My week got worse!

[Foxfour]

I was running out of time when I started my thread to "A Bad Week", but I wanted to mention that I'm (with the same child) also dealing with a noncompliant mom. The ONLY time this child is cath is at my clinic or if she's in the hospital. The mom NEVER does it. She told me along with my questioning of the child, did you get cath last night or this morning? Did you get cath this weekend? The answer is always the same. Don't worry, I'm documenting everything (for possible CPS intervention). I've also spoken to her MD about the above situation and she's already getting her a home health nurse to visit and do the cath tx's, and the MD is also testing the child for the possiblity of permanent urinary diversion.

It doesn't end there. This is where I really get angry :angryfire :angryfire :angryfire . Since I knew this child was not being cath, I got orders from the MD to do two caths at school--0700 and 1300. The day I was going to start my 0700 cath, I get a call from the child (remember she not being cath in the clinic, she being cath in the profound unit) to ask me not to do it at 0700 because it will interfere with her classtime. I told her that her mom, the principal, and myself had all sat down and agreed on those two times. After some explaining, I convinced her to go through with it. No less than 3 mins later, the mom calls. "Cancel her 0700 from now on". I explained the negative consequences of her refusal. She stood firm in her decision. The teacher that I was having trouble with earlier, was the one who decided she was going to "save the day" and called the mom. This child is at (MD's words) high risk for vesicoureteral reflux renal failure. So with this in mind, I guess the teacher decided that she knew best--more so than the MD. I have already reported the teacher, and I told her the day the school board agrees to put you in as my replacement, you can have my job, but until that day comes, don't ever use your judgement in place of mine! I'm a child and nurse advocate and this know-it-all-teacher create the possibility of such harm to this child.

Okay, I feel a little better now talking to nurses who do understand the importance of following cath orders. Thanks for listening to me grip.

[Foxfour]

I was running out of time when I started my thread to "A Bad Week", but I wanted to mention that I'm (with the same child) also dealing with a noncompliant mom. The ONLY time this child is cath is at my clinic or if she's in the hospital. The mom NEVER does it. She told me along with my questioning of the child, did you get cath last night or this morning? Did you get cath this weekend? The answer is always the same. Don't worry, I'm documenting everything (for possible CPS intervention). I've also spoken to her MD about the above situation and she's already getting her a home health nurse to visit and do the cath tx's, and the MD is also testing the child for the possiblity of permanent urinary diversion.

It doesn't end there. This is where I really get angry :angryfire :angryfire :angryfire . Since I knew this child was not being cath, I got orders from the MD to do two caths at school--0700 and 1300. The day I was going to start my 0700 cath, I get a call from the child (remember she not being cath in the clinic, she being cath in the profound unit) to ask me not to do it at 0700 because it will interfere with her classtime. I told her that her mom, the principal, and myself had all sat down and agreed on those two times. After some explaining, I convinced her to go through with it. No less than 3 mins later, the mom calls. "Cancel her 0700 from now on". I explained the negative consequences of her refusal. She stood firm in her decision. The teacher that I was having trouble with earlier, was the one who decided she was going to "save the day" and called the mom. This child is at (MD's words) high risk for vesicoureteral reflux renal failure. So with this in mind, I guess the teacher decided that she knew best--more so than the MD. I have already reported the teacher, and I told her the day the school board agrees to put you in as my replacement, you can have my job, but until that day comes, don't ever use your judgement in place of mine! I'm a child and nurse advocate and this know-it-all-teacher create the possibility of such harm to this child.

Okay, I feel a little better now talking to nurses who do understand the importance of following cath orders. Thanks for listening to me grip.