Ridiculous things. This is a new one one me.

OldDude · Feb 18, 2016

Well, WE are paying for it with out tax dollars.

Understand that - so, take that reason off the table.

Cattz, ADN · Feb 18, 2016

I personally have a child with ADHD,LD.... He takes Ritalin at 0630,1030(school) and 1430(school). His 1430 dose isn't for my sanity, it's to get him through the rest of the school day and through homework. It's been his regimen for years, and works well. These doses of Ritalin have a life of about 4 hours

I hear you Robin, and thank you for help us all gain more insight. I could understand very easily, 2 doses at school. But 3, is over the top.

To add one more aspect of the story, this motheroftheyear. Called to complain about me clarifying the last order several weeks ago. Complained to the drs. nurse about HIPPA/the nurse apparently told her that she agreed that I was in the wrong for clarifying. I promptly asked mom to come in so we could visit about it. Upon her arrival, I had several copies out of the document about such things from HIPPA 517-Does HIPAA allow a health care provider to disclose PHI about a student to a school nurse | HHS.gov . I gave her one to keep and one to take to the dr.(and several for her FB friends) to let them know that, not only had I not messed up, but neither had the nurse at the dr. office for talking to me.

So, that wasn't enough to make the mamabear happy. She takes it upon herself to call the previous school nurse --and SHE...bless her sweet heart :sarcastic: is the one that suggested the 3rd dose of the day. But, her suggestion was supposedly for mamabear to ask the dr. to give a 3rd dose at home. But- noooooo, lets just let the school be the responsible "parents" (I should have put a whole army of little purple roley eyed smiley guys, but I don't have that much time).

So, now you know a little more of this story, that keeps getting better and better. :sarcastic:

Wow, ONLY you all can "get" it. I haven't heard anything from that school yet this morning, but I am fully anticipating a call from the mamabear to complain that I called the dr, instead of letting her do it. Even though, I left her 3 messages yesterday. Ooooh well!

Cattz, ADN · Feb 18, 2016

Then if it is like here, order anything, it doesn't matter what the cost. My not-child is on medicaid and received a huge tube of bactroban for a staph infection, my kids with insurance were given a tube 1/3 the size and I had to pay $19. Unfortunately our pseudo foster kid got his after our kids.

This is totally off topic. But, fits very nicely with your thought.

I had a staff member come to me last week to tell me that her little one had allergy issues. Has Private (high deductible) insurance. Dr. writes script for a bottle of liquid Zyrtec. Dad goes to fill it, the out of pocket cost-- $175.00!!!!!!. Dad calls back to mom to let her know that he wasn't getting it. He has talked to the Pharmacist about it, and he/she suggests the $7.00 bottle of generic OTC.

And that my friends, is Exhibit A, of one of the many problems in our very very broken health care system. (I am still shaking my head on this one). And, why can no one afford to pay for insurance?

MrNurse(x2), ADN · Feb 18, 2016

(I should have put a whole army of little purple roley eyed smiley guys, but I don't have that much time).

Now that would have made my day. Luckily I have mostly reasonable parents here who understand that I am trying to help, as you are doing. My pseudo foster kid however has a mother who loves to victimize the child,as her whole family is diagnosed with it. Constant fight to keep the child from not being over medicated, she finally gave us control and makes for a happier child. Hope this situation corrects itself and mamabear can go back into her cave of ignorance.

Cattz, ADN · Feb 18, 2016

Hope this situation corrects itself and mamabear can go back into her cave of ignorance.

And she is NOT going to drag me in there with her!!! not. ever.

NutmeggeRN, BSN · Feb 18, 2016

So, that wasn't enough to make the mamabear happy. She takes it upon herself to call the previous school nurse --and SHE...bless her sweet heart is the one that suggested the 3rd dose of the day. But, her suggestion was supposedly for mamabear to ask the dr. to give a 3rd dose at home. But- noooooo, lets just let the school be the responsible "parents" (I should have put a whole army of little purple roley eyed smiley guys, but I don't have that much time).
So, now you know a little more of this story, that keeps getting better and better.

My gift to you!

:zombie: :arghh: :smug: :sarcastic: :arghh: :smug: :smug:

Cattz, ADN · Feb 18, 2016

My gift to you!
:sarcastic::smug:

YESSSSSSSSSSSSS!!!! Thank you Nutmeg- Just what I needed!!! :)

NutmeggeRN, BSN · Feb 18, 2016

YESSSSSSSSSSSSS!!!! Thank you Nutmeg- Just what I needed!!! :)

Always have your back!

allnurses Guide · Feb 18, 2016

I am going to be the Debbie Downer here, forewarning. If you are going to hate me then you can always stop reading...right....about...now...

I don't see what the fuss is about. This is a medication with a 3 hour duration of action and it is given for an illness that doesn't just stop when a kid gets on a school bus. I feel like there is a lot of judgement being made on the mother when I am not sure any of us know what the home situation is like. I think these medications are used more than they should be, but that's between the child, guardian, and prescriber. It's also used for conditions other than just ADHD. Does the child have ADR symptoms that are concerning to you at school? Clenching, TMJ, weight loss, appetitie loss, etc?

Stein, M. A., Blondis, T. A., Schnitzler, E. R., O'Brien, T., Fishkin, J., Blackwell, B., ... & Roizen, N. J. (1996). Methylphenidate dosing: twice daily versus three times daily. Pediatrics, 98(4), 748-756.

Farawyn · Feb 18, 2016

Okay, "hate" is strong.

(I am looking more at the use of 4 ellipses at one point in your spoiler alert, moreso than what you are saying.)

OldDude says he does this, yes? The dosing?

Farawyn · Feb 18, 2016

But here ya go, Boston.

Windchaser22 · Feb 18, 2016

I am going to be the Debbie Downer here, forewarning. If you are going to hate me then you can always stop reading...right....about...now...
I don't see what the fuss is about. This is a medication with a 3 hour duration of action and it is given for an illness that doesn't just stop when a kid gets on a school bus. I feel like there is a lot of judgement being made on the mother when I am not sure any of us know what the home situation is like. I think these medications are used more than they should be, but that's between the child, guardian, and prescriber. It's also used for conditions other than just ADHD. Does the child have ADR symptoms that are concerning to you at school? Clenching, TMJ, weight loss, appetitie loss, etc?
Stein, M. A., Blondis, T. A., Schnitzler, E. R., O'Brien, T., Fishkin, J., Blackwell, B., ... & Roizen, N. J. (1996). Methylphenidate dosing: twice daily versus three times daily. Pediatrics, 98(4), 748-756.

Appreciate your perspective. You'd be surprised just how much parents are willing to dump on school nurses that fall into grey areas. Don't forget at a minimum we have hundreds and sometimes thousands of students (and their parents) to care for and deal with. Many we get to know over the course of years (blessing and a curse).

We don't have 9 hour school days here so 3 doses during a school day means we would be working outside the scheduled day (could be a liability and contract issue) or we are giving the med in less than 3 hr increments at some point. If am doses are a problem for the family then accommodations might be made only if there is an appropriate MD/NP order.