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Joined Jul 11, '05. Posts: 3,037 (62% Liked) Likes: 7,578

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  • 2:19 pm

    Oh, I love this!

    I love, love the few parents I have that have called me to warn me their child does indeed have a cold, but has been active at home, and has a math test this morning that said child is dreading. They would love me to help them keep their child in school unless I feel the cold has truly progressed and I am welcome and encouraged to tell their child that they talked with me this morning and this is the plan .

    Also, the parents that can be reached easily, have a plan to pick up their sick kiddo, and thank me so much for calling them. Goes a long, long way. Those parents, you rock!

  • 2:08 pm

    Just had a girl with 102 temp crying because she wanted to stay in school. She has midterm review today and a basketball game tomorrow.
    She was in earlier, afebrile, now with shaking chills. I'm suspecting flu.

    A nice, sweet involved kid who never comes in. Parents are a pleasure.

    Put your GOOD stories and Good kids right here.

  • 1:38 pm

    it'snotatumor...love that! Kindergarten Cop is one of my favorite movies. I appreciate what you're saying. You make some good points but I do disagree with ya. The responsible students are never the issue. Allowing kids to carry bottles of pills at school sets the stage for a free and unregulated environment for the dealers, users, and abusers. As stated above if a kid has permission to carry a bottle of "ibuprofen" at school, what gives administration the right to open the container to identify its contents? Parent permission slips to carry medication are an absolute LOL joke, unless the school is going to contact the parent and confirm the legitimacy of the permission slip. Anyway, your post was well written and thank you for offering it.

  • 11:31 am

    Quote from dakotadenise
    My problem with this is that its hard to enforce/monitor. Are HS kids searched every morning to see if they have OTC's? And then who spends the time checking to see if every kid who has an OTC has a permission slip? I have much more important things to do than to be the bootleg motrin monitor.
    Bootleg motrin monitor. Hehe.

    But seriously, you can put anything into an OTC bottle. Not to mention, what happens when the HS kid with a "super giant headache" takes like 6 Motrin at once from the stash in their locker?

  • 11:31 am

    How about the kid who gives out his/her own stash of Motrin to his/her friend with a headache? And now we've got who knows what medications being shared with who knows which kids who have a contraindication to take who knows what meds?

  • 10:32 am

    Agree with Becky, they may bring their Adderall or mom's Xanax in that Tylenol bottle.

    I don't like the idea of kids self carrying OTC's, of course that's what I did in HS, brought my own Ibuprofen in case of a headache since there wasn't a school nurse. And likely a lot of HS students are already bringing their own OTC's and taking them when they want. Only a few follow the rules.

    Side note... I had a teacher bring in a kindergartner and his second grade sister. Mom had sent K's home am dose of Ritilan in a baggy for 2nd grader to give him. Teacher saw what was about to go down and brought them to me. Mom was surprised that this couldn't happen.

    Me: "Ma'am, that medicine could've easily have been lost and taken by another student, which could be dangerous."
    Mom: "Ohhh, I never thought of that". Obviously.

  • 9:35 am

    Is there a department of health contact you could call? Some DOP's have clinics or resources. Also the Lions Club is an advocate for children's sight, try to contact the local chapter?

  • 8:29 am

    Ya, no way!!

    Get the MD to write
    "If dislocation is suspected and child is in no imminent danger, call parent first. If parent or (other adult is listed in emergency contacts) is NOT available, EMS may be called if it is determined there is risk for further injury"
    Do the assessment, have permission to talk to MD, have a written care plan. EMS if no other option.

  • 8:20 am



    Nope.

    You do not have to do anything that you are not comfortable with and no one can force you to perform a task.

    Maybe compromise with admin (who sounds ridiculous if you ask me). Tell him that you will first call mom, and then if she cannot make it to the school within 30-45 minutes you will call EMS. I still think EMS is a stretch, and we do whatever we can in our district to NOT call. I could be wrong but I think our district has to pay when EMS is called. So calling every time the kiddos finger pops out of place would be costly.

    Stand firm and speak with your nurse boss.

  • 8:19 am

    Absolutely not! I would never reset any bone, because I have not been extensively trained to do such, and I'm pretty sure that is not in my scope of practice.

    I would be be very surprised to hear this is in your scope of practice, and am very surprised this was even considered.

    I do not think it warrants a 911 call, but I would definitely call mom and send the child to a DOCTOR to have it reset.

    Also, I would be FURIOUS if a school nurse attempted to reset anything on my children. I realize that wouldn't be an issue in this circumstance, just sayin..

