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Hi all. Today was my first day on my own as an elementary school nurse. This is also my first RN position other than a 1:1 job I had. I previously worked at a LTC for children as an LPN, pediatric home health LPN, and a 1:1 LPN in a school.

I am in an elementary school with roughly 250 kids. Today and the last few days of last week, I saw over 50 kids a day (including daily meds). It's overwhelming.

Today, my first day being on my own I felt like I didn't even have 2 seconds to think! I also had a child come in after nailing his head off of a table with a giant swelling hematoma on his forehead. Called mom who said she had no way to get him. Called dad and he luckily came.

We have a very high special needs population, and a very high rate of poverty in our school.

I left today feeling a little defeated, and am now lying wide awake wondering if I did the right things with the head incident kiddo.

I'm hoping others felt this way when they first started!

Specializes in Pediatrics, Community Health, School Health.

I work with the same number of kids and a very similar demographic. It is extremely draining at times. I look at the fact that you think about your actions as showing you care about your kids and are a good nurse. You have the experience to provide good, safe care. You will learn the flow of the school setting and happily be offering advice here to newbies in no time. Ask lots of questions, look stuff up, use your available resources, and come to this site often. You'll get the hang of it. And I have totally sent kids away with a note for the teacher when I am too busy with something more acute. It'll say "Can you send him/her back to me in 20 minutes? I am dealing with a really sick kid right now and can't see him". It has never been a problem in my school for me to do that. Obviously I don;t do it often but sometimes you need to.

I forgot to add that in my county, there is a school nurse group that meets once a month with public health nurses and we share lots of great information. It was a huge help for this newbie school nurse.

Welcome to the best and most supportive board on AllNurses.

This! It's so true and I'm not even a school nurse!! Being a former public school teacher, I love to read your stuff!!

So what made you change careers, Graduatenurse14? I also have an elementary education degree, but got a nursing degree when masters degrees were mandated. Now being a school nurse is the best of both worlds!

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