schuttv
12-29-2008, 02:23 AM
I've been having problems with the school nurse. She isn't following the doctors orders nor mine as well as changed the doctor's orders. Doctors orders contact parent >=300 and <=65.
This is the rundown of what has happened with my daughter Brittany. I'm sure I've overlooked a few situations in between but these are the major ones.
9/23/2008
I sat in the nurses clinic for 2 hours and gave her juice, crackers, glucagon, emergency kit with batteries, infusion sites, Cozmo user guide, and requested a 504 plan put in place. Teresa Sprouse (clinic assistant) told me she knew how to deal with diabetics and had certain paperwork she could only use from the doctor. I asked her to get a 504 plan started and she stated she would look into it.
9/25/08
Blood sugar for lunch was 434 no contact from school - ketones not tested
9/26/08
Brittany didn't return to the clinic, for a supervised bolus and nurse did NOT contact me to tell me this.
9/29/08
Blood sugar for lunch was 364 no contact from school - ketones not tested
10/1/08
Blood sugar for lunch was 500 at 7:50 no contact from school until after 10:25. Teresa Sprouse called me to inform me that Brittany was 500 and had no ketones so she decided to give her water and exercise her to bring her blood readings down. I asked her why she did that? She proceeded to tell me that prior doctors told her to do that. I told her, prior doctors were not treating my daughter and high glucose readings and exercise causes ketones and will put Brittany in the hospital. I then asked her if she asked Brittany if she ate breakfast, she stated, no. I asked her if there was insulin on board, she stated she didn't look. I told her from now on with any questions please contact me. Do not wait to contact me. Questions need to be asked before doing anything especially giving extra insulin and exercise.
I then called Cheryl, RN at elementary school and informed Cheryl of what happened. I asked her to retrain Teresa Sprouse.
10/20/08
Blood sugar for lunch was 479 no contact from school
10/30/08
Blood sugar for lunch was 500 no contact from school
11/7/08
Brittany was in PE, health class and felt shaky. Mr Guertler, the gym teacher, coudn't find Brittany's juice and crackers. Brittany came home and told me.
11/11/08
Ms. Sprouse called me to tell me a teacher needed juice and crackers. I asked her if she could talk to the teachers, especially Mr. Guertler and make sure they are all aware of where Brittany's juice and crackers are because it is unacceptable that she was low and he couldn't find any. She said ok.
11/12/08
I received a call from Mr. Guertler explaining to me, he knows where everything is now, it was misplaced but he immediately gave Brittany a pass to go to the nurses office, which Ms. Sprouse omitted to tell me. But Ms. Sprouse couldn't find juice and crackers and sent Brittany BACK to PE without treatment. Ms Sprouse recanted and stated, Brittany refused treatment and she released her.
11/12/08
Called Ms. Wilt, informed her of my findings. Called Cheryl again to inform her and asked her if she can retrain Ms. Sprouse because I was at my wits end. She told me to set up a meeting with her.
11/14/08
Meeting with Ms Sprouse, Mr Craft, Brittany's dad and myself. We sat down, discussed the problems that we've encountered and how we were going to fix it. We gave her the paperwork on how we wanted Brittany to be treated. She stated she would read over it. all had a copy.
11/17/08
Blood sugar for lunch was 354 the day after a meeting with Ms Sprouse, Mr Craft, Brittany's dad, myself regarding handling Brittany Schutt. She was handed over paperwork on how we wanted Brittany treated and she stated she would read over. She called left a message for me regarding Brittany's high blood sugar, then contacted Brittany's dad. He asked Ms. Sprouse when she was going to recheck Brittany since it was at 11am and she had no clue. Asked Brittany what time are you going to recheck yourself? He said no she needs to be rechecked in an hour or so to make sure she is coming down. It's right in the paperwork we gave you.
11/20/08
Meeting with Ms. Sprouse, Ms Wilt (Assistant Principal), Abbey Jones (Guidance Counselor), Brittany's dad, Cheryl Baker . We discussed the problems we have encountered again. We wanted a 504 plan. It was also mentioned that I requested this to be in motion as of 9/23/08 and Ms. Sprouse never did anything with it. She dropped the ball on that. She should have made sure it went to the correct place or contacted me.
