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mc3, LPN 15,209 Views

Joined Jun 20, '05 - from 'AZ'. She has '12' year(s) of experience and specializes in 'various'. Posts: 1,016 (52% Liked) Likes: 1,710

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  • May 17

    I have had the best relationships with the school nurses in my kids schools. Especially pertaining one son in particular that was always trying to get out of school. When he lived with his dad he missed SOOO MUCH school. But when he lived with me the first time he went to the nurses office and she called me and she found out I too was a nurse and we chatted. She didn't put up with his shenanigans. 3 different schools had the same rapport with and never had an issue and he would be sent back to class. Another son he ended up having a vasovagal response and went down. Nurse didn't hear of the event leading to the event and she was just told he passed out and was shaking. She called the ER where I worked unsure if they should call EMS or if I wanted to pick him up. I asked her what did her gut tell her and she said that although she is unsure if he had a seizure like students and teacher reported, he did pass out and hit his head pretty hard and she felt uncomfortable moving him and she felt like we should go ahead and call EMS. So that's what we did. She later thanked me for not trying to put her down and question her judgment. I guess she was newer and and finding her confidence. Again, great relationship.

    So I just wanted to say I love y'all. A thread I was active in was moved to this forum so I was reading around a bit.

  • May 17

    My eyelashes hurt....

  • May 17

    I had a first grader that came in yesterday with a stomach ache that had been bothering her since last night. She told be very matter of factly that it was from cancer and her grandmother told her so - uhhhhhhh... i gently suggested the bathroom with great success. I am a bit worried about grandma and what she is telling the six year old but honestly i think i'm running out of steam to chase that windmill

  • May 17

    I'd be filing a report for medical neglect. She may not meet the requirements for an investigation but you will have done your part as a mandated reporter. Poor kid.

  • May 17

    I sent a kindergartner home yesterday who's lungs sounded like bagpipes with how much she was wheezing. It took 3 hours for someone to actually answer the phone and get her.

    Today she comes into my office with her uncle's inhaler. When I asked if they went to the doctor, she said, "no mom said to just use this whenever I cough". Thankfully she had no idea how to use it and that's why she brought it to me. Lungs still sound awful, cough is still awful.

    I call mom again who gets mad at ME for refusing to give her daughter the inhaler and kept repeating "She needs it to breathe, what don't you understand about that?!".

    Finally I explained that I have a standing order for a neb that I can use if her cough continues, and mom mentions how they did a breathing treatment this morning. When I asked her if the student has seen the doctor recently, mom tell me no, it is actually for her but figured little one needed it too...

    I started to say that her daughter really needs to see a doctor and get her own medication because she may have asthma and need more intense treatment but then she hung up on me and turned off her phone.

    And as an aside, they aren't avoiding the doctor for financial reasons. It's just laziness and that is my biggest weakness. I have a really hard time tolerating laziness.

  • May 6

    Quote from WineRN
    ^^This^^

    As long as you are documenting that you have seen and assessed the student and they are well enough for school, the front office can't say you are "denying him service". They are sending him home without cause, so it should be an unexcused



    You need to give yourself a hug and a lot more credit than you do. Maybe I am reading your tone wrong, but by immediately putting yourself down by bringing up it's only your first year and bringing up that you "mess up on things", you are putting yourself in a position for people to walk over you. Neither one of those things matter in this situation, the only thing that matters is that front office is excusing a student who is medically fine and who's parents want him in school.
    This is why you need an RN to oversee things, A.

  • May 6

    Quote from ctate
    ...when you call a parent about a student.

    I hate it when I get a call from a Little Darling's parent wanting to know what is wrong with their LD , because they missed a call from the school. When I tell them I have not seen their LD and it could be a number of people. Then they launch into a rant because I don't know who called them. (I'm sure the receptionist a can say an "Amen" to this also.)

    Could it be that they have not set up the voice mail option yet or, even better, the voice mail is full. Voice mail is on your phone for a reason, set it up and clean out your voice mail!

