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Related: Editorials & Other Articles, Issue Forums, Alliance Forums, Region ForumsNurse refuses student inhaler during asthma attack
Volusia County School officials stand by a Deltona High School nurse's decision to refuse a student his inhaler during an asthma attack, citing a lack of a parent's signature on a medical release form.
"It's like something out of a horror film. The person just sits there and watches you die," said Michael Rudi, 17. "She sat there, looked at me and she did nothing."
He said the school dean found his inhaler during a search of his locker last Friday. The inhaler was still in its original packaging -- complete with his name and directions for its use; however, the school took it away because his mother hadn't signed the proper form for him to have it.
School leaders called Sue Rudi when her son started having trouble breathing. She rushed to the office and was taken back to the nurse's office by school administrators and they discovered the teen on the floor.
full: http://www.clickorlando.com/news/Nurse-refuses-student-inhaler-during-asthma-attack/-/1637132/13560430/-/wm13uaz/-/index.html
Found this story via Jonathan Turley, who comments: "Since the school appears primarily motivated by legal rather than medical considerations, a torts action may serve to concentrate the mind of officials."
elleng
(130,820 posts)SUE the idiot school./administration for FAILURE to take NECESSARY AND REASONABLE action in an EMERGENCY.
nashville_brook
(20,958 posts)found this in the comments section of the story:
The school's phone numbers are (386) 789-7252 and (386) 789-9653. If you'd like to congratulate the school for their exemplary performance, you can email the principal "Susan Freeman" at [email protected] and her extension is 44006. The clinic's extension is 44398 and the nurse's name might be Christine Ramer (Christine is listed under faculty for PE/Health).
FarPoint
(12,309 posts)The nurse forgot she was a nurse first apparently...This nurse made invisible rules take precedence over providing the standard of care required of such a nurse. She/he needs to get a desk job.
freshwest
(53,661 posts)Shampoobra
(423 posts)That's what strikes me a so bizarre about this story -- she acted as though her position as a health care professional actually prevented her from responding to the emergency.
All she had to do is dial 9-1-1 and say, "We have an incredibly messed up situation here, in which a child is in need of immediate medical attention, yet I'm legally prohibited from providing it."
tsuki
(11,994 posts)jberryhill
(62,444 posts)...she could have called an ambulance, and the EMT's WOULD administer the student's prescribed medication.
I agree with the comment above, that the school should be sued. That way, they may understand that there are exceptions to general liability considerations, which need to be applied with the professional judgment applicable to a nurse.
These people get these bizarre notions of "if we do X, then we won't be sued". That's never true. You can always be sued for just about anything, no matter what you do. And that's why you need a much better justification for failing to apply common sense besides, "oh, we had a piece of paper."
TBF
(32,029 posts)Mimosa
(9,131 posts)Nurse's inaction could kill asthmatic patient.
tsuki
(11,994 posts)pnwmom
(108,972 posts)FiveGoodMen
(20,018 posts)When someone can't breath, the only rule in the universe is: "Help them breath"
SCantiGOP
(13,867 posts)While I agree this story shows a callous action and is deserving of a law suit, I have very high opinions of school nurses in general. My daughter, who is finishing the 9th grade, has been Type 1 diabetic since she began the first grade. We fill out the necessary forms, and work up a medical plan with the school as required by federal law (ADA) but her nurses have always gone the extra mile. In addition to holding a first week meeting with all of her teacher's to explain how to recognize dangerous blood sugar lows to how to react in an emergency, they keep detailed records of her glucose readings so we can provide that info to her endocronologist. I have purchased a gift for the school nurse every year out of appreciation for their dedication and concern.
That being said, the nurse in this story was an uncaring jackass.
longship
(40,416 posts)And rightly so.
pnwmom
(108,972 posts)Sue them and get $10 million.
Of course, that'll reduce teachers. Perhaps eliminate the nursing staff; after all, they're the problem.
But it would make the nurse's job untenable. Because the next time a kid comes in with some medication he says he needs and the parents and kid didn't bother to get the forms filled out, the nurse will look and say, "Give it or not?" If it's a legit medication being given for a legit cause at the proper dose--something the nurse doesn't know, because the parents didn't make sure she had all the necessary information--all's well.
If not--if the kid shouldn't be taking that drug, if the dose is wrong, if it's not actually for that particular kid, the school gets sued for negligence. Then everybody jumps on the "the paperwork must be filled out, how dare the nurse take it upon herself to be a doctor."
Then they can be sued for another $10 million, to make sure that class size doesn't go below 40 the following year.
Many people aren't perfect. It makes life hell for those like us, who are both all-wise and all-knowing. It's a curse, to be sure, knowing how uncaring all these people are when it's obvious that all they need to do is be perfectly right 100% of the time for years and feel true empathy for those who we so richly believe deserve it.
atreides1
(16,068 posts)That's good to know, thanks.
GObamaGO
(665 posts)Expecting school districts to have rational policies is apparently too much to ask.
Yes, the nurse messed up, however, you can bet there is pressure put on school nurses to enforce these despotic policies.
dembotoz
(16,796 posts)i do not need the inhaler often
but when i need it
i fucking need it
had it been my kid i would have been arrested
but the nurse and admin would know my anger
notadmblnd
(23,720 posts)Nursey should have no job and the school should be sued for child endagerment and neglect.
PDJane
(10,103 posts)This is insanity. I have no idea what it is like now, but when my son was in school, the nurse had single use inhalers in her cupboards along with other life-saving items. My son was given inhalers and benadryl; he was bitten by a bee on school property. They did the life-saving thing and THEN called me to get there. The kid's life was more important, for which I am grateful.
LeftyMom
(49,212 posts)Watching somebody have an asthma attack and refusing to give them an inhaler you know perfectly well was prescribed to them by their doctor is malicious.
FarPoint
(12,309 posts)There was no malice by the nurse... The teen obviously recovered without his inhaler and without 911 or any clinical intervention ....were just hearing one side of the story so far....
PDJane
(10,103 posts)And locking the door so that he could gasp in private sounds pretty malicious to me.
