reports along with tuition payment/registration, as well as streamlined messaging from the nurse at our feeder 5th grade.
Don't beat yourself up, I let my own son walk around with a broken arm for 3 days before I took him to the dr. Same thing, no outward signs, even the doc said he didn't think it was anything, but did an xray and there it was, plain as day.
Different school districts=different rules. Our district considers a pharmacy label a physician's order, but we do still require a parental authorization.
Came in to this gem this morning:
"My stomach was hurting all weekend. My mom and dad said to have you take care of it because we can't afford to go to the doctor...."
The only follow-up we ever did for the AT was to give more ice. If the student had already been seen by the trainer we just had the teacher call and we'd send ice to the classroom (we had student aides). I didn't reassess unless something major happened and the AT wasn't there.
Had 2 patients under the age of 25 die this year, constantly in and out of ICU over the years due to not looking after themselves. Ate all the nonsense and didn't bother with their insulin. Found dead at home. Pretty grim stuff.
Great job! I have only given it once in my life and it was definitely very difficult due to the stiffness.
You need to share duties. One does screenings while the other sees students, or one does hearing, sends to the other to do vision. Split the immunizations and going through the charts. Teamwork.
OK, if he's at 400-600, then he's probably also spilling some in his urine. Using the dual-glucose/keto sticks may be the answer for you.
A student who is regularly at 400 is in deep trouble. I'd be talkign to the parents/doctor about a more agressive plan. While checking ketones will get an early DKA caught, the student is doing DANGEROUS AND IRREPARABLE harm with such high BGs. My son kind of went off the deep end when he headed off for college and wasn't under our observation anymore. He's had kidney, vision, and other serious problems including an amputation. GET THIS KID HELP.
I was in my fifth year of school nursing and my administration (Principal, Superintendent, and School Board) were not supportive of medical (including emergency situations, or adherence school policies & procedures OR state laws on immunizations).
After an emergency situation involving a student going into anaphylaxis, and administration telling me that I "jumped the gun" on calling 911, and having absolutely no one in my office to help during the incident - I felt that my license was consistently put at risk by the school. I wanted to retire at this job, but felt that I had no choice but to resign, mid-year. [Details are in the post on the general Nursing topic threat, titled "I left my job and now feel lost"].
Are you looking for another school nursing job?
I wish I had some advice for you, but I know the wise nurses on this forum will be able to help much more than me. They will also probably be able to help if you would find yourself in that same situation with administration again.
Please speak up people, I directed her over here and told her that you'd have advice!
He was in school with BG between 400-600 all day. His doctor knew how challenging this kid was and specifically sent a letter that he should stay in school even at 600. He would gorge on candy then come in and check his BG to be sent home.
So, he was high all day but negative ketones-documented every time. Ended up in the hospital in DKA that night. My saving grace was that he also told mom he was negative when she had him check at home. I guess the constant vomiting was her first clue.
I still keep in touch with a friend of his (they're in their 20s now), and he hasn't changed one bit. Ends up in the hospital multiple times a year and it's all self induced.
Our orders usually say to check ketones if BG >250 X2, or >350 X1. We have them go in a cup, open the restroom door and I stick the ketone strip in. Student then discards the urine. I got burned by one student and have always dipped myself since then.
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