primalhowl

I have tried and tried to find this myself, but still can't find a clear answer and have been reading for days to try and find. ANY HELP would be appreicated. I work as the clinic nurse with a Dr. that has an inschool office at a 24hr placement/school with adjudicated youth up to the age of 18. Students are funded and sent there by their county or TYC and a few other places. Not sure where counties get funding from. Since we are part school I believe it is under FERPA, but either which way do the people that are the counties that place them there(probation officers) and people where I work get FULL assess to all ongoing health care issues, medical appt info, lists of meds and etc, with these youths. My supervisor has never been educated in any medical field and this place has been there for years and years BEFORE HIPPA, and they pass medical info back and forth to my non-medical supervisor, caseworkers for individual students, teachers and almost anyone that cares for the students, plus on to the probation officers in the counties that sent them, and of course to TYC. SO JUST WONDERED if this is legal, or if there is a limit to WHO gets info and only if it pertains to their department. Kids are on medicaid while they are there for their medical coverage if that makes a difference. ANY info you can help me with would be MOST WELCOME to help me understand this law.

This occurred an hour after supper, and he could have laid down in that hour before he went outside for his group meeting. I never thought of GERD! (will watch for that) This person is the most somatic complainer I think I have ever had, and most of the time he has nothing wrong with him. Needless to say we check him anytime he complains, AND he goes ballistic if he doesn't get whatever he is requesting done! We can't trust his word, so we have to end up assessing everything. ALSO, this was NOT a case of asthmatic who had the NO wheezing, and no diminished breath sounds. HE was EXtremely clear, and took big ole' breaths when I asked him too (I am asthmatic also, so I know what you mean) Actually this person was a abuser of his rescuer inhaler till 3 months ago, which is another reason we watch him so closely. I wanted a way to teach non-medical staff HOW to check if no nurse there, and also way of explaining to them what they heard, but still think it was the noise in the throat and when I told him to cough first before I listened, that's why I heard such clear sounds.

So how can I instruct/teach the person and guards that PRN WHEEZING MEANS.. (only wheezing after you cough ?) Yes, I do have them cough also before I listen, but I guess I call that a "tickle" or ?? something, but would that actually be a wheeze in (?) what sense. There has to be a way to explain rationale what we do so that it makes sense to anyone. When I tried to explain 2 different times apparently I used words that were Greek because I only got weird looks.... (dang,I sure miss NICU where mostly "mommie" was spoken.) LOL.:heartbeat

Some one with a better grasp of asthma than I apparently have,,, explain to me WHY if 2 guards state that they HEARD "wheezing" on someone, and he is examined less than 2 minutes later by a nurse (really prob. 1 minute later) and is found CLEAR AS A BELL in all quads with a stetascope that WORKS....IS THAT POSSIBLE... (hmmmmmmm--I don't think I am wrong, I smell a rat, and when I use my little words of "it's impossible to my NON-medical boss" he doesn't get it) Anyone have anything I SHOULD say??