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Students with 1:1 nursing

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by nursenmom3 nursenmom3 (Member) Nurse

215 Profile Views; 85 Posts

I posted something similar in the PDN forum, but it seems like this one is busier.  Sorry if you're seeing it twice!  My husband and I are considering sending our medically complex son to school, and I'm trying to get a little more information about what to expect with 1:1 nursing. 

If you have any students with 1:1 nursing, can you tell me how it works?   How are nurses selected?  Who supervises them?  Do they come from the home health agency, or are they hired by your district?  How has the reliability been?  

Also, I'd love to know what kinds of things they are and aren't allowed to do for them.  My kid needs lots of help that is clearly medical (e.g. suctioning his trach, managing oxygen and gtube feeds), but also educational help like writing things down.  Do your nurses do the latter, or do kids have both a nurse and some kind of aide?  

Sorry for all the questions!

 

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nycNurse2b specializes in LTC, sub-acute rehab, supervisor.

375 Posts; 8,451 Profile Views

The district I sub in has a student with similar medical needs.    He has a 1:1 agency nurse and a district employee as his 1:1 classroom aide.

 

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85 Posts; 215 Profile Views

Thank you!  When you say he has an "agency nurse" do you mean the agency that provides home health care, or a separate agency that the school contracts with?  

In an ideal world, I'd love to have someone who has worked in the home with us as a home health care nurse and really knows him in this role.  I don't know if that's possible.

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Kitiger is a RN and specializes in Pediatrics.

1 Follower; 912 Posts; 18,588 Profile Views

I'm an agency based private duty nurse. When I go to school with a 1:1 student, I do all of his medical care. If he is  SXI (severely multiply impaired), I also do many of his classroom activities with him. If he is able to take part in a normal classroom, I stay out of the way and monitor him. I may take him next door, or some private place, to suction his trach. If necessary, I'll suction him right in the classroom, but that can be disruptive to the other students.

With one child, the first thing the school nurse said was, "I don't do vents!" That's OK, because I do all of his medical care. Typically, this is a client for whom I already do home care. I ride the bus with him, bringing all of his equipment with us.

I keep the school nurse informed if he has any special problems (professional courtesy) but she/he doesn't have to do any care.

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85 Posts; 215 Profile Views

Thank you!!!!

My son has no cognitive or behavioral  issues, but he's got pretty severe arthritis in his hands and wrists, so he can't write, and his stamina for typing is limited.  Would taking dictation to fill in a worksheet or do an assignment be something you can do?  

Also, do you ever do a shift where you spend time both at home and at school?  I imagine we'd probably start with half days at school.  In a situation like that, would you ever come to the house, ride the bus, and then ride the bus back and stay for the rest of an 8 hour shift?

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Kitiger is a RN and specializes in Pediatrics.

1 Follower; 912 Posts; 18,588 Profile Views

See my answer under Private Duty Nursing.

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