Xatiayn

Depending on the needs or acuity of the infant you may only be following up with the caregiver once a month. I believe this may be the company I work with. I am not a NICU case manager, but I have received a lot of NICU infants after discharge. They typically did not have a lot of needs. You can message me if you want more info

Thanks for the responses! Our UDACs are unlicensed diabetes care assistants. Individuals who are designated by the principal and trained (by me in this case) to assist in the care of diabetics on school campus when a nurse is not available. The parent does sign an agreement stating that they know a trained, yet unlicensed individual may take care of their child at school. I guess my questions are: Since the individual is authorized by the parent and school to perform the function at school, doesn't that limit their authority to the school day, on school campus, and those off campus functions provided by the school? Doesn't going off campus, after the school day, and to non-school daycare violate this agreement? The parent did provide information to the daycare. The daycare did not understand the information and they were not provided a copy of the doctor's plan of care so the teacher felt that they were not provided adequate information. I worry that this teacher has gone beyond the scope of her duties to provide them with information since it is off campus and not sponsored by the school. I understand that it is well-intentioned, but also think it is a lawsuit waiting to happen if not a violation of HIPPA or FERPA. It is my thinking that the facility would be better off contacting the parent and not calling the teacher at the school for medical advice for the child. This is a very sticky situation for me. With two weeks of school it won't be an issue much longer (this year). But I really like the other perspectives I am getting on this. I don't know if there is a cut-and-dry answer or not.

This the end of my first year as a school nurse and I have a situation that I am hoping I could get someone else's perspective on. I have a special ed student that is diabetic on one of my elementary campuses. He is pretty high functioning (he can tell when he is high or low). We have his teacher and aides as UDACs but they only obtain bg checks and give him snacks when he is low- nurses administer the insulin. He has recently started an afterschool daycare program that is not provided by the school, but is open to children from the district. I have found out that the daycare program contacted the teacher about obtaining some of his diabetic supplies since his mother said to "call the school and have them send the supplies when he comes after school". When the teacher was called, she went over to the facility and found that the mother didn't leave "adequate instructions on how to handle his diabetes" so she told them what we do at school. I think she may have provided a copy of his diabetes management plan to them, though she denied it when I asked her. I have found out that she goes to the facility after school to make sure he is "adequately cared for" or they bring him back to the school if they have a medical issue with him. I have told the teacher that she can not provide medical care after he leaves school for the day, they need to call his mother. She is still going daily. His mom is not aware the teacher is doing this.How would you handle this? Is this not a HIPAA or FERPA violation?