EPIC FAIL

Specialties School

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Brand new school nurse this year and learning a lot. I come from a clinic background so the school setting has been a big adjustment for me. Thankfully this board has helped me out a ton. Until today. I had my first epic fail as a school nurse. I am 1 nurse for 4 schools in our district, so I have to travel around. Today was called to the high school for an 11th grader with "blue, shaky" hands. I drove up to the high school thinking the worst. Got there and sure enough, they were blue. Both sides of both hands up to about her wrists. Everything checked out- vitals, not dyspneic or wheezy. No hx of cardiac issues, but does have asthma. No numbness/ tingling or pain in hands. She appeared nervous, but not really in any distress. Said she felt fine aside from her hands. I was stumped so I called mom to have her brought in for evaluation. Student came back about an hour later- turns out she was wearing brand new dark blue jeans and it had rubbed off on her hands. UGHHH. Glad everything turned out ok but boy do I feel stupid. :( Next time someone's anything is blue I'll try washing first. TGIF :p

ah yes... Dr. Bestfriend md, facs, pita is never wrong. Don't you go doubting their skills!!

dr. Bestfriend md!!!

Hahahahahahaha

Sadly, I have done something similar. Once in LTC job, I was called to patient's room by his daughter. She was changing her dad's shirt and noticed his arms and chest blue. VS all stable, no real distress. Daughter insisted and I, as a brand new nurse, thought a trip to ER was in order. He was transported back to LTC with orders to wash chest and arms. Blue sweat shirt, brand new. One of the most important lessons I learned the hard way. I've passed this on to a few teachers that panic at the beginning of the school year with blue handed kiddos wearing new jeans.

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