duluthRN223

Right! My point to the parents exactly! However they are taking this psychologist's word as the only opinion they are willing to hear and are angry with the school for not following the "doctor's orders". Thank you again for all the replies, I stood up to my superintendent and told him I'm calling 911 if it is necessary and I'm not obligated to follow the psychologists recommendations if they put the child in danger.

Our school psychologist has approached the parents with each of these incidents to get them on board with moving forward with special ed services to get her help from our EBD program. Most of our EBD kids spend a good amount of time in the regular Ed classes but use the EBD room, teacher, and sides as a resource when the regular classroom becomes to much to handle or the feel a behavior being triggered. Our school is really the only one in the county that has a substantial special ed program so we have a large EBD program. This particular student has not been able to make it through a single school day since Sept 15th without either passing out from the panic attack, having a psychotic break where she has no idea she is even at school or who she is and has become combative towards other staff and students (my health aide got punched in the face this week), or has tried to flee the building. She has gone from a straight A student to barely passing. The hope with parents agreeing to an IEP would be that someone could be hired and trained specifically to her on how to help her through the day and she could use the EBD room that has two "calm rooms" to go to before these episodes become so intense.

Thank you all for the replys! You all validated what I was already thinking. As a long time Peds nurse I certainly know that things can go from ok to deadly in a matter of minutes and time is critical. I just wish the parents would understand that before we get to the point where something horrible happens. In the meantime I'll just keep calling 911 if it is needed.

Hi everyone, I am a new school nurse (as of the beginning of the school year) and could use advice. I cover a district in the state of MN where I am responsible for about 1000 students from pre-k up to 12 grade. I am part time (3 days a week) and our administrator has made it very clear that is all the time they are willing to pay me for. I have a particularly hard case with a 7th grade student who has been suffering from episodes of unconsciousness, dissociate episodes (not having any idea where she is or what is going on), and along with this has had several episodes where her anxiety is to the point of respiratory distress (she also has asthma). I recently called 911 during a particularly bad episode where her respiratory status was quickly worsening. Parents are adamant that this student stay in the regular ed population and have denied any special ed evaluation or services. During a meeting with her parents and our building principal I was given instructions by the students psychologist stating that "as long as the student is still breathing and her eyes are open" I am not to call EMS, and it is up to the parent's discretion if they want to pick her up or have her stay at school. This directly contradicts what our district health and emergency response policy is. My administrators have not had something like this come up before and are looking to me to advise them from a medical and legal standpoint what we should do. My other huge concern is what to advise our unlicensed office staff that cover for me on the days I am not at work or when I am at one of the other 3 buildings I cover. Thanks in advance for any guidance you can give.