Frequent Flyers

Specialties School

Published

Hi All!

This is my first semester of school nursing after being bedside for 2 years. I am starting in the middle of the school year so I'm playing catch-up and trying to figure out all of the stuff the previous nurse left. With that being said, I feel as if she welcomed the frequent flyers, which is a problem to me.

I have found that a few students come in every day, with stomachaches or headaches, but no temps and seem absolutely fine. The same few students come in during lunch as a big group, where one student will ask for lotion or a salt water gargle. As I ask the group of girls to wait outside for the one student who requests the gargle, the rest of the group will all the sudden say they have stomachaches or headaches, when they did not need anything when I asked previously. I cannot have a crowd of students malingering in my small office every day. How do you cut the habits and reduce the frequent flyers?

Thank you!

Specializes in school nursing/ maternal/child hospital based.
On 1/22/2019 at 8:18 AM, MrNurse(x2) said:

Keep visits short, take temp as soon as they come through the door and send them back to class immediately. I have a tympanic sitting preloaded at my side to get a temp in the first 5 seconds. Soon they won't see it as fun. My average visit is 2 minutes, tops.

I envision a holster at your side ready to pull out your preloaded tympanic like quick draw Mcgraw!!!! Maybe I need to start wearing a tool belt or holster.

Specializes in IMC, school nursing.
17 hours ago, Cas1in72 said:

I envision a holster at your side ready to pull out your preloaded tympanic like quick draw Mcgraw!!!! Maybe I need to start wearing a tool belt or holster.

Being male, it's all about the gadgets,??. It does sit right next to me on my desk.

Pass system for sure. My staff has been educated by myself and administration that students are not come down during the lunch period unless emergency. Vomiting, bleeding, breathing etc. I have too many diabetics and 30 meds during lunch I don’t have time to be dealing with headaches stomachaches lice earaches old injuries Vaseline etc. there are some teachers that still like to send students down. I also only allow one student down per classroom unless they both get injured. They are not to sneak in between classes. I make them go get a pass. Teachers don’t like it, but they also want to put in the student in missing and then want to write them up bc there is a time issue from how much class they missed they want to try to put it on you and how long they are missing. This is my first year as a school nurse and I didn’t have a pass system in place at first. But now that I do it’s a lot smoother. It took a lot for me to get the courage to do it but I was sick of being overwhelmed like that. I have nurse passes id say half the staff uses them and other staff members use our regular passes. No one is allowed to eat in my clinic the last nurse before me allowed students to eat in there. I don’t. Almost violates Hippa in a way. Run your clinic what works best for you not others. Teachers and administrators will try to influence you don’t let them. We don’t interfere and tell them how to teach or run their class. A lot teachers think because they are “moms” they can help diagnose etc. it’s annoying. But sounds like you need some structure you will be much happier with your job, I promise!

Specializes in School Nurse.

Reserve time for a speech at the next staff meeting. Wear your "New Sheriff in Town" shirt!

I am sure our SNNS 'School Nurse Nursing Station' will add to a list of topics to go over:

Don't allow teachers or students to make parent calls for sick kids - stress legal liability

Send nosebleed squeezing the base of nose

Don't send for HA/SA/Pain that 'just started' give then at least 30 minutes until sending

NO meds in backpacks, students cannot medicate themselves - even cough drops

Loose tooth bleeding = swish with cold H2O – Leave it alone!

“Loose tooth hurts” – leave it alone

Lost tooth - Do not put tissue/paper towel in tooth socket

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