Treatment Abuse, Behavior Modification, Thought Reform > The Ridge Creek School / Hidden Lake Academy
Rats are scurrying....
TheWho:
--- Quote --- You brought up the pharmacy not me, now youre just trying to dodge the issue. I can see why you want to conclude the meds conversation to be over with, youre losing the argument and want to change the subject. Not uncommon here.
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Well lets take another look, yes earlier on, when we were discussing ?Debbie? handing out meds with no experience a pharmacy. As we collected more information we concluded that HLA was in line with the states requirements and after the nurse was fired they fell below state expectations but where still as good as 75% of the schools in the state. There were no comparisons to pharmacies, please keep up (or read the posts for comprehension)
--- Quote --- Fine. Imagine you are a student at HLA. Youve just gone to see the receptionist who is playing nurse about a bad stomach ache youre having. Remember you attend a school that will not allow you to discuss with your parents about feeling ill and which holds a policy of "if the child is not visibly ill or injured assume he is faking." Now this receptionist allows you to lay down in the infirmary for a short time and then sends you on your way. You return later and she allows you some pepto. To the untrained staff you have a stomach ache, maybe youre constipated. If the problem persist you may be taken to the doctor in a week or two. Unfortunatly your appendix burst before you get a chance to see the doctor.
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This exactly why they need an interim plan or process. Back up doctor in the area etc. What is standard procedure? What do other programs/schools do ? There must be many other schools who have faced the same problem. Again this isn?t unique.
TheWho:
--- Quote ---nope still in grad school. Although i can see why you were picked on.
--- End quote ---
Hmmm... Okay
--- Quote ---Okay but what about your kids medical care in the meantime? What if they werent planning on hiring a replacement?
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I would view that as a problem if they did not plan to hire another medical person.
--- Quote --- My motivation is to see the truth about hla brought to light.
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A very good way to accomplish your goal is to maintain credibility, stay with the facts and compare them to known requirements or acceptable limits would be my recommendation. One needs to be very specific and factual.
--- Quote --- what is your motivation for being here? Is it mature?
--- End quote ---
I happened along and noticed a flag being raised when it was mentioned that a person was fired which left a void to be filled. I have worked these issues many times to help businesses get back on track.
Helping out is typically considered mature.
[ This Message was edited by: TheWho on 2006-05-29 20:53 ]
RobertBruce:
Well now lets see....
--- Quote --- Well you quoted requirements for a nurse, great lets go back to our problem statement again:
?It has been confirmed that Tracey Kimbrell, the school nurse LPN was fired last Friday..Maybe
parents should look into who is going to be distributing the 'correct' psychotropic drugs to your children.?
It doesn?t say she is acting as a nurse, just dispensing drugs. Again do we know this is a violation? Local schools do it, our pharmacy does it. Where are the requirements?
You keep going off topic.
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There's you just a short time ago.
Yet here's you again suffering from an apparent memory lapse.
--- Quote ---Well lets take another look, yes earlier on, when we were discussing ?Debbie? handing out meds with no experience a pharmacy. As we collected more information we concluded that HLA was in line with the states requirements and after the nurse was fired they fell below state expectations but where still as good as 75% of the schools in the state. There were no comparisons to pharmacies, please keep up (or read the posts for comprehension)
--- End quote ---
See there you compared HLA's practices with that of local schools or a pharmacy. Even though its been established the two have vastly different policies. I told you to ask if you need help, theres really no shame in it.
--- Quote ---This exactly why they need an interim plan or process. Back up doctor in the area etc. What is standard procedure? What do other programs/schools do ? There must be many other schools who have faced the same problem. Again this isn?t unique.
--- End quote ---
Fine but right now there is no interm plan. They have no medical staff whatsoever, no in house doctor visits, and an untrained phone girl playing nurse. How is this safe?
Deborah:
Who, in case you're under some illusion that your professional skills have somehow solved the single pressing issue at HLA... this is not about one employee being fired. This "nurse/meds" issue is but one piece, comparatively insignificant piece, in a much larger puzzle that has been coming together for a few months.
Numerous (15-20% reportedly) staff have been fired or resigned. Key staff, including the man who has been there since day one. Search "Poole" and have a read.
When you look at the big picture, it's significantly more than, "Opps, lost a nurse, need to replace her." Your professional skills and six pages of dialogue was not necessary to address the flag that was raised, or "get us back on track".
TheWho:
What you are missing is the state did not include pharmacies in their study. We discussed pharmacies early on as an example, but Deborah data links did not include any reference to pharmacies Take another look:
From Deborahs post:
Update:
Georgia
Education Rule 160-4-8-.01 (2000) requires each school system to develop a Student Services Plan that provides guidelines for its various components including school health services. The state's School Health Nurse Resource Manual provides suggested models for each school system to implement the rule. Each model includes administration of medication as a school nurse function.
http://www.healthinschools.org/sh/mgmtpolicies.asp
Pertinent to this discussion:
Seventy-five percent of reporting nurses in the 2000 study delegated medication administration to unlicensed assistive personnel (UAPs), with secretaries (66 percent) being the most common. Errors in administering medications were reported by nearly 50 percent of the school nurses, the most common error being missed doses (79 percent). Errors were commonly reported to local school and/or state authorities.
Faced with the growing problem of exposure to liability in conjunction with the administration of medicine (and in many circumstances, the administration of controlled substances), schools have mobilized over the years and demanded both guidance and protection from liability by state legislatures. Not all states have addressed the issue at the state level, and persons needing information are best advised to start with their local school districts.
The study does not provide information on pharmacies in this study. So we need to draw our conclusions based on the comparison to other schools which we have done. Go thru the post again and you will see the progression. We cannot use the pharmacy comparison at this level
--- Quote --- Fine but right now there is no interm plan. They have no medical staff whatsoever, no in house doctor visits, and an untrained phone girl playing nurse. How is this safe?
--- End quote ---
We don?t know this, I believe you are speculating. Again to maintain credibility I want you to provide facts. This what is hurting you, you jumped to conclusions with the dispensing of meds issue and it burned you and now you are doing it again.
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