Hi all,

I just wanted to report a very positive response from my local ambulance service. For background, I recently had to change the day care my girls attend from one that was 4.5 miles from my job to one that is close to home (18 miles away). Since I can no longer be there in time to give an injection, I needed to make additional plans. As a side note, Olivia is now 5, has always been in day care and I have never had to give an injection at school -- it has always happened in the evenings or middle of the night. Regardless, I need to be prepared.

Our ped endo has provided written orders for giving an injection. Their title for this is "Cortisol Dependent School Letter". One of the lines states:

"During emergency situations the school should call 911 and/or have trained personnel give the cortisol injection."

I think this is very clear, no room for the school and/or EMS to say she doesn’t need one -- if 911 is called she is to get an injection.

The head of EMS was appreciative of my call and will notify everyone about Olivia. If called, their procedure will be to contact their medical authority while enroute and once on site they will give an injection.

My next step is for KinderCare allow me to keep the injectable kit at the school. "Corporate" says that there isn’t a need (yes I have provided them with written information concerning CAH). My thought is that they are concerned about possible liability issues. The local director was going to call "Corporate" again today.  When we go back to school/work after the holidays, the injection kit WILL be at day care. I really think that the director will get things worked out since she has had to opportunity to see Olivia with an almost 101 fever. If not, they will hear from me.

Best regards,

Janet