Guest guest Posted August 6, 1999 Report Share Posted August 6, 1999 Hey what I said was just a documentary... ... ...You don't think ..... Hi My info came from a TV program here called 'Eurotrash' which specialises in sleazy sex stories. The saliva thing is probably genuine, but not in the sort of places you frequent.... P. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 8, 1999 Report Share Posted August 8, 1999 Jeannine- Be glad you don't live near me. Within this county, there is one school nurse. She is employed by the Intermediate School District and works in the building which houses the severely multiply impaired (including some medically fragile kids who are also severely mentally impaired). The Intermediate School District also hires some Practical Nurses as individual aides for medically fragile students who are out in regular school buildings. All of the district schools are provided with a health department nurse who comes to the school for about an hour a week. There are only two for all the schools in 12 school districts. They come in to check on kids who have had ring worm or they might look at a rash that the school is concerned about. I have never seen them even have a blood preasure cuff. Laurie I'd like to know what other families and school districts are doing in > this situation. Does your child's school have a nurse? How are you > dealing with these issues? > > Thanks, > Jeannine, mom to Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 9, 1999 Report Share Posted August 9, 1999 Jeannine- I would approach the school district and point out that adding to the time of the school nurse would cost them less than paying 50% of the private nurse, because she would be able to attend to district things while in the school. Our county is somewhat unique in that our intermediate school district reimburses the local districts 100% for special ed. costs. They do have to go through a superintendents advisory committee to get aides and nurse aides. Kids like Caitlin are always the most difficult to program for. If we were programing for Caitlin, we would hope that there was at least one other student in the building who needed some nursing care. Good luck, Laurie > Wow Laurie, remind me not to move up your way. Caitlin is categorized > as a medically fragile child and thus the nursing care that the waiver > program covers. She is however, completely at gradelevel cognitively, > so she is in a regular classroom. She just needs some special nursing > care while she attends school. It is my hope that the school system > will increase the availability of nurses in the school Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 9, 1999 Report Share Posted August 9, 1999 Jeannine- I would approach the school district and point out that adding to the time of the school nurse would cost them less than paying 50% of the private nurse, because she would be able to attend to district things while in the school. Our county is somewhat unique in that our intermediate school district reimburses the local districts 100% for special ed. costs. They do have to go through a superintendents advisory committee to get aides and nurse aides. Kids like Caitlin are always the most difficult to program for. If we were programing for Caitlin, we would hope that there was at least one other student in the building who needed some nursing care. Good luck, Laurie > Wow Laurie, remind me not to move up your way. Caitlin is categorized > as a medically fragile child and thus the nursing care that the waiver > program covers. She is however, completely at gradelevel cognitively, > so she is in a regular classroom. She just needs some special nursing > care while she attends school. It is my hope that the school system > will increase the availability of nurses in the school Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 9, 1999 Report Share Posted August 9, 1999 Jeannine- I thought you might be interested in the fact that our county has all but one medically fragile child attending school, at least on a part time basis. This has been on-going for al least 7-8 years. I provided service to a medically fragile boy from the time he was in 3rd grade to graduation. He would attend school from Sept to Nov and again from March to June. He would be on homebound during the winter months. It was never an issue of providing him with needed service. Laurie > The court ruling that I was referring to was last winter when the > supreme court ruled on the case of a young man (I believe he lived in > either Nevada, or Nebraska) that was ventilator dependent, but > cognitively at grade level or above. