Quote from hmcna
Recently, where I've worked for 2 + yrs, we've admitted some kids.... (residential treatment center, kids are there for 6 months to 18 months)
Some of these kids had prescribed glasses for close work/reading but lost or broke them prior to coming to our place.
When I mention that they need to go to the eye Dr to get new glasses, for reading... I was told that they should just go to the dollar store, and get magnifiers.
Is this an acceptable nursing practise?
If yes..... OK what's the rationale?
If no, what documentation or argument can i use to try to get the nursing dept to change their mind?
I worked in Optics for many years in California and No this is not acceptable Children have eye glasses prescribed for a reason .Some because the have strabismus or other problems of the eye .Those glasses are set for there eyes and there pupil distance. From12-17 There face and pupil distance is still to big for adult frames.You can't get a reader and just think this will take care of there problems unless you know that they only have spere lenes in the frame and 99 % of the time they don't
When they go to the dollar store or just get readers that pupil distance is not set for there eyes Causing the eyes to pull .Readers are set at a pupil distance of any where from 56-60 this is set for adult eyes only .If the child has problems with reading. They need UV as well as a light skin tone tint to keep from transposing words that they read.
You are asking for school problems if you don't replace them, plus child will be complaining of head ache and eye strain
Anyone who suggest readers for a child not knowing the child's eye problem is totally working out of there scope of practice .Most of the children I fitted in the many years of fitting children ,always seemed to have secondary problems with the eye. When dealing with the kids its so important to be able to see well.When kids don't see well .They do not communicate well have school problems and act out more. To make up for not seeing well They try to be the clown to hide the fact they can't see or withdraw .
I Have worked in kids treatment as well so I know this first hand. I have took the frame and lens to the optical shop had them adjusted and had frames replaceds and brought them back.The frames were not always the best fit.But at least the child could see proper.So I take it they staff feel these children are an elopement risk and this is there reasoning.Give the glasses to Mom or Dad and tell him/her to take the glasses back to the store and get the lenes put back into new frames .Take the frames to the store to put the lenes in the new frame Change out temples.
I would be more prone to contact the company on line that is on the side of the (temple / ear piece that goes over the ear.) You will find the company name listed there and type of frame Then look at the nose bridge to get the size. It would look something like this 50-14 On a small frame you might see something ,like that on the bridge of the nose. and re-order that frame. If you explain to the company most frames could be picked up for under 30 dollars on-line.
If they bought at Lens Crafter or Pearl vision ,a big change store (some times the frame states where its from) .They can order parts to fix the frame.We always used to keep the kids parts right on hand.
Sorry I get very upset when people who have not a clue about the eyes think its OK for kids To not be able to see well. That's like me giveing meds without a script or a DR order and not knowing what your other medicail problems might be. :angryfire