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New student with T1D- mom no-showing to our meetings

Posted

Specializes in Pediatrics, Community, and School Health. Has 21 years experience.

Just need to vent. New student to our school starting next Tuesday. He had T1D, is 6 years old, in first grade. This is our first T1D kid, so naturally, there is a lot of planning and prepping we are doing before he starts. I had one meeting with mom last week and specifically told her to bring me all of the paper work from her endocrinologist after the appointment, including the Diabetes Medical Management Plan, emergency plan, etc. He has no 504 in place from his previous school. I had coordinated a meeting with our AP, SPED, Counselor and me to go over everything yesterday. I stayed late for the meeting and she no-showed. I called her and she apologized profusely and we rescheduled for 8:00 am today. It is now 8:54. She is not here and now isn't answering my calls and texts. The whole group was gathered again waiting for her. School is already in session so it is VERY hard to get those folks together. I am very frustrated. I have to do a training for the teachers tomorrow and spent several hours of my free time yesterday afternoon preparing the presentation, researching, etc. I have likely spent about 10-15 hours prepping to receive this student. Part of me hopes she just has cold feet and goes back to his old neighborhood school, but the other part of me would be so mad that I wasted all of this time if he ends up not coming...

KKEGS, MSN, RN

Specializes in School Nursing. Has 8 years experience.

I feel ya. I spent HOURS meeting and planning for a severe peanut allergy kid. Long story. VERY anxious mother and a 504 plan that was several pages long only to have the kid enroll in a different district. :banghead:

MHDNURSE, BSN, MSN, RN, NP

Specializes in Pediatrics, Community, and School Health. Has 21 years experience.

I feel ya. I spent HOURS meeting and planning for a severe peanut allergy kid. Long story. VERY anxious mother and a 504 plan that was several pages long only to have the kid enroll in a different district. :banghead:

Yeah, part of me wants him to just not come at this point, and the other part would be so mad if he doesn't.

Flare, ASN, BSN

Specializes in school nursing, ortho, trauma.

off topic - how do you text a parent? I get a lot of requests from parents that i communicate this way and dang it i can't figure out any way but to use my own phone, which i'm not inclined to do.

WineRN

Specializes in NCSN. Has 4 years experience.

off topic - how do you text a parent? I get a lot of requests from parents that i communicate this way and dang it i can't figure out any way but to use my own phone, which i'm not inclined to do.

Don't do it!! Some of the other nurses in my district started to for their medically fragile kids, and it turned into a slippery slope.

All communication about a student technically should be a part of a students record, and I don't know how you would print a text message.

KKEGS, MSN, RN

Specializes in School Nursing. Has 8 years experience.

off topic - how do you text a parent? I get a lot of requests from parents that i communicate this way and dang it i can't figure out any way but to use my own phone, which i'm not inclined to do.

Ugh. Boundaries. Some people don't have them. I insist on keeping my work and personal lives separate and that goes for who gets my personal phone number.

I've never been asked to text but have been warned by other school nurses I've worked with to never to call from my personal phone. I communicate via note, email or phone call from my office phone. If someone is insisting and the administration wants me to do it I'd be requesting a work cell phone for this purpose.

OyWithThePoodles, RN

Specializes in Med-surg, school nursing.. Has 10 years experience.

The only parents I text are my T1D kiddos, and the parents who I was already friends with before starting this job. I do wish our computer system had a way to text parents, I even asked about it once. It would be neat to be able to click one button after charting and it send a text to the parent of the visit note. This would be especially helpful for those parents who insist on being notified of EVERY visit.

If someone invents this technology, make sure you let them know it was my idea so I can get a slice of the pie!

JenTheSchoolRN, BSN, RN

Specializes in School nursing.

The only parents I text are my T1D kiddos, and the parents who I was already friends with before starting this job. I do wish our computer system had a way to text parents, I even asked about it once. It would be neat to be able to click one button after charting and it send a text to the parent of the visit note. This would be especially helpful for those parents who insist on being notified of EVERY visit.

