LOLLYGAGGER

Thanks for your comments! Just wanted to make sure I was doing the right thing. I am the head nurse for my school district and have instructed the building nurse to call the doctor repeatedly, which she does not want to do. I will have to go to the principal now with this and call the doctor myself.

Hi all, Wondering if anyone else has ever had this problem. I have a 3rd grade diabetic student whose mother does not want us to follow the doctor's orders for his insulin administration. For example, she wants his BG levels to always stay over 200 (not in his target range of 70-150), wants him to have mid morning snack regardless of BG level, and does not want insulin given for snack carbs. She does not want any SS insulin given at any time except lunch. He consistently runs 300 to 500 all morning but she remains adamant on this. The doctor's orders state that the parent may make changes as to medication dosing as needed. He also consistently has trace ketones in his urine. Thanks for your advice.

So let me make sure I understand, if any of you have a first grader, for example, who wets or soils in their clothing and you cannot reach a parent, you would not clean that child up and help them into clean clothing? The reason I ask is I work in a district that is 93% free and reduced lunch, with a ton of single parents and parents in jail, etc, and it is quite common that a nurse cannot reach anyone for hours when there is an incident. We keep a good deal of donated clothing, including packs of new underwear, on hand for this reason. I always try to reach a parent or relative first, but frequently can not. Also, if I sent every student home that a teacher sends down with a suspicious odor, there would be a real attendence problem at the school. Pre K aides in our building are always tolieting and changing clothes on kids in Pre K rooms. I guess there is no easy answer on how to handle these situations; it just really helps to hear alll your thoughts and suggestions. We walk such a tightrope in our profession. Thanks!

Hi all, Headline news this morning here in IL states that a special ed teacher was fired for the following: Teacher of 6 special ed elementary students found BM on classroom floor. He couldn't determine where it had come from so he had each student enter private stall in bathroom (alone) and then hand out their underwear so he could see it. The students did this one at a time and he did not enter bathroom stall at any time. So, he was canned for this by his school after a parent complaint evidently. I don't know about any of my fellow school nurses out there, but this story makes me more than a little nervous. How many times do any of you clean up a student if parent can't be reached or just check out the underwear if teacher sends them down because of a suspicious smell? Many elementary students, especially those with communication issues or other special needs, won't communicate to the teacher or nurse when this happpens, and many times parents cannot be reached. Thanks for your input!

Hi everyone, I am school nurse at a Middle School and had a student approach me today because she is worried she might be pregnant. Although I've been in school nursing for over 15 yrs, this is a first for me. After our conversation, I doubt if she is pregnant (she's on her period), but she is definitely sexually active. I advised her to talk to her mom about visiting our county health department clinic for testing, info, etc. I told her if she has any problems to let me know and I would give her info on making the appt herself. I know every state is different, (here in IL minors can go to a title x clinic, which is just down the street from my school, without the knowledge or consent of their parents), but I could use some advice as far as confidentiality is concerned. She is 14 and the boy is 17, both minors. Thanks!!!!!!

Hi everyone, New to this site and loving it. Finally, a place to vent with someone who "gets it". Re the kids who walk in and stare at you; have you ever just stared back at them to see who would talk first? I know it's not very professional, but once in awhile I just can't help myself!