Latest Comments by Windchaser22

Windchaser22, BSN, RN 3,150 Views

Joined Jun 12, '14. Posts: 348 (72% Liked) Likes: 867

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  • 6
    Cattz, NutmeggeRN, ruby_jane, and 3 others like this.

    Yes! Feel free to go berserk over a picked scab and then yell at me again when I don't send a kid with a blood sugar of 50 right back to class. It doesn't matter how many in-service trainings given...just not getting it.

  • 0

    I also check ears.

  • 4
    Orca, MrNurse(x2), NanaPoo, and 1 other like this.

    Quote from MrNurse(x2)
    My school has morning meetings where students from the whole school are head to head, interpreted hair to hair, doing challenges and projects.
    The status dramaticus surrounding head lice continues to amaze me. And with all this close contact they aren't worried about sharing virus and bacteria smh.

  • 2
    AdobeRN and GmaPearl BSN RN like this.

    Quote from AdobeRN
    I have 1 student diagnosed with it - we did not do a 504. We did have a plan of care & I had documentation from the doctors office of diagnosis - if the student came down with a fever at school, I would call the parent & let her know the symptoms - parent made the decision whether to pick student up or if I was just to administer Motrin, allow to rest for a bit and send her back to class - most of the time it was just administer motrin and send her back to class. If I sent her home it was because she had other symptoms - sore throat, cough etc.
    This. We had one last year. No 504 but I asked for and received an MD order that had me monitor, give PRN meds, and that the child could stay in school unless other symptoms of illness present. So without the order, policy would have kicked in and I would of had to exclude the child. This way he was able to stay in school unless really ill. Ended up only sending him home once out of about a dozen times.

  • 2
    brownbook and Julius Seizure like this.

    Quote from mrsfoster601
    Well unfortunately at this school I can't give anything like that unless it's a doctor's order
    Gargling is a nursing intervention, wondering why you would need an order? You could have it written into the standing orders if your state requires it.

  • 0

    Quote from ~♪♫ in my ♥~
    Curious... any spread?
    Not that I know of...

  • 2
    bsyrn and BeckyESRN like this.

    Ugh. Here we have to also call the police and send the kid for an immediate test. One of the reasons I like elementary, even tho they puke on my shoes.

  • 0

    We had a kiddo with MC last year. In NJ it's not reportable and I was told by PH to cover them if possible. Otherwise, like others said, good hand and room hygiene is all we could do.

  • 2
    OldDude and AllykatRN like this.

    Welcome!! The selekman textbook is good too. She literally wrote the book about school nursing. Of course NASN is also a good resource. They have a back to school checklist that you can use as a starting point. Kid safety is priority 1.

  • 0

    Quote from SullyRN
    With the mom of the diabetic student, the policy from her district is crap, if there's an order, they should be able to carry it.

    BUT... Law states I cannot dispense medicine without a doctors order. This is from (because that's all I had time to google)
    In an emergency, you may think you do not have enough time to obtain a physician’s order before providing life-saving medication to a hospitalized patient. This is not sufficient reason to provide the medication, however, because in doing so you could be stepping outside the scope of your clinical privileges. Depending on your facility’s procedures, you may well be taking a risk that jeopardizes your patient, your facility and your ability to practice nursing. If at all possible, get an order first.

    If you provide emergency care to a patient outside of your place of employment, however, a different standard applies. According to Joanne Sheehan, JD, RN, BSN, an attorney with Friedman, Newman, Levy, Sheehan and Carolan in Fairfield, CT, every state has Good Samaritan laws that protect healthcare providers from liability if they provide emergency care in good faith. Such care would include giving a man who had a heart attack nitroglycerin if he had it with him, for example. These laws have certain “gray” areas and vary slightly from state to state. So it is up to you to familiarize yourself with and understand those laws in your state.

    While we have all said that we would've given the kid the inhaler. It was her place of employment, and she would've been breaking the law and jeopardizing her license. (In the event of a kid struggling...license schmicense, but we don't know the full story)
    My response was meant for the comment regarding policy being more strict than the law i.e. Not allowing a student to carry glucose tabs. It wasn't in reference to the OP. I get you tho.

  • 1
    grammy1 likes this.

    Quote from aprilmoss
    Alas, such was not the case in our district. A student can't even carry a glucose tablet, but rather it had to be dispensed by the nurse. It was a particular issue with my son as he had a split day, half at a regular high school, and half at an "academy" (what we used to call vo-tech).
    The law trumps policy.

  • 1
    momto5RN likes this.

    Aww we miss you too. Best of luck.

  • 0

    Mine roll to but we have one viable sub and she's in Europe.

  • 6
    BeckyESRN, ohiobobcat, brownbook, and 3 others like this.

    Well done!!! Those are the moments we live for.

  • 6
    Flare, Farawyn, Jen-Elizabeth, and 3 others like this.

    I carry NSO even though I belong to the teachers union. Since there are only two of us in the union that are medical as opposed to a hundred teachers, I'm not banking on the union helping me with any medical litigation.