11/24/08
Received a call at 3:30pm from Teresa Sprouse regarding Brittany's glucose levels.She did not call me during any incident! She called me to ask me regarding the activity bus however, when I started asking her questions about how she handled it, she refused to answer any more questions regarding my daughter. She told me that Brittany came into the clinic at 9:40 before PE to check her blood sugars to see if she should take PE. Brittany was 317. Brittany told her that she ate a poptart. She didn't ask Brittany what time she ate the poptart. At this time, Brittany had 2 units of insulin on board which would cover her high blood sugar, however, Ms Sprouse told me she had Brittany give herself a small bolus. I asked her what is a small bolus? She stated, she didn't know. I asked her, you mean you had her give herself insulin and didn't ask how much it gave her? When checking her pump, her extended bolus was canceled and she was given an additional 4 units of
insulin and told to go to PE. With the extra insulin, PE, then lunch at 147 and more insulin she crashed at 38 at 1:42. I asked Ms Sprouse to transfer me to Ms Wilt the assistant principal, she refused to transfer me and stated she was aware of the situation and was working on the 504 plan for Brittany.
I hung up called Ms. Wilt, told Ms. Wilt the situation. She had Ms. Barbara Smallwood, Teresa Sprouse's Supervisor call me. She called me, stated that Ms. Sprouse went to diabetes training at UVA and knows to recheck after high and low blood glucose readings and she didn't know why she refuses to preform them. She stated this was my point of view and she would look into it. I told both Ms. Wilt and Ms. Smallwood that Brittany wouldn't be back to school until they could have a safety plan for her because mistakes keep happening with this child. She stated that someone would get back to me the following day.
11/25/08
Called Ms. Wilt, she was out of the office, asked for Mr. Fletcher, school principal. Told them if he didn't call me back, I would call the superintendent's office. Mr Fletcher never called me back. Mr. Craft, the Assistant Principal called to tell me that Ms. Sprouse, Ms. Smallwood and Mr. Craft all decided the plan would be to call me before Brittany has PE. I told him no, the issues are bigger than PE, it was extra insulin, it was exercise with high blood glucose readings, it was sending low blood glucose leveled child to walk around the school and that I wasn't going to allow someone to put this child in the hospital. The plan had to be better than that. He said he'd call me back. I received no call back.
I called Ms. Walk the Assistant Superintendent and she set up a meeting for Monday at 8am.
I contacted state health careworker she looked over the 504 and suggested that Brittany be held accountable for herself. She also stated this was a personnel issue and that we did need to make sure their was a safety plan for Brittany.
I contacted State Executive Assistant to Superintendent. He contacted Dori Walk to verify a meeting was set up.
12/1/08 Meeting with Assistant Superintendent, RN from elementary school, RN supervisor, two assistant principles, and guidance counselor. I asked for a new nurse and told no. I asked for an aid for my daughter and was told since she was on the pump and her age, she did NOT qualify for one. Assistant Super decided on her own to make the 2 assistant principals and principal take care of Brittany in Leu of the clinic assistant.
Assistant Super sent a letter that went against everything that we requested as well as state Brittany was going transistion back to the clinic assistant shortly. I asked her AGAIN for an aid and she specifically told me I never asked, as well as her reasoning now is due to how Brittany would feel. Brittany was ok with one! The assistant super is also trying to MAKE Brittany be 100% responsible for herself when the doctor's orders CLEARLY state that she needs ADULT SUPERVISION for blood testing, boluses and carb count. I understand she needs to know how to do these things and she does, but when she is low or high, she CANNOT THINK and needs that supervision. Right now with all the changes, Brittany's numbers are ALL OVER THE PLACE. They are now trying to make it to be a blood sugar and flucuation issue rather than a clinic assistant not doing her JOB. I had to have the doctor to provide a statment to why she is fluctuating, ie: not washing finger well, not letting it dry, a blood sugar reading of 150 could as easily be one of 190 or 120 and taking it 3 times in a row can make that change. Their nutritional value count for school lunches, not being abel to determine the serving size or knowing what various fruits are.
Any rate, I called CPS, waiting on their investigation to determine if the clinic assistant was neglectful as WELL as changing doctor's orders. This conclusion will determine my daughters fate at school and what will be done. I'm not sure I agree and feel like I need to take other avenues.
