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Bad Bad day............

Discussion in 'Parents of Children with Type 1' started by Evansdad, May 6, 2008.

  1. Evansdad

    Evansdad Approved members

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    Bad Bad day............What would you do?

    Pardon my post but as you will read I am stresseD..
    Before you go any farther Evan is okay.
    So I get a phone call this afternoon from the school nurse, that she had to do the Heimlich on my son today in the nurses office. " WTF " I in a panic ask what happened she says Evan came to the office with low sugar so to correct it she gave him a choice of smarties or lifesavers and some water per our health plan. Well he choose lifesavers and she told him to drink some water as he was eating candy and he swallowed the lifesaver WHOLE it got lodged in his throat and he could not breath, so she did the Heimlich , and he was able to breath BUT it was still stuck so instead of calling 911 she calls us to come get him! She goes on to explain on phone for us to take him to doctor to remove the candy.

    My wife and I get in car to go to school about 10 minutes driving normal I made it in 5 as we were driving I called his doctor to get him in and the nurse puts me on hold after I tell her this and she comes back and says the school should call 911 ,he needs to go to hospital to have it removed and also it would be bad if he was in car and something happened to it and it blocked his airway again.

    So I call school and get hung up on 2 times finally get a hold of nurse I tell her to call 911 now, she says he was able with water to swallow it and he wanted to go back to class so we are almost there I hang up.

    We walk into school first hug my child still mad ,upset and crying pick him up grab his bag and told the nurse he MIGHT be at school tomorrow.

    As we are walking out of the office the principal is shoving a cupcake in her mouth unaware of anything never says a word to us. Let me tell you I am so angry words can not describe how I feel and I don't know what to do , who to tell , what to say...We took all candy from school he is only to be corrected from low sugar now by juice box and I will have health plan changed that any medical emergency that bad 911 must be called first right now it says only if he is under 40 or not alert.

    I hate to point fingers the nurse luckily did the right thing and new what to do but if the candy was stuck still she should have called 911 after she got him breathing.

    My thought is and I don't understand why if candy was still stuck why don't you call 911?????


    Look forward to your replies
    Allen
     
    Last edited: May 6, 2008
  2. JacksonsMom

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    Unbelievable! First of all I am so glad to hear that Evan is O.K. How scary that must have been for you all and for him!!!! Secondly in my mind there shoudldn't have been any doubt about calling 911 especially after already having difficulty breathing from it. I really think that some people can be super book smart but have no common sense! My sons go to preschool now and we have yet to face the school nurses situation and 504 plans and all of that so I'm sure others will have advice on that aspect!

    Again, glad he's O.K. and yes you for sure have had a bad day and have every right to be stressed and angry!
     
  3. Caydens_Mommy

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    Oh My.. Sorry that you are having such a rotten day.. I would def be upset with this scenerio too.. I would try calling your superintendent and telling them about the situation.. It amazes me that the principal had no idea what was going on. That's just crazy..
     
  4. zell828

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    Oh, first let me say I am glad your son is okay. That had to be a scary experience for him to be choking. :( I agree with you that the nurse should have called 911. I suppose since she thought he was breathing again that it wasn't an emergency, I don't know. You are right in changing the health plan to have call 911 put in there. It's always better to be safe than sorry.
     
  5. taximom

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    OMG!! I am so glad your son is okay. How scary! That nurse definitely should have called 911! What was she thinking?? I think you should call her district supervisor, or whoever is in charge. That is unacceptable!
     
  6. shekov

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    It seems to me that if something were blocking his airway moments ago, and was still lodged in his throat though now he was able to breathe, he would have to be monitored until it could be removed.

    You should not have been called first...911 should have.
    What did she plan to do if it were to slip and block his airway before you got there?
    What were you supposed to do if it happened on the way to the hospital?

    IF she saw it come out or was otherwise reassured that he had swallowed it I can see calling you first.
     
  7. selketine

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    Wow!

    Well....where to start? She should have told someone to call 911 *while* she was doing the heimlich on your son. Then this *other* person should have called you.

