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Discussion

What do you do while the client in school?

i have been posting so many threads lately as i'm brand spankin new to peds hh.

so my question is: what do you do while the client is in school? i know we as nurses do the feeding, adl care and etc. but are we expected to "teach" the client as well or help with school work?

where and how do you change the clients' soiled brief, especially if the client weighs more than 90 lbs? where do we suction the client and do other treatments?

what are the pros and cons to going to school with a client? i'm considering taking a case where the client attends school. any info. would be greatly appreciated. thanks. :nurse:

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    I go to school with my client. Per his IEP, I'm also his Instructional Aide. I read to him, we work on the computer, and go to a few classes. My client also goes to an outside program a few times a week with other special needs students. I go with him.

    As far as changing briefs, the school has a room set up with changing tables and lifts. I keep his supplies in there.

    I try hard not to do care outside of the special ed room, mostly for my client's privacy. I'm originally from long term care, where you DO NOT do care during an activity or in the hall. Besides, the kids stare. If he needs suctioning, I'll try to find a corner or (during band) wait until music is playing. Sometimes, you have no choice. I once spent an evacuation drill managing a seizure in a crowded gym. I also had to manage a seizure while waiting for the bus home.

    I got 1.5 days of orientation before I was on my own, so I learned a lot on my own. My client's mother and the special educator were great resources. Some of the other aides were less so.

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    • Author
    I go to school with my client. Per his IEP, I'm also his Instructional Aide. I read to him, we work on the computer, and go to a few classes. My client also goes to an outside program a few times a week with other special needs students. I go with him.

    As far as changing briefs, the school has a room set up with changing tables and lifts. I keep his supplies in there.

    I try hard not to do care outside of the special ed room, mostly for my client's privacy. I'm originally from long term care, where you DO NOT do care during an activity or in the hall. Besides, the kids stare. If he needs suctioning, I'll try to find a corner or (during band) wait until music is playing. Sometimes, you have no choice. I once spent an evacuation drill managing a seizure in a crowded gym. I also had to manage a seizure while waiting for the bus home.

    I got 1.5 days of orientation before I was on my own, so I learned a lot on my own. My client's mother and the special educator were great resources. Some of the other aides were less so.

    Thank you, very informative.

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