ANY SUGGESTIONS????
Thank you,
Vikki
This is the rundown of what has happened with my daughter Brittany. I'm sure I've overlooked a few situations in between but these are the major ones.
9/23/2008
I sat in the nurses clinic for 2 hours and gave her juice, crackers, glucagon, emergency kit with batteries, infusion sites, Cozmo user guide, and requested a 504 plan put in place. Teresa Sprouse (clinic assistant) told me she knew how to deal with diabetics and had certain paperwork she could only use from the doctor. I asked her to get a 504 plan started and she stated she would look into it.
9/25/08
Blood sugar for lunch was 434 no contact from school - ketones not tested
9/26/08
Brittany didn't return to the clinic, for a supervised bolus and nurse did NOT contact me to tell me this.
9/29/08
Blood sugar for lunch was 364 no contact from school - ketones not tested
10/1/08
Blood sugar for lunch was 500 at 7:50 no contact from school until after 10:25. Teresa Sprouse called me to inform me that Brittany was 500 and had no ketones so she decided to give her water and exercise her to bring her blood readings down. I asked her why she did that? She proceeded to tell me that prior doctors told her to do that. I told her, prior doctors were not treating my daughter and high glucose readings and exercise causes ketones and will put Brittany in the hospital. I then asked her if she asked Brittany if she ate breakfast, she stated, no. I asked her if there was insulin on board, she stated she didn't look. I told her from now on with any questions please contact me. Do not wait to contact me. Questions need to be asked before doing anything especially giving extra insulin and exercise.
I then called Cheryl, RN at elementary school and informed Cheryl of what happened. I asked her to retrain Teresa Sprouse.
10/20/08
Blood sugar for lunch was 479 no contact from school
10/30/08
Blood sugar for lunch was 500 no contact from school
11/7/08
Brittany was in PE, health class and felt shaky. Mr Guertler, the gym teacher, coudn't find Brittany's juice and crackers. Brittany came home and told me.
11/11/08
Ms. Sprouse called me to tell me a teacher needed juice and crackers. I asked her if she could talk to the teachers, especially Mr. Guertler and make sure they are all aware of where Brittany's juice and crackers are because it is unacceptable that she was low and he couldn't find any. She said ok.
11/12/08
I received a call from Mr. Guertler explaining to me, he knows where everything is now, it was misplaced but he immediately gave Brittany a pass to go to the nurses office, which Ms. Sprouse omitted to tell me. But Ms. Sprouse couldn't find juice and crackers and sent Brittany BACK to PE without treatment. Ms Sprouse recanted and stated, Brittany refused treatment and she released her.
11/12/08
Called Ms. Wilt, informed her of my findings. Called Cheryl again to inform her and asked her if she can retrain Ms. Sprouse because I was at my wits end. She told me to set up a meeting with her.
11/14/08
Meeting with Ms Sprouse, Mr Craft, Brittany's dad and myself. We sat down, discussed the problems that we've encountered and how we were going to fix it. We gave her the paperwork on how we wanted Brittany to be treated. She stated she would read over it. all had a copy.
11/17/08
Blood sugar for lunch was 354 the day after a meeting with Ms Sprouse, Mr Craft, Brittany's dad, myself regarding handling Brittany Schutt. She was handed over paperwork on how we wanted Brittany treated and she stated she would read over. She called left a message for me regarding Brittany's high blood sugar, then contacted Brittany's dad. He asked Ms. Sprouse when she was going to recheck Brittany since it was at 11am and she had no clue. Asked Brittany what time are you going to recheck yourself? He said no she needs to be rechecked in an hour or so to make sure she is coming down. It's right in the paperwork we gave you.
11/20/08
Meeting with Ms. Sprouse, Ms Wilt (Assistant Principal), Abbey Jones (Guidance Counselor), Brittany's dad, Cheryl Baker . We discussed the problems we have encountered again. We wanted a 504 plan. It was also mentioned that I requested this to be in motion as of 9/23/08 and Ms. Sprouse never did anything with it. She dropped the ball on that. She should have made sure it went to the correct place or contacted me.
