Thermometer, pills, patch
If a child suddenly feels unwell at school, a nurse or doctor will provide him with first aid: give him a headache pill, measure his blood pressure and temperature, and give him an antipyretic if necessary. They will help stop bleeding from a broken nose or knee, treat a wound, bandage an injured arm...
Article on the topic The meeting place is the corridor. How to protect your child from injuries at school? The school physician is obliged to inform the class teacher and parents of the victim about these emergencies. And be sure to call adult family members to accompany the child to the emergency room, home, or hospital if the child is sent there by ambulance.
“I was trying to find out why my daughter needs to get an injection in the toilet”
The story of a Moscow first-grader with diabetes, who had to inject insulin in the toilet of her school, touched and outraged many. Experts admit that there is no standard system for working with diabetic children in schools. Questions about how and where children can receive an insulin injection and who should monitor this must be resolved by parents individually with the school administration. Read more about the problem in the material by Valeria Mishina.
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There are about 24 thousand children with diabetes in Russia. Many of them go to regular kindergartens and schools and differ from their peers only in that they need to be careful not to miss an insulin injection.
Ekaterina Akatieva, sending her daughter, who was diagnosed with diabetes in December 2014, to school, asked the administration how difficult it would be for her child at school. She was told that there were still several children with diabetes at school, everything was fine with them and there was nothing to worry about.
However, on the very first day, the girl was separated from her classmates in the school cafeteria, “because they didn’t know what to do with a diabetic.” Then it turned out that the school’s health workers were not ready to take on the responsibility of giving the child injections.
After the mother decided that she would come and give Asya injections herself, she was forbidden to do this in the school medical office
According to the established procedure, all diabetic children in this school gave themselves injections on their own in the toilet: they were not invited to the medical office, so as not to put unnecessary responsibility on the nurse. Asya’s mother was not allowed to give injections in the school corridor, “so as not to frighten other children with syringes and the sight of blood.”
Ekaterina Akatieva
,
mother of a girl with diabetes
I tried to explain that my child is small, he doesn’t know how to inject himself. And I tried to find out why Asya needs to go to the toilet to get an injection if the school has a medical office that is open every day and its schedule completely covers the study time of first-graders. But the health workers said that this issue does not concern them, and they already have a lot of work - several schools were merged, and for the entire complex there is only a doctor and a nurse.
As it turned out, in each school the administration decides in its own way how to organize the process of working with diabetic children. And this largely depends on nurses, who do not belong to the educational department, but are accountable to health departments. If nurses agree to take on this responsibility, then in school medical rooms they give injections to children or supervise how the child copes with it himself.
Ekaterina Akatieva
,
mother of a girl with diabetes
Now Asya and I are in a hospital where there are many mothers of children with diabetes. Most of these children go to school. They were very surprised by our story. As I was told, in other schools, a nurse regularly comes into the classroom and notes which of the children with diabetes are present. The health worker reminds when the children should come to her, and if someone does not come, she comes for the child. Usually there are few such children at school. And the time spent on each child in the medical office is three to four minutes maximum.
The Patient Defense League believes that in schools a nurse should be responsible for a child with diagnosed illnesses. And the director and the entire administration had to track the process.
Alexander Saversky
,
President of the Patient Defense League
It seems to me that the prosecutor’s office should look into this case. I believe that young children cannot give injections to themselves, but older children also need to be provided with the proper conditions. And of course, children should carry out this procedure not in the toilet, but in the medical room. I am sure that the medical workers were obliged to draw up a schedule for the children to come to the medical office and organize work with them.
The expert noted that the Patient Defense League had not received any reports from parents of children with diabetes about such cases. However, the President of the Russian Diabetes Association, Mikhail Bogomolov, said that this organization was contacted because children with diabetes were not enrolled in sports sections. In particular, parents from Kabardino-Balkaria, Moscow and Volgograd spoke about this.
Mikhail Bogomolov
,
President of the Russian Diabetes Association
Diabetes is not a contraindication to exercise. Remember, for example, world football star Pele, who lives with diabetes. In July, we sent requests to the Ministry of Education of the Russian Federation, the Ministry of Health of the Russian Federation, demanding clarification on how the stay of children with diabetes in preschool and secondary educational institutions, as well as sports sections, is regulated, but we never received a response. Our lawyers also could not find such documented procedures.
Bogomolov noted that modern pen syringes for insulin can be used anywhere - on a train, on a bus, on the street. However, in order to avoid causing misunderstandings when people injecting insulin are mistaken for drug addicts, if possible, you should contact medical professionals.
“If a person goes to the medical office, then everything is in order, that’s how it should be,” people think.”
According to him, Russian society does not yet have sufficient information about diabetes: for example, people with diabetes were sent to the police department because the symptoms were similar to being under the influence of alcohol or drugs.
