Ice Packs

Specialties School

Published

Quote from Flare...

"it's kind of a balance for me between allowing the ice for the invisible injuries that the kids will hold on there for 5 seconds and scooting the kids out the door after looking at the afflicted body part and saying "ok, i'll make a note of it". Either way - ice packs do not leave my office unless you've got a really good reason."

We were chatting about the use of ice packs a few weeks ago and the last sentence of Flare's post jumped right off the screen and hit me between the eyes, "Either way - ice packs do not leave my office unless you've got a really good reason." I literally smacked my own forehead and asked myself, "WHY AREN'T YOU DOING THAT YOU DUMB A**!?"

For 15 years I've been "handing out" ice packs. So, the day I read Flare's post I started holding the kids in my clinic with them holding the ice pack over the booboo. It's remarkable how must faster they are "healed" while sitting here away from the action and not able to sport their "immunity idol" in front of the class. Of course there are the attention seekers that will never feel better and for those I call their parent and see what they want to do about it. There are many more advantages to keeping the kids in the clinic for ice packs but for brevity I'll stop here.

If you are not utilizing this methodology I strongly suggest you start.

So, thank you Flare, for teaching an old dog a new trick!!

Specializes in School nurse.

I have started trying to teach students about when they need an ice pack. Every time I hand out an ice pack for an "Injured Extremity" I feel I have to protect myself, and my district from lawsuits by charting all the things that are not wrong with that extremity. Otherwise, after school student could get hurt, and parents could say it happened at school. But if I charted that the extremity was essentially fine at school-- their lawsuit goes away. I work in a big district that some parents look at as having deep pockets.

I have started telling student that their invisible injuries do not require and ice pack. Then I started telling them that muscle spasms are better fixed by being hydrated and giving them water to drink instead. Then I stick to my grounds because I do not want to be out of ice for the big injuries.

I am thinking of revising a chart I saw a social worker wearing. The chart was for figuring out how big a problem was so that the student's reaction to it would not be bigger than the problem itself. I am going to revise it into a do I really need ice scale, and start to teach them that every fleeting pain cannot be treated with ice.

2 hours ago, Mickey said:

start to teach them that every fleeting pain cannot be treated with ice.

PREACH! Every "injury" does not require intervention.

Specializes in Cardiology, School Nursing, General.

I agree. I just started helping out the nurses here in my new district and we have tricks. We have two types of ice packs, the homemade ones, and the plastic ones. We give out the homemade ones to the kids that we deem not bad injury, and they go on their merry way, and the other ones are just for injuries that are pretty bad and need observation.

We all have the same mentality, basically not every injury needs intervention.

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