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Subject: Re: Kelly,Has Jason learned his lesson yet?


Author:
John Betten MD Omaha, Ne
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Date Posted: Saturday, May 05, 2012, 12:26: pm
In reply to: Denise R.N. 's message, "Kelly,Has Jason learned his lesson yet?" on Thursday, April 26, 2012, 07:21: pm

I agree with Denise, anytime a child comes in my office, they better act their age or my staff has been trained to treat the patient the same way with the parent consent. Same for any and all injections, They usually can be adminstered via arm, buttocks, or thigh. I have given a 17 year old girl a tenatus shot in the bottom because she wouldn't cooperate with the nurse.

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Author:
Martin
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Date Posted: Monday, September 17, 2012, 03:54: am

I know of one youth clinic that still used the glass thermometer for taking temperatures about 3 months ago. It is kind of run down but the costs are reasonable. The low standard of living in which the community where the clinic sits may have something to do with a lack of concern by the parents.

I visited my cousin who has an 8 year old son who got a rectal temprature on a table right in front me at home, I found out that's how he gets his temperature taken in the clinc as well. He had a caugh but the reason for the rectal temp was because he could not be trusted to keep a glass thermometer having to do with his intellectual capacity (probably a little less than average).

I took him there the next day while his mom was at work. He was not the only one to get a rectal temp either because I saw it done to some kids, 2 boys and a girl, about his age or a little older. They all put up a fuss but the MA did a good job at proceeding as though they did not say anything. Then again for followup visits.

I think there is a mindset that says that it does not matter if a kid, where he has to have his/her backside uncovered for some reason because overall it is in his best interest. The important thing is that the patient gets a temperature reading. I did ask why they still used glass thermometers and the response was they have been using them for a long time and had no reason to change. The MA was satisfied with continuing using the instrument. It is too bad I could not stayed there longer.

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