One-on-one nursing HELP

[Elcot11]

I work for an agency that provides one-on-one nursing and aides to a fairly large public school district. The schools don't provide a full-time school nurse (they float and are generally just for physicals, eye and hearing exams, etc) so any student with a seizure disorder, diabetes, or and other medical needs that need closely monitored is assigned a one-on-one nurse. Some students need a nurse throughout the school day, some just on the bus, some bus and school.

I have worked for for the agency previously with no problems. However this school year I'm running into challenges.

I've been assigned a student who has epilepsy.

The student is only required via MD orders to have a nurse on the school bus. However, because of a variety of transportation issues, I remain at the school throughout the day (I'm paid for this time).

The school has issues with me just sitting around all day and doing nothing--so they've asked my agency if I can help with simple tasks, faxing, copying, assisting in transfer of student to various equipment. I have no problem lending a hand.

However today I was asked to administer the student I'm assigned to for the bus's daily medication. Everyday.

Im just a little bit concerns of the legality, logistics of this. I have MD orders for these Meds because they were provided to the school. However I work for an agency who only is supposed to provide care to this student on the school bus and administering medication is one-on-one care throughout the school day that I don't have approval to provide. My agency says this is OK and to just do what the school wants but I'm not so sure that's the RIGHT approach.

Additonally, my agency has informed me NOT to document this med administration on my agency charting, but to only document administration on the schools charting. So I'm concerned from a documentation aspect as well.

But i don't work for the school. I work for an agency.

Its just not sitting well with me and I'm not sure what the RIGHT way to approach this might be.

Thanks,

a confused LPN

[Been there,done that, ASN, RN]

You are employed by the agency. Additional responsibilities the school wants to throw at you is ridiculous. DO NOT do anything extra they "request". They are using you and abusing you.

Your agency wants you to LIE about medication administration. It's a sticky situation, but anytime I am told to LIE, I see MY license flying out the window.

[Elcot11]

its not just the school, it's the agency too--my employer! But since I'm only supposed to be a bus nurse I shouldn't be administering Meds during the day, right?

[Been there,done that, ASN, RN]

You would document medication administration, where your paycheck is signed.

Your agency is TELLING you to falsify documentation. This is because the agency receives payment for your actions, under your licensure. They do not give a rat's patooty about you, only the payment they receive.

Run, don't walk ..away from this mess.