11/24/08
Received a call at 3:30pm from Teresa Sprouse regarding Brittany's glucose levels.She did not call me during any incident! She called me to ask me regarding the activity bus however, when I started asking her questions about how she handled it, she refused to answer any more questions regarding my daughter. She told me that Brittany came into the clinic at 9:40 before PE to check her blood sugars to see if she should take PE. Brittany was 317. Brittany told her that she ate a poptart. She didn't ask Brittany what time she ate the poptart. At this time, Brittany had 2 units of insulin on board which would cover her high blood sugar, however, Ms Sprouse told me she had Brittany give herself a small bolus. I asked her what is a small bolus? She stated, she didn't know. I asked her, you mean you had her give herself insulin and didn't ask how much it gave her? When checking her pump, her extended bolus was canceled and she was given an additional 4 units of
insulin and told to go to PE. With the extra insulin, PE, then lunch at 147 and more insulin she crashed at 38 at 1:42. I asked Ms Sprouse to transfer me to Ms Wilt the assistant principal, she refused to transfer me and stated she was aware of the situation and was working on the 504 plan for Brittany.
I hung up called Ms. Wilt, told Ms. Wilt the situation. She had Ms. Barbara Smallwood, Teresa Sprouse's Supervisor call me. She called me, stated that Ms. Sprouse went to diabetes training at UVA and knows to recheck after high and low blood glucose readings and she didn't know why she refuses to preform them. She stated this was my point of view and she would look into it. I told both Ms. Wilt and Ms. Smallwood that Brittany wouldn't be back to school until they could have a safety plan for her because mistakes keep happening with this child. She stated that someone would get back to me the following day.
11/25/08
Called Ms. Wilt, she was out of the office, asked for Mr. Fletcher, school principal. Told them if he didn't call me back, I would call the superintendent's office. Mr Fletcher never called me back. Mr. Craft, the Assistant Principal called to tell me that Ms. Sprouse, Ms. Smallwood and Mr. Craft all decided the plan would be to call me before Brittany has PE. I told him no, the issues are bigger than PE, it was extra insulin, it was exercise with high blood glucose readings, it was sending low blood glucose leveled child to walk around the school and that I wasn't going to allow someone to put this child in the hospital. The plan had to be better than that. He said he'd call me back. I received no call back.
I called Ms. Walk the Assistant Superintendent and she set up a meeting for Monday at 8am.
I contacted state health careworker she looked over the 504 and suggested that Brittany be held accountable for herself. She also stated this was a personnel issue and that we did need to make sure their was a safety plan for Brittany.
I contacted State Executive Assistant to Superintendent. He contacted Dori Walk to verify a meeting was set up.
12/1/08 Meeting with Assistant Superintendent, RN from elementary school, RN supervisor, two assistant principles, and guidance counselor. I asked for a new nurse and told no. I asked for an aid for my daughter and was told since she was on the pump and her age, she did NOT qualify for one. Assistant Super decided on her own to make the 2 assistant principals and principal take care of Brittany in Leu of the clinic assistant.
Assistant Super sent a letter that went against everything that we requested as well as state Brittany was going transistion back to the clinic assistant shortly. I asked her AGAIN for an aid and she specifically told me I never asked, as well as her reasoning now is due to how Brittany would feel. Brittany was ok with one! The assistant super is also trying to MAKE Brittany be 100% responsible for herself when the doctor's orders CLEARLY state that she needs ADULT SUPERVISION for blood testing, boluses and carb count. I understand she needs to know how to do these things and she does, but when she is low or high, she CANNOT THINK and needs that supervision. Right now with all the changes, Brittany's numbers are ALL OVER THE PLACE. They are now trying to make it to be a blood sugar and flucuation issue rather than a clinic assistant not doing her JOB. I had to have the doctor to provide a statment to why she is fluctuating, ie: not washing finger well, not letting it dry, a blood sugar reading of 150 could as easily be one of 190 or 120 and taking it 3 times in a row can make that change. Their nutritional value count for school lunches, not being abel to determine the serving size or knowing what various fruits are.
Any rate, I called CPS, waiting on their investigation to determine if the clinic assistant was neglectful as WELL as changing doctor's orders. This conclusion will determine my daughters fate at school and what will be done. I'm not sure I agree and feel like I need to take other avenues.
ANY SUGGESTIONS????
Thank you,
Vikki