LittleLadybirds
27-10-2011, 03:16 PM
Hi,
I asked a parent to collect a child today, as when I was doing his nappy his bottom was completely covered in an ulcer-type rash, which looked EXTREMELY sore and quite weepy. He also had a red blotchy rash under his armpit and around one nipple.
I advised the parent to take him to the doctor or walk-in centre to get a diagnosis and to check if it was contagious. I also advised that if they prescribed medicine I would not be able to have him back tomorrow in case there was any side effect/allergic reaction etc. Mum was fine about this when I spoke to her.
However, she has text to say it is a fungal illness and she has been given some cream which needs to be applied 3 times a day for the next 7 days - Metanium. She said he has had this cream before, and anyone can buy it over the counter.
I have asked have they said anything more specific about the fungal illness, but the answer is no.
But I have no idea whether to let him back tomorrow or not. I don't know if the illness is contagious. The cream is not prescribed by a doctor/nurse etc, so according to my policy I should not apply it; but I do have a bit saying: "However some forms of pain and fever relief or teething gel may be provided by the parent". Parents sign a form to say that I can administer sunblock, nappy cream that they have provided.
But my worry is that as she has had medical advice, and a form of diagnosis, shouldn't the cream really have been prescribed? And it is not just a general use cream such as sudocrem, as far as I know.
I have tried the NCMA legal advice line, but there is no answer as usual!
Any help and advice would be greatly received!!!! HELP!!!!!
I asked a parent to collect a child today, as when I was doing his nappy his bottom was completely covered in an ulcer-type rash, which looked EXTREMELY sore and quite weepy. He also had a red blotchy rash under his armpit and around one nipple.
I advised the parent to take him to the doctor or walk-in centre to get a diagnosis and to check if it was contagious. I also advised that if they prescribed medicine I would not be able to have him back tomorrow in case there was any side effect/allergic reaction etc. Mum was fine about this when I spoke to her.
However, she has text to say it is a fungal illness and she has been given some cream which needs to be applied 3 times a day for the next 7 days - Metanium. She said he has had this cream before, and anyone can buy it over the counter.
I have asked have they said anything more specific about the fungal illness, but the answer is no.
But I have no idea whether to let him back tomorrow or not. I don't know if the illness is contagious. The cream is not prescribed by a doctor/nurse etc, so according to my policy I should not apply it; but I do have a bit saying: "However some forms of pain and fever relief or teething gel may be provided by the parent". Parents sign a form to say that I can administer sunblock, nappy cream that they have provided.
But my worry is that as she has had medical advice, and a form of diagnosis, shouldn't the cream really have been prescribed? And it is not just a general use cream such as sudocrem, as far as I know.
I have tried the NCMA legal advice line, but there is no answer as usual!
Any help and advice would be greatly received!!!! HELP!!!!!