Nosebleeds

[jnemartin]

Just curious - if you have a student with a nosebleed, barring any unusual circumstances or history - do they stay in your office until the bleeding has ceased, or do you give them instructions and send back to class after some observation?

[AdobeRN]

I'm elementary so I keep them in my office otherwise blood would be everywhere.

[BrisketRN, BSN, RN]

3 hours ago, AdobeRN said:

I'm elementary so I keep them in my office otherwise blood would be everywhere.

Last year I had a kid leave a big bloody hand print while opening the door from the lobby into the hallway where my office was. It was there for AN HOUR before I saw it & cleaned it up. I can't imagine how many people saw it before me.

[CanIcallmymom, BSN, RN]

15 minutes ago, BiscuitRN said:

Last year I had a kid leave a big bloody hand print while opening the door from the lobby into the hallway where my office was. It was there for AN HOUR before I saw it & cleaned it up. I can't imagine how many people saw it before me.

This happened to me this year too. I always ask them if they've had nosebleeds before, and they *almost always* say yes. I'm like, "THEN WHY YOU NO PINCH?" Lol.

[MountainNurseTammy, BSN, RN]

I always have them stay. If I didn't there would be blood on every surface of the school and themselves.

[halohg, RN]

I have this posted and review with the littles.

[guest464345]

They stay in my office until the bleeding stops, even though it's a high school... because otherwise I will get panicked radio calls from every single teacher or aide who sees the kid in the hall/bathroom/classroom carrying a Kleenex with any trace of blood. And then I'll get more calls, asking for hazmat suits and vats of bleach ? some battles are not worth fighting!

[BluebellRN, BSN, RN]

Elementary here, and I keep them for a couple reasons: make sure they are able to clean up and wash hands, I can't trust most of them to hold until it's really stopped, and because *most* teachers freak out over blood in any amount.

I had a teacher come with a kindergarten kid, my door is shut because I'm talking to another teacher about a student. She opens the door without knocking because "he's gushing blood". This is a kid who has had a few nosebleeds and even at the start of the year could hold his nose and keep his head down. I look down and see no gushing, he's doing everything right, it was over in less than 5 min. I did say something to the teacher because it doesn't help these kids to have their teacher overreact and frankly she has no idea why I have my door shut. It needs to be a 911 emergency to not even knock.

I got a few of these for my clinic, and they work well for the kids who won't pinch. But, they're too big for my littlest ones. It might have been someone here who recommended them, can't recall.

[bsyrn, ASN, RN]

Yes they stay in my office, the teachers would freak if I sent them back still bleeding ? . Besides, I like to make sure they wash up before they leave.

[ruby_jane, BSN, RN]

One of the few things that my BON is sticky about is assessment, treatment, and reassessment. So if I let a kid go back with a nose that is still bleeding I can't reassess.

Also there are nosebleeds that "stop with student-applied pressure" or "stop on the way to the clinic" but there are also the ones that don't stop for 20 minutes so I hedge my bets.

[bluebonnetrn, BSN, RN]

On 4/12/2019 at 11:01 AM, Blue_Moon said:

I had to send an email to staff to not be stupid

If ONLY we could say this!
It would address multiple issues

[MrNurse(x2), ADN]

I send my own son back, in fact, he doesn't even come, and he gets bleeds weekly. Everyone else stays in my office.

[OldDude]

I just sent a 5th grader home today with a nosebleed that seeped for over an hour. It, obviously, was coming from under his nasal bone where direct pressure could not be applied. He saturated 6 nasal tampons before dad arrived. I recommended trying Afrin, or a generic equivalent, when he got home...if no luck take him on to MD.

I keep the nosebleeds in my clinic.