Minor Questions

Specialties School

Published

If there is already something like this, please let me know, but I thought there could be a thread for minor questions that we would feel silly to start an entire topic for. I know there are a lot of newbie school nurses who cling to this forum so I thought it might be a nice spot for our side concerns.

An example: do you have your students clean their inhalers after each use? In the hospital, not a single one of my patients EVER did this. None of the students seem especially inclined to do it except for one who does it every time with a tissue.

Specializes in NCSN.
attachment.php?attachmentid=24451&stc=1https://cdn.diabetesdaily.com/wp-content/blogs.dir/21/files/2014/01/2328527271_5e2fd3f25e2432.jpg

No reusing lancets or needles! I love this picture, I've shown it to lots of patients and a few students/parents.
Thanks for this! I'm printing it out and doing some pt education!
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Specializes in Med-surg, school nursing..
I put a drop of soap on a cotton ball. Swirl that on the tick and it'll turn loose; plus you've cleaned the area too.

Thanks, OD!!!

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Specializes in IMC, school nursing.
attachment.php?attachmentid=24451&stc=1https://cdn.diabetesdaily.com/wp-content/blogs.dir/21/files/2014/01/2328527271_5e2fd3f25e2432.jpg

No reusing lancets or needles! I love this picture, I've shown it to lots of patients and a few students/parents.

Thanks, just shared with family of T1D, hope it helps.

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Specializes in Psych, Peds, Education, Infection Control.
attachment.php?attachmentid=24451&stc=1https://cdn.diabetesdaily.com/wp-content/blogs.dir/21/files/2014/01/2328527271_5e2fd3f25e2432.jpg

No reusing lancets or needles! I love this picture, I've shown it to lots of patients and a few students/parents.

I use that picture all the time to explain why it's not okay to reuse lancets/needles! Even in psych, it gets pretty decent use, because I use it to explain to IV drug users why reusing needles even if you never, ever share them is still not cool. At the point I see them, they're coming in for detox, but hopefully it's information they can share or use themselves if they ever relapse.

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Specializes in Home Health,Dialysis, MDS, School Nurse.

Amazon.com : Tick Twister Tick Remover Set with Small and Large (Pack of 2 Sets) : Pet Supplies

I use this from amazon to get ticks out. Works really well.

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Specializes in NCSN.

Question about Vision:

I have a teacher who asked me to rescreen three students who didn't seem to be seeing well in class. All three passed but none had stellar vision (20/30-20/40).

Would it be wrong of me to send a letter that *recommends* a comprehensive eye exam? I'm new at the world of vision screenings, so I'm honestly not even sure how bad 20/30 is.

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Specializes in School Nurse, past Med Surge.
Question about Vision:

I have a teacher who asked me to rescreen three students who didn't seem to be seeing well in class. All three passed but none had stellar vision (20/30-20/40).

Would it be wrong of me to send a letter that *recommends* a comprehensive eye exam? I'm new at the world of vision screenings, so I'm honestly not even sure how bad 20/30 is.

20/40 would be a fail for me, depending on age. What are your state guidelines?

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Specializes in NCSN.
20/40 would be a fail for me, depending on age. What are your state guidelines?

They all pass based on my state's guidelines (Our kindergarten requirements are slightly different than the older kids requirements)

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What makes the teacher think they don't see well? Do they squint? Did they squint or lean during your screening?

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In our state 20/40 is passing for pre-K and K under the age of 6. Over 6, 20/30 is passing.

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Specializes in School nursing.
attachment.php?attachmentid=24451&stc=1https://cdn.diabetesdaily.com/wp-content/blogs.dir/21/files/2014/01/2328527271_5e2fd3f25e2432.jpg

No reusing lancets or needles! I love this picture, I've shown it to lots of patients and a few students/parents.

I showed this to one of my T1D students today. Student told me her mom (also a nurse) was reminding her recently she needs to change the lancet as well. The look on her face was kinda awesome ;).

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Specializes in School Nurse.
Question about Vision:

I have a teacher who asked me to rescreen three students who didn't seem to be seeing well in class. All three passed but none had stellar vision (20/30-20/40).

Would it be wrong of me to send a letter that *recommends* a comprehensive eye exam? I'm new at the world of vision screenings, so I'm honestly not even sure how bad 20/30 is.

Take the information that you have from your screening and what the teacher told you and call the parents just as an FYI. Ask if the students had had a vision exam recently, tell the parents the concerns of the teachers, and recommend a vision exam just to be sure their student is seeing the best that they can in class.

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