    I think what she did was such a danger to your child - and it really has nothing to do with diabetes. His airway was blocked and that could happen to any child at school. Then she knew the lifesaver was still in there!

    I have read a lot of issues with a lot of kids with a lot of nurses but I think this one goes WAY past the "let's talk it out" stage. That nurse should be completely removed from not only this school but from school nursing. I think there must be some way to file a complaint that would have her handling of this situation investigated.

    I'm glad your son is o.k. I rarely talk about it but William also had something similar happen to him - with a smartie type candy. He was too young to be in school and it is a long story. But there is NOTHING that scares me more than to think about that - and seeing him not being able to breathe. He is lucky I don't pre-chew his food for him....
     
  8. BrendaK

    BrendaK Neonatal Diabetes Registry

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    I don't think I can add a whole lot else. Except that I would not have a nurse who can't handle a choking problem to be taking care of my son's diabetes. Choking 101 is to call 911 if there is a lifesaver lodged in a child's throat. DO NOT call the parents!!!! Even my first grader knows to call 911 in that kind of a situation!

    I am SO SORRY!!!
     
  9. toohughey

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    Bad, bad, bad nurse. I am sorry for the big scare you had. I don't know how you could ever trust her again!!

    TRACY
     
  10. thebestnest5

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    I am so glad that he is OK. How terrifying!

    Omgosh!! The nurse definitely should have hollered out for someone to called 911 while she was doing the Heimlich manuever. I would be quite upset with a nurse that couldn't handle that situation. What if she was having trouble dislodging the candy with the Heimlich? When would she have asked for someone to call 911? In a situation like that time should not be wasted getting 911 moving!
     
  11. selketine

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    This is really bugging me.

    I have found the State of Ohio guidelines for emergency management at school here: http://www.schoolhealth.org/content/Emergency Guidelines for Schools 2-2007.pdf

    On page 7 of that PDF is when to call EMS - and choking is one - blocked airway, etc.

    Page 43 deals with choking - and clearly says to call EMS even if the child is breathing - and the very FIRST thing is to call EMS after starting rescue procedures.

    In our state there are nursing guidelines online as well - these guidelines are intended for schools without nurses or when the nurse is not present. I would think they apply to the nurse as well - as part of good judgment. It would be interesting to see the nursing guidelines for Ohio.
     
  12. Mom2rh

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    Oh my! How scary! I'm glad he was OK.

    I'm thinking there needs to be a better protocol in the school for choking! :eek:
     
  13. Sallysweets

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    Just to let you know I understand why you are upset but, my daughter was choking on a jaw breaker once and I called 911 and they didn't send anyone they told me to calm down (yea right my child is choking) give her some water and wait for it to melt. They said it would melt before an emt could there and a child can't really choke on hard candy because it will always melt. BUT I still wouldn't be happy with the nurse for the way she handled it she wasted time calling you instead of helping him!
     
  14. selketine

    selketine Approved members

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    If the candy is obstructing the airway then the child can choke on hard candy - see this from an FDA article:

    In May 2005, two young girls in New York City died after choking on hard candy. The girls, ages 4 and 5, choked on jumbo mint balls, round peppermint candies measuring a little more than three-quarters of an inch in diameter.http://www.fda.gov/fdac/features/2005/505_choking.html

    It is always a good reminder not to give the little ones (babies, preschoolers) hard candies or glucose tabs to correct lows. Older kids should be o.k. but anyone could get their airway blocked by something like this.
     
  15. Gwyn

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    Did the nurse call you because she thought you would keep him from choking again or because she was afraid he would go too low due to all the commotion and not "eating" the candy and didn't know what to do?

    I would guess the latter.

    Not sure where that leaves you--she obviously didn't give your child the assistance he needed either way--but just wanted to add my two cents.

    Thank goodness it is almost summer!!!!!
     
