Leegc

Thank you. The pulse ox and flow meter are valuable tools.

It goes without saying, of course, in any critical situation you do not worry about ambulance bills.

Understand about ambulance bills- received one for $900 once!

What does everyone's school policy state on this topic? I am expected by all staff here to change those pre k and k children. If an aide accompanies them, then they stand with me in the bathroom, some are helpful and assist. Most of them do not. If the child is here alone, then I have problems, I will call the parent. I definitely need to have a new policy defined here. Thanks!

Leegc

The student is on a daily maintenance inhaler. Just as you described, this is all that I can do. Many moons ago, I worked in the ER and there was a sense of security that there were other staff and needed equipment was readily available- but would never go back to those hospital days! Thanks for your response.

Thank you for your response. One student on Dulera, Singulair, Ventolin inhaler ,and neb treatments prescribed on his treatment plan. The physician specialist has changed his treatment plan several times. I have never seen a student so resistant- was just on steroid treatment. The other student just on inhalers and neb treatments. I suggested the mother see a specialist, as the doctor since hospitalization has not changed the treatment plan, so we are back to the same treatment. Thanks again for the information

Thank you. This is a great site to receive support from other school nurses. Sometimes you have that "alone" feeling. Would you believe in the past a mother would not supply an inhaler for a student diagnosed with Asthma, after I called her many times and sent a note home. I ended up calling 911 when no one would respond by telephone from that family. The parents were very irate about me calling 911 and the student being taken to the emergency room. I know that I made the right decision , the student was getting worse. Sometimes a thankless job. Thanks all

Hello, I am new on allnurses. Are there any school nurses having difficulties with students having resistance to their neb treatments at school? I had a scary situation yesterday. A mother to a kindergarten student sent her child in to school, still wheezing! The teacher immediately sent the child to the Nurse's office. I started the neb treatment, checked pulse ox, and monitored vital signs. After the physician designated time, I gave him a second treatment. The student was still wheezing. I immediately called the mother and told her that I would probably need to call 911. The mother said that she would be at the school soon. The students VS were stable but I was afraid of rapid deterioration. When the mother arrived, I told her to call 911 or take the student immediately to the hospital ER. The report that I received later from the teacher, was the student was admitted to the hospital and overnight for observation. This is the second student or experience that I had with resistance to the nebulizer medication. Does anyone have a protocol or additional treatments in place or standing order for this resistance. Epi Pen , oxygen. I followed the student's family doctor's orders but this does not seem to be enough. Any comments welcome. Thank you!

Hello, I am new on allnurses. Are there any school nurses having difficulties with students having resistance to their neb treatments. I had a scary situation yesterday. A mother to a kindergarten student sent her child in to school wheezing, I immediately started neb treatment and checked his pulse ox. I notified the mother, and told her that I gave two treatments within the time allowed by physician's orders and he was not responding to the treatments. I told her that I would be calling 911. The mother said no, I am on my way to the school. I directed her to call 911 or take student to the hospital immediately. The student's vital signs were stable but I was afraid of rapid deterioration. She told the teacher after that he was admitted to the hospital and kept overnight for observation. Why would a mother send the child to school wheezing, as the teacher was informed by the mother that he was wheezing in the am!!!??