mc3, LPN 17,147 Views
Joined Jun 20, '05 - from 'AZ'.
She has '12' year(s) of experience and specializes in 'various'.
Posts: 1,020 (52% Liked)
Speak to your nursing supervisor about the policies in your district to determine the extent of care you are to provide to employees. In my district, I am only to provide emergency care to employees. This employee is not managing her daily care and meds, and it is a habitual problem. I have been told to refer situations like this to HR, so they can obtain medical releases and address her daily care. Good luck.
I'd say it's time to get the administration involved. It's becoming an issue in the classroom, safety wise and probably performance wise. That's above your pay grade.
Not no...but HELL no. Don't even go there!! As the others have said...only FDA approved medication and proven comfort measures.
Welcome to the farm! Keep us informed how this unfolds.
Welcome to school nursing!
OK, so...in Texas, my BON prohibits me from using treatments that are not FDA-approved/evidence-based. Even with a doctor's orders (which you don't have) I would decline to touch the child, mix the salt, or provide an oil that might cause a reaction in another child who might be sensitive to the smell of lavender/lemon balm/etc. Do I have a problem with alternative medication? No. Do I have a license that limits my delivery of that to someone else's kid? Yes.
The Advil is evidence-based. Ice pack and darkened cot are supportive. Good luck!
I would follow the MD order. If mom wanted to give more than the max dose she would have to do it.
The more things they can find wrong with their children, the higher the chance of getting a SSI check for them. It's sad, but I'm seeing this happen quite a bit.
You did the right thing. I "assume" your co-workers learned of this from the nurse in question. You don't have a clue what she may have told them, but either way it does put you on the spot. You have nothing to be ashamed about. If anyone asks, suggest they talk to the nurse manager and say nothing more. More nurses need to take responsibility for patients and notify administration of non-safe practices. Good luck in your new posting.
This feels like it should be in this thread.
When I walked in at 0710 a kid was waiting for me. Chief complaint: "I can't see." I have the kid walk into my office (no hesitation, no tripping). I mention this - as in, you can probably see. "No, I used my OTHER SENSES." C'mon now.
Just got a 10 minute free massage from a chiro group that comes to our school.
My body feel like bbbuuuuuttttttttttttaaaahhhhhhh.
I just want to take a nap now. But alas, it's only 8:30. C'mon now...
*student comes in*
I poked my eye with my finger and now it's blurry. (All while rubbing eye constantly)
"You're fine, baby. Just stop rubbing your eye and clean your eye with a wet papertowel."
It's within the first 5 minutes of school, little one walks in with a pass from a sub that says "student has a fever and needs to go home." Student is wearing winter jacket (it's in the 90s here in STL). I have the student take off their jacket take their temp (98.5). I tell the little one they need to go back to class and they burst into tears because Mrs.Sub said they were going home. I asked if they feel sick and get a weak no
Sent back with a note saying, "Sorry we don't send sweaty students home."
Mass hysteria in 4th grade yesterday! 6 girls came in from the playground scratching like crazy. Girl 1 is the only calm, non-scratching one- she says "They all held a fuzzy caterpillar and I told them that touching it makes you itchy and then you stop breathing and then you die"
Me: surrounded by freaking out little girls that won't stop scratching their arms and neck "Why?! Why would you say that?!"
Girls 2-6 chime in with a few random "omg, I'm so itchy" and "omg, me too"
Then "My leg is itchy now" "Omg, now mine is itchy too"
Everyone is breathing adequately, no hives, no redness, no rashes. Clearly a case of panic and monkey see, monkey do. Girl 1 is still talking about dangerous caterpillars and how everyone who touches them has to go to the hospital, so I tell her to go away(nicely!). I separate the others; 1 on each cot, 1 in the chair, 1 in my inner office and one by one apply caladryl(not that they actually needed it, but it smells medicine-y, so you know,placebo effect) and, like magic, all of the itching and trouble breathing instantly stops.
5 lives saved, y'all!
Looks like you've found the source!!!
I think i've seen at least 3 or 4 kids today that have come in with issues that were present at home for x number of days, went to the doctor and then came to me anyway to see if I had the same opinion as the doctor.
I think i need an increase in salary.
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