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OT Caught my attention when some of you say you don't even give meds. I had a baby come who needed neb treatments and they didn't bring a dr note even though I requested it (for the neb and the return cause she had RSV) plus a note from home stating things like time, dosage, etc signing giving permission. They got mad cause I wouldn't give it. Seriously? No blipping way! Not like they didn't know about it and they didn't bring it. WHOS fault was that? They would not have been happy campers if I said I won't do it at all! Owe!
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I generally don't give meds, with RARE exceptions. If the neb treatment is 3x a day, they could do morning, arrival at home, and before bed. If that's absolutely not an option, then I would do it. Epi pens and inhalers, ok. Tylenol, antibiotics, etc...nope. Basically, I only administer what is medically necessary during daycare hours. If it can be done around daycare hours, I won't.Comment
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I don't give anything unless its necessary for them to live. Like insulin or inhalers. I will not give anything OTC. If a child needs OTC meds they need to stay home. I do allow for it if the child is teething, but then again, I would still require a doctors note and reason why the child needed it. I don't take a parents word why they think their child needs meds.....Comment
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Neb treatments aren't like antibiotics. It's very dangerous to give neb treatments too close together... Not to mention them missing even one treatment while in care could mess up their entire treatment plan. Woweeee.
If the meds CAN be safely and accurately given at home, or the times for administration is while they are at home, I make the parents do it at home. However I would never ask a parent to give the one pm dosage at home at five pm and then change the five pm until nine pm just because I don't give them.
Although I totally understand some states don't allow it and some people have a preference. But I've discovered with all of the allergy kids and asthmatic kids here in ms, if a provider doesn't give meds, parents just wouldn't be able to work period.Comment
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I don't give any meds. I am not comfortable with it. I've never had a child with an inhaler or epi-pen. I gave neb treatments when I was a nanny, but that is a much different scenario.Comment
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I wouldn't have allowed that child back into care. If they had RSV and still required a neb, then they aren't fully recovered and I would not risk it.
Same here ^^^ Except I won't dispense for teething either. I will use other non-medicinal methods and let the parents use Tylenol and/or Advil on their watch.Comment
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Dcg is going to the doctor. Thank you Heidi. The Mom responded with "that IS reasonable, thank you for your concern for her. I will make her an appt for later today and let you know."
I will update when I hear back.Comment
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Tell her to bring a note clearing the child. She may say she's bringing her in, but may not actually do it.
I once had a parent LIE to me saying she brought the kids to Dr and they were cleared and ended up contracting 3 illnesses that landed me in the hospital on way too many meds (That was prior to me requiring notes). I lost a child about 2 weeks after the drugs to get me well were pumped into my veins and the OB thinks highly that it had to do with the nature of the illnesses combined with the meds. Turns out mom didn't ever even take the kids in.Comment
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I always require notes with diagnosis and treatment. No generic "dck may return to daycare"
Dcm had to take her from the dr to the ER. I will update when she gets done there. Apparently I am NOT overreacting because the nurse who did admin didn't let them get past the door.
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oh no....good for you for standing firm and having a good look out....I always require notes with diagnosis and treatment. No generic "dck may return to daycare"
Dcm had to take her from the dr to the ER. I will update when she gets done there. Apparently I am NOT overreacting because the nurse who did admin didn't let them get past the door.
i once had a family that their kid always picked at his feet during nap time. well he eventually picked his toe nails so much that they were always getting infected. one day during nap time kid is just howling in pain. I look and his toe is 3x the size. His parents picked up when I called, but brought him back the next day. Kid could not even put a shoe on. I look at his foot, it still looks the same but now has puss coming out. I say he needs to go to the doctor. Parents argure and say oh it was a hang nail he pulled hes fine. I stand firm and say no, we are hiking today and no way can he go like that. He need to go to the doc no return until he does, bring note,,blah blah blah....
Parents call me in a panic from the ER..He almost lost his toe......I could not believe it....Comment
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They are keeping Dcg for the next few hours for observation, I guess they gave Dcg pain medicine as well. They marked the swelling because they believe it's getting worse, if it does dcg will need an epi injection. Best case scenario, no epi but she is seen by her doctor tomorrow to check the swelling.Comment
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Good for you for standing your ground! Sometimes, like I said before, a child can get a delayed reaction. Parents, especially an LPN, really need to understand that it's not that we're trying to be MEAN by excluding the child, but that we really do have their child's best interest at heart. Hopefully, this little one heals quickly.Comment
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