Cutting down on visits

Specialties School

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Today starts the last 5 weeks of school and by now I know which students come in for minor and unnecessary issues. I send back a FF that did not have fever with stomachache-he thinks it was his breakfast- he wanted to lay down, but assured him he could go back to class- he's tried the whole "but my stomach keeps hurting and my mom told me to have you call". I've already spoken to the mom after he was picked up for sever pain and went home but wanted to play video games, so she doesn't want him missing class. Today a kid asked me if he could draw until he felt better -he came in for nausea- i allowed him to sit up and instructed him that laying down will not help if he is nauseated- i observed him for 10 minutes and send him back to class , if he actually has vomiting episode he'll come back.

I love my job and I like caring for those kids that have chronic issues, so i don't want to get burned out with visits that require non-nursing attention and can be handled in the classroom or are non-existing stomachaches just to get out of math class. I'm sending emails to teachers and letting them now which students are coming in frequently and how many times ,they are minor issues. So far it's been working.

Visits have gone down from 30-35 to 20-23 per day as of last week.

I just created a "pass back to class" with boxes that allow me to check the appropriate RX. I made it cute like a RX pad. It's intended to educate the teacher on possible ways to prevent the child from missing more class in order to come to the clinic. I have too many visitors. Mosquito bites, rashes that I can't see, etc. I am taking the educate for the long term approach. I really don't want to ask for a required RN pass and put more paperwork on the teachers. Thus, I am using my "back to class pass" as an education tool for long term clinic visit cut backs. I can't figure out how to attach a doc here.

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