Non-compliance procedure - page 2

So we just got SNAP (had Health Master) and we are doing immunizations and are finding non-compliance in a lot of students all over the District. The Supervisor would like us to call to MD's office... Read More

  1. by   ruby_jane
    Quote from MrNurse(x2)
    Amazingly, they were quick about getting us to write a letter for the insurance company to cover their costs and kept calling us and bugging us about this letter.
    Oy vey. How is this the school's problem???
  2. by   MrNurse(x2)
    Quote from ruby_jane
    Oy vey. How is this the school's problem???
    We are a community school, we are a little more family centric than most. We go a little over and above for our families.
  3. by   Kooky Korky
    Quote from kidzcare
    From a parent standpoint, it would be really bad form to immediately exclude based on new found information. I think administration should give some leeway. Like, alert parents not that there is an issue that was just found and give them until the first day of next school year to be in compliance.
    Interesting that they are given as long as a whole year to comply.

    Giving so much time to get into compliance doesn't seem like it would be helping the cause of protecting everyone.

    Or am I misunderstanding what you are saying? Thanks for any clarification.
  4. by   nmr79
    Quote from JenTheSchoolRN
    Same. I only contact the doctor's office after I get nada from a parent and suspect their kids is actually up to date and request the immunization report. 9/10 they are and I get the paperwork and I'm done.
    Same here.
  5. by   KKEGS
    This kind of stuff just gets me all riled up! It is NOT my job to call a doctor's office and inform them that a student needs immunizations. Nor is it my job to track down immunization records. I do have access to our state database and if I can find some information there then great. But I do not go out of my way to track down records for parents. It is the parent's job to provide the documentation to the school.

    Each year we send a series of 3 letters letting parents of non compliant students know what is missing, what options a parent has for completing the requirements and what the consequence is (exclusion) if they do nothing about it. As we get closer to the exclusion date I will have my principal call the parents directly to let them know that we mean business when we say we will exclude the student.
  6. by   Csn2016
    Ugh we went through this nightmare at the end of last year and the first week of school this year. Due to our states vaccine laws changing (requiring a dose of polio after the age of 4) The good news was majority of the kids had it however a lot of the doctors offices did not document it as given on the vaccination record (for instance typically the TDAP and polio are given together as Kinrix BUT the physicians were only checking off TDAP on the immunization record that was handed into the school). So I sent letters home to all the parents who's kids were missing the vaccine, this resulted in them calling the doctors offices who would look and say 'oh no your child is definitely up to date"...then parent would call the school and say "the doctor said their up to date"...well thats not good enough we still need documentation. The local physicians office was not happy with us (the nurse would get snippy with me until I finally called her out on it by saying "whats one of the first rules in nursing school? If its wasn't charted it wasn't done"...that shut her up)
    Do you have access to your state vaccine website? I received access and certain doctors office and hospitals use it as a database. It might be a super easy way for you to check and see if the student really did receive all the vaccines required. But yeah so we send a letter home (physically mail it instead of sending it home in the childs backpack). Then we do a phone call to followup. Then the child is excluded until complete (and some parents still send them to school and I am stuck 'babysitting' until the end of the day).
  7. by   AutumnDraidean
    I caught one of these phone calls, senior needing meningitis shot. I knew the mom, thankfully, I knew the pediatrician's habits as well. However I can clearly see where this could get ugly. The shot is needed for the survey but we have a pedi saying No, not until next year, sorry.

    I have no idea how the story ended, but I'm sure it was....interesting.