Wondering why it takes an RN license to get this done (even though policy dictates otherwise, it is not followed through on). If a child urinates on his clothing, the procedure is that the parents are first called to bring a change of clothing. Only if they cannot be reached, or absolutely cannot come or send someone else, do we offer clothing. I have a few things in my office but most of the selection is kept by the counselor. Despite this, students are repeatedly referred to the nurse's office with this problem. We have a district memo that states that it is supposed to be a "team effort" and "designated staff members" are supposed to help so that "any one staff member is not over-burdened" by this. Well, I'm feeling over burdened.
Student is sent to me for urine accident. The phone numbers are kept in the main office, so I go there. The family is Spanish speaking only, so I ask the clerk to call for me. The numbers are not in service, and there are no different numbers under any of the student's siblings. So, on to plan B. I have a pair of shorts that will probably fit him, but no undies. My student who gets a cath shows up so I ask the clerk to call the counselor. Finish cath, counselor has undies but probably too small and she does not have the key to the cabinet.
I call counselor and determine that the kid is tiny and undies will probably fit well enough. She does not have keys to cabinet. I have to approach secretary for keys (who gives me attitude about it). Now if I am to retrieve the golden britches, I have to leave my office and travel upstairs, and I've got kids filing in and out. So now I track down the campus monitor to go get the undies for me. FINALLY after directing traffic for 30 minutes, the kid gets to change out of his wet pants.
Is it just me, or could this not be a whole lot easier if the teacher calls home, then refers to the counselor if no one can come? Two people involved instead of five? Does that make too much sense? OK, vent over. I feel better. Just glad my RN license is getting put to such good use!
It seems if it has ANYTHING to do with a bodily fluid, it is an automatic nurse duty. I have sort of resigned myself to it as part of the job. It just seems I am always so busy when I have to deal with it, an asthma attack or seizure or something! Poor kid has to wait until I have time to get around to him / her. Meanwhile, there are 3-4 able bodied people in the front office chit- chatting ( vent for another thread). At least I have some clothes in my clinic and I don't have to go roaming the building. I have a " community liaison" in my building who chair sits, seems like she could handle it easily but like you said......that would mean common sense!
Last edit by SchoolNurseTXstyle on Apr 23, '12
: Reason: Not done