Nebulizer Treatment.... Not sure

[Little Star75]

How do I tell parent I don't feel comfortable giving this treatment to child? I spoke to licensing and forward me a flyer. After reading it I don't think I feel comfortable doing it. This child needs treatment only as needed but also has a liquid med I can give Instead.
Help!!! How do I tell DCP I am not going to do it. Today is the second time she brings the nebulizer, the first day she gave me a demo but really?? I need more training. Anyhow... I decided I am not going to do it.

Thanks in advance

[Blackcat31]

Just tell her that it is too much to ask you to do it at daycare.

Let her (DCM) that if her child needs a neb treatment, you can call her and she can come do it for him.

NOTHING wring with saying you simply do not want to do it or that you don't feel comfortable doing it.

That IS ok.

Is the neb required for asthma or is it due to being ill?

[Little Star75]

Just tell her that it is too much to ask you to do it at daycare.

Let her (DCM) that if her child needs a neb treatment, you can call her and she can come do it for him.

NOTHING wring with saying you simply do not want to do it or that you don't feel comfortable doing it.

That IS ok.

Is the neb required for asthma or is it due to being ill?

Thanks so much for your response.... It's for both, asthma and being sick. As needed only but parents brought me a liquid med (which I have all documents in file) to give instead.

[sharlan]

Do what you are comfortable doing. If you are not comfortable using it, let the parents know.

Personally, I don't find the nebulizer all that daunting. My daughter and grandson are both asthmatic, plus I've had several asthmatic daycare kids.

[crazydaycarelady]

I've given nebulizer treatments many times. It's really very easy! The medicine comes in little sticks that you just break open and pour in, already measured out. It's really no big deal at all.

[Crystal]

Honestly, it is a very simple procedure and if you DON'T use it when he medically needs it, and something horrible happens, you could be held liable. The only way to avoid using it is if you refuse to accept in him to care if he has ANY cold symptoms at all, because, in my experience, that is when the child will need it most. I have three kids who use nebs and EVERY time they get a cold I have to use it daily until the cold symptoms are completely gone. So, if you decide to NOT use it, don't be surprised if the parent looks for a new provider.

Even the liquid med is likely to NOT be enough in these circumstances and his life can literally depend on getting the treatment immediatley.

[Little Star75]

Do what you are comfortable doing. If you are not comfortable using it, let the parents know.

Personally, I don't find the nebulizer all that daunting. My daughter and grandson are both asthmatic, plus I've had several asthmatic daycare kids.

Its totally understandable if it were my own children but licensing regulations are so strict and I rather not do it. I just text her and haven't had a response.

[MrsSteinel'sHouse]

They are easy to do. They work quicker than the oral meds. Perhaps ask mom if she would walk you through step by step and let you do a treatment before you decide.

[Little Star75]

Honestly, it is a very simple procedure and if you DON'T use it when he medically needs it, and something horrible happens, you could be held liable. The only way to avoid using it is if you refuse to accept in him to care if he has ANY cold symptoms at all, because, in my experience, that is when the child will need it most. I have three kids who use nebs and EVERY time they get a cold I have to use it daily until the cold symptoms are completely gone. So, if you decide to NOT use it, don't be surprised if the parent looks for a new provider.

Even the liquid med is likely to NOT be enough in these circumstances and his life can literally depend on getting the treatment immediatley.

Mom seems to be okay with my decision i just received her text and no I wouldn't be surprised if she was to find another provider. At this point it would be best if she does since this dcb is always catching something and misses a lot of daycare.

[sharlan]

In CA, you need to have the parent fill out the following form before you can use the nebulizer...

http://www.dss.cahwnet.gov/Forms/English/LIC9166.PDF

[Little Star75]

In CA, you need to have the parent fill out the following form before you can use the nebulizer...

http://www.dss.cahwnet.gov/Forms/English/LIC9166.PDF

Yes parent has signed all the necessary documents but I was in the phone with licensing for 30 min and after listening to my licensor I don't feel comfortable. Mom is ok with my decision, she will be stopping by at lunch time.

[Laurel]

How do I tell parent I don't feel comfortable giving this treatment to child? I spoke to licensing and forward me a flyer. After reading it I don't think I feel comfortable doing it. This child needs treatment only as needed but also has a liquid med I can give Instead.
Help!!! How do I tell DCP I am not going to do it. Today is the second time she brings the nebulizer, the first day she gave me a demo but really?? I need more training. Anyhow... I decided I am not going to do it.

Thanks in advance

I've done them but don't like to either. I had one parent who brought it for me to do as soon as the child arrived. She didn't live far so I wondered why she just didn't do it before she left her house. I nicely asked her to saying I didn't feel comfortable doing it and she seemed miffed but did it.

In the future, if a child needs it on a regular or semi regular basis, I will tell a parent that they are welcome to either come to my house to do it or send another authorized person to do it. If they don't want to then they would need to find another provider.

Laurel

[Scout]

DS has used one since 7 mos for wheezing when sick. So super easy to use!! Once you do it one time, you will be fine with it!

[Starburst]

It seems a little intimidating but its simpler than it looks as long as the medicine has the right dose in the packaging (which most have pre-packed dosing). I have asthma and I used to have to give myself breathing treatments everyday after school.

Did they show you how to use it? They are also supposed to show you how to use it (even if you did know how to use it) and sign a paper saying that they gave you written, verbal, and visual instructions.

Depending on the design this is the basic set up for medication application:
http://www.youtube.com/watch?v=0RYxd2fyuo8 (preperation/ basic safety tips)
http://www.youtube.com/watch?v=dAiFjyiNiNw (setting up)
http://www.youtube.com/watch?v=XQAuj...ture=fvwp&NR=1 (Medication application)
http://www.youtube.com/watch?v=h2dZg...endscreen&NR=1 (different mouth piece methods)
http://www.youtube.com/watch?v=KCALJ...1&feature=fvwp (Mask use)
http://www.youtube.com/watch?v=ERo7OnLSUWY (Wand use)
http://www.youtube.com/watch?v=Vxt9XusTq-Y (when treatment is over)

If after all that you still don't feel comfortable than I would just tell them that you are not comfortable doing this- but they may choose to find other care because they may not want to take any chances of their child having an asthma attack and not being able to get there in time to administer mediaction.

[Holiday Park]

when I had to do this , as a nanny it was easy, but it s also time consuming. If the child will not cooperate, and cries or fights it, its even more time consuming and too distracting to the provider in daycare setting where there's other kids. I wouldn't do it unless the child cooperated willingly, and it doesn't take attantion away from normal activities.