Anonymous wrote:

Anonymous wrote:NK (10 months) fell off MBs lap this morning directly on to her head.

I did not see the fall, but MB was hysterical and wanted me to decide if we should go or stay. She seemed fine when I arrived 10 minutes after the fall so I said we'd just keep an eye on her.

It's been two hours and she still seems fine, but now I'm getting worried. Would you just go in to be sure?

No. This should have been done by the mother. It is unconscionable that she threw this in your lap.

The child was fine when I arrived. Crying only because she didn't like having ice on her head. I literally arrived not 4 minutes after this happened, the child had no signs of a concussion,if she had I'm sure MB would have made a decision. I felt like she was ok, but was concerned that she may later develop some swelling. If she had any lethargy, vomiting, was disoriented or had seizure I obviously wouldn't be hear asking.

I clearly stated she was acting completely normal, but I don't want to risk it when it's a direct trauma to the head. I did end up calling the pediatrician.

Yes I do have a medical waiver saying I can take my NKs to the clinic no make minor medical decisions. No, MB didn't just leave me with the situation. She stayed for an hour and was late to work, I assured her things were ok then she left.

Anonymous wrote:NK (10 months) fell off MBs lap this morning directly on to her head.

I did not see the fall, but MB was hysterical and wanted me to decide if we should go or stay. She seemed fine when I arrived 10 minutes after the fall so I said we'd just keep an eye on her.

It's been two hours and she still seems fine, but now I'm getting worried. Would you just go in to be sure?

No. This should have been done by the mother. It is unconscionable that she threw this in your lap.

Call the pediatrician and let them know what happened and how the baby is acting. Let them make the call of whether the baby should be seen or not.

Anonymous wrote:

Anonymous wrote:No, I'd look for classic signs of concussion - sleepiness, nausea, unnatural eye movement or dilation, any unusual behavior, etc...

If the child seems fine she is almost certainly fine.

Hmmm, nannies are doctors now? Nannying really is the hardest job in the world!

Knowing the signs of a concussion is a good skill for any parent or caregiver. Any professional nanny would be able to rattle these off for you easily. I've seen them do it in this forum more than once.

It depends on the fall. Most kids fall like that at least once. But, better to be safe and go if you are worried.

Isn't a signed note from the parents required to take the child in? If you don't have that, the Dr's not going to see the kid.

There are guidelines on when you should go in or not - knowing what those guidelines are and following them does not make you a doctor, despite PP's concern. When in doubt, call the ped, tell them what happened, and ask if you need to come in or if you can just observe from home.

She is probably fine but I would never not suggest a trip to the doctor for any head injury.

Anonymous wrote:

Anonymous wrote:No, I'd look for classic signs of concussion - sleepiness, nausea, unnatural eye movement or dilation, any unusual behavior, etc...

If the child seems fine she is almost certainly fine.

Hmmm, nannies are doctors now? Nannying really is the hardest job in the world!

This nanny says better be safe than sorry. Visit the doctor today. Why not?

Have you checked the baby's eyes with a flashlight to see if they constrict?

Anonymous wrote:No, I'd look for classic signs of concussion - sleepiness, nausea, unnatural eye movement or dilation, any unusual behavior, etc...

If the child seems fine she is almost certainly fine.

Hmmm, nannies are doctors now? Nannying really is the hardest job in the world!

I wouldn't think she needed to go if she's been fine for a few hours.

No, I'd look for classic signs of concussion - sleepiness, nausea, unnatural eye movement or dilation, any unusual behavior, etc...

If the child seems fine she is almost certainly fine.

Anonymous wrote:Go. Do don't need to allow them to do anything, just check out the baby to be sure. Just go.

*You, not Do.

Go. Do don't need to allow them to do anything, just check out the baby to be sure. Just go.

NK (10 months) fell off MBs lap this morning directly on to her head.

I did not see the fall, but MB was hysterical and wanted me to decide if we should go or stay. She seemed fine when I arrived 10 minutes after the fall so I said we'd just keep an eye on her.

It's been two hours and she still seems fine, but now I'm getting worried. Would you just go in to be sure?