  16. Judy&Alli

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    Wow! I'm glad your son is ok. I am angered at the whole thing but what the hell kind of principal does not know that a student is choking??????? Our principal is the first one notified of any serious medical incident. She must make the call to the parents after 911 is called of course. I think it is horrible that she was eating a cupcake while your family was in crisis! What a disgrace! I'm so sorry that you had to go through this!!
    Judy
     
  17. jendean

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    If the child is breathing, and the airway is patent, what you want to do is get the candy out. The purpose of going to the doctor is to find out if the candy is in his lung. In this case, the candy could cause aspiration pneumonia. Possible trauma to the airways. I dont know how she knew it was still stuck in there without an Xray...
    She sounds like she lacks some communication skills.
    If your child had a patent airway, and his sugar came up, they did the right thing by insisting on medical care. But... she could have explained that better, and the principal could have tried a little harder to look compassionate, rather than worrying about eating a cupcake in front of a diabetic child. you shoulda smacked the cupcake out of her hand.
     
  18. Evansdad

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    My email to principal and superintendent .

    Before you read this email we want you to know how pleased we have been with the care Evan has gotten from Laureen Carter & Chris Ungar until today 5/6/08

    For those who do not know Evan was diagnosed with diabetes on 2/22/08 and has to be continuously monitored at school and home for low and high blood sugars.

    I received a phone call this afternoon from the school nurse Chris, that she had to do the Heimlich on my son today in the nurses office. Panicked, I asked what happened she tells me Evan came to the office with low sugar so to correct it she gave him a choice of smarties or lifesavers and some water per our health plan. Well he choose lifesavers and she told him to drink some water as he was eating the candy and he swallowed the lifesaver WHOLE it got lodged in his throat and he could not breathe, so she did the Heimlich , and he was able to breathe BUT it was still stuck so instead of calling 911 she calls us to come get him! She goes on to explain on phone for us to take him to doctor to remove the candy. Was the principal even notified of any of this occurring? Could you please clarify what happened and what the proper procedure is for handling a choking/obstructed airway.

    State of Ohio guidelines for emergency management at school Click here see page seven

    My wife and I get in car from work to go to school about 10 minutes driving normal we made it in about 5 as we were driving I called his doctor to get him in and the nurse puts me on hold after I tell her this and she comes back and says that the DOCTOR was shocked and that the school should call 911 immediately , he needs to go to hospital to have it removed and also it would be bad if he was in car and something happened to it and it blocked his airway again.

    1. We should not have been called first...911 should have first and another person should have called us.
    2. What did she plan to do if it were to slip and block his airway before we got there?
    3. What were we supposed to do if the candy moved on the way to the hospital?


    So I call school and get disconnected twice finally get a hold of nurse I tell her the doctors office says to call 911 now, she says he was able with water to swallow it and he wanted to go back to class so we are almost there I hang up.

    We walk into school first hug EVAN, still mad , upset, confused and almost crying pick him up grab his bag and I mumbled to the nurse " he MIGHT be at school tomorrow."

    Let me tell you , I am so angry words can not describe how I feel and I don't know what to do , who to tell , what to say...We took all candy from school he is only to be corrected from low sugar now by juice box and please have his health plan changed to reflect that . Please also add any medical emergency 911 must be called first , right now it says only if he is under 40 bgl or not alert.

    I hate to point fingers at this unfortunate accident , Chris luckily did the right thing and knew what to do " thank god " but if the candy was still stuck she should have called 911 after she got him breathing. Evan did tell her the candy was still stuck in his throat after the Heimlich .

    Our thoughts are and we don't understand why if candy was still stuck in his throat why don't you call 911 that is what it is there for?????


    We look forward to this getting resolved asap.

    Allen & Penny
     
  19. deafmack

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    I would be mad too. What would have happened if the lifesaver had gone into his lungs? That is always a 911 call thing. In that kind of situation I would always call 911 first and then call the parents second. I don't blame you for being miffed.
     
  20. Flutterby

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    WOW.. first, I am so glad that your son is OK!!! How freakin scary.. and second.. yes, that stupid nurse should have called 911.. actually while she was doing the heimlic she should have been screeming for someone to call 911.. that piece of candy could have gotton stuck very easily.. and I'm sure your son was NOT happy to have a piece of rather large candy stuck in his throat.. how painful..

    did you end up taking him into the dr.. I would be sure that the principal knows about this asap.. and that the nurse knows to call 911 in any situation like that again!

    unbelievable..
     

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