Medication Mishap

Specialties School

Published

Got a student who has ADHD badly and she tends not want to take her medication and I was told in the beginning that she's a liar and that we need to keep an eye on her to take her medication. I wanted to trust her and help her, but sadly it didn't work out.

Today she came to take her medication. I gave it to her like always, and she proceded to go to the water fountain to take her meds. The secretary called out to me and told me she threw away the medication. I then proceded to give her another one, which this time I saw her take it.

My AP called me and asked me if she took her medication or not, and I told her she threw away the first pill and I gave her another one. She got upset because she said we didn't see her take the medication and gave her one, and the child told her she took it, but opened the capsule and took the contents. She never has done that with me, she always took the pill whole. Then the child changed the story to that she didn't take it.

My AP was upset with me because she said that I'm not doing my end of the bargain which was watching her take her medication and that yesterday was the second time I didn't give it to her on time.

I explained to her that yes, it was my mistake I didn't check before I gave her another dose, but I can't do anything if she doesn't take her medication.

She is upset, and wants to talk to my principal, which I did before her, explaining that I'm not sure how we can do this with this child, she is difficult and I now know why we can't trust her.

I wanted to give her trust but obviously she can't be trusted. It was my mistake and I am trying to fix this situation by finding a solution, but I'm not sure how I can defend myself when I talk to my AP.

I know this will be another written warning and I will write a rebuttal but I'm not sure how I can defend myself on this.

Yes, it was my fault, and I made a mistake and I'm willing to fix the situation, but what I do I tell her.

Specializes in NCSN.

Our middle and high school nurses have assistants and a few are MAs (but I'm all the way in MO)

I do agree with everyone who has said you need a more supported position. Maybe look for all open positions in neighboring districts so at least that way you can get your foot in the door. One of our med aides was working in the districts main office until a position opened up and we immediately took her over the other candidates because she already worked for the district.

Specializes in Peds, School Nurse, clinical instructor.

I never would have given the 2nd pill unless I, myself saw the student throw away the first one. I would rather risk the student being under medicated then over medicated. Either way, this would warrant a call to the parent.

Specializes in School Nursing, Pediatrics.

I also want to know, can you REALLY trust the secretary? The other day you posted that you didn't get along, maybe she just said that she threw it away, so she can get you in trouble. Did you look in the trash? I would not have given the second pill unless I personally saw the pill being thrown away and found it. Call the parent and explain what happened. Bottom line is you do not trust ANY students to take their meds without you personally overseeing it. Do what you can to make that happen (get a water pitcher and fill it every day and leave in your office with cups).

I would encourage you to look for another job, maybe something that is not so demanding and has the potential for serious consequences.

Specializes in Cardiology, School Nursing, General.
I also want to know, can you REALLY trust the secretary? The other day you posted that you didn't get along, maybe she just said that she threw it away, so she can get you in trouble. Did you look in the trash? I would not have given the second pill unless I personally saw the pill being thrown away and found it. Call the parent and explain what happened. Bottom line is you do not trust ANY students to take their meds without you personally overseeing it. Do what you can to make that happen (get a water pitcher and fill it every day and leave in your office with cups).

I would encourage you to look for another job, maybe something that is not so demanding and has the potential for serious consequences.

It was different secretary, who saw this and we found the pill in the trash can, and one on the floor too.

Specializes in Cardiology, School Nursing, General.

Thank you all for the advice, and I understand the severity of what I have done.

I'm never going to work in the health care profession again.

Just some other things to consider doing for work, if you like working with children check into pediatric home health agencies or pediatric hospice. These agencies sometimes hire non-nurses to help with personal care tasks at home or in school ... basically like what a para does for the school district. I also know here in our metro some nanny agencies hire respite care givers or full time nannies for special needs children and might value your type of experience.

Our school district does use non-licensed persons to help nurses at our larger schools and to conduct screenings but I don't know how common that is in other parts of Texas.

Specializes in School Nurse.

carevan.org gives immunizations in the Houston area. Spring branch community health Center has all sorts of programs. Get creative, think outside the box. I googled Children's services and found lots of organizations.

Depelchin's has a "Youth Worker" position.

https://recruiting.ultipro.com/DEP1000DCC/JobBoard/d24d005f-97d2-41ec-a969-02533535def2/?q=&o=postedDateDesc

Houston Area Women's Center openings/"]http://www.hawc.org/en/about-us/job-openings/[/url]

Specializes in Med Surge, Tele, Oncology, Wound Care.

This is a terrible situation. At first I thought OP was an RN and was internally roasting her for the error. After reading through and realizing she has a position in which she does not have the skills qualified for the job, shame on the school for having a staff member give pills to kids who are not nurses. I feel for you OP. I see that you are in a hard place. You clearly love kids, need a job and want to help, and know you are in over your head. I don't think you go to work thinking "I can't wait to harm a child today!" It's a very hard position to be in I am sure. I do empathize with what you are going through.

I would be direct with what happened. Don't get into any emotional aspects, just the facts, as anything more will shake you up and it won't bode well.

Write a statement, one of the facts of what happened, what you plan to do personally to fix it and what you plan to do policy wise to fix it.

Good luck.

Just some other things to consider doing for work, if you like working with children check into pediatric home health agencies or pediatric hospice. These agencies sometimes hire non-nurses to help with personal care tasks at home or in school ... basically like what a para does for the school district. I also know here in our metro some nanny agencies hire respite care givers or full time nannies for special needs children and might value your type of experience.

I think this is a great suggestion.

From your posts, you REALLY love working with kids and connecting with them is where you feel you do the most good!

Social work may be your calling :)

Specializes in Pediatric Critical Care.
It was different secretary, who saw this and we found the pill in the trash can, and one on the floor too.

I thought there was only one not-taken pill? Were both pills that you found the same thing? I wonder where the other one came from?

I always make sure they actually take their meds while I am in the room. Ive had patients that pretend to take them but they actually hold on to them. Once I caught a patient snorting pills.

Specializes in Cardiology, School Nursing, General.

I figured out what happened. I'm not sure how in the hell this brat did this, but she didn't even take my second pill.

She was acting out a lot today, which is one clue, giving issues to all and even the person testing her today. She came to harass me for another pill but I didn't give her any because I was under direct orders from my AP just in case of overdose.

Then another clue is today she hasn't come to cry about her stomach hurting or vomiting because her medication causes her to have sever stomach pains and vomiting. Same with eating, she doesn't eat and she ate today.

So I wrote my statement and explained yes I made a mistake and I will make sure not to do it again but she did not take any medications today. Both pills were empty, she emptied the contents somewhere, and I don't know how.

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