I was lurking at this school nurses web site the other day and read a post where a school nurse was absolutely horrified that the parent of a student refused permission for the school nurse to talk to the students doctor. So here, have a look at part of the discussion. [We have parents returning the form to us, with that crossed out, and we are being told by the doctor's office that they cannot speak to us, without the parent's consent. ( For example: We have questioned Epipen orders where the parents have inserted that their child is to carry Benadryl in the backpack, or contacting the endocrinologist re: diabetes care) The parents are often aggressive and adversarial, and we know they are taking advice from other moms with whom they communicate via social networking sites. From a Virginia school nurse in a county that was successfully sued over diabetes discrimination years back. ] [If no permission is given to contact the physician your response, in your most non-confrontational voice, is 'I am sorry I will be unable to administer this medication if I am not able to clarify the order with the prescribing physician'. Then I would give the order and medication back to the parent. I would have the principal present with the parent when this is explained.From a California school nurse.] Apparently school nurses are concerned about parent refusals to sign the consent giving permission to the nurse to call the doctor and are hoping to find someway to put a stop to this. I hope our social networking site would like to discuss this in a 'non adversarial non aggressive' fashion. Clearly we have a failure to communicate Having withdrawn consent for my school nurse to talk to the doctor of my son, I know first hand the trust issues surrounding this. Many parents have also refused to give consent to their school nurses to contact the child's doctor via the school forms. At one point my school nurse was literally relaying orders word for word from the assistant superintendent and their lawyer while she was on the phone with me and then my doctors office. I refused to change the orders, telling them if they wanted those changes they would have to explain it to the doctor, I did not agree with what they wanted to do based on my sons medical needs.( Besides, if they can't take orders from a parent for insulin as needed why would she ask me to change the doctors orders without consulting the doctor herself? is that safe? Kind of hypocritical?) Both the doctor and CDE refused. Why? Because the clearly written orders were not in need of clarification, were safe, reasonable and appropriate and followed safe standards of treatment. When clarification was needed she could call me on a case by case basis, I wrote this out,and I would decide if this was a a legit need or just hassling my child's CDE or doctor. It also became apparent the school nurse was asking for information she should have absorbed before getting her license to practice and through CEd. Has something caused you to cross out the signature for consent allowing the school nurse to call your child's doctors office? Under the guise of wanting to clarify orders our school nurse was seeking a change to the standard of care that was not just much lower but placed a vise grip type life over our son. While some parents are fortunate to have a good relationship with their school nurse, others experience the flip side of this. Assuming your doctor wrote unambiguous orders following standards of practice for diabetes etc, wrote orders that are clearly legible, and your school nurse refused them solely over the consent portion you refused to sign, did she tell you something like 'no consent for her to call means no medication for your child'? The nurse is bullying the parent and threatening to withhold care if you don't allow access to the doctor, though she has good legal orders to provide care. If she has problems understanding what is being ordered she can talk to the parent who can decide to make an exception to consent then. Or the parent could call and seek clarification themselves. The nurse could invest a couple of hours on a tutorial on FERPA and HIPAA as well. Is there no desire to repair damage that caused parents to refuse consent? Is it a good practice to just refuse all orders, ones the nurse knows based on her training and experience are clear, unambiguous and follow medical standards,then threaten to with hold life saving medication in a blanket fashion, in order to get the parents to sign the consent to communicate line on a standard medication form? Seems draconian to do this and even worse when those in positions of power are dragged out to the front office to further intimidate the parent. Addressing the underlying reasons parents have arrived at the point of refusing to allow the famously 'most trusted' school nurses to have unfettered access to the child's doctor(specifically named doctor on the form, not just any or all his doctors) would be a smart move toward earning back trust. Further, many parents are taken advantage of by those who stand to gain. Many parents are aware nurse's groups who are not employed by school districts by any contract(they are third parties)are collecting student health information via the school nurses to advance legislation or increase awareness of nursing responsibilities to political bodies and school boards for various reasons including layoff notices. They are keeping track of health information of students for third party use which is governed by FERPA regulations under third party access to student health information. Because many parents aren't well versed in some of the specifics of FERPA or HIPAA it is easier to take advantage of them and ignore identification requirements of FERPA as well as third party access. And so many school nurses are also confused or uninformed about the ins and outs of this as well so it would be so easy to violate a students privacy rights and the parents rights to refuse consent in view of abuses of these things. So I am posting links here. This link is a copyright protected pdf by a seasoned school nurse that does a great job in simple power point form of identifying when consent is needed but also exceptions and rules to FERPA requirements. An eye opener are the links to official letters to several state education departments who violated student privacy rights even in the recent past. California Department of Ed for example as well as Pennsylvania, Iowa, Alabama and New Mexico. http://apha.confex.com/recording/aph...er159619_1.pdf A webinar is available for parents that will help you understand the times a school nurse or district is required to get your consent for this stuff. http://www2.ed.gov/about/offices/lis...l#coordinators http://www2.ed.gov/about/offices/lis...apubhealth.pdf OSDFS WEBINARS http://www.healthinschools.org/Heal...es/School-Health-Services/Law-and-Policy.aspx Sincerely, Siren, parent of T1D who understands the value of trust and not abusing it. I edited this tonight to introduce things a little better. Thanks for the help.