Should I Complain About Our Pediatric Nurse?
My son is 13 months old and had a high fever for three days, along with a red throat. I took him to the doctor on the third day. His fever started the break the morning of the visit, it was a low 100.5. As his fever broke he started to develop a red rash everywhere.
I told the nurse about his fever and red throat. She looked at his throat and said it was a little irritated, but not much. She noted he is not circumcised and asked if he’s been urinating normally. I said yes. She ordered a strep test, cbc, and urinalysis. She said uncircumcised babies are more likely to have a UTI and since he only had a fever and no other signs, she wanted to be sure.
My son was screaming insanely during the urinalysis because they initially used a tube that was too large. I had a chance to look down his throat and was saw it was indeed very red, with blisters. I saw the same thing during the second attempt at a smaller catheter. Even the aid commented on it.
I pointed it out the nurse as well as his growing rash. She looked again at his throat and said she saw one blister. Then they drew his blood. I mentioned the throat again and this time she called in the doctor who said he had several blisters.
Our total bill was 1.00, 2.00 was for the urinalysis, plus she also sent it out to a lab, so we’ll get another bill. She was aware from the beginning we were self-pay.
Should I complain? I feel she had no base for the urinalysis. He had no trouble urinating, no pain on urinating. He had a blistered, sore throat. She was thorough in other aspects and she did catch a lack of iron with the CBC and for that I am grateful. They also gave us a small discount for self-pay. However, I’m annoyed she did not see his blistered throat. I’m more than annoyed that my son endured what I believe was a very much en-needed catheter.
I respect her years of training, am looking for some common sense advice.
He’s doing fine now. Actually, the morning of the appointment, his fever went away and the rash erupted. He’s been fever-free for a day and just has the crazy rash. I also mentioned roseola at the initial appointment and again today for his follow-up, she said "no" both times.
I wish I had said something. I didn’t realize she was a nurse until we were halfway through the consult. I brought him in during walk-in appointment hours. Initially, she indicated he throat was only a little red. It wasn’t until the middle of the urinalysis that I saw the horribly red and blistered throat. Had I seen that prior, I would have refused. He’s my only child and I guess I’m still learning. I feel terribly guilty about his suffering and wish I had grown a pair. But, on the other hand, I took him to them because they’re professionals and I’m not.
Lori,
She did in fact, order the test on her own. She examined him then told me what was to be done and it was done. She may have asked the doctor after she examined him, but she told me me prior to that. The only thing I question is her ordering a urinalysis via a catheter when he had an obviously inflamed and blistered throat and was urinating normally. I spoke with aunt who is a pediatric RN and she feels this nurse’s personal opinions about circumcision influenced her decision to cath him. She also told they could have used a diaper cath and not a true catheter. She mentioned that if he did not have a sore blistered throat then she would have wanted a urinalysis too, but since he he obviously had a throat issue, it should not have been done. She also advised me not to be afraid to say no.
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