First-grader Asya Akatieva, who was injecting herself in the school toilet, was called a drug addict by a boy from another class and hit in the face.
Ekaterina Akatieva
,
Asya's mom
I think the teachers should have told the kids what it was. Everything is fine with the person, he has arms and legs, he just needs injections. Teachers had to adjust the children and adjust themselves. The child could have been supported, but here the opposite happened: they tore her away from everyone, showing as much as possible that she was not like that, then they put her in the dining room - everyone was eating, but she looked, and everyone looked at her.
Bogomolov believes that since a precedent arose when the school could not figure out how to work with a diabetic child, then this procedure needs to be enshrined in law. And State Duma deputy Vitaly Zolochevsky sent an appeal to the Ministry of Health of the Russian Federation, in which he stated the need to oblige school health workers to give injections to students with diabetes.
The chief pediatric endocrinologist of the Ministry of Health, Valentina Peterkova, believes that there is no need to separately regulate the presence of diabetic children in schools, so as not to single them out as a separate group.
Valentina Petrakova
,
Chief pediatric endocrinologist of the Ministry of Health
We are fighting to ensure that children with diabetes live in normal conditions, go to regular schools, and regularly engage in physical education. They should not have any restrictions. The child should not be isolated from society and from contacts with friends. But information work is needed. For example, on Diabetes Days we work with brothers and sisters of a diabetic child, they compete together and learn to help each other.
The expert also explains to parents how to care for children. “We teach, we distribute literature so that anyone knows how to help, take a sugar test, and so on,” she says.
Get vaccinated, first class!
Students are being vaccinated within school walls. Before vaccination, the doctor is obliged to examine the child, measure the temperature, clarify the date of the last illness, the presence of allergies, any important events in the student’s life, for example, upcoming competitions or hospital treatment. And only after that make a decision on when to vaccinate.
Vaccination of students under 15 years of age is carried out only with the written consent of parents. Parents must also provide their refusal to vaccinate in writing. High school students independently consent to medical intervention.
Before vaccination, the student will be warned about possible adverse reactions.
Not treatment, but prevention
Treatment is not provided in school medical offices. If a child coughs, sneezes, complains of feeling unwell, pain in the throat, arm, stomach... - he should be left at home, and not rely on the help of the school doctor. In addition, your child should not expose other children to the risk of infection.
Article on the topic
Hygiene against colds. Rules of prevention The business of school doctors is prevention. They conduct educational conversations with children: why change shoes indoors, why you need to sneeze into a disposable handkerchief, wash your hands not only before eating and after going to the toilet, but also before it, since in order to use the toilet safely, your hands must also be clean.
Once a year, school doctors organize a preventive examination of students by specialists from the district clinic.
They warn about the spread of infections and parasites: for example, after every holiday they check children's heads for lice.
During an epidemic of influenza or ARVI, the nurse counts the sick every day. If the incidence rate exceeds 20%, the school director, based on the decree of the Chief Sanitary Doctor of the Russian Federation and the order of the chief sanitary doctor of the region, declares quarantine in a separate class or in the entire school.
The school doctor forms health groups with the physical education teacher; Together with the class teacher, he places students with poor vision at their desks. If a student is found to be overweight, the doctor will give nutritional recommendations.
At the medical office, a student can receive a certificate of no contact with sick children, vaccinations, documents for a camp, sanatorium, hospital, sports section...
Death in the classroom. Why teenagers suddenly die and how to save them Read more
Is it possible for a cosmetologist to give cosmetic injections without a medical education?
The answer to this question is very simple and unequivocal: no. Injections are an intervention that requires a certain level of knowledge and training. It would be extremely correct to believe that in order to give an injection you just need to know how to use a syringe. Knowledge is required both about the layers of the dermis, their characteristics, and about the composition of the substance that is planned to be introduced into the patient’s skin, its possible reactions and side effects.
And cosmetologists without medical education do not have the necessary knowledge base to carry out manipulations of this kind. This goes against legal requirements. Accordingly, if such a specialist wants to include injections in the list of his competencies, then he needs to receive specialized education, but only at a medical school or university.
Thus, if a beauty salon offers this kind of service, then it, as well as its employees, must have a number of documents. Among them:
- license for surgical and therapeutic cosmetology;
- diplomas of higher medical education as a cosmetologist, confirming certificates;
- documentation for all presented medications.
All submitted documents must not only be presented on the website, information stand, but also, at the request of the patient, must be presented to him for review.
Lawyer's comment
Legal consultant Mikhail Zhamkov:
– According to the order of the Ministry of Health of the Russian Federation (Ministry of Health of Russia) dated November 5, 2013 No. 822 n “On approval of the Procedure for providing medical care to minors, including during training and education in educational organizations,” schools and kindergartens must provide free allocate and equip premises for medical offices. And children's clinics provide doctors and nurses to work in these offices. All these issues are coordinated with local authorities.