FarPoint
(12,309 posts)Don't know if the teen is being 100% honest here. It all started when they found his inhaler in his locker and they determined the paperwork was incomplete......the teen did not initially seek clinical help or his inhaler due to respiratory problems....this all occurred "after" they found the inhaler. I don't believe the door was ever locked...
snip from OP>
He said the school dean found his inhaler during a search of his locker last Friday
LadyHawkAZ
(6,199 posts)he was likely told they would hold it in the nurse's office and he would have to come to the office to have it administered. Otherwise they would have had his mother come get it.
LiberalFighter
(50,825 posts)Wouldn't that be theft?
And what is a student suppose to do if having an inhaler is prohibited by the school when going to and from the school? They can't have it in their possession on their way or from school.
Response to FarPoint (Reply #29)
CreekDog This message was self-deleted by its author.
roguevalley
(40,656 posts)harm was done. Its like drowning. I think being buried in a sand hill and trying to breathe would be like it. She did harm. The oath is first do no harm.
PatSeg
(47,351 posts)And it can be life threatening. People die of asthma attacks that could have been treated with a couple of puffs from an inhaler.
I have asthma and even though I can go long periods of time without an attack, I never go anywhere without my inhaler. Attacks can happen without any warning and otherwise healthy people can die if they go untreated. Any nurse should know that. I get a panicky feeling just imagining what happened.
roguevalley
(40,656 posts)asthma attack when he was nineteen. Had no money, died. Left a nineteen year old widow eight months pregnant. I loved dennis.
PatSeg
(47,351 posts)Such deaths are almost always preventable and the inhalers are called "rescue" inhalers for a reason. Once the teenager was denied the use of his inhaler, undoubtedly panic set in which intensifies the attack. Fortunately he survived, but he will never forget the experience which could make the next attack even scarier.
hifiguy
(33,688 posts)in the possession of the patient is something to be confiscated?? If these people got any goddamned dumber they'd be Gomer Fucking Pyle. Turley is absolutely correct and these idjits should be sued within an inch of their lives for such idiocy.
GoneOffShore
(17,339 posts)He wasn't smart, but he knew how to pour piss out of a boot.
Cave_Johnson
(137 posts)Ian David
(69,059 posts)... and sign the paper, or they couldn't give the kid the inhaler.
At the very least, the mom should have been able to give consent over the phone, to the nurse and another witness, if she promised that she was on the way to the school to sign the paper.
That way, the kid wouldn't have had to wait until his mom got all the way to the school.
SemperEadem
(8,053 posts)the nurse should have called 911.
LadyHawkAZ
(6,199 posts)saying she HAD authorized the school to give him the inhaler and when the refused, she'd told them to call 911.
Ian David
(69,059 posts)sense
(1,219 posts)when he was 7 or 8 and the school, knowing that he was allergic to trees and grass, wanted to send him outside to wait for me. He called me to ask me to come get him and luckily told me he'd be outside......so I was able to talk to them about what that would do to him! It was all in his file and they just didn't care. We did make it to the emergency room, no thanks to the school.
Schools are no longer about kids, but just about employing adults.
truedelphi
(32,324 posts)But it is more true with every passing day.
Glad your child survived this ordeal, and that you were able to go and get him.
Ian David
(69,059 posts)... she makes us feel like our child is the most important person in the Universe to her.
bluedeminredstate
(3,322 posts)who has felt like a walking law suit many times, her obligation was to her patient - period. How she could watch her patient suffer is beyond me. The most important thing to monitor in your patient is their AIRWAY, not your license or your own ass!!!
w8liftinglady
(23,278 posts)Response to bluedeminredstate (Reply #18)
FarPoint This message was self-deleted by its author.
lolly
(3,248 posts)More zero tolerance irrational drug hysteria crap.
I was an athsmatic; nobody worried or cared about me having an inhaler. If one had been found in my locker, it would not have been considered contraband.
They're treating this kid like he was doing something wrong, having lifesaving prescribed non-recreational drugs. The horror!
Ian David
(69,059 posts)... that you WERE allowed to carry around with you and self-administer if necessary.
The other one was an Epi-Pen.
liberalmuse
(18,672 posts)you sure are doing an awful lot of wild speculation.
Posteritatis
(18,807 posts)I don't think I've seen a single instance of those kinds of terms being dropped here where the person saying them hadn't pretty clearly decided the opposite of what had happened in the story was the real thing that happened.
Response to Posteritatis (Reply #90)
CreekDog This message was self-deleted by its author.
when your kid has a life-threatening illness and is denied his medication for it, then locked in a room while the staff refuses to call for emergency aid and stands there watching him choke, the first thing any parent thinks is "How can I dramatize this to get my name in the news?".
I'm going out on a limb here and guessing you don't have asthma.
FarPoint
(12,309 posts)I agree that the inhaler should of been used as there was a legal order for it to be used for this teen....
I don't believe the nurse locked the door..I just don't see that happening....
I sense there's a lot of posturing drama by the mother....there is no conclusion to the story either..I'd like to know if he went to ER or just how did he recover from his asthma attack...I just would like to know more.
LadyHawkAZ
(6,199 posts)Mom would have given him his inhaler immediately. If it was too late for that- and it sounds like it was- there would have been an ER trip.
ETA: if the nurse would refuse to administer a legal prescription or call paramedics, why would she balk at locking him in a room? Since the first two seem to be a given, I have no trouble at all believing the third.
CreekDog
(46,192 posts)facts my mmmhmmm.
CreekDog
(46,192 posts)FarPoint
35. I think the teen went into drama mode...
View profile
I think were are missing some facts here...just got one side of it....I agree the nurse should always put the patient first...she had a valid order on the inhaler so the decision would be obvious for most clinical people....
What places me on pause it this all happened after they found the inhaler in the locker...meaning the drama mode of the teen could of been a diversion from the confiscated inhaler...he didn't first experience an asthma attack and seek out treatment with his unauthorized inhaler....see where I'm feeling doubt.
Secondly, no clarification as to how the teen recovered...no ER visit identified post the school asthma attack...Dis he finally get to use his inhaler? How long did that take..1-2 hours for mom to arrive? Was there any medical intervention to relieve the full blown asthma attack they describe? Usually immediate intervention is required for such an attack.
So, I have unanswered questions at this point....Oh yea...the mom is way overboard with this news drama...smells to me.
LaurenG
(24,841 posts)farpoint isn't really a nurse to start with she's a psychic.
