Dr Visits

[mema]

I am in the process of revising my handbook and don't have it in the current one that they cannot attend after immunizations.

I have a family that dropped off a sibling this morning and said they would be back later with the other one-has an appointment. It was early yet and it caught me off guard. When this family signed up, I asked them to do them on Friday afternoons or on days not attending care. This little one gets crazy when he has a slight cough or runny nose, so I'm sure immunizations aren't fun for him. Up until now, they have done them on Friday afternoons. Can I turn him away when he gets here even though it isn't in my handbook, but we talked about it? If they gave him Tylenol can I turn him away? I really just don't want him to be here, but I don't technically have it in my handbook-yet. Dcd doesn't work, so he should be able to keep little one home, but of course, they said they would only be here 3-4 days during the week during the off season too and have been here 5 the entire season.

The new handbook will hopefully be going out the first week of March. I have a bunch of licensing papers to fill out for my yearly visit, but am a little behind on that, so I figure that is first.

[Blackcat31]

I would tell them that this issue was discussed during the interview and that you are simply unwilling to take the risk and will not provide care for him today.

I understand that a lot of provider's don't mind but I do and I absolutely will NOT allow a child to attend until 48 hours AFTER their imms.

If they need to give him Tylenol, he really shouldn't be there at all. IMHO.

Plus, this family is obviously aware of your "unwritten" policy if "up until now" they have done them on Fridays......

[mema]

Backbone, backbone, backbone.

I know I need to turn them away because I know he'll have had Tylenol just from their comments in the past about his immunizations. He is apparently a real "bear" and I know dad won't want to deal. I'm sure if I turn them away, the other will stay, which is fine, but then I'm sure they'll be late to pick up.

Backbone, backbone, backbone. I'll just keep repeating this over and over! I can't wait to get my new hb out and then stick to it ALL the time!

[Blackcat31]

Backbone, backbone, backbone.

I know I need to turn them away because I know he'll have had Tylenol just from their comments in the past about his immunizations. He is apparently a real "bear" and I know dad won't want to deal. I'm sure if I turn them away, the other will stay, which is fine, but then I'm sure they'll be late to pick up.

Backbone, backbone, backbone. I'll just keep repeating this over and over! I can't wait to get my new hb out and then stick to it ALL the time!

Can you text them BEFORE they attempt to drop off?

If so, I'd go that route.

Either that or take him in and call for pick up 20 minutes later. That last suggestion is probably the last thing I would try but I know using your backbone (especially with some families) is tough.

Either way, I wouldn't keep him for the day. No way.

I am always amazed at what policies parents will follow and then simply disregard when it doesn't work for them.

I'd try calling or sending them a text BEFORE they try to drop off though...seems easier than turning him away at the door.

[mema]

I was going to text them and let them know if he had immunizations to not bring him, but then got distracted by another family that dropped off and their super tired baby and forgot. When he showed up, I asked if baby had shots and he said yes. I said then I don't want him to be here.He said doctor said he would be fine-so??? I said, well, doctor isn't the one here-I am and I don't want the risk. He then complained about some appointments he had. I agreed to keep him for the first appointment, since he was already late for it, but that he had to reschedule the rest or take baby with him. I gave him 1 hour to get there and back or I would call dcm at work to come. So, a little bit of my backbone I guess. Better go get my license paper work done, so I can get back to my handbook.

[Blackcat31]

Good for you. happyface

I know he is still there for an hour but still....he was aware of your unwritten rule so....tough beans for him.

If he isn't back within the time frame you gave him, follow through and call mom at work.

One good thing about situations like these are once they happen, they usually never happen with the same family again.

[kendallina]

What is the reason that providers don't want children there after immunizations? Is this just for babies or for older children, too? It's never been an issue for me, but I only have older kids...

[Little Star75]

What is the reason that providers don't want children there after immunizations? Is this just for babies or for older children, too? It's never been an issue for me, but I only have older kids...

Most kids after immunizations tend to get sick after, fever, runny nose, and get very fuzzy.

[Blackcat31]

What is the reason that providers don't want children there after immunizations? Is this just for babies or for older children, too? It's never been an issue for me, but I only have older kids...

I never cared before as the mild effects (fever, temp, irritibility) weren't bad to deal with but a few years ago, I had two kids have seizures the second day after imms.

NOT something I ever want to deal with again.

I know it isn't a huge deal but it is simply my personal choice to NOT deal with it and even though it isn't really a big deal, it is NOT something I ever want to call a parent about and something I think parents should be on duty for if it were to happen. kwim?

Plus, I do NOT allow any meds for any reason and I don't administer them either.

So for me, it is just a personal choice.

[NeedaVaca]

I also had a DCG have febrile seizures the day after immunizations.

[mema]

Well, dcd was 15 min late. I called dcm at 5 min, but of course, she didn't drive today. He ended up taking both kiddos because he didn't want to drive back my way when getting mom from work. He kept asking why and I just said because I don't want to have to worry about any side effects and baby would be more comfy at home cuddling with them!

I haven't had anything happen personally other than crabbiness and fevers, but I just don't want the risk. I said he could come back tomorrow this time, but next time to make them for a Friday or keep him out 48 hours.