Student w/ PDN

[BunnyBunnyBSNRN, ASN, BSN]

I have a student with a private duty nurse who is brought to my office every morning for me to do an assessment.  It's pretty basic - HR, RR, O2, temp, bowel and breath sounds - so it doesn't take a lot of time.  My question is why am I doing this assessment?  When I was in MD, I had a student with a PDN that I never saw, honestly didn't even know what the student looked like.

Do you have students with PDNs?  If so, do you do an AM assessment when they come in?  What is the process in your district?

[lifelearningrn, BSN, RN]

She's his PD nurse, there is no reason for you to be assessing him. Isn't that her job?

 

[LikeTheDeadSea, MSN, RN]

I've had many a student with a PDN over the years, and I myself work part-time as a PDN -  I've never had any assessment overlap except if a newer nurse was asking for a 'consult' about breath sounds or something.

[AdobeRN]

why are you doing the assessment?  If he has a PDN, she should be the one as part of her employment.  You shouldn't need to do anything with that student unless it was an emergency. 

Just now, LikeTheDeadSea said:

I've had many a student with a PDN over the years, and I myself work part-time as a PDN -  I've never had any assessment overlap except if a newer nurse was asking for a 'consult' about breath sounds or something.

Same here....

[Jedrnurse, BSN, RN]

I saw the title and was racking my brain trying to figure out the signs and symptoms of PDN...

[NutmeggeRN, BSN]

On 4/5/2022 at 12:50 PM, Jedrnurse said:

I saw the title and was racking my brain trying to figure out the signs and symptoms of PDN...

me too!?  then I re read it!

No, that is the PDNs job. Has that nurse stated why they are asking you? And they are a nurse, correct?? LPN or RN?

[dee cee]

chances are she is being paid darn good money through the agency, tel her to start doing HER part of the job.

 

[BunnyBunnyBSNRN, ASN, BSN]

49 minutes ago, dee cee said:

chances are she is being paid darn good money through the agency, tel her to start doing HER part of the job.

 

It's a district thing here, not an agency decision.  I feel like it a "this is the way we've always done it" thing

 

[SandIsMyGlitterRN, BSN, RN]

In our district, if a student has a PDN we have a "hands off" policy.  The company that the PDN works for takes full responsibility and liability for the student.  

[k1p1ssk, BSN, RN]

I have so many questions! Who is telling you to do this? The PDN, the district, the 504 liaison?  Is it in their 504 that the school nurse must do an assessment? Are the student's orders written as such that you are delegating to the PDN after doing your own assessment? Is there some district policy about these things? 

I know it feels silly to complain about something that takes little to no time to complete, but I completely understand your predicament. It makes you feel like it sets a weird precedent that you are going to drop everything to perform a task that someone else could/should be doing. In my school, this seems to be home assessments where someone in the SPED department decides that a student being evaluated needs to have the nurse go INTO THEIR HOME and conduct a full medical history interview with the parents. This happens without any input from the nurse whatsoever and similarly, this has just "always been that way".