I have a newly registered student who is 17 years old in the 9th grade. He was homeschooled last year and has been demoted from 11th to 9th grade recently. His aunt is his guardian is very protective, demanding, and critical of the district. She is requesting another ARDS to get him a private escort. Hx: sped in general classes, behavioral issues ( wants to act like a gang member, gets upset easily and walks off, etc. But he is normal in carrying a cellphone around and texting friends, does his homework, etc. ). He was hospitalized last month before he came to me for being suicidal after trying to stick himself at home with 3 insulin needles, and we were never told why. He can't be trusted to come to the clinic before breakfast and lunch daily consistently at the correct time. I have had to hunt him down in the cafeteria, in the hallway, etc. I have 5 other diabetics at this high school with approx 1800 students shared with the other RN. I know every child has to have equal access to an education and all that but how far can a parent demand the district hire a private escort for their student? He is in regular classes but doesn't really want an escort telling him where to go, while the aunt is demanding one. Have you ever experienced anything like this?
That might the middle ground vs a fulltime 1:1. Is there a teacher/staff member that he trusts that will "conveniently" stop by to remind him and escort for the his glucose check?
I was going to suggest this as well. We have a kiddo that PT said is NOT to use the stairs alone, and not to even use them with one adult, but instead having two there. So staff coordinates their schedules to whoever in the building has time when he has to come down for things like specials or lunch. Maybe this could work for your kid.
Honestly, there is only so much you can do if the kid just doesn't get the severity and the importance of being compliant. If the doctor doesn't recommend an escort and if his diagnosis doesn't support it, then tough cookies. Be there when an emergency inevitably happens. Of course, then aunt would blame the school and not kid.
Ok, here is the update. Mom and student didn't show for ARDS ( at dr office) but it went forward with many promises of getting him and me some help getting a buddy/behavior unit (promised by the new director who walked in the middle of meeting knowing nothing about him. The buddy would taper off by him gaining points from good behavior. That was promised Mon. by new director. AP assured me you are not alone. FF to Fri. nothing has changed yet. Brought in new orders. Has to bring food for Brkfst and Lunch to count carbs and then take food to class. Still skipping and guardian. blasts my phone about it. Came in today as ordered. While gobbling down food, states guardian says she wants diabetic log faxed to her every Fri as in his IEP. Huh. He calls, she says no to her email as stated in his IEP. I call the Diag. who says no it doesn't say that in his folder. I don't email it. Diag says a 3rd ARDS is being scheduled this month in 2 weeks. Lordy Lord. He has been here for 4 weeks. Help me. What is the log for? Not the doctor. She can read in realtime all notes from the clinic. Now they have realtime APPS, what is it called...but maybe that is for ones with insulin pumps. No, it's not. More control. Will they give it to her. More work on me.
I have students that 'forget' to come for their daily meds. I have student office workers go get student. 10 minutes before lunch, student office worker gets non-compliant student, escorts to nurse. At least yours & his needs are met without having to hire someone. Not sure about the rest of the day . . .
Specializes in ICU/community health/school nursing.
On 11/1/2019 at 9:24 AM, Dimple58 said:
Ok, here is the update. Mom and student didn't show for ARDS ( at dr office) but it went forward with many promises of getting him and me some help getting a buddy/behavior unit (promised by the new director who walked in the middle of meeting knowing nothing about him. The buddy would taper off by him gaining points from good behavior. That was promised Mon. by new director. AP assured me you are not alone. FF to Fri. nothing has changed yet. Brought in new orders. Has to bring food for Brkfst and Lunch to count carbs and then take food to class. Still skipping and guardian. blasts my phone about it. Came in today as ordered. While gobbling down food, states guardian says she wants diabetic log faxed to her every Fri as in his IEP. Huh. He calls, she says no to her email as stated in his IEP. I call the Diag. who says no it doesn't say that in his folder. I don't email it. Diag says a 3rd ARDS is being scheduled this month in 2 weeks. Lordy Lord. He has been here for 4 weeks. Help me. What is the log for? Not the doctor. She can read in realtime all notes from the clinic. Now they have realtime APPS, what is it called...but maybe that is for ones with insulin pumps. No, it's not. More control. Will they give it to her. More work on me.
Hang in there, Dimple. When we start insisting that the parent needs doctor's orders for anything out of the ordinary and that parent keeps missing our ARDs, usually things are turning around. Document the pants off of everything you wrote, though.
OyWithThePoodles, RN
1,338 Posts
I was going to suggest this as well. We have a kiddo that PT said is NOT to use the stairs alone, and not to even use them with one adult, but instead having two there. So staff coordinates their schedules to whoever in the building has time when he has to come down for things like specials or lunch. Maybe this could work for your kid.
Honestly, there is only so much you can do if the kid just doesn't get the severity and the importance of being compliant. If the doctor doesn't recommend an escort and if his diagnosis doesn't support it, then tough cookies. Be there when an emergency inevitably happens. Of course, then aunt would blame the school and not kid.