Wasn't the School Nurse right?

Nurses General Nursing

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I have a friend who has been teaching about 30 years. She was telling me and a group of friends/relatives this story. It is a little gross/TMI.

My teaching friend (we'll call Mary) had a female student who had a massive diarrhea accident in her class. Most of the accident happened while the student was standing. By the time the accident was mostly finished the student was pretty much covered from waist down. This happened in an 8th grade class with about 30 students to witness the whole event from start to finish.

Mary called the school nurse to see what to do. Neither Mary nor the school nurse felt they could send the student to the nurse's office because by this time not only was her clothes completey ruined from waist down but she was standing in a puddle that was about 12 inches diameter. They felt to send the student to the office ( a long way from the classroom) or even the bathroom down the hall would have caused a health hazard and would have greatly embarrassed an already very embarrassed 14 year old girl. Shortly after the students (some had started to laugh loudly and poke fun) were evacuated the student also lost control of her bladder :crying2:.

The janitors (all available ones were needed) and the school nurse brought clean up equipment to the classroom to clean the student. A teacher was posted at the door so no one unauthorized would walk in and the teacher posted at the door also served to block the window in the door. Mary told us that the only clothes that could be saved were her belt and her bra. Everything else had to be trashed (her shirt was tucked into her pants). Even her shoes and socks were beyond saving.

One of my cousins, an LPN, couldn't believe they did the clean up in the classroom instead of taking the student to the bathroom or the nurse's office. Even though Mary tried to explain that liquid feces would have been tracked almost halfway across the school my cousin didn't care. Mary tried to explain that it would have been horrible for a 14 year old girl to have to walk down the hall with any and everybody witnessing this accident and her soiled clothes, on top of the class seing it as well. For some reason my cousin firmly believed that the clean up should not have taken place in the classroom.

I am asking you all, if you don't mind, who was right? Did the school nurse make the right decision? I hope this all makes since and if I left out important details I will try to provide them. I did not witness the accident, but only have Mary's account of it. Mary told us that the girl's mother was very pleased with how it was handled.

BTW Mary had an in depth conversation with the girl's mother about the accident and the mother could only figure that the new depression meds the girl was on caused her to have a very upset stomach, to say the least.

I agree with everyone. I could only give my opinion to my cousin as a parent of 5 who has 3 that will be in school this fall. If this happened to one of my kids and the teacher and nurse handled it like that, I think I would be passing out thank you cards with Walmart gift cards in them.

Specializes in psych, addictions, hospice, education.

Personally, I think the teacher of the class should have a long talk with her students about what happened, because their insensitive response wasn't ok. What happened to the poor student could have happened to anyone.

There were a few students who were very sensitive, but there were many (those in the class who witnessed it and those who heard about it) who were complete #@^#! This girl ended up getting teased EVERYWHERE. I think the gym teacher and even the principal set a poor example.

The nurse absolutely made a good call.

I am stuck on the loss of bladder control, though. I just don't see how that could be a side effect of an antidepressant. And the amount of liquid stool is far and beyond "normal" diarrhea. Sounds like there was something more going on with her health.

Specializes in LTC.

She was very right.

Specializes in ER/ICU/STICU.

I say it's the right call. They removed all the other students and had someone guard the door while she got cleaned up. Let's face it, kids can be very cruel to each other. This child had to be extremely embarrassed to begin with, but then to march her down the hall in front of even more kids who hadn't witnessed the episode could have all kinds of ramifications beyond the one's already happening.

Tell your cousin to to remember when he/she was in 8th grade and the same thing happened to him/her. Would they be able to walk by all of their classmates like that and not be affected?

Specializes in ER/ICU/STICU.
The nurse absolutely made a good call.

I am stuck on the loss of bladder control, though. I just don't see how that could be a side effect of an antidepressant. And the amount of liquid stool is far and beyond "normal" diarrhea. Sounds like there was something more going on with her health.

The loss of bladder was probably a physiological response to what had happened mentally and emotionally. Sort of like you see on TV when the person has a gun to their head and wets them self.

This is a horrible story, poor girl, but d%^#$! why is every kid on medication anymore!

I think the gym teacher and even the principal set a poor example.

if i had absolute proof that a teacher/s or the principal had laughed at this type incident, i'd be one furious parent who'd bring it to the attention of the pta/school board and superintendent of education...

as well as the parents of the insensitive kids involved.

i'd never do it w/o proof but would persecute the bastards to the max, if i was that certain.

seriously, this girl could get ptsd from this 1 incident alone.

i really (really, Really) hope this girl is ok.

leslie

Specializes in school nursing, ortho, trauma.

good call by the school nurse from a fellow school nurse.

Yes, if it were the run of the mill situation with a student having an accident, then she should technically be changed in the privacy of the health office or the nearest bathroom. But this was definitely an unusual circumstance. My heart goes out to the student. What an awful experience and shame on any adult making light of the situation.

Nurse made right call. The LPN is showing a lack of "critical thinking". LPN training directs one to do tasks. The LPN's that are really good develop this skill on their own over time. The ones who go strictly off their training never get past being technicians, therefore, if you have a mess, you clean it up in the bathroom. Your cousin could not have been more wrong.

I am an LPN, and a school nurse. I totally agree - the nurse did the right thing, and I would have done exactly the same thing. One issue, though...my training program most certainly trained us in using critical thinking skills in all aspects of nursing care, not just being "technicians". RN training is not exclusive to that.....

:nurse: mc3

Specializes in ED, Telemetry,Hospice, ICU, Supervisor.

Nurse made the right call, I mean kids are brutal at that age and having to walk to the bathroom covered in feces would also have been an issue. Mostly though its the other kids making fun of this girl that would be the main motivator.

I wonder if there was anything physical issues with the kid? Or mentally for that matter?

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