Do you ever NOT give out ice packs? - page 3

I feel like I'm becoming some sort of icepack Nazi! I have literally gotten so low on icepacks that I'm now hoarding the few I still have for those instances where ice is NECESSARY and not just... Read More

  1. by   CCU BSN RN
    When I was growing up, the camp nurse would buy cheap sponges in bulk. Take a wet sponge, wet it, stick it in a ziploc baggie, and freeze it. They stay cold for about 10 minutes, they're cheap, and they're not a high-value enough thing to steal. This worked well for 'I have a mosquito bite, I need an ice pack' or other such baloney. The kid gets to feel like you heard their concern that they're uncomfortable and did something about it. That could also cut down on the complaining to mom and dad, and therefore the phone calls you get about their poor, untreated snowflake.

    She had actual ice packs on hand for real injuries, and you had to stay in the nurse's cabin for 20 minutes to get to use the good ice pack.

    How to cut down on unnecessary visits in the first place? I got nothing there, this ain't my wheelhouse. I'm just here to discuss the frozen sponge trick
  2. by   LibraSunCNM
    Not a school nurse, but I'm curious about your references to Facebook complaints---does your school have a Facebook page where parents post such complaints? If so, that's appalling!
  3. by   JerseyTomatoMDCrab
    Quote from LibraSunCNM
    Not a school nurse, but I'm curious about your references to Facebook complaints---does your school have a Facebook page where parents post such complaints? If so, that's appalling!
    There is a PTA run page at my school. The moderators try to remove any complaints/staff specific posts and are pretty good about it. People complain on there all the time, though.

    I had a parent post on her personal page and complain about me but one of the paras is her FB friend and came to my defense.
  4. by   AdobeRN
    Quote from LibraSunCNM
    Not a school nurse, but I'm curious about your references to Facebook complaints---does your school have a Facebook page where parents post such complaints? If so, that's appalling!
    The surrounding subdivisions/neighborhoods all have their own facebook page. 99% of the time complaints are posted on these pages - parents rarely have the nerve to post complaints on the actual PTA facebook page. Our principal is great about this though - he really can't stand any type of social media and if anything is posted that is not nice, complaints etc he has no problem calling the particular parent and asking/telling them to remove the post.
  5. by   LibraSunCNM
    Quote from AdobeRN
    The surrounding subdivisions/neighborhoods all have their own facebook page. 99% of the time complaints are posted on these pages - parents rarely have the nerve to post complaints on the actual PTA facebook page. Our principal is great about this though - he really can't stand any type of social media and if anything is posted that is not nice, complaints etc he has no problem calling the particular parent and asking/telling them to remove the post.
    Interesting. I'm glad you at least have your principal's support. How immature and petty of the parents to post complaints on their neighborhood page, rather than just communicating their issues directly to you.
  6. by   Sue Demonas
    Spent over 10 years as a summer camp nurse and ice packs seemed to be a cool thing to get, so we had to watch how we gave them out. One camp used inexpensive small sponges, soaked them in water, and froze them in a plastic bag. The sponges were clearly marked "Return to Health Hut" on both sides. Most of these came back and could be reused. Sometimes, these becausae popular, and we would revert to putting ice in a ziplock bag. It usually melted in the sun, and if they wanted a refill on the ice, we could give it to them.
  7. by   prnqday
    I used to give them out like candy in elementary school. Take a paper towel or brown paper towel, wet it, put it in a ziplock bag, freeze, and there you go. It stays frozen for about 15 min. The kids feel like you care, and you don't have to worry about them keeping them.
  8. by   to-be-nurse
    I work with kids and we lose ice packs all the time!!! We have resorted to using dish sponges with some water, frozen, in a ziploc bag!
  9. by   LadysSolo
    Also can put ice chips in a glove and tie the end in a knot, when it melts can go in the trash (benefit over baggies - doesn't usually leak.)
  10. by   RobbiRN
    Quote from JerseyTomatoMDCrab
    I am firm believer that we have a responsibility to help teach these kids how to become responsible consumers of healthcare. It seems trite but driving home the lesson that you don't need "something" for every little discomfort, be it an ice pack, a band-aid or a Tylenol, will help start that education at a young age. If there is no mark, swelling, redness or bruising I do not give out an ice pack. My reusable ones disappeared around Valentine's day and I have plenty of plastic baggies and an ice machine. But the kids that need ice packs for poking themselves with pencil erasers may grow up to be the adults that go to the ER for a stomachache and I refuse to do that to the nurses of the future!
    Thank you. Thank you. Thank you. I might add, from an ER perspective, there are times when ice is contraindicated. Burns - still seeing ice applied to burns which increases the tissue damage. Cool water to stop the burning, no ice. Cellulitis - any redness that is more than a day or two old and not turning dark is more likely infection than bruising unless the source is clearly known. Abscesses, including dental abscesses - again, any cooling of infection reduces the body's ability to get soldiers to the battlefield, and that includes ice cream and Popsicles for throat infections. This is a bit of a departure from the discussion, but, in response to the opening question, these are times I would definitely withhold ice in any form.
  11. by   mc3
    Quote from LibraSunCNM
    Not a school nurse, but I'm curious about your references to Facebook complaints---does your school have a Facebook page where parents post such complaints? If so, that's appalling!
    There is an "unofficial" FB page on my school, started by parents. One Dad posted that I wasn't doing my job, because all the kids in school had lice....Evidently it is up to me to thoroughly screen 950+ kids daily.....

    Nice, huh?
  12. by   BeckyESRN
    Quote from mc3
    There is an "unofficial" FB page on my school, started by parents. One Dad posted that I wasn't doing my job, because all the kids in school had lice....Evidently it is up to me to thoroughly screen 950+ kids daily.....

    Nice, huh?
    Well obviously it's not the parents responsibly! Besides, what else could you possibly be doing other than handing out ice packs and bandaids...I love parents, ugh!
  13. by   Jen-Elizabeth
    I bought a nice little table top ice machine this year because I was spending too much money on reusable ice packs that MS kids would seriously puncture and let the gel ooze out of. Ugh. Ice machine was ~$70 on sale and will save me so much money.

    I used to fight the battle and I still do with my HS kids. We talk about when ice should be used and when it shouldn't. But I do see a lot of actual gym injuries (we don't have an actual gym, some gym happens outside, love that...).

    But the MS kids...if I do not give them an ice pack, they manage to get passes again and again until I give them one. Then the teachers complain they eat the ice in class. I tell the teachers that if you didn't let them come back after the first time I sent them sans ice pack, they would not have an ice pack. You never win sometimes.

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