Arrive at work 7 am, place opens (it's a daycare [~1200 kids total]) at 7:30. That means I have a half hour before ANY THING can happen. And by anything, there have been bomb threats, work strikes (from the daycare teachers), many call outs (teachers, again), no heat in the building, children who are excluded due to physical exam expired (required annually by the state, we give 6-9 week notice AND they have a 30 day grace period before exclusion.)
I try to do my paperwork, clean off my desk from yesterday's mail, check email, check appointments for the day for me and all the nurses while it's quiet.
8a-9a, do rounds of the kids' rooms, collect doctor notes, accident reports, answer questions from teacher/parents.
9:30 newest nurse arrives, is still on orientation. Go over her plan for the day, try to get a little of paperwork orientation done.
10:00 often leaving for an outside center, either to check red tape paperwork/physicals/accident reports, or because a teacher called and said "he fell when he was climbing on the bookcase and hit his head on the floor" or "this kid has a rash/bruise/unidentified mark" and a nurse has to go.
11:30 stopping for lunch. I eat breakfast around 6am, and I get hypoglycemic if I can't eat before noon.
12:00 covering lunch shifts for other nurses, meaning I get all of their calls while they actually get a lunch hour. Once in a while, they get this lunch hour.
12-1pm, answer questions, help teachers with meds...many kids on nebs. Occasional mistake with a food allergic child...child ate something he/she shouldn't have...maybe twice a month. I think agency wide we have about 20 kids with epipens and about 40 with Benedryl only. Some of the kids know what they can NOT eat, but more likely they are too young to be that responsible.
1-3pm, nap time for kids means meeting time for the rest of us. Usually this involves meeting with a specific classroom's staff and discussing all of the kids. We talk about education, getting ready for kindergarten, social issues, including family dynamics, attendance and health, how involved the parents are with the school, how the child is eating/nutritional status, and is any paperwork due.
3pm-4pm, the kids waking up with fever, possible pink eye, "I don't feel good's"...and trying to wrap up all outstanding phone calls of the day.
I try to leave by 4, two other nurses stay until 4:30-5:00 (in another building)and the new orientee stays until 5:30 while I keep the agency cell phone
on until 6pm.
I'm guessing that this may be one of the more unusual routines posted on here. Maybe we should have a contest!