Has anyone done one on one school nursing as an LPN?

[Goldenlake]

Hi everyone I hope this is in the right area. Has anyone got any experience of nursing one on one with students in a school, not as a school nurse for the whole school? And if so what was it like? There is a job advertised for being one on one with a student who sometimes has seizures but just wondering how other people have found this, was it boring? Was there lots to do or just sitting there? Thanks for any answers in advance

[caliotter3]

Once worked one to one with a client at school. It was not boring in the sense that I was able to observe how a special needs classroom for that age level was managed by the school personnel. Basically, I just followed the care plan for my patient but at the school rather than in the home. It was mostly simply being present for safety sake as the child was ambulatory but could fall unexpectedly. Another of my patients went to school with a different nurse. That person was on a ventilator and there was more involvement with their care during the school day. School nurses who attended regular classrooms with their clients have told me it is like attending middle school or high school over again. They help with assignments although it is not required. To me, this type of assignment is generally more interesting than hanging out in a bedroom all shift.

[Goldenlake]

That's a good way of looking at it, thanks!

[Kitiger, RN]

I've gone to school with some of my clients. I rode the bus with them and did all their nursing care. My primary focus was to keep them safe, and as healthy as possible. Under the direction of the teacher, I also helped with their therapy at school.

That's where I learned about Little Rooms to stimulate special needs kids, so they can learn to reach out and touch things, learn about cause & effect, and interact more with their environment. I learned more ways to do oral stimulation, used to help kids learn to use their tongue more, to swallow more effectively, to form more sounds, etc. I learned more effective ways to do range of motion, and better ways to position them to help them improve their muscle control. I learned how to use different equipment, like standers, side-liers, & therapy balls. I could go on; it can be a very interesting environment.

I've also gone to school with kids who have physical problems, but no mental or emotional issues. In that case, I might be in the back of the room where I can keep an eye on her, but I only intervene with a physical problem (trach or vent, usually).

I'm an RN, but either an RN or an LPN could do this. Sometimes, - especially when the child has private insurance - the LPN is preferred.

[Goldenlake]

Thanks!