Windchaser22, BSN, RN 3,560 Views
Joined: Jun 12, '14;
Posts: 399 (72% Liked)
; Likes: 982
Yes, prior nurse was there for 15 years and the one before that from the 1950's. Last nurse had ancient pamphlets and triplicate information. I think my vision screener is an original lol. First year was tough, no one ever did electronic charting before or was used to being told no. Found records dating back decades that should've been archived. All good now.
Had a kindergartner today take a tumble in gym and insisted her gall bladder fell out.
Technically I report to the superintendent but in reality to my principal who is a most excellent boss lady.
I don't stock OTC's (except neo, aquaphor etc) and am slowly putting an end to cough drops. I do have standing orders but the parents are required to fill out an OTC form and bring the meds in if they want Tylenol, visine, etc. I have little kiddos so the thought process is I don't want to be the first time kiddo has brand X pain/fever med to find out they are allergic.
Might want to check this out http://dhhs.ne.gov/publichealth/MCAH...pdated2016.pdf
I have multiple dex coms and use a school provided iPad. Put my foot down about that. Was a non-issue when I told admin that if I had to use my personal phone then so did the kiddos teachers.
I precept students every spring. Don't forget your stethoscope. Ask about student to nurse ratios and what percentage have chronic illness and what they are (DM, asthma, allergies, seizures) any special cases like cardiac, genetic, CA, mental health etc. health plans, interesting meds. Practice BP's and lung sounds. Take notes! Have fun!
strongly recommend being an assistant first and/or subbing.
So far, knock on wood, relatively little flu. I put hand washing flyers all over the school, the web, and added a blurb to the am announcements as a reminder. Strep...whole other story. Tons of it. Already had the school deep cleaned last weekend. Temp check everyone who walks through the door.
With some exceptions, I've seen doctor parents forget they went to medical school when it applies to their children.
I subbed prior to becoming full time as well. In my home district with 5 schools I spent two days orienting at each school on my own dime. In other districts I had a paid orientation. Take lots of notes as each school and school nurse are different and yes, just keep the plane flying. You'll be fine.
A quick search in AZ indicates the average school nurse salary is about 45K. So if you figure 185 days at 7 hrs per day it's $34 and change/hr
Fever with anything gets a ticket home. Crusty, oozing, purulent, spreading get a ticket home with a referral. For conjunctivitis I use a differential approach and take into account whether or not the particular kiddo has a hx of allergic conjunctivitis and what time of year it is. I think it's silly to exclude for bacterial when viral is more contagious and not excludable. If after my assessment the SS point to bacterial, I refer and kiddo must be picked up.
Immunizations and entrance into school physicals are state mandated. No one local is allowed in school if these are missing. The only exception is international or out of state students who have 30 days from enrolling (I get a provisional from the health dept). At the end of the allotted time the health department mandates exclusion. If a student is playing an intramural sport then a current sports physical along with info about concussions etc are also required prior to the first practice. Incomplete or missing forms equal no play, no exceptions. Yep, I'm the meanie.
My favorite from the run is "my legs hurt". Duh. Teachers, Stop sending me these kids.
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