We've had some inconsistencies with how school hours are charted due to how late our bus is. After talking to both the office and our Medicaid waiver coordinator, we've reached some resolution.
Effective this week, no respite is to be claimed after 15 minutes prior to the SCHEDULED bus time or within 15 minutes of the bus arriving home. If the bus is late, the district is authorizing up to an additional 15 minutes prior to school on the SCHOOL note. If the bus is more than 15 minutes late (which should be exceedingly rare), we will need the nurse on shift to contact the office so that they can contact the school district to have the district authorize the overage.
We will still be funding 15 minutes before and after the school shift to give our school nurses more time to check equipment, transfer patient, get/give report, and return equipment at the end of the day. No more than 15 minutes respite should be claimed without verifying that time is to be claimed as respite. We have had troubles with our respite being used faster than we can account for; if more than the scheduled respite needs to be claimed, we as her family need to be authorizing it. Allowing for a minimal amount of respite to make things more realistic to accomplish is not a blanket authorization for additional time.
As we transition to keeping the more stringent time, please feel free to remind caregivers that nurses need to focus to finish on time without claiming respite. The goal isn't to cheat nurses of time worked but to make sure that all of our respite is being used to aid our family. We're hopeful both nurses and family can be more mindful of the end of shift.
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