Most frequent complaints protocol

[kidzcare]

I am putting together some bullet point cards to be a protocol for our health offices. Please let me know your thoughts and if I should add anything in!!

So far I have:

Stomach ache:

*Assess for temp and general demeanor

*When was the last time the child ate?

*When was the last BM?

*Was there vomiting/diarrhea?

*If temp is WNL and no vomiting/diarrhea, give saltine crackers and allow to rest for 10 minutes before sending back to class. Nursing judgement.

Headache:

*Assess for temp and general demeanor

*When was the last time the child ate?

*Does this student have frequent headaches and/or keep PRN medication in the health office?

*Any other symptoms?

If temp is WNL and student is not in distress, encourage/offer water and allow to rest for 10 minutes before sending back to class. Nursing judgement.

[SaltineQueen]

For stomach ache...not just when they ate but WHAT they ate

[k1p1ssk, BSN, RN]

Also, assess for time of onset - i.e. "the beginning of math/writing/reading" or "right when I got to school" are frequent answers I get from kids with avoidance.

[OldDude]

It would be helpful to have all staff review the Nurse Barb G training videos; especially the Saltine material.

[OyWithThePoodles, RN]

With stomachache, pain on palpation?

Headache, does anything make it worse: light, sound... Have you hit your head today?

["nursy", RN]

With stomach ache: Did you shovel lunch down as fast as you could and then go outside and run around? This happens all the time, I give them 5 min rest and then out the door.

[BrisketRN, BSN, RN]

I've found thisGuidelines for the Nurse in the School Setting very helpful in creating protocols for my office.

[ruby_jane, BSN, RN]

H/a - is the kid neurologically intact (alert and oriented, maybe PERRL if it's not a frequent visitor).

Give water/cool pack, rest x 10 minutes?

Location of stomach ache - epigastric or lower? In pubescent females, is menses present? Response to palpation? Soft or tender abdomen?

Response to crackers? Because...you can tell me you're nauseous but if you can keep the saltines down than maybe you can stay.

[iggywench, BSN, RN]

With HA, do they have any allergy/sinus symptoms, do they wear glasses? If so, are they actually wearing them, and when was their last eye doctor appointment? Also, how much water have they had today?

[NutmeggeRN, BSN]

4 hours ago, kidzcare said:

I am putting together some bullet point cards to be a protocol for our health offices. Please let me know your thoughts and if I should add anything in!!

So far I have:

Stomach ache:

*Assess for temp and general demeanor

*When was the last time the child ate?

*When was the last BM?

*Was there vomiting/diarrhea?

*If temp is WNL and no vomiting/diarrhea, give saltine crackers and allow to rest for 10 minutes before sending back to class. Nursing judgement.

Headache:

*Assess for temp and general demeanor

*When was the last time the child ate?

*Does this student have frequent headaches and/or keep PRN medication in the health office?

*Any other symptoms?

If temp is WNL and student is not in distress, encourage/offer water and allow to rest for 10 minutes before sending back to class. Nursing judgement.

For the headache...how much fluid have you had today!!!

[pedi_nurse]

PERFECT timing for this thread. I was just putting together some things to send my student nurse for her next clinical with me.

[T-ROD, LPN]

SA- I have a lot of kiddos come in first thing and most of the time its car/bus ride sickness.