CreekDog
(46,192 posts)summer?
backscatter712
(26,355 posts)FarPoint
(12,309 posts)I'm actually asking for more facts to the story...we don't have the pre and post data...just the middle which is reported by the teen...I'm not jumping to conclusions just yet....so, call me fair.
Response to FarPoint (Reply #70)
LaurenG This message was self-deleted by its author.
CreekDog
(46,192 posts)SemperEadem
(8,053 posts)so your speculation about what the teen did is made in absent of facts, too.
Asthma comes on fast. Just like being thrown into 40 feet of water with concrete chained to your foot. You can't breathe. The inhaler is the key to unlocking the chain around your ankle so you can rise to the surface and breathe. Would you be acting "dramatically" if you were drowning in 40 ft of water and couldn't get free? Let me answer for you: you would. So enough with your apologist rhetoric and trying to make the student into the bad guy here for his lungs turning on him.
LiberalAndProud
(12,799 posts)I used to share your viewpoint to a degree, having only witnessed mild asthma attacks in the past. Then I watched my grandson experience a full on attack. It is terrifying. To accuse an asthma sufferer of over dramatizing only highlights your ignorance of the disease. It is truly life threatening, no dramatization necessary.
nashville_brook
(20,958 posts)holy crap.
this is someone who doesn't need to be in a "caring" profession. there's plenty of other folks out there who're actually fit for the job.
Chemisse
(30,806 posts)Calling 911 was the least she could do, but it might not have saved his life if the attack was severe. She had a professional and a moral obligation to act.
TBF
(32,029 posts)someone needs help. I can't believe the nurse hasn't been fired yet.
JoePhilly
(27,787 posts)She knows to follow the rules, but if they deny her ... she is to say ... "I'm ok now, can I go back to class" ... and when they let her go ... go get her spare and use it.
Her school is pretty good though. She had trouble once and when they were going to give it to her, the woman noticed that the form we had signed had expired. So the woman said "I'm not allowed to give you this ..." ... and then she set it on the table right in front of my daughter and said ... "I need to go check on something, I'll be back in a few minutes" and then she smiled. My daughter understood the message, and so the woman left, my daughter used the inhaler, and then put it back. The woman returned and said "How are you feeling?" "My daughter said ... "I'm doing better." And then the woman said, "Here is a new form, can you have your parents sign it and bring it back tomorrow?" ... "No problem."
renate
(13,776 posts)And the woman at her daughter's school is also very smart. I'm glad it all worked out so well.
JoePhilly
(27,787 posts)So I had plenty of attacks in which there was no quick relief. And its terrifying.
You have to learn to stay calm. Breath very slowly, no big breaths, no talking, and absolutely no coughing. Its like having some one hold your head underwater, and tell you "don't panic".
So when it became clear that she had asthma, the training began. Inhaler by her bed. One in the backpack, one at the school office.
And we've practiced the "no inhaler available" scenario. We've done it at home, with an inhaler there. She has a minor attack, and then we delay using the inhaler for a brief time. Have her concentrate on breathing slow. Staying calm. Determine ... "could I walk and get help?" ... "should I call for help on the phone?" ... "text some one?" ... stay calm. We never push this ... but we use it as a kind of "simulation". So if she's ever in a bad situation, she'll have some advance warning, and a better idea of how to respond.
The worst thing you can do is panic, because if you try to breath fast and deep, it gets even harder to breathe.
Like I said, the folks at are school are pretty good, but I want my daughter to be able to handle the situation where she is on her own.
Posteritatis
(18,807 posts)SmileyRose
(4,854 posts)That needs to be catapulted.
Smart nurse, lucky kid.
marlakay
(11,442 posts)take tylenol in their pack. It's insane what kids have to go through and mothers who work don't want their kids to suffer. I knew it was against the rules but if my kid needed inhaler I would have let them bring that and said the same thing I did with tylenol, don't let anyone see you take it...
Posteritatis
(18,807 posts)Also glad to see no one's defending it this time. Last time I saw one of these threads here there were a bunch of morons claiming kids use rescue inhalers recreationally and blah blah think of the children by letting them asphyxiate instead.
jberryhill
(62,444 posts)The last situation, if I recall correctly, involved an asthmatic kid who both diagnosed and administered her inhaler to another student.
That's not this. Here, you have a purported medical professional who failed to call for aid upon her determination that she was not authorized to give the student a medication which is prescribed for the exact condition from which the student in her care at that moment was suffering.
Those are two wildly different situations.
nadinbrzezinski
(154,021 posts)secondwind
(16,903 posts)McCamy Taylor
(19,240 posts)The way schools treat the disabled is a nightmare. My son had asthma and rather than trying to make accommodations for him (like asking teachers not to leave the windows open on high ozone days), the principles of his Fort Worth ISD middle school and high school both tried to pressure me into home schooling him. Both of them sic'd the truant officers on us for his excused medical absences. Both of them refused to back off until I threatened an ADA lawsuit.
emilyg
(22,742 posts)someone comes first.
skydive forever
(443 posts)that I live in Florida. Not everyone here is an idiot, but their numbers are staggering around here.
Smilo
(1,944 posts)how can anyone watch someone suffer especially when they are in a caring profession?
I would not want this woman anywhere near any children - signed waivers or not.
FarPoint
(12,309 posts)Let's be fair. I say this because this asthma attack happened conveniently after they found the inhaler in his locker....I say we need more information of the events leading up to the asthma attack....and how he recovered....
Don't get me wrong....the nurse had an active prescription order on the inhaler...if indeed he was in distress...screw policy and administer prescribed treatment....
But...something seems missing as I posted already here....the teens recovery phase was never mentioned...did he go to ER? Did he recover without the inhaler? I don't know.
There's missing information....for me to make any final conclusion.
bupkus
(1,981 posts)Common sense tells even an untrained person that when someone is having an asthma attack you don't deny them their inhaler.
Are you the nurse in the OP?
Response to bupkus (Reply #46)
FarPoint This message was self-deleted by its author.
Occulus
(20,599 posts)FarPoint, why are you going to such lengths to defend this person?
Common sense tells even an untrained person that when someone is having an asthma attack you don't deny them their inhaler.
Are you the nurse in the OP?
treestar
(82,383 posts)You are just presuming the worst of the person based on the media report. OP only asked for more facts before judging.
