18 year old student will not share info

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Specializes in kids.

"Please do not post on FB or other SM"

I have a student who had some sort of issue/procedure that has caused time out of school. In connecting w parent, student has indicated they are not obligated to share info (due to HIPAA/confidentiality) with us. I want to support this student as best I can upon return. I plan on asking for a statement of safety (that they are safe to be in school) and any restrictions they may need while in school.

Is there anything else we as a school can legally ask for?

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Specializes in School Nursing, Pediatrics.

Tell him he needs a doctors note to return to school that lists any restrictions, it won't say what he had done but it will at least give you an idea that he really did have something done and what the restrictions are and for how long. 

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Specializes in kids.
1 minute ago, scuba nurse said:

Tell him he needs a doctors note to return to school that lists any restrictions, it won't say what he had done but it will at least give you an idea that he really did have something done and what the restrictions are and for how long. 

I believe they had stuff done...I just want to be sure we are covered. I think the 18 yo is flexing the adulthood a little. 

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Specializes in school nurse.

Well, as you know, CYA with the documentation. Then let the chips fall where they may...

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Specializes in kids.
2 minutes ago, Jedrnurse said:

Well, as you know, CYA with the documentation. Then let the chips fall where they may...

Ayup!

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Specializes in Pediatric Critical Care.
On 3/22/2022 at 10:56 AM, NutmeggeRN said:

I believe they had stuff done...I just want to be sure we are covered. I think the 18 yo is flexing the adulthood a little. 

18 is an adult.  This is not subjective.  This newly minted adult is still an adult and has the right to be treated like any other adult.

Now, as an adult, if I was out of work for a medical procedure, my job would probably require a form from my doctor/provider that stated I was cleared to return and under what conditions.

Do you have the authority to bar them from returning without medical clearance?  That is the real question.

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Specializes in school nursing, ortho, trauma.
9 hours ago, Julius Seizure said:

18 is an adult.  This is not subjective.  This newly minted adult is still an adult and has the right to be treated like any other adult.

Now, as an adult, if I was out of work for a medical procedure, my job would probably require a form from my doctor/provider that stated I was cleared to return and under what conditions.

Do you have the authority to bar them from returning without medical clearance?  That is the real question.

agreed - An adult at a place of employment would need to provide documentation stating that they are cleared to return to XX level of activity.  Don't really need to know why they were out, but do need to know that they are safe to be there and in what capacity.  Otherwise, they may not be able to attend (unexcused days).  This is a liability thing.  Your admins should be heading up this charge.  

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Specializes in kids.

It sounds like it is coming. Oye...

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Specializes in kids.
9 hours ago, Julius Seizure said:

18 is an adult.  This is not subjective.  This newly minted adult is still an adult and has the right to be treated like any other adult.

Now, as an adult, if I was out of work for a medical procedure, my job would probably require a form from my doctor/provider that stated I was cleared to return and under what conditions.

Do you have the authority to bar them from returning without medical clearance?  That is the real question.

Totally agree that 18 is the change. In my experience, very few kids, if they are living home, exert that prerogative. Maybe I should be doing more advise them of their rights at 18? 

However...knowing this family...I think there is a little bit of a flex going on. I truly am only interested to know they are safe to return to school and there is nothing I would need in the event of an emergency. But I  guess it is no different than if it was a faculty member who had an emergency, but THEY would not be allowed to return after surgery surgery without a note to HR clearing them.

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Specializes in Nephrology, Cardiology, ER, ICU.

I'm not a school nurse so bear with me - why do you need to know what procedure was done? If the teen is in school with a note from provider that he can attend school, what more info do you need?

 

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Specializes in kids.
On 3/25/2022 at 9:58 PM, traumaRUs said:

I'm not a school nurse so bear with me - why do you need to know what procedure was done? If the teen is in school with a note from provider that he can attend school, what more info do you need?

 

If a student comes to me for meds for discomfort (we can give OTC w/ parent  permission). Part of my assessment would be to look at any incision or have a conversation about the pain. I am uncomfortable treating someone for pain without a full assessment, to ensure there is nothing else going on, Wound dehiscence or infection  come to mind. I  picture myself standing in front of a judge as to why I never looked at what I was dealing with. Call me crazy, but I truly only want what is best for the kid. The requested documentation has been turned in. I am just glad they are ready to return.

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Specializes in Nephrology, Cardiology, ER, ICU.

As a school nurse and certainly from an 18 y/o if they asked for an OTC that you are permitted to give why in the world would you need to look at an incision?  Supposed he had an orchiectomy for cancer? Or suppose he has a headache? I'm raising a teen and I would be incensed if a school nurse wanted to see an incision. To me, thats an invasion of privacy. 

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