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Joined Jul 11, '05.
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I just about lost it with a 4th grader who came in here drooling a long line of bloody spit all over the floor after pulling his tooth out.
I need a beer. or five.
Regarding Immunizations, know your state requirements per grade ahead of time. I keep them printed out and on the wall for quick reference, mostly because NY likes to change them. Parents must submit immunization records. I enter them in our system and make sure none are missing.
NY also has a database that imms should be logged into. I print out this for all NYS students as well. Often it is more up to date than what parents provide.
Right now I am busy logging in all my new students for next year. Very time consuming.
if a student is not fully immunized upon entry to school despite multiple reminders, the parent is sent an exclusion letter at the start of school that lists an exclusion date no later than 2 weeks from the start of school. No compliance? No attending school after that date.
The only exception is students who are VERY far behind, and they must follow the ACIP guidelines for "catch up" with imms or else again, exclusion from school.
Honestly, this is the bane of my existence. No lie.
Um, am I the only one who read that title in the house elf Winky's voice?
And if Old Dude's treating, can I join you awesome school nurses for lunch?
I see you down there, ladies.
I have a "May I please..." rule that is only allowed to be violated if you are crying or gushing blood!
I am old school all the way. I tell new nurses that you can't even consider yourself experienced before 3 full time years, to give yourself time to learn what you weren't schooled. School nursing is almost exclusively isolated, unsupervised and unpredictable. To have no prior catalog of experience is pretty unfair to the students. I am not trying to point fingers, as I know a few of you are new nurses and school nurses, but the first question you should ask is "would I be comfortable sending my family member to me?". I have a deep work history and this was a whole new mindset for me, with a steep learning curve (thanks ANSN, you saved me a few times). This may be a dream job, but some things need to happen in their time and IMO unsupervised jobs should be left to experienced nurses.
No, never had holidays, weekends and summers off. Worked a lot of midnight shifts though.. you should try THEM.
This. We had NO AC back in the day. Please kids, suck it up.
Speaking for the vast majority of nurses that do NOT get an entire summer off, I am having trouble arousing sympathy in this case.
I usually give "first time flyers" more latitude and/or benefit of the doubt.
My school is in a low income area. Parents are asked to send a change of clothes but most don't. Most don't answer their phones. The one time a parent did answer and bring in a change of clothes, tried to hand me the clothes so I could change her son's BM accident up. I refused to take the clothes and pointed her to the bathroom down the hall. Seriously! It's a pain to search through clothes and when the kids complain I remind them it's not Walmart and they can either take what's offered or stay wet, dirty, whatever. Luckily we have a local church that donates clothes in whatever sizes I need. I ask for the clothes to be laundered and returned and maybe get 1/4 of them back. I hand the kids wipes and clean clothes. I think some kids are just barely potty trained when they start school. We have a large amount of parents who don't seem to know how to be a parent. It's very frustrating.
However, if a child has several accidents we ask for a dr evaluation and parent meeting. Then we start a classroom plan on more frequent scheduled reminder bathroom breaks, etc. Once the parent realizes this is being taken seriously and is a major disruption it usually improves. We have had cases of sexual abuse or kidney issues discovered by requiring dr exams so it's good to keep track of which kids and how often. Sometimes its behavior related. Never fun though.
AND on pink Wed, we also get a BOGO Burrito, bowl, or taco. (Norovirus optional.)
Chipotle — Nurse Appreciation
I haven't gotten dressed yet (yay summer!) but I will find some pink!
Extra fetch day... It's my birthday!!
Those of us who have started Summer are still held to the rules of Fetch Wednesdays.
See you all tomorrow.
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