  • Jan 18

    Quote from SchoolNurseTXstyle
    They want you to tell the kid they need to stay in class, so they don't have to. However, it puts you in a bad predicament. If a kid comes to see me several times in a day, I feel an obligation to call the parent. And if the parent decides to pick up, that is their decision.

    If the student goes home and tells parents they saw you multiple times, then they will be upset with you for not making contact.

    One of those darned if you do, darned if you don't situations.
    This! For non automatic exclusions, febrile, vomit etc., After visit number 2 or maybe 3 depending, I call. It's up to the parent after that. I chart it as (whatever ailment) "persists", parent chose to take home. Oh and mom can talk to Susie or Joey for 2 min max while on speaker phone. No scuzzing up my phone with germs or negotiating world peace while tying up my line.

  • Jan 17

    Quote from foggnm
    I'm working as a school nurse now. And except for my medically fragile population, I don't do a lot of assessment on small complaints like stomach aches, headaches, dizziness, etc. I'm not a provider (but you are, so your circumstance is different) so I try to keep my assessments purely visual in nature. I certainly don't touch (palpate) any students. The first thing I ask is "what do you want to do?" For middle schoolers it is great because it makes them think about what they want to do to solve the problem (probably not good for younger kids). I further say "do you want to go home, rest for 5 minutes, drink water, use the bathroom, eat something, etc?" If their stomach issue isn't accompanied by fever, diarrhea, or vomiting I just generally let them rest for 15 minutes and send them back to class. They also have to call their parents. And if you 'hate the complaint with a passion' why are you working as a school nurse? Almost all complaints in the school setting are minor. Playing games like asking kids to jump up and down also doesn't seem very professional on your part. And saying you're glad when they throw up isn't particularly endearing, either.

    I think, if I am interpreting the OP's point of view correctly, that stomach aches are hard to evaluate in a (non-medically fragile) school-aged population. I get that she "likes" when students vomit. Not that she's happy the student is sick, but that vomit is something tangible, as is a fever and diarrhea. Is it really a stomach ache, or is Sally trying to get out her math test?

    We do come here to vent and use each other as sounding boards. I can hate a particular complaint that I see day in and day out all day every day, and I can come here to complain about it to like-minded people in hopes that someone may commiserate with me. That does not mean that I shouldn't be a school nurse, or that I'm not a darn good school nurse.

    I get that most complaints in the school setting are minor. Until that frequent flier I sent back to class for the 32nd time this semester has appendicitis, and I missed it because he has complained of a stomach ache at lease 2 x per week since school has started and I blew him off yet again. Which is why I am going to evaluate most abdominal complaints at least with a temp check, brief history, last BM, where exactly is the pain, along with a more detailed assessment as I see fit.

    I have used the jumping up and down trick a few times, even on my high school kids. If a kid can jump up and down, chances are good they don't have an appendix that is ready to burst. We used this evaluation technique all the time when I worked in the ER, especially on younger ones. So that's not really a game, it's an assessment technique. I also ask how the bur ride in to school was, as we live in pot hole heaven right now. If a student tells me they were absolutely miserable every time the bus went over a bump, I am calling to have that kids evaluated ASAP.

  • Jan 17

    Quote from JerseyTomatoMDCrab
    Nothing ever came of my meeting with HR, which I expected.

    I spoke to my union rep about how this guy acts and he made me promise not to speak to him alone.

    Other than that, nothing. He continues to act like a megalomaniac and treats everyone like dirt.
    Sounds like he is very good with the shovel, just let him keep digging. The whole thing will cave in eventually.

  • Jan 12

    I have the power to heal just by letting kids sit in my office!!!!

    3rd grader came in after lunch, clutching his stomach, trying to vomit - gagging, making a real show of it. As soon as he realized it was recess time, he JUMPED UP out of the chair and said, "I feel better". When I told him I was going to let his teacher know he needed to sit out at recess, he didn't agree, "but I'm all better now".

    I seriously am laughing out loud at this. For whatever reason, this one has me doin the crying laughing thing today!

    ​

  • Jan 12

    2nd grader at her second visit of the morning "I forgot to tell you I threw up this morning too, not just yesterday. But no one saw. And I'm dizzy. And my throat hurts."

    Ok, so I do my thing...no fever, drank a whole water bottle and waited 10 minutes...still no throw up, so back to class she goes. I tell her I'm going to walk her there because of the dizziness to see how she does...SHE STARTS LIMPING....ok kid, now I know for sure this is the case of the fibs.


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