OK, I assumed . . .

  1. First grader comes in sweaty, red faced, states I have a headache. The astute nurse I am asks, where did you come from? He of course answers from the playground. Me, about to explain well if you were able to run and play, you will be fine. Then he says where I was running and ran into a pole.
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  2. 31 Comments

  3. by   MrNurse(x2)
    Don't you just hate when it goes from a simple instruction to a concussion workup?
  4. by   BeckyESRN
    Had a kinder like this last week. It was 76 degrees outside and he came to me all sweaty after recess c/o head hurts. I ask all of my standard headache questions -Did you hit your head or get hit the head? Did you hit your head yesterday or last night? What were you doing before it started hurting?- He says no, he didn't hit his head or get hit in the head, no injury, and it started after he was running really, really fast for all of recess. He goes back with some ice to help him cool off. About 45mins later, another kinder comes down for a large paper cut and says "Did you know that kinder #1 was in a car accident last night? He told me about it on the bus" So a simple over heated turned into a call to mom to take him to the hospital for concussion eval. (and a reminder that hey, maybe you should tell someone that your kid may be injured!)
    Fun stuff!
    Last edit by BeckyESRN on Feb 28
  5. by   NanaPoo
    Do you all have a lot of possible concussion situations (or just bumps on the heads) from kids running into things? I mean, my kids are constantly running into walls, poles, trophy cases....I don't remember this being an issue in my childhood. Of course, we didn't have a school nurse, either.

    But I'm forever calling a parent and telling them their kid ran into something. When the mom seems slightly embarrassed I assure her that this happens ALL the time. Or if there's a really strange incident like when a kid accidentally had a holly berry "fall into his mouth" and thought he was poisoned. His mom just cracked up when I told her, "I promise, this isn't even the strangest thing that happened today."
  6. by   ctate
    Quote from NanaPoo
    Do you all have a lot of possible concussion situations (or just bumps on the heads) from kids running into things? I mean, my kids are constantly running into walls, poles, trophy cases....I don't remember this being an issue in my childhood. Of course, we didn't have a school nurse, either.

    But I'm forever calling a parent and telling them their kid ran into something. When the mom seems slightly embarrassed I assure her that this happens ALL the time. Or if there's a really strange incident like when a kid accidentally had a holly berry "fall into his mouth" and thought he was poisoned. His mom just cracked up when I told her, "I promise, this isn't even the strangest thing that happened today."
    I call on most head injuries. I work on the high school campus and have seen concussion s/s show up hours later or the next day. Even when I work the elementary school I will call.

    I also will call on strange things also. You never know what they Little Darlings will go home and tell mom.
  7. by   WineRN
    Quote from NanaPoo
    Do you all have a lot of possible concussion situations (or just bumps on the heads) from kids running into things? I mean, my kids are constantly running into walls, poles, trophy cases....I don't remember this being an issue in my childhood. Of course, we didn't have a school nurse, either.

    But I'm forever calling a parent and telling them their kid ran into something. When the mom seems slightly embarrassed I assure her that this happens ALL the time. Or if there's a really strange incident like when a kid accidentally had a holly berry "fall into his mouth" and thought he was poisoned. His mom just cracked up when I told her, "I promise, this isn't even the strangest thing that happened today."

    I was just tell my hubby that kids are SO CLUMSY!
    It also doesn't help that in PE they are learning how to "safely fall" while on roller blades, I have considered just camping out there until this unit is over.
  8. by   tining
    OMG the roller blade unit, the jump rope unit, the pacer, and on and on and on . . .
  9. by   NurseBeans
    The pacer test...why, PE teachers, WHY????
  10. by   BeckyESRN
    Quote from NurseBeans
    The pacer test...why, PE teachers, WHY????
    To torture the nurses!
  11. by   MrNurse(x2)
    Quote from NanaPoo
    Do you all have a lot of possible concussion situations (or just bumps on the heads) from kids running into things? I mean, my kids are constantly running into walls, poles, trophy cases....I don't remember this being an issue in my childhood. Of course, we didn't have a school nurse, either.

    But I'm forever calling a parent and telling them their kid ran into something. When the mom seems slightly embarrassed I assure her that this happens ALL the time. Or if there's a really strange incident like when a kid accidentally had a holly berry "fall into his mouth" and thought he was poisoned. His mom just cracked up when I told her, "I promise, this isn't even the strangest thing that happened today."
    ^^^THIS^^^
    This is the number one eye opener becoming a school nurse. I have more documented concussions in a 125 student school in 2 years than I heard about in 16 years of school (K- College). Egg heads, that's what I have found that children are.
  12. by   Jedrnurse
    Quote from MrNurse(x2)
    ^^^THIS^^^
    This is the number one eye opener becoming a school nurse. I have more documented concussions in a 125 student school in 2 years than I heard about in 16 years of school (K- College). Egg heads, that's what I have found that children are.
    Do you think the documented/diagnosed concussions were mostly the real deal, or do you think practitioners might over diagnose to cover their derrieres?
  13. by   MrNurse(x2)
    Most were symptomatic enough. I know there is more awareness now, but it really seems more prevalent.
  14. by   BeckyESRN
    Quote from Jedrnurse
    Do you think the documented/diagnosed concussions were mostly the real deal, or do you think practitioners might over diagnose to cover their derrieres?
    From what I've seen, our local ER will diagnose a concussion in anyone that has or may have hit their head, regardless of signs/symptoms. The ER also does not send us restrictions. There is an amazing concussion clinic that sends very detailed info on each child's concussion, their testing results, and their restrictions, plus their next follow up date. I always recommend follow up care with the concussion clinic for this reason.

    I've sent out 8 for possible concussions sustained at school and called home about lots more bumps to heads the head. I've only had 5 come back with restrictions. I'm sure there are even more that I've not be told about.

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