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McBx3, BSN, RN 3,516 Views

Joined: May 7, '07; Posts: 86 (17% Liked) ; Likes: 42

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  • Jun 10

    Honestly, almost all of my big papers are done on concussions. There is SO MUCH recent research that can be cited easily and tailored for school nursing. My strategy with paper writing has almost always been:
    1. Jot down some ideas.
    2. Quick searches in the data bases.
    3. Pick the one with the most applicable articles.

    I tried to do a topic that I thought I would like and be interested in once and found like 2 articles after hours of searching and decided that I needed to change my plan.

  • Feb 7 '16

    I had 4 students in 4 different classrooms get lice. But the parents flipped out and posted all over social media that the school wasn't doing it's job.

    I'm not sure how lice is being transmitted between different classrooms.

    Oddly enough, our affected students are all cheerleaders. Must be a coincidence.

  • Feb 7 '16

    I got a great one today. In the middle of my 5 classrooms of lice checks, I had a student come in and sit right. I asked her what was wrong.

    Student: My ear hurts
    Me: Did something happen?
    Student: Yes. Kayla whistled into it. And now it hurts.

    A lunch aide sent her in from recess for this.

  • Feb 7 '16

    Today is Lice Tuesday. Monday was Lice Monday. Last week was Lice Week. I am drowning in lice complaints, combing and nasty calls from parents. We've not had what I'd consider an outbreak or anything. It's the same 4 families, over and over and over again. I've sent one student home 17 times this year. Parent just does not do follow up. SW and District nurse have been out to home, they can't do any more. I'm sick of getting yelled at by parents!!!! Or or worse, they sit in my office ALL DAY because parents don't/won't pick up their phones.

    Not feeling the love lately.....

  • Feb 7 '16

    school nursing: scope and standards of practice updated 3/7/11

    written in collaboration with the national association of school nurses [font=arial, helvetica]school nurses are the primary advocates and liaisons for the home, the school, and the medical community regarding concerns that affect a student's ability to learn.

    this book describes the specialty's characteristics, settings, and roles along with education and certification requirements. also addresses advanced practice and role specialty issues.. indexed. 2005/106 pp.

    isbn-13: 9781558102279. pub#: 9781558102279.
    member price: $15.95 | list price: $18.95

  • Feb 3 '16

    A trick I learned may serve you. Look at the citations in those peer reviewed articles. Those links will bring you to the data that they wrote about. And, hopefully the data you seek.

  • Mar 10 '10

    When I graduated from school, I applied to a critical care ward for advanced pulmonary patients. I'll never forget taking the call from the supervisor.......
    "Hell-o, is new nurse home?"
    "Yes, I am she...."
    "This is 'supervisor' calling to say, if you feel up to the challenge, we'd love to have you."

    I had just super glued my finger to my thumb, and in that moment, staring at my hand, I had an epiphany. How the hell was I going to handle critical care when I couldn't even handle a tube of glue?

    The first 6 weeks on day shift (orientation) went well enough. When I was moved to nights, my charge nurse was not amused to have several new grads at once, and made her disdain for us quite clear.
    I recall hiding in a broom closet one night, frightened & crying, wondering how I'd gotten into such a fix.

    Well, the seasoned nurses smelled blood, and like sharks to chum...they came for me.


    They worked 12 hour shifts, I worked 8's. So the report I got was from a nurse that was staying the remainder of the shift, I was taking part of her load.

    I must assume this was 'all in fun' cause she never mentioned that the patient in room xxx died (kicked the bucket, bought the get it...) during her report.They were waiting for the MD on call to come in & pronounce death...I guess they thought they'd have some fun at my expense in the 'mean time.'

    Before I could get my IV's spiked for my 1st. round, she asked me to take a carton of milk to the afore-mentioned dead woman in room xxx, stating "now she's slow, but give her time....she'll drink it."

    So, I took the carton down the hall, thinking "Damn, now I'm going to start the shift late...this will throw off my whole night."

    Well, hell-o.

    When I entered the room, it was obvious to anyone with 3 brain cells that she was no longer with us......then it dawned on a nasty little thought bubble.....I'd been had.

    So, I sat down, tuned in The Tonight Show & watched a little Carson. After 20 or so minutes, I emptied the milk in the patients bathroom sink, took the empty carton back to nurse 'humor' & said "you were right, she was slow, but she drank every drop."

    I've never seen a nurses station empty so fast.

