I have a student in our high school that will have bouts (I'm thinking anxiety) where their HR shoots up to the 140s - 160s, BP like 200s/100s. No substances involved, no caffeine, this is very good student. We have called a squad before, and they actually ended up being in SVT. This has happened a couple of times since then, minus the SVT. Mom keeps saying there is a Dr. appointment scheduled but I've heard nothing. I am about at my wits end as I feel this is a huge liability and unsafe. Is it irrational to tell the parent that the student is not to return until I have a doctor's note saying everything is stable and they're OK to be here?
And before its asked, yes, CPS is involved and aware of my concerns.
Old fashioned school nurse here..... The child needs to go out 9-1-1 with those VS. The ER will have to see her, will have to refer her for follow-up. Then she comes back with a MD order for parameters, to stay in school, 9-1-1, how to monitor, and what to document. I have had kids with cardiac defects who were told that until there is an MD plan in place, no school. Similarly, I have used 9-1-1 to get MD orders for pseudo-seizures requiring EMS. This is for pt safety as well as CYA.
ment. Several years back I was looking for a "relatively" easy nursing job for my "retirement" job. A non-nurse friend suggested school nursing. "That will be easy-peasy" she said. Yeah. Right. What non-nurses sometimes think!
Specializes in Med Surg, Tele, School Nurse, EMT/FF.
Just wanted to follow up and see how the student is doing? Have they still had the high blood pressure? and have you still had trouble with the parents responding to the school or getting the student to the doctor?
Specializes in ICU/ER/Med-Surg/Case Management/Manageme.
NutmeggeRN said:
Joke was on you, I guess!!😂
Actually, the joke wasn't on me. I'm not now, nor have I ever been a pedi nurse or had any interest in that area of nursing. So, no. I definitely didn't take that suggestion. For me, working with peds and their parents would be incredibly stressful! I'll gladly leave the kids to others.
Actually, the joke wasn't on me. I'm not now, nor have I ever been a pedi nurse or had any interest in that area of nursing. So, no. I definitely didn't take that suggestion. For me, working with peds and their parents would be incredibly stressful! I'll gladly leave the kids to others.
Specializes in School Nursing, Ambulatory Care, etc..
DallasRN said:
OK...one more comment. Several years back I was looking for a "relatively" easy nursing job for my "retirement" job. A non-nurse friend suggested school nursing. "That will be easy-peasy" she said. Yeah. Right. What non-nurses sometimes think!
I've had nurses say things along the line of "I'm a real nurse, unlike you"...yeah, it's not just non-nurses that think this is a cake-walk.
Specializes in School Nursing, Ambulatory Care, etc..
colleen69 said:
Old fashioned school nurse here..... The child needs to go out 9-1-1 with those VS. The ER will have to see her, will have to refer her for follow-up. Then she comes back with a MD order for parameters, to stay in school, 9-1-1, how to monitor, and what to document. I have had kids with cardiac defects who were told that until there is an MD plan in place, no school. Similarly, I have used 9-1-1 to get MD orders for pseudo-seizures requiring EMS. This is for pt safety as well as CYA.
I don't think this is legal. We can't deny a student access to an education. All we can do is keep fighting to advocate for the student, call parents/guardians incessantly, call 911 when needed, and try to get CPS to pay attention.
I don't think this is legal. We can't deny a student access to an education. All we can do is keep fighting to advocate for the student, call parents/guardians incessantly, call 911 when needed, and try to get CPS to pay attention.
Sure did during Covid. Teacher Unions were the biggest proponent of that. Don't see why it couldn't be done here.
colleen69
6 Posts
Old fashioned school nurse here..... The child needs to go out 9-1-1 with those VS. The ER will have to see her, will have to refer her for follow-up. Then she comes back with a MD order for parameters, to stay in school, 9-1-1, how to monitor, and what to document. I have had kids with cardiac defects who were told that until there is an MD plan in place, no school. Similarly, I have used 9-1-1 to get MD orders for pseudo-seizures requiring EMS. This is for pt safety as well as CYA.