Number of Kiddos Daily

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Those who are back full time in person how may kiddos do you generally see a day?  I’m talking about currently not pre-covid. We are seeing at least 40 elementary kids per day. I just feel like that’s a lot during this Covid time. 

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Specializes in ICU/community health/school nursing.

That's my normal. In a non-pandemic year.

What are you seeing them for? Random stuff that the teacher should at this point know better than to send or bumps, bruises, and real things?

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Our first 6 weeks I was seeing probably 15 kids daily.  Now I'm seeing very few.  Less than 10.  Our school has 600 kids, probably 550 in-person.

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I feel like I’m seeing everything!  Even nails that need to be clipped.  I have tried to send out an email to teachers but I think I’m too vague and they’re not taking it completely serious. Other than emergencies what do you currently “allow” in your office?  Did you send an email with specific directions on who to send and who can be handled in the classroom?  Do they send every stomach or headache?  Thanks!

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https://www.schoolnursing101.com/wp-content/uploads/2018/08/When-to-send-to-Nurse-8-Bs-rev.pdf

Covid has changed a lot.  I will see injuries, bloody nose, menstrual cramps, daily meds, asthma needs, diabetes needs, and other chronic condition needs in my office.

If a student has a covid-like symptom (hot/chills, cough, sore throat, headache, nausea/vomiting/diarrhea, fatigue, difficulty breathing) then I will do a quick assessment in the hallway outside the classroom.  If they do indeed have one of these symptoms then into the isolation room they go & are sent home with instructions to COVID PCR test or isolate for 10 days.  I have had several times where littles say they have a headache but it turns out they're just wearing an uncomfortable headband or their mask hurt their ears.

Nail clipping is ridiculous.  Unless their nail is ripped off or dangling it should be taken care of at home.  If each classroom has a first aid kit then bandaids can be applied there.  Kids older than 8 can apply their own bandaids.

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Specializes in School Nurse, IDD.

I am in a grades 7-12 school.  All of our students are given Chrome books at the beginning of the year and unless it is related to diabetes, severe nose bleed, witnessed vomiting or something else major, students must email me to request a pass.  I weed out so many visits this way by asking lots of questions and most times they are fine to stay in class.  It’s been great and my administration has agreed to keep this in place once/if we ever get back to normal.

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BrisketRN - thanks for the upload. I like it. In regards to Covid symptoms our school allows us to use nursing judgement on who gets isolated and sent home unless it’s a fever, diarrhea, vomiting, etc.  If they have a stomachache and/or headache (with no fever) we rarely send kids home unless they really do appear sick or they come back again with the same complaint then we call mom or dad. 

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This is what we follow specifically for covid

KCPS Nurse Office Decision Tree Teacher Appendix C.docx

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Specializes in Peds.

Like everyone else, COVID has changed my procedures quite a bit.  I no longer see the kiddos with tangled hair, picked at scabs, or my earring fell out.  I am seeing the kids I have always needed to see, the sick ones.  We are excluding only for the top 5 symptoms (cough, fever, chills, SOB, and loss of taste/smell).  The rest are seen and sent home according to our regular protocols.  I am seeing less children in the clinic but way more phone calls and emails.  

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