Posteritatis
(18,807 posts)treestar
(82,383 posts)That is the only place where the school gets to give a side in this article, and even that is just a statement of the policy. So as judge and jury, it is reasonable to get both sides of the story first. A lot of explanations are possible. Maybe the lawsuit will occur and more will come out.
FarPoint
(12,309 posts)Your support and kindness is so very appreciated.
You know, I thought I was having a legitimate conversation-discussion in this thread...asking for the entire scenario of events....even sharing why I felt things seem missing, evoking thought as that is the discussion process. Well, you see how things get distored. So again, thank you.
intheflow
(28,451 posts)He was obviously in enough distress that the school called his mother. That fact alone indicates the situation was real and not some trite teen drama. Geesh, I think you must be a bureaucrat, more attuned to paperwork than humanity.
GObamaGO
(665 posts)I side with the asthmatic and parents in this case.
tblue37
(65,269 posts)For someone who has had acute asthma attacks, having his inhaler confiscated could very easily lead to panic and thus trigger an acute attack.
Even if his asthma is normally controlled by ongoing treatment with a steroidal inhaler like Advair, that doesn't mean that he won't have some acute attacks, and knowing you cannot get your inhaler if you need is reallly, really scary! Scary enough to make you need your inhaler!
CBHagman
(16,984 posts)...to phrase things.
silverweb
(16,402 posts)[font color="navy" face="Verdana"]She didn't even really examine it, just said there was no deformity and so it wasn't broken. No Ace bandage or anything, just told him to return to gym class.
When he left the nurse's office, he kept going, left campus and called me at work from the nearest pay phone half a mile away. Then my boss said if I left work to go get him to not bother coming back.
I don't know what's wrong with people. I seriously wanted to kill two of them that day.
peace13
(11,076 posts)When my friend's son fell on the playground and knocked his two front permanent teeth out he was sent back to class with a letter of commendation that he had lost a tooth at school. They didn't even check and thought that these were baby teeth! The letter was a type of celebration.
Needless to say my friend was furious and the child was removed from the school. How can they be so cruel as to not even check the child but assume nothing is wrong? This little guy was 'sent to the office ' quite a lot so they did not give him the time of day when he was injured!
silverweb
(16,402 posts)[font color="green" face="Verdana"]The school staff are responsible for the well-being of children in their care. Such casual unconcern for illnesses and injuries is extremely dangerous and there's no excuse for it.
firenewt
(298 posts)would not let her carry her inhaler on her person despite her doctor's order. When the day came she needed her inhaler, first problem was getting permission to go to the nurse's office. Once there, the nurse was out to lunch (in more ways than one) and no one had the key to storage. So EMS was called so everything turned out OK.
I solved the problem by explaining to the principal and superintendent if this was to occur again, they would have to change the school's name to my name cause I would own the district before I was done. Worked - she and other students with asthma were allowed to carry inhalers.
LadyHawkAZ
(6,199 posts)and this "nurse" gets sent packing to a more fitting career. Asthma is life-threatening. A HOSPITAL would be in hot water for refusing treatment of an asthma attack. Why should a school nurse get a pass?
Odin2005
(53,521 posts)People are habituated from day one to disregard common sense and "just follow the rules". Using common sense instead of idiotic rules written by some neurotic control freak will get you fired, while following the BS rules gets you promoted.
Mojorabbit
(16,020 posts)People are conditioned to obey the rules even when it goes against doing what is right. I am a retired nurse and have always had a rebellious streak. I would gave given him the inhaler and dared the principal to do anything about it.
wial
(437 posts)Is there any reason whatever NOT to administer the inhaler??
Lydia Leftcoast
(48,217 posts)and non-asthmatic kids might use it to, I don't know, get high or something.
FarPoint
(12,309 posts)There's an active prescribed order for the teen and it's his inhaler...so he should of used it. That would of ended this chaos.
tblue37
(65,269 posts)I wasn't going to, but this is the second time you have said "should of" in this thread, so I can't leave it alone. It is "should have," so the contraction is "should've," not "should of."
Again, I am sorry. I'm not trying to be a grammar and usage Nazi, but I am an English teacher, and I am almost OCD about some things.
Response to tblue37 (Reply #86)
FarPoint This message was self-deleted by its author.
COLGATE4
(14,732 posts)not it's (contraction for 'it is'). And it's "obsession", not obcession".
SemperEadem
(8,053 posts)pride goes before destruction and the haughty spirit before the fall... ROFL!
SemperEadem
(8,053 posts)so learn to spell.
there is no phrase in the English language of "should of". It's "should have" or "should've". Do it right or don't do it at all.
tblue37
(65,269 posts)Many--probably most--people make spelling, grammar, and usage errors, and that should not make them feel that they have no right to express political opinions--or any other kind of opinion.
Most people, including those on our own side, make errors.
Furthermore, even those of us who are supposed to be "experts" make mistakes. I can't type at all, so my posts often have typos in them, and I don't always catch them, either.
I actually didn't mean to be a butthead when I made my original comment to FarPoint, though it obviously sounded like buttheadedness on my part. The first time "should of" showed up, I put it down to a typo and didn't say anything. But the second time triggered my obnoxious inner schoolmarm, because it is something I see so often that it is like fingernails on a blackboard for me. (Oddly enough, the sound of fingernails on a blackboard doesn't bother me at all.)
The problem is that "should've" really does sound like "should of," so people fall into the error almost automatically, because they tend to forget that the last part of a contracted verb is a verb rather than something else, so they spell it phonetically.
I often see a different error that is similarly triggered. When people begin a sentence with "There's" (or "There is" they forget that the "[font color = "red"]'s[/font]" is actually a verb, so it must agree with the subject of the sentence.
That confusion is exacerbated by the fact that the normal subject-verb order of the English sentence is inverted when the sentence begins with "There's" (or "There is" , so people fail to connect the verb with its subject, and sometimes even mistake the adverb "there" for the subject of the sentence.
Thus we get incorrect sentences like "There's many reasons why people might make such a mistake," or "There is several students waiting in the cafeteria."
I think that the error occurs less often with "There is" than with "There's" at the beginning of the sentence, though, because although in both cases the subject-verb inversion prevents some people from noticing the subject-verb agreement problem, at least in the "There is" sentence, the entire verb is apparent. In the "There's" sentence, though, just as in the case of "should of," the contracted verb just doesn't look or even feel like a verb, so the writer completely forgets that it is a verb and renders it phonetically.
