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Most frequent complaints protocol

School   (1,064 Views 15 Comments)
by kidzcare kidzcare (Member)

kidzcare has 5 years experience .

156 Likes; 19,053 Visitors; 3,199 Posts

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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. 

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SaltineQueen works as a School Nurse.

159 Likes; 1 Follower; 5,575 Visitors; 633 Posts

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

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k1p1ssk has 7 years experience as a BSN, RN and works as a school nurse.

116 Likes; 3,800 Visitors; 151 Posts

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.

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OldDude works as a School Nurse.

875 Likes; 5 Followers; 1 Article; 27,706 Visitors; 4,543 Posts

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

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OyWithThePoodles has 10 years experience as a RN and works as a Registered Nurse.

229 Likes; 1 Follower; 11,455 Visitors; 1,206 Posts

With stomachache, pain on palpation?

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

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66 Likes; 252 Visitors; 47 Posts

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.

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ruby_jane has 10 years experience as a BSN, RN.

832 Likes; 2 Followers; 6,663 Visitors; 1,935 Posts

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.

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iggywench has 6 years experience and works as a Public school nurse.

25 Likes; 6,453 Visitors; 258 Posts

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?

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NutmeggeRN has 25 years experience and works as a HS Nurse.

147 Likes; 1 Follower; 41,926 Visitors; 3,618 Posts

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!!!

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pedi_nurse has 5 years experience and works as a School Nurse.

105 Likes; 2 Followers; 1,854 Visitors; 246 Posts

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

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T-ROD has 13 years experience.

17 Likes; 1,064 Visitors; 74 Posts

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

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