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Joined Jul 11, '05. Posts: 3,423 (65% Liked) Likes: 9,341

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  • Oct 19

    Quote from MrsNurse08
    I guess the reason behind why my school sends out exposure notices is because we have had some parents come in furious because they found out that a student in the class had one of the illness and was asking why they didn't get a notice about it
    So what are they going to do if they get a notice? Ask the doctor to prescribe antibiotics because their kid might catch something? Keep their kid home until they get a note that your school is disease free? Even if their kid gets sick and they take him/her in is the doctor going to say..."Oh, I don't even have to do an examination since you have this notification. I'll treat for that."

    Know what I mean? Geez, it's a school...a giant petri dish for boosting the immune system for all who enter.

  • Oct 19

    I tell anybody that asks "Is there something going around?" that yes, every day in an elementary school of 700, there are kids with fever, kids vomiting, kids with diarrhea, kids with strep, pinkeye, head lice, and on and on...When you have that many littles under one roof it's common sense they are gonna swap germs. If you need that written on a piece of paper for you to understand that...here's your sign!

  • Oct 19

    Quote from NutmeggeRN
    The Union in my district does not recognize us...
    WHAAAAA??? Really?? I mean...you're RIGHT THERE.

    Seriously, that's bad. Sorry.

  • Oct 19

    Quote from Amethya
    No, it wasn't and I was just told this too.

    But my supervisor is upset about this because I didn't report it.

    I already called the Health Department and they are investigating the matter, but apparently the doctor's office didn't reported it either. So I'm not sure what's going on.
    While I do report, the office that does the test and diagnosis are liable to report.
    Why did the doc's office not report the mumps to the DOH?

  • Oct 19

    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.

  • Oct 19

    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.

  • Oct 19

    Quote from Flare
    I look at it this way, a parent has the right to pick up their child, but i don't have to make it an excused absence. If i don't get the opportunity to make the assessment and determination of excusal, then i don't excuse the absence. If the parent wants to bring in a doctor's note for absence excusal, then that's fine, but otherwise they do not get my SHBN coding and the free pass for tomorrow.
    Yep.

    My office checks with me if a parent shows up to pick up a sick student. If I've seen that student, I give the office a heads-up, so they are calling me because they suspect a student called home without permission themselves. And then they pass it on to the Dean. I love my office staff.

    As for the vomit...

    Student: "I threw up in the bathroom." Student has arrived in office with no phone call from staff (which usually comes with a witnessed vomit session, as vomit has all the cooties, of course!)

    Me: "Okay. Why don't you get a cup of water and sit with me for a few minutes."

    I take that time to observe the student. That observation often yields the data I need to determine if vomit session actually occurred and if it may be viral. I have a lot of anxiety puking in both MS and HS. If student is having active conversation, downs 3 cups of water with no issues, they go back to class. Even if a student doesn't vomit in front of me, if they have just recently vomited due to illness, I will see something during my observation (won't drink the water, for example, head down, pale, very quiet when I know the student to be anything but quiet).

  • Oct 19

    Hang in there and breathe. Your the medical professional, not the principal. A child can have a febrile seizure BEFORE they spike a temp, at a temp of 101 or higher, if they have a family history etc. if it was febrile it was most likely viral and giving him Tylenol would not have prevented it. Cooling him down would not have prevented it. Your boss can look it up if she doesn't believe you. As a side note, she shouldn't have said you were closed. It's not their job to assess what needs to be seen and dealt with. Instead, maybe she could've sent you help...If this was the child's first seizure they should be evaluated anyway.
    Seems like you did what you could.
    Hoping for a good outcome. Keep us posted!

  • Oct 18

    Quote from Flare
    We do not have a peanut free school for the reason of the unrealistic expectations that peanut products have to be policed. By making the blanket statement of no peanut products, you may have some success. But you will also stop being mindful of their potential presence. So when Jimmy has to stay with Grandma or Aunt Debbie for a few days and they are not aware of the policy and pack his lunch and a big peanut butter sandwich because that's what they pack themselves for lunch -well, now we have a problem when Jimmy is sitting in a peanut free school with an illegal sandwich. It will ultimately be taken away, Jimmy doesn't have a lunch and the local paper has a story with a nasty twist either way.