BlueToTheBone
(3,747 posts)mix-ups drive me crazy too.
Lydia Leftcoast
(48,217 posts)and also housed a student vocational program in broadcasting.
One day, the principal teacher for the broadcasting program came back from lunch nearly in tears. One of the students had just died of a severe asthma attack during phys. ed. class. She was the daughter of a shop teacher, and I don't remember the circumstances with her inhaler, but I do recall that one of the other students ran to summon the father, and he got there just before she died.
So yes, kids can DIE during an asthma attack. They need to sue the nurse and the ACA's (ass-covering administrators) who refuse to let rays of common sense penetrate their rule-ridden brains.
nashville_brook
(20,958 posts)and...Deltona apparently exists to make the rest of Florida feel culturally superior.
Odin2005
(53,521 posts)...deserve scorn.
We live in a sick society where following dumb rules gets you promoted while using common sense gets you fired.
FiveGoodMen
(20,018 posts)Sometimes deserve conviction at Nuremberg.
This nurse should be permanently unemployed.
She can beg for food on the streets.
If no one wants to give her any, she can starve to death.
It's just a slower version of what she was doing to the kid.
cynatnite
(31,011 posts)For a sore throat, infection or something...sure, I understand not letting the kid have it without a signature.
But when you have a kid having an asthma attack on the fucking floor...
jillan
(39,451 posts)Unbelievable!!
The Wizard
(12,541 posts)The state that put the Bush cartel in the White House. You expected something different?
midnight armadillo
(3,612 posts)I'm starting to think the state has something very wrong with its water supply.
mopinko
(70,067 posts)i have a kid with a chronic illness, and there is a lot of worry about the paperwork and ZERO, ZERO, ZERO worry about putting it into action. or even freaking understanding it.
Swede
(33,230 posts)This is disgusting.
HiPointDem
(20,729 posts)w8liftinglady
(23,278 posts)liberalhistorian
(20,814 posts)on Facebook, no less: "Is this a race thing? Is the nurse a black who was ok with a white kid dying?"
WTF is that supposed to fucking mean? And would it have been ok with him had it been the other way around??????????
Blue Owl
(50,325 posts)n/t
tblue37
(65,269 posts)died before I could get to the school! No question about it--he has had many attacks that would have killed him within minutes if he had not had immediate access to his inhaler!
A lot of people just do not realize that people really do die of asthma attacks.
Here at our university, during the many years I have taught here, two students died suddenly (not during the same year) from acute asthma attacks. Both were just 22 years old!
Horse with no Name
(33,956 posts)because a valid prescription is an order from a physician to administer the medication and the nurse put that child's life in jeopardy when she had a legally prescribed and necessary life-saving medication at her disposal.
Wonder what her next career choice will be? She doesn't have a leg to stand on here.
Horse with no Name
(33,956 posts)and honestly cannot see any circumstance where the BON is going to be "okay" with this action.
AnotherMcIntosh
(11,064 posts)For discipline to be imposed, one or more rules have to be violated.
A violation of Chapter 39 of the Florida Statutes (relating to child abuse, abandonment, and neglect) might be applicable.
Other statutes might also be applicable.
FarPoint
(12,309 posts)http://www.msnbc.msn.com/id/47558343/ns/local_news-orlando_fl/
snip>
The student was obviously upset because we had taken the medication from him. The nurse felt he was becoming a little bit aggressive, and she felt threatened, so she closed her door. The administrator took the student into his office and kept him there until mom was at the school," said Nancy Wait, spokeswoman of the Volusia County Schools.
"This is absolute disregard for human life. How can you watch a human being suffocated and do nothing?" said Susan Rudi.
"The way it's being portrayed is not how it happened," Wait said. "The student was never in a full-blown asthma attack. The administrator and the school nurse, who is a licensed practical nurse, were both watching the student, and at no time did they determine that an ambulance needed to be called for this student. She followed protocol. Its not only the schools district's policy to administer medication without the proper paperwork, it's a state law."
end>
intheflow
(28,451 posts)SunSeeker
(51,544 posts)Per the updated article, "'The administrator took the student into his office and kept him there until mom was at the school,' said Nancy Wait, spokeswoman of the Volusia County Schools."
Per the original article, "[the boy's mother] rushed to the office and was taken back to the nurse's office by school administrators and they discovered the teen on the floor." Wait does not dispute that.
So these jackasses obviously were on full notice that this kid was in severe distress; plus the school's own rules require that they call 911 if a student has trouble breathing (duh--like you need a rule like that, but I guess with people like this you need that spelled out).
I sure hope my 8 year old is never put at the mercy of idiots like these--especially the moron who locked a gasping kid in his office. How the hell did he think he or the nurse could keep tabs on the kid's breathing through a locked door? Hell, even when when the kid slumped down to the floor, they did not call 911. They could have easily killed this kid. This is blatant child endangerment.
BadgerKid
(4,549 posts)we have such things like mandatory CPR and first-aid training for everyone?
Fuck the legal system for hindering us from helping one another.
GeorgeGist
(25,315 posts)Administrate!
obamanut2012
(26,049 posts)As well as school regulations. I just spent an hour reading through all of this, because after reading the entire thread, I really think the nurse isn't the one who should be attacked. School nurses have really, really strict laws they have to follow. Not following these laws will result not only in loss of employment, but having their licenses stripped and possible criminal charges. These laws are actually in place to protect the students as well as the healthcare provider.
I wasn't there, so I have no idea if 911 should have been called, but that is legally the Administrator's aka Principal's responsibility.
I am not getting into emotion here, but just looking at the law.
I have read quite a few comments from the mother, and she needs to go after the state lawmakers and the principal. She or the boy's father also should have signed the proper legal forms. That was where she dropped the ball, and she did. I'm not blaming her, but she did not follow state law.
Also, verbal permission via telephone is not allowed. These are state laws, so the laws need to be changed to allow this, but to also protect school personnel who d so. Damned if you do and damned if you don;t.
Also, as usual, the two stories are worlds apart. The boy's parents have hired the Anthonys' attorney.
""The way it's being portrayed is not how it happened," Wait said. "The student was never in a full-blown asthma attack. The administrator and the school nurse, who is a licensed practical nurse, were both watching the student, and at no time did they determine that an ambulance needed to be called for this student. She followed protocol. Its not only the schools district's policy to administer medication without the proper paperwork, it's a state law."