If someone invents this technology, make sure you let them know it was my idea so I can get a slice of the pie!

That technology would be awesome!

I text one parent of one of my T1D students, but draw the line there. The parent doesn't abuse it and I also put in my visit note that I texted parent and what I texted.

Jedrnurse, BSN, RN

Specializes in school nurse. Has 29 years experience.

We are assigned IPhones to use for school communication with parents. (Of course we have the office landline as well.)

I use Google Voice to send texts. It's awesome! I get the texts right into my email. You should look into it. It's totally free and has helped me out since parents don't always like to answer a call from the school.

Windchaser22

Specializes in School nurse. Has 5 years experience.

off topic - how do you text a parent? I get a lot of requests from parents that i communicate this way and dang it i can't figure out any way but to use my own phone, which i'm not inclined to do.

My T1D's have my personal number, which is regrettable but necessary'given the sheer volume in my office. They don't abuse it but I will be looking into this google voice thing. I did get the school to issue me an iPad for the dexcoms though.

abc123RN

Has 21 years experience.

Last year I had 2 T1D kiddos and had a heck of a time getting parents to communicate changes in orders much less show up for any meetings. Heck they wouldn't even answer the phone when the kids had extreme highs or lows and needed to go home!! This year it was so nice to walk in for the first day and see record requests from other schools for these 2!! Merry Christmas to me in August! (Seriously I do still worry about both of them every day, they were not stable at all. )

Another vote for Google Voice to use to text. Is tied into your email, you type messages on the computer they are sent as texts to the numbers you enter. Can be set up so all responses go directly to your email..

RNJenn47201

Specializes in LTC. Has 8 years experience.

Just a comment on the "texting to parents" thing, there is an app (I have an Iphone) called "Remind" that my daughter's school used last year. I'm not sure how it was set up on their ends, but I got text messages from her teacher throughout the year.

MHDNURSE, BSN, MSN, RN, NP

Specializes in Pediatrics, Community, and School Health. Has 21 years experience.

off topic - how do you text a parent? I get a lot of requests from parents that i communicate this way and dang it i can't figure out any way but to use my own phone, which i'm not inclined to do.

At my school, we do not have landlines, except at the front desk, so all staff get a cell phone to use. I would NEVER text from my own personal phone.

MHDNURSE, BSN, MSN, RN, NP

Specializes in Pediatrics, Community, and School Health. Has 21 years experience.

We are assigned IPhones to use for school communication with parents. (Of course we have the office landline as well.)

Us too, but we do not have landlines so all staff can call/text using their school-issued phones. We have the type of population that honestly, the more means of communication with them, the better- hard to reach, frequent changes of address, etc.

MHDNURSE, BSN, MSN, RN, NP

Specializes in Pediatrics, Community, and School Health. Has 21 years experience.

Ugh. Boundaries. Some people don't have them. I insist on keeping my work and personal lives separate and that goes for who gets my personal phone number.

I've never been asked to text but have been warned by other school nurses I've worked with to never to call from my personal phone. I communicate via note, email or phone call from my office phone. If someone is insisting and the administration wants me to do it I'd be requesting a work cell phone for this purpose.

It is a work phone. We do not have landlines here so all staff use cell phones issued by the school. We have a population that can be hard to reach, change numbers/addresses frequently, etc. We use all means of contacting them but never from personal emails or phones.

MHDNURSE, BSN, MSN, RN, NP

Specializes in Pediatrics, Community, and School Health. Has 21 years experience.

And just as an update to this post, mom no-showed again yesterday!!! I went ahead and trained two staff and told them once I meet with mom I would go over the kid's specific treatment and emergency plan. Mom is supposed to be here in 6 minutes (I am not holding my breath). I still am planning the training for the rest of my staff at 1:45 but I was given permission to tell mom that if she did not come in this morning, he was not allowed to start school next Tuesday. HUGE liability for us if the kid gets dropped off next Tuesday without any of us knowing his plan. Mom doesn't seem to understand that.