Newbie school nurse here and I'm curious as to:
1. Do you look into ears and into "sore" throats?
2. What do you do with your findings?
coming from the hospital environment (and mostly teaching environments), I honestly never used an otoscope for an ear but kept it charged for the docs and residents. As for throats, if I had a post T&A I would definitely look for bleeding if I had concerns but not when a patient had a non-surgical sore throats.
I just am not sure what is a reasonable expectation for all the random sore throats and ear aches I get.
sore throats, I'm generally inquiring about runny nose/sniffles/history of seasonal allergies as a likely culprit as I have yet to have a febrile kid come in with a sore throat. I've looked in them but have yet to see any white patches or angry looking red throats.
ears: I was super excited to actually see an eardrum the other day when I was presented with an ear not full of wax, but it looked ok to me based on images I looked up online But what if it hadn't?
I guess I'm struggling with where nursing assessment
ends and medical diagnosing is beginning. Regardless of what I find, I can't do anything about it other than send a note home or call the family if I want the parents to know.
Would appreciate other comments on how you handle sore throats and ear aches as I think I've gotten my stomach ache and headache interventions down and those are the majority of "illness" complaints I've been seeing so far.