Emergencies

[RN4kidz11]

I am a pediatric nurse and am interviewing for a school nurse position next week. Thankfully, I have not had any experience with pediatric emergencies even though I am PALS certified and have 5 years peds experience. I am always worried if I will have what it takes when an emergency occurs. So to prepare myself for a school nurse emergency, I'm wondering what kinds of situations have you all experienced in your job as a school rn and what did you do and what were the outcomes? Thanks!

[NutmeggeRN, BSN]

after 21 years where do I begin?

Asthma not relived w rescue MDI

Epi 4 times All good outcomes

Tib Fib fx

Finger stuck in picnic table..... ya it was on youtube before I got a hold of the parent!!!

Seizure with a HUGE chin laceration

Chest pain for teachers (turned out to be esophageal reflux and the flu)

I could go on....

We have a great relationship with local FD/EMS (small town)

[Farawyn]

Called 911 for a fake asthma attack.

Kid called 911 from the bathroom for a fake seizure.

Broken bones with no EMS called.

(1 year in)

[SnowyJ, RN]

WTH Farawyn??? Those kids should be grounded for life!

[SnowyJ, RN]

left wondering how you can dial 911 if you claim your seizure is legit.

[SnowyJ, RN]

Reminds me of this. How do you call for your own ambulance?

[Windchaser22]

Ugh Farawyn. What a mess. I'd be supremely PO. Aside from suspension and a mental health eval they should have to do community service in an ER.

[kidzcare]

I'm guessing another student called for the "seizure"?

I've had broken bones (twice needing ambulance transport), one epi administration, teacher panic attack, deep lacerations, concussions, seizures (staff and student).

[SchoolNurseTXstyle]

1. Several asthma (no meds at school with non-responsive parents always)

2. Suspected heart attack (staff)

3. BP through the roof (staff)

4. New onset seizure r/t concussion

5. Fever climbing towards 105 (could not find parent - could not stop it from rising with compresses and hydration). Ended up being a viral illness.

6. Panic attack that went on and on and on and on and on and on - all caused by teenage girl drama.

[SnowyJ, RN]

Called EMS a couple weeks ago for student that presented with stridor and shortness of breath. No history of asthma. He was really tugging to breathe. Of course, the harder it was to breathe, the more anxious he became and the more his stridor worsened.

I had called his mom who said she would be there in 45 mins, so I called EMS. You can't mess around with a little kid's airway. He needed Albuterol neb and steroids.