    Rant over!!!
    YES. YES, YES, YES!

    Seriously the office calls me to ask if I called XYZ student because XYZ's parent missed a call from the school and wanted to know if it was me.

    It was not me. I will ALWAYS leave a voicemail if your phone is able to receive them. Please check your voicemail. Which is way too much to ask, i guess...

  • May 6

    Quote from WineRN
    I have a little section in our schools weekly newsletter and last week I wrote about fidget spinners. My principal didn't want to put it in because I put in the sentence "For students without any diagnosed impairments, the fidget spinners and boxes are more likely to be a distraction for themselves and other students and should remain at home. "

    She told me it sounded too confrontational

    Snowflakes must be kept in dark places, far from that light called the truth.

  • May 6

    My son came home asking for a fidget popper. I told him absolutely not. If he needed something to do that badly I could find him some extra chores. That got him moving. He is not dx ADD/ADHD. I think they would be great for those diagnosed to use. For others, just a distraction.

    Have we gotten to the "But your 504 is better than mine, so I'm gonna call that discrimination!" mentality yet?

  • May 6

    Quote from Flare
    Should have just looked him square in the eyes and said "well, aren't you rude.
    THIS. RIGHT HERE.

    I don't feel like I'm dancing with the Angel of Death near as much here as I did up in the hospital...but there are days when I'm the only thing stopping the district from being in the paper because a kid went south. Hang in there.

  • May 6

    Should have just looked him square in the eyes and said "well, aren't you rude. I happen to be the sole medical professional for XX children which includes knowing off the top of my head their allergies, who has seizures, who is diabetic, who is on which medication, who has which medical concern and which parent just wanted to be called each and every time their little darling comes in my office. I wonder Doctor Fabulous, can you provide your patients with that level of service?" (you can't see the nurse's little hands clearly but they are making a gesture)



    It sounds like you handled it well. I don't think people like that - who actually think that aspirin belongs going to pediatric patients will ever actually get it!

  • May 6

    Quote from A12hrNightshifter
    I work night and I constantly hear how lucky I am to do nothing all night because the patients are asleep. All nightshifters know patients never sleep at night!
    Night is when the doctors and PT, OT, SW, CM, and family, and dining service (!!) all leave so the patient is alone with nothing but their discomforts, their call light, and their nurse/tech! Day shift is busy too but night nurses like school nurses have an extra need to be independent bc their patients aren't being assessed by 10 other people during their shift!

  • May 5

    ...when you call a parent about a student.

    I hate it when I get a call from a Little Darling's parent wanting to know what is wrong with their LD , because they missed a call from the school. When I tell them I have not seen their LD and it could be a number of people. Then they launch into a rant because I don't know who called them. (I'm sure the receptionist a can say an "Amen" to this also.)

    Could it be that they have not set up the voice mail option yet or, even better, the voice mail is full. Voice mail is on your phone for a reason, set it up and clean out your voice mail!

    Rant over!!!

  • Apr 30
  • Apr 30

    Quote from cristinky7
    WOW! I cannot believe how all of you are responding to this. I'm not even in nursing school yet and I believe she did the right thing. I would think that as a nurse, patient care and safety is the number one priority. If I had suspicion that someone on my shift was under the influence of drugs or alcohol, you better believe I will say something. They may be able to handle it one day but what about that one day they don't and something horrible happens? They give the wrong medication to a patient or the wrong dose, what if the patient dies under their watch? I for sure don't want to say to myself at that point, "I should have said something"

    If management did not want to pursue an investigation on "jon" at that time, then anything that happens from that point would be on them. Not me, I did my part. I would not continue to try and find out more on his "extracurricular activities" and just go about my shift.

    I get that whatever you do outside of work is your business but lets NOT bring it to
    work too.
    Sorry I couldn't read anything past the "I'm not even in nursing school yet"


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