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Discussion

Seriously ???

I had mailed asthma care plan to this particular parent who's daughter has asthma.

This is the care plan that the physician is to fill out and return to the clinic. Parents are supposed to bring an inhaler in so that we have it while kid is in school.

This care plan came in about a month ago, but no inhaler.

I just got off of the phone with the Mother. I told her that the order is here, and we are just awaiting the inhaler.

Mother states: Oh.... I thought the doctor would send you the inhaler too. What ???

Uhhh.....NO !! That's your job !

Featured Replies

  • Expert
Quit offering to rub things... It's making me uncomfortable :roflmao:

You know what my response to this would be :yes:

That doesn't matter, if we feel uncomfortable, that means we get special treatment. :rolleyes: (I just wanted a reason to use mr. sarcastic)

Now, you are speakin my language!! :cheeky: :roflmao: :blink: :sarcastic: :no: :yes: (I just wanted an excuse to make a whole chorus of animated smileyguys)

Now, you are speakin my language!! :cheeky: :roflmao: :blink: :sarcastic: :no: :yes: (I just wanted an excuse to make a whole chorus of animated smileyguys)

I think everyone except OldDude is going to file a DASA on me. *puppy eyes*

I think everyone except OldDude is going to file a DASA on me. *puppy eyes*

Ok. I am feeling dumb. What is DASA?? I googled it and got a wide array of possibilities. Sorry, sometimes I am a little slow.

Ok. I am feeling dumb. What is DASA?? I googled it and got a wide array of possibilities. Sorry, sometimes I am a little slow.

I don't know either

Dignity for all Students Act? Mr Google!

I am assuming some type of sexual assault, given the source.:bag:

I am assuming some type of sexual assault, given the source.:bag:

Hey now.

These last 3 pages are awesome and just the pick-me-up I needed. I swear if I have to talk about head lice or deal with one more "My teacher said I'm coughing too much" visit, I'm going to lose it! I love "working" with other nurse, even if it's on-line. You've restored my sanity and I thank you!

OK, I'm back. I am not a school nurse. I have more confidence in kids than you do. Inflammatory, not really, just a different perspective. I will just leave at that.

Far & Old Dude and the rest of you wonderful school nurses, gonna get you guys back on track..........

As a Family NP: The local public school systems ( about 5-6, covering 5 counties) do not allow elementary (K-5) kids to self carry albuterol inhalers or any other meds. These are different school systems with policies decided by different school boards. Middle school & High school can self admin albuterol with an asthma action plan which is kept by the school nurse. I work with an asthma/allergy/immunology doc & I would have to disagree that elementary school age kids (5-11) do not require supervision with inhalers. Yeah every now & then you run into one who is the exception and can actually use albuterol inhaler with spacer correctly & when actually needs it. Kids in this age group do not have the intellectual capacity to make that decision. Parents still must supervise home meds such a controller inhalers.

I've been on AN for a while now, and post infrequently, but I do enjoy reading in many different forums. NEVER have I seen such entertaining back and forth, as well as good humor and (dare I say) good 'ol fun, as in the school nurse forum. I'm not a SN, but I do work with them... Wish I worked with you guys! Keep it up!

OK, I'm back. I am not a school nurse. I have more confidence in kids than you do. Inflammatory, not really, just a different perspective. I will just leave at that.

More confidence in kids than we do? Because you get to know them oh so well in those few minutes you spend with them in the office, as you are rushing them out to get to your next patient? Of course all kids are going to sugarcoat and pretend like they understand everything you are telling them in an asthma and allergy appt, I've been there done that, as an asthma parent. And then we get home and I start asking my son things, and realize he captured none of it, because he felt so overwhelmed!

Us school nurses are the ones who see these kids day in and day out, educate them day in a day out, teach them how to use these inhalers day in and day out, how to use a spacer properly day in a day out, how to manage their asthma day in a day out (now Johnny, why didn't you take your Advair this morning... this is why it's SO important.. this is why you should take your ProAir BEFORE gym not after). We have SO much confidence in these kids, that's why we spend so much time INVESTING in HELPING them!

Office nurses haven't been in a position with a kid who is supposed to "self carry" in THIRD grade, but has no inhaler, and is retracting, nasal flaring, o2 at 85%, audible wheezing, and when you ask the kid where their inhaler is, she shrugs her shoulders. It's heartbreaking, because I could help her INSTANTLY if I HAD POSSESSION of the inhaler myself. I have been in that position TWICE this school year with this SAME student, calling EMS each time. Now, explain to me how that is more efficient than the kid self carrying? Mom says she is the "most responsible third grader she knows!" Hmmm...

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