    We have peanut free zones. They serve us well.
    I wish, but like I said, we have no cafeteria and lunch is eaten everywhere. No where is a safe zone, so we try. I do hope I can convince a revisit of it once our cafeteria is complete.

    (And we provide lunch to any student that needs it; so no student would ever go without.)

    But also, can't fully police, so instead I work 1:1 with students with severe allergies to help them be mindful, which is the real success, I think.

    But when a parent doesn't want to let them be independent, that can be also be the real issue. Then head against a wall.

  • Oct 18

    Quote from Jen-Elizabeth
    This is a bit extreme, but I'll bite and play devil's advocate for a minute. (Don't shoot me!)

    I work at a peanut free school. We don't have a cafeteria and students eat in homerooms, so we went fully peanut and tree nut free. Made in facility with foods are okay for lunch, but not class-wide distribution for celebrations, etc. I had a student eat a peanut butter protein bar next to a student with a severe peanut allergy. I ended up having to use an epi-pen on that student with the severe peanut allergy.

    In the real world, the student would have just left the room, but teacher didn't allow it at the time as it was simply protocol for lunch and even student wasn't aware of airborne nature of allergy that became apparent. Since then, student's allergy plan was updated to reflect needing to leave room in allergen in place. And reminder went home to parents/staff/students about school being peanut free and that if a student did bring in peanut butter, we can go that student a peanut-free lunch easily if needed.

    Now parent was great about this! Parent is one that realizes she can't protect her child from everything, nor can I police the entire school all the time. But at the same time, the school environment is not one students can usually freely room/leave if needed. It is a balance and man, it sucks to manage it sometimes. I have students sneaking Reese's in the bathroom, for example.

    Of course, there are extreme parents. Many more of them than I wish there were.
    This is the danger of saying peanut free, you can not control the actions of all students. You also can not control what a student eats before school. I feel for the children with that severe of a reaction, hope they can stay safe, but that is on them.

  • Oct 18

    Quote from NutmeggeRN
    We now need a prescription from the MD and a very long form to be filled out for the "allergies"
    Isn't it amazing the lengths we go to to prevent potential lawsuits? We so need tort reform, that and insurance reform would negate any healthcare legislation.

  • Oct 18

    Quote from OldDude
    I often wonder how this affects these kid's future when they graduate and seek careers or other employment and carry this "disabled" status with them? I wonder if it disqualifies them from some professions?
    We have run into this. The military sometimes asks for health records from the high school and suddenly, parents want all of the "parent reported" diagnoses removed. If we have no documentation of the diagnosis and parent says they "no longer have that" then we have no choice but to remove it.

    I get a kick out of telling a parent who had a doctor write all sorts of allergies on the physical form that now I need a doctor's note reversing it. "Why can't you just give my LD milk in the lunchline??!!!"

    Because in KN you insisted they were lactose intolerant. And some doctor wrote it down.

  • Oct 18

    Quote from NurseBeans
    Because in KN you insisted they were lactose intolerant. And some doctor wrote it down.
    This is something I HATE dealing with.
    I feel like our MD/OD/NP/etc colleagues need to toughen up when it comes to ridiculous parent requests. I've received doctor's notes stating that "little bobby requires a 504 in place" or "little Suzy needs to learn in a carpet free environment which the school must provide". "Johnny can use his fidget spinner whenever he wants".
    And I have even received permission from the families to call and talk to these professionals about their rationale and usually what I get is off the record comments about how the PARENTS acted in the office.

  • Oct 17

    So I had planned to become a school nurse in NJ a few years ago but got side tracked. Now I'm down in FL and just landed a school nurse job at a middle school in Orlando... yeah!! I've been lurking online for a few years and trying to absorb the nuggets of wisdom that everyone posts here... keep 'em coming for us newbies!!

  • Oct 16

    If a new pair of shoes would fix the problem, I would focus my energy on that. Is there a fund for something like this? If it truly is the need for a new pair of shoes, I don't think it is a life skills issue.


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