Honey, I understand your struggle. I only got 3 chairs, and one bed. So I have limited space too, and last year was horrendous! I had so many children in my office at one time, and it get very hard to care for a bunch of them. My advice is this: Talk to your admin team, tell them about your concerns of the lunch rush and suggest if you can set up some rules.
Here's an excerpt of my letter I sent in the first days of school to teachers.
""To the returning, teachers, hello and welcome back! To new teachers, let me introduce myself!
My name is [my name], your Medical Aide here at [school name]! I hope we can all work together as a team and make this year the best!
Just a few pointers to make this year better!
· Student must have a clinic pass to visit Medical Aide! I will not accept any students without a pass, unless it is an emergency! The purple slips included with this letter are the clinic passes, if you need more, let me know!
· Ice packs will stay only in Clinic! If you find any, return to clinic!
· Only send students if they have the following:
· Stomach aches
· Injuries (Paper cuts are not injuries!)
· ALL head injuries
· Only way students are to go home if they have a:
· Fever of 100.4
· Vomiting (From illness)
· Diarrhea (From illness)
· Serious injuries
· Parent request
· Of course, please use your best judgement, and if you think, your student is not feeling well, when in doubt please send to Medical Aide’s office! Any emergencies please send to Medical Aide’s office, ASAP!
· I will be sending you first aid kits with Band-Aids and such, for the tiny injuries that can be taken care in the classroom! Either way, if anytime during the school year you are running low on supplies, let me know!
· If you find lice on a child, do not panic and just contact me as soon as you can, quietly. I will go to your classroom ASAP and do a lice check.
Just a reminder that I am not a nurse, as such there are some questions I cannot answer, but I will try to help you as much as I can do with the extent of my abilities and skills. If you are worried about any health issue about yourself, I would highly suggest contacting your doctor or nurse for any concerns. Other than that, if you would like to talk and meet me, I am very friendly and I love to meet new people! "
Give them passes and tell them unless it's an emergency, you will not accept any student with no pass. That completely dwindles the line down.
Of course, as time goes on you'll start to catch on who's faking and who's not.
My protocol was each student only gets 15 mins in total in my office, more than that is only for special reasons. If you have no room, the students who are not in grave need of you, you can explain to them to come back later if they are not feeling that well. Ask for their names, and call their parents later if they come again.
What I do if I have a lot of students, it's either by who's here first or who's in need of me more.