Read more: http://www.wesh.com/news/31109650/detail.html#ixzz1vu465bwk
This may interest some posters. I am very glad I don't have to worry about following these procedures.
http://www.sarasota.k12.fl.us/SchoolHealth/Medication_Treatment_Administration_Guidelines.htm
obamanut2012
(26,049 posts)This is all I can find right now -- and I have to go out in a minute.
http://blackboard.volusia.k12.fl.us/webapps/portal/frameset.jsp?tab_tab_group_id=_103_1
proud2BlibKansan
(96,793 posts)I worked with a school nurse who was fired for calling 911. The child was running a high fever, the nurse couldn't reach the parent so she called 911. The parent then expected the school to pay for the ambulance and the school accused the nurse of not following protocol. And she was fired.
Her 911 call may have saved this child's life but when you don't follow the rules, you risk losing your job. Then you can't afford to take care of your own children.
AnneD
(15,774 posts)It is true, you never lose your license for following board policy, but they can hang you if you stray.
I listened to the entire story and from that and what I know, I think she acted as best she could in a no win situation. I feel sorry for her actually. There but for the grace of God......
obamanut2012
(26,049 posts)Be it doctor, teacher, vet, dentist, attorney, nurse, etc., once you lose it, that's it. You generally have to be ethical and follow state laws and regulations overseeing your profession. You always have to remember your legal responsibilities.
She, and other school nurses, really are in a bind that many other health professionals don't to face. I really feel like this woman was damned if you do and damned if you don't.
Also, she was an LPN and not an RN, which also determines under the law what she can do.
I would say ease the laws, but if they do, they HAVE to have some kind of safeguards for staff, and protection from lawsuits. Just messed up.
AnneD
(15,774 posts)the more sympathy I have for the LPN. Folks are so quick to condemn with out thinking it through.
When you are a school nurse, you are really out there in thin ice. School Nursing has made me even more aware of our states Nurse Practice Act. It is not there to protect me but the public. This is what most people and even Nurses fail to understand.
In my career, there have been many times when I have had to stand up against a principal, doctor, etc because I was asked to do something that I knew was wrong or worse yet unsafe.
I will surrender my license before I will be forced to violate it. And sadly, more folks want to take shortcuts these days.
CreekDog
(46,192 posts)that does change things.
but I think all of us are in agreement that if someone's life appeared to be in danger, then law or no, someone must call 911.
i feel for the nurse in the face of an unforgiving law, but if it came down to survival, i think the average nurse, would call for help and screw the consequences.
FarPoint
(12,309 posts)This information was definitely needed in this thread!
AnneD
(15,774 posts)I am on the front line of public health care. I frequently go before our State Legislature to testify and change the poorly written laws.
I will not heap scorn on this poor Nurse as I have walked in those shoes before. I do not know what the laws in Florida are but I know I can't give medicine without a note from the doc AND a permission note from the parent, I don't care who the medication is for. If the child is a known asthmatic and the parent's sent the meds, they know they have to sign the permission note. If the child was 18 he is considered an adult and a case can be made in court for letting him have the inhaler and dosing himself. These laws are to protect children from medication errors, such as double dosing.
A 'known asthmatic'....I wish I had a nickel for every student that came into my clinic and said he had trouble breathing. When I look it up in the health records, there is nothing stating that the child had a history of asthma. I ask him and he says he does but the parent did not indicate it.
We lobbied and won passage for a law that allows kids to carry their own inhalers if they can demonstrate competency. Of course I tell the parents to still send me the paperwork and an extra inhaler because kid's leave them in their back back, yesterdays pant pocket, etc.
About 911. Yes, I would have called 911 when the parents don't respond in a timely manner. But I have worked in schools that are so top down in their management that the Nurse could not generate the 911 call, the principal had to. I did not stay at that school for long but suffice it to say I have had my butt chewed out for calling 911-but if I have my license, I came always get another Nursing job. If I lose it I am SOL.
I have begged and pleaded for parents to come up for their kids. They told me they were on the way and arrive 2 hours later. We frequently walk a tightrope between helicopter parents, student that think they are entitled, school administration that want you to do it all for free, district policy that has not advanced to the 20th century let alone the 21st, and our licensure laws. They have cut our numbers to dangerous levels all the while piling on more work.
This year we had 11 Nurses retire and we have 32 openings at the end of the year. I can retire this year and I am hanging on another year but I can tell you, I am reaching the end of my rope. If it wasn't for my fellow school nurse support group and our happy hour meetings, I would never have made it as long as I have.
azurnoir
(45,850 posts)meaning was she an NA, which in this budget cutting world is quite possible, however the prescription label should have removed any doubt and would have been a legal fall back for the school in any event
AnneD
(15,774 posts)she was an LPN, still a licensed professional (and a common practice to reduce costs of employing an RN). If she were an LPN she is under even stricter rules and a very limited scope of practice.
You cannot remove a prescription label from medication. That is all kinds of illegal tampering and you would get you license jerked before you got the label off good. Best to xerox it if you have to.
azurnoir
(45,850 posts)there for it would seem to me that would be a legal basis allowing the medication to be administered even without written parental consent
now schools in my area do use CMA's as school nurses but they are clearly IDed as such
it can only be administered with consent of the parent. Remember, the child is underage and parental consent is required on all procedures and medications, even in hospitals and especially in schools with out the parent being present.
Many times they only have the inhaler labels in the box and not the actual inhaler, thus another area for confusion. How old is the perscription? I have seen some that are over 2 years old and almost no medicine left in the inhaler.
In this case the inhaler was new, but still, no note from the parents that should have know better, what with their child's history of asthma. I see misplace anger and blame.
azurnoir
(45,850 posts)however parental consent under the circumstances was implied by the prescription itself because if what you are saying is correct then there had to have been consent for the MD to do the exam necessary to write the prescription in the first place
eta the school confiscated 'contraband' and did not inform the parent?
AnneD
(15,774 posts)the parents consented to have the child examined. The doc prescribed the med...BUT THE PARENTS DID NOT GIVE ME PERMISSION TO GIVE THE MEDICATION. It has to be written permission. A child is a minor and therefore it is the parents that must give permission.