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 9, 1999 Report Share Posted August 9, 1999 > > I'd like to know what other families and school districts are doing in > this situation. Does your child's school have a nurse? How are you > dealing with these issues? Sounds like your district does a better job than ours in providing nursing services. Are these registered nurses? Our district has 23 schools, (3 highschools, 3 middle and the rest elementary). It is a solid district -, great scores on std. tests and such but for all 23 schools there are 2 and possibly now a third full time RN's. That's it. In fact just last year our school board had to approve a full time *paid* health room worker for each school as prior to that they were only part time in some with parent volunteers if the schools were lucky. Zachary was to go 5 half days this year - he is starting first grade but now the ped has decided that he can not attend that much until he is more stable . Like Caitlin, he is cognitively age appropriate. We plan to start with 2 half days and see how it goes. I made a remark to her that surely we could count on the red cross trained health worker to take his vital signs and she said she would surely not count on that at all. In his situation he needs RN monitoring of vitals and he has IV and enteral access so without a RN I can not see him attending full time ever. We can get away with am but even that the ped and I are leery that they won't recognize a change in his status. it's definitely a dilemma. Unfortunately his endurance is so poor right now that even if they had a full time RN he could not be there full time but my hope is that this will change in the future. Once I tackle the home care issue or lack of it I should say I guess this will be next on my list. Anne, mom to: Brittany, 12 Zachary, 7, G tube, J tube, CVL for TPN/lipids, adrenal insufficient Abby, 6 , , 27 months, G tube, J tube, CVL for TPN/lipids, GH deficient ***Mitochondrial encephalomyopathy, (complex 1 and 4 OxPhos defect)*** Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 9, 1999 Report Share Posted August 9, 1999 > > I'd like to know what other families and school districts are doing in > this situation. Does your child's school have a nurse? How are you > dealing with these issues? Sounds like your district does a better job than ours in providing nursing services. Are these registered nurses? Our district has 23 schools, (3 highschools, 3 middle and the rest elementary). It is a solid district -, great scores on std. tests and such but for all 23 schools there are 2 and possibly now a third full time RN's. That's it. In fact just last year our school board had to approve a full time *paid* health room worker for each school as prior to that they were only part time in some with parent volunteers if the schools were lucky. Zachary was to go 5 half days this year - he is starting first grade but now the ped has decided that he can not attend that much until he is more stable . Like Caitlin, he is cognitively age appropriate. We plan to start with 2 half days and see how it goes. I made a remark to her that surely we could count on the red cross trained health worker to take his vital signs and she said she would surely not count on that at all. In his situation he needs RN monitoring of vitals and he has IV and enteral access so without a RN I can not see him attending full time ever. We can get away with am but even that the ped and I are leery that they won't recognize a change in his status. it's definitely a dilemma. Unfortunately his endurance is so poor right now that even if they had a full time RN he could not be there full time but my hope is that this will change in the future. Once I tackle the home care issue or lack of it I should say I guess this will be next on my list. Anne, mom to: Brittany, 12 Zachary, 7, G tube, J tube, CVL for TPN/lipids, adrenal insufficient Abby, 6 , , 27 months, G tube, J tube, CVL for TPN/lipids, GH deficient ***Mitochondrial encephalomyopathy, (complex 1 and 4 OxPhos defect)*** Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 9, 1999 Report Share Posted August 9, 1999 Hi, I don't know who posted the original e, but here's my .02 on the subject. In our school district each school has a first aide safety assistant full time and a nurse who covers usually 2-3 schools. On the 3 special ed campuses there are several nurses. At my kids' school there is a full time nurse every day because has a trach. She's not in the classroom all the time, but she is in the building at all times. I think we had 3 nurses rotate last year, the regular assigned nurse and 2 alternates. If for some reason a nurse can't be there I will fill in. All the nurses in our district are either RN's or LPN's. They are the ONLY people authorized to do specialized procedures (suctioning, tube feeding, etc.) The aid, secretary, teacher, etc cannot do anything. Sue ( & Jack)-worn out parents to the greatest kids on earth-- Chris-9: Leigh's Disease (?), MR (mild), hypotonia, non-walker/talker -7: Leigh's Disease (?), MR (mild), hypotonia, non-walker/talker, trach tube (larynotracheomalasia), g-tube/fundo Visit us! http://u2.lvcm.com/jscb Quote Link to comment Share on other sites More sharing options...
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