I need your help ASAP please

Specialties School

Published

Calling all school nurses, here's my situation:

I have no school nurse experience other than what I've studied extensively over the last few weeks, and it's A LOT! I do have years of experience in the hospital setting with kids and adults.

I was offered a position in a larger school district with many other nurses in the district, at a middle school. The socioeconomic level in the area is low. This particular school is set in an area with higher drug/crime rates.

I've another interview at a very small school district that has never had a school nurse before, but it's a great district in a semi-rural area. This school is only just now creating a school nurse position, so it would have to be set up from the ground up. Is it even fair to the district to have a nurse with no school experience doing this position?

I know I would like the smaller school area, but my go-to people would be other nurses from other districts and you all. At the larger school I would always have someone to contact for any needs or questions, and would also have vacation relief, etc. The nurse that is retiring out of this district is allowing me to shadow her on my own time for the remainder of the year to get familiar with the ropes, and I hear she is very good.

Another factor to consider is the smaller school has the same school year schedule as my teens, so all vacations would be the exact same. At the larger school, they would be mostly the same, other than Spring and Winter breaks.

The pay b/t the two isn't enough to be a factor in this.

I would love to hear your opinions, and appreciate brutal honesty!

Oh, and if you feel I should not consider the rural area job at all, should I tell them during the interview, or just complete the interview and decide afterwards?

Specializes in School nursing.
I am the founding school nurse at my small, urban, low SES charter school and am in my third year since we opened. I have many years of pediatric and community experience, but this is my first rodeo as a school nurse. I have loved being the one to get this program up and running. It is really nice to be able to run the nurse's office in a way that works for YOU right off the bat. You have no shoes to fill, no teachers telling you that the previous nurse did X, Y and Z, etc. I also have the full support of an administration who understand and value my worth to the school. That goes a LONG way.

This. I am not the first nurse at my school, but am the first full time nurse they hired. I've built many things from the ground up. Sure, it can be frustrating at times, but also seriously professionally rewarding. I've had opportunities to go a larger public district but I'm happy where I am.

I'm not sure where to update, but I did accept the smaller, rural school with the schedule that worked great for our family. Thank you so much to everyone who responded here to my post. You've helped me make a huge decision that I feel was a good one.

Now, I plan to take full advantage of everyone here, of any willing participants, in order to get this rolling. I'll make a new posts for that.

Specializes in School Nurse.

Congrats and welcome!!! No question is ever a stupid question, this board is an invaluable resource.

Good luck! We will of course be here to help!!!

thank you so much! I'm excited!

Specializes in School Nurse. Having conversations with littles..

YAAAAY! Congrats! I am doing a happy dance for you. Welcome to this crazy ship that we are on together!! :)

Just my 2 cents for starters- Learn everything you can about head lice, and be able to talk about it very calmly and professionally. You be the knowledgeable, non-hysterical voice.

Learn everything about Immunizations required for schools, and if your state has a statewide immunization database- get a password and use it. Become comfortable in the school environment, sometimes, it is just plain crazy- but, soooo so worth it. Be buddies with the secretaries, cooks, and custodians. Good luck and check in often!

Hopefully someone is able to assist you!

YAAAAY! Congrats! I am doing a happy dance for you. Welcome to this crazy ship that we are on together!! :)

Just my 2 cents for starters- Learn everything you can about head lice, and be able to talk about it very calmly and professionally. You be the knowledgeable, non-hysterical voice.

Learn everything about Immunizations required for schools, and if your state has a statewide immunization database- get a password and use it. Become comfortable in the school environment, sometimes, it is just plain crazy- but, soooo so worth it. Be buddies with the secretaries, cooks, and custodians. Good luck and check in often!

Thank you for all the tips! I did just find the state-wide immunization site yesterday, so plan to take advantage of that!

I've actually been known in the past as the "lice queen", lol. Hopefully I can still wear that crown. We had a couple of siblings that were homeless and came in frequently with random problems that you can imagine, but they had severe lice. The mother was treating with "LYSOL". She thought it was for lice...so sad. I still wonder about those little one to this day.

Hopefully someone is able to assist you!

I've actually had quite a bit of help from another local nurse who is awesome! She's given me so much advice, legal info, tips, etc. I'm very excited! I just want to make sure everything is set up to function perfect. I have made a huge binder of stuff I've printed off as far as references/links for all the legal/state requirements, sample forms, etc. If you have any ideas, I'd love to read them!

Specializes in Cardiology, School Nursing, General.

My advice is to be kind, but be firm. Sometimes these kids don't get much attention at home, and the hello and love you give them, will be the only one they will get all day. This is why I give hugs always and tell these kids I love them.

But be firm, because your kindness will sometimes be taken advantage of, and unless you put your foot down and know when to say NO, they can walk all over you.

Good luck!

On 4/18/2018 at 8:01 AM, OldDude said:

Run as fast as you can and accept the smaller school...there are several Texas school nurses on here so you'll have access to that resource. Welcome to the farm!!

I often think of this response you sent, and so glad I went with this advice. Thank you!

On 4/23/2018 at 12:25 PM, Cattz said:

YAAAAY! Congrats! I am doing a happy dance for you. Welcome to this crazy ship that we are on together!! ?

Just my 2 cents for starters- Learn everything you can about head lice, and be able to talk about it very calmly and professionally. You be the knowledgeable, non-hysterical voice.

Learn everything about Immunizations required for schools, and if your state has a statewide immunization database- get a password and use it. Become comfortable in the school environment, sometimes, it is just plain crazy- but, soooo so worth it. Be buddies with the secretaries, cooks, and custodians. Good luck and check in often!

I was looking back at some of my older posts, and saw this response from you. Great advice! I have a student who frequently comes to me c/o feels like bugs are in her hair. It's just enough to cause mass hysteria. Fortunately, it's not lice. Unfortunately, the poor baby is horribly sensitive to so many hair products. I'm loving it so far!

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