QuirkyRN

I just had a similar situation yesterday with a toddler that fell on the playground. As far as the teacher could tell he had landed on his back when falling but was complaining that his hand hurt. The hand was slightly swollen with a small bruise on the back. He was able to move his wrist and fingers and let me move his wrist though its full ROM without flinching or pulling away. I put ice on it and after 15 minutes the swelling had gone down and he said it still hurt. He went back to his room for lunch and the teachers said they would keep an eye on him to see if he was babying it or using it normally, they also called the parents to give them a heads up. Dad actually asked if I had done and x-ray! Yes, it is a private school in a wealthy area but really?!? But I digress. About an hour later he woke up from his nap crying that his hand hurt. I rechecked it and nothing had changed. I was also told that he was using the hand normally and wasn't avoiding it. The teachers called the parents again to let them know so they could make the decision to come and get him or not. I left about an hour later and sitting at a table, no tears, using the injured hand to eat. Apparently a note to the teachers was sent with his older sister today stating that his arm was broken. I feel so bad that he was in pain for so long and keep going over what I did trying to decide if I should have done something differently. If only we had they x-ray machine at school!