    Hehehe......what do they say about 'he who gets the last laugh?'

  • Feb 17 '10

    Just sitting here pondering and thought this would be fun:

    1) A bit of advice: Do not, no matter how hungry you are, no matter how good they taste, eat an entire bag of Granny Smith apple slices in one sitting. Trust me on this. And if you don't heed this warning and do imbibe, don't wear stockings to work the following day.

    2) The size of the mess on the patient will be inversely proportional to the amount of cleanup supplies available.

    3) The manure will never get aerosolized until just before or just after shift change.

    4) Do not ever, EVER, say in report, or allow a colleague to tell you, "Oh, Mr. X was so great, he's such a cute little thing. You won't have any trouble at all!"

    5) The size of the fit being pitched over a shot or IV will be proportional to the number of tattoos and visible piercings.

    6) That big, strapping nursing student/CNA that you think nothing could get to will be the first one to hit the floor at the sight of a trauma.

    7) The size of the fit being pitched in the ER waiting room will be inversely proportional to the severity of the reason for the visit.

    8) It's the patients that you DON'T hear screaming bloody murder that usually crump on you the fastest.

    9) The amount of effort that you put into saving somebody who could care less about themselves is about the polar opposite of what they are willing to do to keep healthy once you get their foot out of the grave.

    10) You can keep someone alive, but you can not make them live. ( I wrote that down the day the doc said it)

    11) The story that the patient tells you will invariably be completely different from the one they tell their family or their doctor.

    12) The drugs you need in a hurry are ALWAYS the ones under more security than Fort Knox.

    13) The only time the wife of the man who looks at you and says "Dang, you're pretty" will NOT be at your throat will be while you're still perched on his chest, after your CPR brought him back. ( THAT was about the best thing I ever felt, I was so little at the time, they'd sit me on the patient, I'd be able to compress, and they'd still have the arms and legs free for sticks. Sadly, I've fluffed out a bit since then.)

    14) It is entirely possible to have the most rewarding, the saddest, the most frustrating, and the most fascinating job in the world, and it all be the same thing.

    OK, have fun!

  • Feb 12 '10

    i've spent most of my career in teaching hospitals, and part of my job is to educate the house staff or, as one preceptor decades ago put it, "to keep the residents from killing the patients." i have kept a few residents (and a manager) from killing patients . . . . but usually, it doesn't come to that. if i disagree, i ask for the physician's rationale and if it makes sense, we do it his/her way. if it doesn't make sense or he won't explain it to me -- which happens rarely -- i won't do it. there have been a few times that things turned into a nasty confrontation, but those times are rare and far between.

    years ago, i had a little old lady admitted for a "work-up." in the 70s and 80s, that used to be a common diagnosis. they're admitted "for tests" and the residents get to practice doing procedures on them. the best patient was someone with vague complaints, because you could milk it for several procedures. this particular woman was about 90 and tiny. her veins were tiny, too, and all we could get was a 22 gauge butterfly. (angiocaths were rare in those days.) her k+ was 3.8. intern decided that her k+ was too low and we needed to replace it immediately. i disagreed. nevertheless, i was only the charge nurse and there was a cute new grad taking car of the patient. (did i mention that the intern was considered to be very attractive?)

    the intern wrote an order for kcl 40 meq iv. since this was med/surg and not the icu, we couldn't do that. our policy said we could put 20 meq in 500cc or 40meq in a liter and run it no faster than xcc/hour. (i don't remember the exact policy, but you catch my drift.) nancy the new nurse told him that "our policy says blah blah blah, but if you want to push it, you can give it as fast as you like. and she proceded to draw up 40 meq of kcl and handed it to the intern to push.

    i told the intern he couldn't do that, and explained why. he replied that "the other nurse told me i could do it." (worst combination in the world -- a new intern who thinks he knows everything and a new nurse who believes it.) i repeated my explanation. he insisted. i called his resident who thought i was joking. (i have only myself to blame for that -- i did do a lot of joking.) i paged the attending who didn't answer his page. i flung myself in front of the patient and told him he'd push potassium over my dead body -- and he insisted. (you'd think by this time he'd have done a little double checking, but no.) what finally saved the day was the pharmacist, who had just read the order, called the unit to question it, and when no one answered the phone came running up to see if we were really going to do something so stupid. the pharmacist really laid it out for the intern, chapter and verse. he believed the pharmacist, but never apologized to me . . . .