Another example. A kid needs shots for school. We have the van come to the school to give them. The parents want them for the kid but haven't signed the note. Sorry no can do, esp. not by verbal permission.
The van pulls up. The kids need the shots to stay in school but the parents haven't signed the permission. The kids are pulled out of class and given the shots anyway. How far do you think that will fly? Well there is a case in court over this same incident right now.
Permission has to be given. Parental rights are not terminated just because a child walks thought the school door-and neither does parental responsibility-such as signing a permission note.
azurnoir
(45,850 posts)with giving vaccinations as most of the RN's I have worked with in clinics do want to bothered with paperwork involved in doing so, at least in my state
however here we are dealing with an MD prescribed medication that was in said minors possession and was confiscated by the school without informing the parent of such an action, also the nurse did not have to administer the med herself she could have allowed the said minor to do that himself
AnneD
(15,774 posts)as a CMA, you are basically practicing under the Doc or Nurses license (or facility). If you mess up they are fiscally and legally responsible as they were the ones delegating that portion of their practice and sign you off as having the skill to safely do the task.
I gave that example for a reason. Yes an immunization shot is different, but the parental consent factor is still the same and that is an actual case in court now and folks are in trouble because there was no parental consent.
As I said previously. your rights and responsibility do not cease just because your children enter the school building
azurnoir
(45,850 posts)but that nurses in particular RN's are responsible for what CMA's do is a popular meme among RN's for 'some' reason albeit quite untrue, as to the responsibility of the parent which apparently it has been decided here is at fault, the LPN is innocent of wrong doing, including watching the kid collapse ?
The school also had a responsibility to inform the parent of the confiscation of the inhaler prior to the kids asthma attack
AnneD
(15,774 posts)that the CNA also practices under the RN's License and the RN is ultimately responsible should there be a problem (the highest level of licensure). It was this way in New Mexico, and Texas as I believe it is in most states. This is a popular meme because it is true. Hospital and Doc's get a pass by blaming it on the Nurse in hospital and Nursing Home settings.
When we worded the law recent state about lay people giving insulin in public schools, we spoke with numerous lawyers about RN delegation authority. We (Nurses) were required to teach assigned people to give insulin. We inserted language in the law that ultimately allowed Nurses not to certify lay people to give insulin because they WERE practicing under the RN's license. This provided an escape clause of sorts for nurses-which I use all the time. Those that I have to train do not want the responsibility and I don't want to place the students in harms way. And I certainly did not want to be the first test case of the well meaning but poorly thought out law.
Edited to add: please know your scope of practice laws. Read them and know them by heart. I have met many a RN, LVN, and CMA that knew just enough to get themselves in trouble with their respective boards. Remember those laws are to protect the public, not the licensed professional. Failure to abide by those rules get your license revoked.
obamanut2012
(26,049 posts)Written acknowledgement of the script by the doctor, faxed or mailed to the school.
The parents knew this, and never sent in a signed form. I agree with Anne -- much of this is misplaced anger and fear.
azurnoir
(45,850 posts)and it still does not address the fact that the school confiscated the prescription without informing the parents of such an action
obamanut2012
(26,049 posts)They did inform the mother of taken the inhaler -- this all happened during the same time period. The parents were aware of their legal obligations and the protocol they had to follow. I've read many of the mother;s comments alllll over the internet and Facebook: she blames the school and doctor's office. No personal responsibility.
Posts should blame the lawmakers and the lawsuit-crazed people, not the LPN. She followed state laws and the ethical and legal obligations of the nursing board.
azurnoir
(45,850 posts)wow
LiberalAndProud
(12,799 posts)All of it could have been avoided with the proper paperwork. But honest to God, I cannot fathom watching as someone literally suffocates, with antidote in hand, and doing nothing.
I'm sorry young man, I cannot save you from drowning, because I don't have your mother's permission. Does a lifeguard need a signed form, I wonder? The entire scenario is obscene.
AnneD
(15,774 posts)I don't know of any Nurse that would deny asthma medicine to a child truly suffocating. This is why I have my questions as to the severity of the child's asthma attack and the parents response. Again, I think it is misplaced anger and fear.
I just had a kid today have an attack-2 days before the end of school, 20 minutes before the end of the school day. Now meds, no record of asthma. Now some of our kids catch the bus, some walk home. Got on the horn and called family and told them they needed to pick him up ASAP. I cannot leave this child by himself etc and have to turn him over to family or and ambulance. I have had to wait sometimes as late as 2 hours for parents to drag in.(unpaid overtime-imagine if my daughter was still young and I had to deal with daycare and their per minute fee!)
Well I 'educated' the family when they came in.
LiberalAndProud
(12,799 posts)Last edited Tue May 29, 2012, 07:51 PM - Edit history (2)
"I don't know of any Nurse" -- I think I might know one or two. My experience with nursing staff has been overwhelmingly positive. I cannot tell you how deeply I honor the huge majority of those professionals I have encountered. That makes the very rare exception all the more shocking.
It is certainly possible that this story is overblown. I will reserve judgment, because to do otherwise would serve a huge injustice to the nurse in question. On the other hand, boy howdy, if she really did what is alleged, let the hammer fall.
I take that back. After reading the administrator's comments, if the scenario is as described he is the one who failed in his custodial duty. He diagnosed the student ("The student was never in a full-blown asthma attack." and withheld treatment. What medical expertise can he claim to decide if there is a full-blown attack or not? And isn't the inhaler supposed to be used before a full-blown attack ensues? So that pisses me off.
I offer my apology to all school nurses everywhere. This nurse was placed in a position with no authority and now is being held accountable. That's messed up.
AnneD
(15,774 posts)This is why I am so adamant when I testify when our legislature tries to pass bad laws that put good Nurses in these awful positions. Who wants to be set up for failure.
So many times Nurses are stuck between a rock and a hard place. The patient is heading south and the doc or the on call does not want to be disturbed. Or better yet, the doc writes the prescription wrong, the pharmacy fills it wrong, the Nurse follows the order, gives the med to the patient and the patient and the patient dies. Guess who was held responsible, fired and lost their license......yes, you guessed it, the Nurse (this was a real case BTW). To my way of thinking, there was plenty of blame to go around, but the Nurse was the convenient target. And I won't even get in to the horror stories that came out of a full blown disaster like Katrina.
