Published May 18, 2015
txbootsy
129 Posts
Hello I was just hired to start as a school nurse in a nearby public school for fall 2015.
I did school nursing from 2005-2009 in a private school with about 250 kids (pk-8th).
My new school is pk-5. I will have about 940 kids!
How many students do you have? How many do you see per day?
What is an efficient way to organize student files.
Thank you!
kidzcare
3,393 Posts
I have 2 grade levels in my school, totaling about 950 students. I see anywhere between 40-80 per day.
I have filing cabinets for health files and keep other forms (action plans, PRN med lists, daily meds list) in binders that are easily accessible.
Farawyn
12,646 Posts
I have about 750 kids and I am not organized yet! It's killing me that I don't have it "down". I'm hopeful for next year!
JenTheSchoolRN, BSN, RN
3,035 Posts
I have ~500 kids. I see anywhere from 20-40 visits a day, plus scheduled and PRN meds.
I'm continuing to try and get my EMR (SNAP) fully up-to-date as I find it the best tool when my office gets busy. It has all the info I need and I continue to find ways it can be more useful for me. I also have one page (back and front) emergency health form in folders by grade next to my desk for easy grab in emergencies (has all the info I need); during the last time I had to use an Epi-pen on a student, it was easy to yell to an office staff member to grab the form and copy it for an ambulance transport. (I ask parents if I can do this on the form next to the line that asks about emergency transport and which hospital they would like their child transported to; I've never had a parent say no.) The rest of a student's paperwork (physicals, med orders, etc) is filed in filing cabinets behind me.
For me, in addition to my files, I have to have all of my supplies very well organized or my day can turn. I have my assortment of gauze, bandaids, alcohol wipes, etc sorted in two plastic containers on a shelf on a bookcase right next to my desk. Easy grab and go. For scheduled prescription meds, I have them in a dedicated filing cabinet drawer (that I lock when I leave my office) and use weekly pill boxes for each student that I prepare at the end of each week (labeled with student's name, homeroom, grade, DOB, med, dosage, route, time) to streamline the process. (It also helps me see if a student fails to come and see my for a scheduled med).
ohiobobcat
887 Posts
I am in a high school grades 9-12. There are about 700 student in my school. I see on average 30-40 kids per day.
I have a 4 drawer locking metal filing cabinet that I keep all of my paper health records in with 1 drawer dedicated to each grade.
I have binders on my desk next to me with diabetes logs, daily medication orders and logs, emergency action plans, and my OTC medication permission forms.
I use SNAP for documentation as well, but I know I am knot using it to it's fullest capacity, since I basically taught myself how to use it my first couple of days here.
AdobeRN
1,294 Posts
K-5th grade 774 students. I keep medication consents & actions plans for the year in a binder next to my med cabinet. All of our charting is done thru a computer program (Eschool) and we are slowly trying to go paperless. The previous nurse had a file for every kid but since copy paper is kept under lock and key and rationed out I only make files on students for misc notes from parents/doctors & copies of previous years Action plans - Copies of immunizations are kept in the students cum folder after I enter them in eschool so there was no reason for me to keep up with those paper records.
I see anywhere from 40-90 kids/day - just depends on what illness happens to be going around - of these kids 15 of them are kids I see daily for medications etc.
Wave Watcher
751 Posts
425 students. A busy day I could see 25-30 not including scheduled meds and diabetic student. Most days though I see less than 10 kids come through my clinic who really need nursing care. I have more that just come in one door grab a band aid and leave out the other. :-)
100kids, BSN, RN
878 Posts
I am in a tiny school Pk-6, about 100 kids (hence my username). I average about 15 visits per day + any prn or scheduled meds. Because we are so small I have a lot of other roles in the building. I'm always running somewhere to do something... Right now I'm off to teach the Kindergarteners about sun safety.
Finally2008
228 Posts
I have about 430 kids (Pre-K - 5th). I see anywhere from 25-50 students daily. And, about 3-5 staff members daily...
LMTCBnurse
25 Posts
I have 800 Pre-K and K students plus a before and after care program for kids of working parents. I see between 30-60 a day with 1/2 of the visits needing a phone call to parents. When ever there is a mark on the skin, a parent needs a phone call. Each student has a medical file in a metal cabinet. I keep work papers in another file cabinet. I have a 3 ring binders for: daily meds, PRN meds, AED paperwork, student letters of different illnesses that are sent out, Health history of each student, sub notebook, and daily worksheets. All my charting is done on the computer. I have a 20 mini draw bend on counter with stuff in each drawer so it easy to get. 5 drawers have different size and kinds of bandaids. I need to be organized because the days are so busy.
aetienn6
42 Posts
For all of you that see 30+ students per day, how do you guys do it? As far as managing documentation, phone conversations with parents, and all the administrative duties that come with the job? Do you guys have other nurses that work with you?
What administrative duties do you do?
Most of the visits to my office are less than 3 minutes.
"I bumped my arm"
"here's some ice"
Stomach aches/headaches get a max of 10 minutes.
Bandages take a minute to apply.
Daily meds are less than a minute each.
Honestly, my office is empty a good portion of the time. If I could, I'd bring a book to read. There are days I have paperwork stuff to do, but a lot of my time is spent doing mundane tasks.