    and then there was the intern who wanted me to do something so stupid i refused. just flat out told him no. the next morning he complained to my manager that i had refused to follow orders and he wanted me fired. it was tense for awhile. i nearly lost my job, but i'd rather lose my job than my license. years later and 3000 miles away, he came to the hospital where i was then an experienced icu nurse and accepted a position as head of cardiology. i dreaded working with him from the moment i heard his name and knew we were getting him. and when he came, i sincerely hoped he wouldn't remember me. turns out he did.

    on july 1, he came around with a flock of brand new residents fresh out of medical school. "this is ruby," he said. "we go way back. she's an experienced icu nurse and if you let her, she'll keep you from doing something really stupid. when i was an intern, she kept me from making a really big mistake. when she asks you "are you sure you really want to do that, doctor?" what she means is "you really don't want to do that you freaking idiot." if that happens, stop what ever stupid thing you were about to do and call your resident for guidance. or she'll be calling me."

  • Feb 9 '10

    So just felt like posting about a code we had at the end of my shift. Was finishing up some charting and getting ready to clock out when an aide went running by saying we got a code blue. Took off after her and got to the room. Now this guy is a vent dependent and had come unhooked somehow. Unresponsive, no pulse, etc.. Crash cart rolls in and I help get the backboard under him. Two RT's are there at this time, and dear ole Maggie starts compressions while the other ambus. Maggie, bless her soul is a 75 year old Brit firplug, but just didnt have enough to do good enough compressions. she woulda probably ended up next in line! lol. So I jumped in and took over on compressions. Heard a couple ribs pop, hope they didnt break. Everyone kept asking if i needed a break but after about 15 minutes or so and we got a damn pulse! then some shallow breaths n such. Paramedics show up and he's got a sat of 96% but still unresponsive. So that was a couple hours ago and he may not have made it to the hospital, wont know till tomorrow/today. But this was my first code where we actually got someone back. Thanks for listening to my ramble.

  • Apr 22 '09

    Quote from McBx3
    Haha, this is great LOL Stupid question, but I've never worked in nursery/peds, so what kind of thing would you document for a newborn?
    How he's nursing, whether he is waking easily for feedings, if he's nursing hungrily. Document the quality of muscle tone, crying. How many times they urinate, what color and consistency the stools are. Newborns sleep a lot the first 3 days(that is, unless it's my son,Attila the Hun) so you wouldn't see much interaction with parents and staff, necessarily. they can't really focus their eyes well, smile, or be very active. But you can take note of the activities they do have: "Skin pink, flexes arms and legs, cries vigorously during diaper change, taking bottle with earnest sucking, nursing every 1 hour, latching on appropriately, meconium stools." that sort of thing.

  • Mar 30 '09

    Quote from mcbx3
    i graduated from an adn program in 2004 and worked as rn in med/surg unit for one year. at that point, i was ready to move on to a different area of nursing, but decided to take time off when i discovered i was pregnant with my first child. i stayed at home, caring for my daughter for the past few years, and now have a 3 month old as well.

    i am wanting to return to work, but am really nervous. i am worried that i have lost skills, and that the hospital will not give me an orientation since i already have experience (i'm planning to return to the hospital where i used to work, but on another unit) and because i will only be working prn.

    also, i am breastfeeding, and don't know if i will be provided an opportunity to pump (breaks were few and far between when i worked there before).

    should i just stop worrying and go for it?any suggestions would be appreciated :d
    i understand your worries. your story sounds like mine. i worked med/surg for a full year, hated it, left after one year. then i had my children and didn't work in a hospital for two years. my boss was super nice and rehired me as prn. she told me i could have as much orientation as i wanted/needed. just ask. you might be surprised.

    also, i worked nights which is a little bit less stressful than days and found it easier to go pump. but if i nursed right before i had to leave for work around 6 and it was super busy, i was ready to die if i couldn't pump by 10 or so. so just keep that in mind. if you can wait maybe a few more months, until the baby is 6 months? i don't know if that would make it a little easier. just don't let anyone make you feel guilty about going to go pump. heck, smokers get to go out all the time. you have a right to pump and your hospital is required to provide you breaks and a room to do it in. good luck! you can do it!

  • Mar 30 '09

    Go for it. Even if you work once a month or week--stay in the work force. The great thing about nursing is the choices of hours.It is so easy to get lost in our family life and forget about own personal needs. Especially, when the kids are young (plus breast feeding—it’s a good thing). In retrospect, that is what I would have done. Good luck.