Resetting dislocating WHATS?

[WyVy]

So this afternoon I sat in on an IEP for a new preschooler. Mother sts child frequently has finger joints dislocate and would like for us, the school staff (ie ME) to fix it whenever that happens. Principal sees that as a liability and sts we need to call 911 in any instances, mother is very disappointed in that decision, as she sees it to be very easy to relocate said joints and that the child is in a lot of pain until that happens. Obviously I have to go with whatever the bossman says, but what do you think, would you do it?

[NutmeggeRN, BSN]

THIS. This is what I would do. I am not resetting a joint. I cannot do so legally #1 and #2, I do not have the training to do nor any way to ensure that if done, it was done correctly. Nope, nope.

I totally get not calling EMS as this appears routine for this kid if Mom (or another designated adult in the care plan) can get there within a determined reasonable amount of time.

I love it when you think I am right!!! LOL!

[nursetlm, ADN]

No, No No. Keep us posted.

[SchoolNurseTXstyle]

NO, NO, NO!!!!

And really, if you call paramedics - will they even reset????

[NutmeggeRN, BSN]

NO, NO, NO!!!!

And really, if you call paramedics - will they even reset????

Nope, they will transport What a waste of $$

[Supernrse01, BSN]

NOPE! I feel like that is out of my scope of practice and wouldn't want to attempt it.

[Cattz, ADN]

I am utterly amazed at the things that parents (and some admin. for that matter) think that we can do in school. I am even more thankful that we can all come here to provide support / problem solving to help each other and to learn from each other with such dilemmas (from non-nurse humans).

Absolutely not under any circumstance would I re-set anything.

Keep us posted.

[MrNurse(x2), ADN]

And mom will be happy right up until something goes wrong, then you are out of a job and a license when the board hears what you did.

[Spidey's mom, ADN, BSN, RN]

I agree with the rest - no, no, no.

And to heck with the principal. He is not your boss.

One of the frustrations for me as the only medical authority in the entire district was the idea that a principal could tell me how to do my job.

[DeeAngel]

Under no circumstance would I do what the mother is asking, this is her problem to deal with and I would not let it be made into my problem. There is no way you could justify doing this to the BON, if you can't justify it to the BON then just don't do it.

[WyVy, LPN]

Wow guys, this went from zero to sixty in two seconds! Thanks all for the input! I'll run this past my district nurse, I'm definitely on the NO side of it! It's interesting that y'all say the principal isn't my boss, I've considered him to be my boss, I guess up until now- my mistake! (One month into this job!) Don't get me wrong, he's a great guy to work for, especially compared to the boss at PP OB/GYN at my old job. This fella just likes his hands in all the pies. He just got his superintendent license, so I'm afraid he'll hit the door ASAP. You never know who will come through the door next! :|

Anyway, found out when I arrived this AM that mom decided her snowflake, who was supposed to start in our preK class in a couple weeks, will be homeschooled for the remainder of this school year because she doesn't think he's ready. Crisis averted, for now, and lesson learned! Will store all this in my memory bank for next year if/when kiddo (mom) is "ready".

[cooties_are_real]

No reset here!!!! Had a student with Ehlers-Danlos syndrome a couple of years ago. Her shoulder would slip out of socket. When that happened we called mom and she went home. Nope, Nope not doing that.

[Linda_A]

I have Ehlers-Danlos syndrome, and all of you are correct, you should not be reducing any dislocations or subluxations (partial dislocations.) Sadly, spontaneous dislocations are common and terribly disabling to persons with EDS, but any dislocation should be evaluated and the parent contacted. Since these can happen frequently, in some persons with EDS, several times a day, I can understand a parent's reluctance to have to deal with it. As the child gets older, they can learn to perform the reduction themselves. The school nurse's role in such a situation is to ensure the dislocation has not compromised the neurological or cardiovascular status of the digit or limb, (i.e. check distal pulse and sensation), and then contact the parent. If the limb or digit is compromised and the parent cannot be contacted, consider contacting EMS for transport to the ED for reduction.