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Joined Jul 11, '05.
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i've been a nj school nurse for a while and have been audited annually. I will be honest - i am not entirely certain what a imm-8 card is. Is it the card that the doctor's office fills out at every visit that parents bring to registration?? Maybe it's a college record? I don't know much about college school nursing except they have similar rules and audits.
I rely on filling out A-45 cards for my audits - but you have to have documentation in the file to back it up. If you haven't gotten a log in for the njiis system, look into it. it's so valuable, but like everything, it 's only as good as the info being put into it. I noticed that my own daughter was missing an MMR in it (which i know she had had) and mentioned something to her pediatrician one day. The office staff gave me a look. I can't edit, nor would I, i can only view records.
Personally, i don't mind if the proof of vaccine comes in on a physical form, piece of rx pad, written on a napkin, whatever. As long as it's signed and STAMPED be the doctor. And i've never gotten any grief at any audits with vaccine backups.
Regarding dental visits. We recommend them - they aren't required. I send notices out again when the letter comes for Give kids a smile day. My dental report return rate is very low.
Sorry - the forum is not very lively this time of year - i only peeked in the other day and didn't have time to make a long post.
I ended up going from a very small school to a school 8 times its size with a completely different school population. My best piece of advice it to breathe - and don't let the kids overwhelm you. We have become a society where everyone wants everything NOW. Well, that's fine - well not fine - that's actually a whole 'nuther diatribe. But these kids have to remember that you are one person serving 900 kids.
Prioritize the visits just as you would triage anything else coming into your office. Since these are older kids, they can probably do a lot of the smaller things like bandaids, getting ice packs, and rinsing dust out of their eyes themselves. The most you'd need to do is log their name, complaint and times. And some people establish in the older grades a sign in sheet. Personally, I think it's dicey. Yes, you can do it where you just have the kids write their names, but i'd never remember why who was there for what, and if you have them write reason for visit, then it can be a violation of privacy. Not everyone needs to know that Amanda Cardalucci needed a tampon.
As far as the things that need your assessment- the headaches, stomachaches and general malingerers - let the kids learn how to wait a chicken licken moment. I find that's usually when i get most annoyed and over whelmed is when i am in the middle of something and i get 5 or 6 kids coming in at a time (usually right after lunch and BEFORE they have to resume class) and I often wonder to myself if these kids will use ALL their sick time by the end of January when they get into the real world.
Again, breathe. Take it one student at a time. I usually ask the all what they need, weed out the quick ones or tend to and emergencies first.
Larger school (and older grades) also sometimes come with fun (ha ha) extras like interscholascolastic sports and managing those physicals. That can be a pain in the rump, BUT if there is an athletic director, use him or her as a resource to help you get that job done. Remember- they need your input. No physical, no play. I use my AD to run physical to the school MD, very handy!
You've got to do what's right for you - but i'm not sure that i'd quit one job before the other is nailed down.
i'd really like to print this out and leave it on the parent handout table... oops how did THAT get there
Mine are ordered from school health mostly, a few from Moore medical and a few from Henry Schein. Find out who has your state contract to get the best prices.
Congrats on the new job! You're still one of us - this is a club that we won't let you leave, Snowy!
Can you imagine the phone call if you did wash the kids hair? I once had a second grader who took it upon herself to wash her hair with hand soap in the bathroom. Her parents were not amused but I didn't even know it happened until after ward.
i pretty much do what Snowy does. No one gets through the gates without full immunization records. For those who for some reason come to me and need to play some serious catch up (for me the biggest reason is undocumented immigrant) i can grant provisional status as long as they have at least one dose of everything they are missing. But there is a reasonable timeline to get all this done. This goes for the little ones too. There is no admission to school with the knowledge that they owe both MMRs or have no varicella.
I also keep the state vaccination code pinned to my wall for easy reference.
In my state we are required to have certification as school nurses through the state.
today and tomorrow - both early dismissals - a few weeks off then a bi of summer school. But that's to keep the mortgage company happy haha
$73/hr new grad @ San Francisco.
I would rather call a code and get a patient right back (or on the reverse side of the coin be called needlessly to a code) than explain why I waited.
So sorry that you were in that situation - but I agree with the advice already out there. You should get checked out and your employer need to get you into some sort of training ASAP where you will be able to deflect / redirect those type of behaviors. It may only be a one time issue with you - but you know the potential is there for harm, either intentional or unintentional.
Also - if you haven't already, ensure you situate yourself into a position while charting where you can keep an eye on him but also not get trapped should he come at you. Sounds logical, but i've come into a lot of rooms and found caretakers cornered.
It's not impossible to be a successful nurse without prior experience, but it does make it a heck of a lot easier if you have a solid base. I am not certain what you are classifying as experience in healthcare and politics - but the school district that you apply to may or may not see it as valuable.
No, never had holidays, weekends and summers off. Worked a lot of midnight shifts though.. you should try THEM.
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