not getting the help I need! - page 2

I am the only nurse for a 2 school district (approx 800 students). We have a high mobility rate and are in a low income community. Prior to my hire last year, the district had never employeed a... Read More

  1. by   scuba nurse
    Do the parents KNOW that a non licensed person is giving their child medication? Does this person get a training by you or who each year?
    I would NOT trust them about the liability issue, get your own extra insurance to cover your a$$.

    Do you have a school committee? I would present my ideas to whomever you can, and the highest level you can, I know you said you went to the superintendent, keep pushing!!!!
  2. by   Have Nurse
    Get out of there.
  3. by   OldDude
    Quote from jess11RN
    Last year, I had brought this very topic up (medication adminsitration and health interventions should be conducted by an administrator) to the principal, vice principal, superintendant, and our board president. This year, I also have brought the same concerns up with our new superintendant. I've even gone as far as printing up my entire nurse practice act (I'm in IL) and highlighting the exact print within the document backs me up. They still claim that they as administrators will take the chance of the liabilty to have the health aid/secretary continue to administer the medication and health interventions.
    I'm not too confident I can succeed, but I can try to do more research and figure out a different means to approach things.
    I understand your dilemma...maybe approach it from the angle that by you simply "introducing" a task that must be performed on that campus places you in a professional de facto supervisory position; which the nurse practice act prohibits. In other words, even though the district says they would take responsibility (which I would demand in writing in general), that pledge to you doesn't excuse you from the requirements of your nursing license. In other, other, words, you can supervise the custodial staff while being employed as a RN but you can't supervise unlicensed personnel performing nursing tasks without violating the nurse practice act. One thing for sure, if YOU don't continue the effort, no one else will. Very best of luck to you.
  4. by   LikeTheDeadSea
    I agree with everyone before me, and that a "we take liability" paper trail drawn up by the fancy district lawyers should be insisted upon. They get paid the big bucks to say "oh crap we are breaking the nurse practice act, we should tell someone..." and people actually listen to them.
  5. by   Workitinurfava
    You weren't the first and it is up to you whether or not you want to be the last to put up with these conditions.
  6. by   MrNurse(x2)
    Educators are ignorant of the NPA, tell them that their word does not relinquish you of anything. It would be like the Principal saying you can murder someone and they are responsible. The NPA is law, they are basically breaking the law. Unlicensed people don't get it.
  7. by   beachynurse
    I hope that you are printing out copies of these e-mails and keeping them at home... It's amazing how things can just "disappear"
  8. by   NutmeggeRN
    Can the Lions Club come in and do your eye screening? That is just a very small piece of the puzzle but if it helps?
  9. by   pedi_nurse
    1:800 ratio isn't bad. However, I've had similar problems with administrators not understanding the responsibility nurses take on in a position such as this. I've gone head to head with a principal over sending a trained, but unlicensed diabetic care assistant (State of Texas requires one for schools with a nurse and three for school without a full time nurse) on a field trip with our diabetic kid. He didn't want to send them and wouldn't. Kid got a little too much insulin on the field trip. Fortunately, she was okay, but did that incident change anything with my admin? Nope!

    Basically, educators often just don't get it and in Texas, medication administration in school is an administrative task, not a medical one. Principals are free to delegate whoever they want to (the only training required is for UDCAs). If I were in your position, I would work on isolating your duties to strictly one school. You could also potentially still be responsible for care plans, shots, screenings, etc at the other school. However, implementation (and thus delegation) of care plans would not be your responsibility. Plop them on the desk of the administrator with a place for them to delegate the person carrying out said plan and their signature. If you can't sever yourself from "delegating" then I would get out as soon as you can.

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