Being a Nurse is a lot like being a soldier. They like you in theory, give you a lot of lip service, but are the first to kick you to the curb for doing your job (yes I was in the military too). One day, TSWHTF, and when you can't find a Nurse because their work has been farmed out to the lowest bidder-it will be too late.
GObamaGO
(665 posts)The rest of the week they have a "health clerk" whose only training is CPR and Basic First Aid. Heaven forbid your kid actually need the services of a nurse during the days that the "health clerk" is manning the nurses office.
obamanut2012
(26,049 posts)Which, as a licensed nurse, she is ethically and legally made to follow. I wrote a post up thread after I spent over an hour reading about FL state law on this subject.
The script label means nothing. They need a signed slip from the parent)s) and written confirmation from the doctor. A student who is 18 only needs the latter.
just1voice
(1,362 posts)Thanks for cashing in at the expense of others, society needs you like we needed torture camps.
AnneD
(15,774 posts)and work even harder to maintain it. My license means that I practice safe Nursing. It means that I will follow all guidelines to make sure I will not harm my patients and practice nursing within the scope of my abilities. It means I conduct myself in an ethical and professional manner.
I believe a fair rate of compensation to help off set the expenses that are frequently not reimbursed are only fair. After all, I do have a family to support. When I took my Nurses oath, I don't recall it including a vow of poverty, chastity or obedience.
As a school nurse, I make between 15-30k a year less than a nurse in a hospital practice. Many of my Nurse colleagues left for a hospital practice, which is easier and a fair pay.
Your remarks speak volumes about and your comments are unwarranted. I hope you get the care you deserve.
SemperEadem
(8,053 posts)would you sit there and watch a child choke to death or at least call 911 if you didn't have a current permission slip?
AnneD
(15,774 posts)and I don't know of a Nurse that would, which makes me think that this is posturing and misplaced blame on the parent's part. I think the student was never in as much danger as it is made out to be.
I work in middle school and believe me, it is all about the drama.
Prudent steps....
1) call the parents get a time frame on their arrival.
2) if parents do not arrive in timely manner, inform principal to activate 911 if student complaints and symptoms persist.
3) if student symptoms worsen and principal refuses to activate 911-activate anyway. Pick up a newspaper with want ads on the way home. (Been there done that)
At no time would I give the medicine if at all possible. That truly would call my license into question as I did not have permission from the parents to dispense it. The EMS folks have standing orders and a broader scope of practice than I. I have been know to step out of the room wink wink nudge nudge. If the kid was 18, that is considered an adult in Texas so he could have self medicated no problems, of course the zero tolerance thing still has to be addressed.
The trick is to not let the problem get this far. I like to nip things in the bud.
obamanut2012
(26,049 posts)Not the nurse. The principal, or whomever else is there.
I don't think some people understand the intense amount of laws and regulations surrounding those who work with minors, no matter the profession.
I am glad I rarely have a minor in my classroom, because when I do, a whole system of laws and protocol has to kick in until that student reaches their majority. It even directs what discussions can be held in class.
FarPoint
(12,309 posts)I believe you are a true asset to the profession.
obamanut2012
(26,049 posts)I admire the nurses on here who had expressed they believe following state laws and their own board ethics as important to them. And, posters on here wanting them to BREAK STATE LAW and just throw their PROFESSION AND CAREER away are really out of line.
The nurse and principal in this case followed state law, and the parents knew they had neither signed the consent for nor had the doctor's office fax over the script approval. The mother is all over the internet blaming the school and the doctor's office.
AnneD
(15,774 posts)to be a Nurse, especially in public schools. Florence Nightingale has nothing on us. You have to passionately believe what you are doing is the best, most safe thing you can do for those in your care-even if it flies in the face of what people think is acceptable. I am thinking of Florence insisting that the surgeons wash their hands before operating on the soldiers. The docs hated her for it but the soldiers in her unit had a greater chance of recovery. When she passed on, she had a military escort worthy of Queen Victoria at her funeral, so great was the respect the soldiers had for her.
There are some facts that make me call into question much of this condemnation. Again, this is probably the Nurse in me. Nurses are Nurses because they keep their wits about them in a crisis and don't give in to panic. I suspect we are the same way about lynch mobs too.
BanzaiBonnie
(3,621 posts)but better to save a life than let a student die.
When I was in sixth grade, I was taken to the office with a VERY high fever. They forgot me there. Turned out I had Scarlet Fever.
I finally sstumbled out of the health room and asked if I could please go home. Oops.
SemperEadem
(8,053 posts)really? OK, so his mom didn't sign a form--what precluded you from calling an ambulance?
Common sense must not be something you have in abundance... quite frankly, you should be fired for negligence and your license suspended. You don't have the requisite base-line medical skills in an emergency and someone could lose their life because of you.
BlueIris
(29,135 posts)How could anyone be so obsessed with paper work that she would endanger someone's life.
FUCK bureaucracy.
Stinky The Clown
(67,776 posts)Our country's litigious inspiring mindset is the root cause of such nonsense.
4th law of robotics
(6,801 posts)I have no doubt that some school has faced a lawsuit for giving out a drug that was not explicitly agreed to by the parent.
This is exactly what you get when trial lawyers are given a free hand to set policy.
AnneD
(15,774 posts)If one has been wronged, one has the right to be made whole, as much as possible.
Too many people have unrealistic expectations. You eat artery clogging food at every meal and have a heart attack. After trying to open the arteries, taking medicine to help, the patient goes back to doing the same thing and expects to have his butt saved again???? And that is what we deal with.
When we try to have the patient healed with a better diet, the administration comes down on us like a ton of bricks because the patient sent a negative 'customer survey'. Call me a curmudgeon, but I refuse to call my patients 'customers'. I care about a patient, a customer is just someone who wants fries with their bypass.
This is why I love working with kids. They are still teachable. I have taught dental care, hand washing, periods, and CPR til I can recite it in my sleep....but I know that some of those little seeds I plant will take root-I have seen it happen. And that is what makes it worth my time.
Mimosa
(9,131 posts)However the 'nurse's' bureaucratic inaction could have KILLED that student!
Drale
(7,932 posts)It sounds as if the reason that this happened was because they were afraid of a lawsuit, and that is partly the fault of our justice system who allow frivolous lawsuits and the media who publicized frivolous lawsuits, but if someone is dieing your first reaction should be fuck policy we need to save this person.