my office is NOT a nap room!

cid1 · Feb 12, 2020

As long as no fever, behavior problem not medical problem!

tining, BSN, RN · Feb 12, 2020

13 minutes ago, cid1 said:
As long as no fever, behavior problem not medical problem!

Exactly! I will do a little sleep is important lecture, however that is a choice you made and not a reason to see the nurse.

CanIcallmymom, BSN, RN · Feb 12, 2020

I always let the teacher know that this is a behavior problem, and if it continues they should probably notify admin and/or the parent.

OyWithThePoodles, RN · Feb 12, 2020

Are we the same person? I've had this issue everyday this week.

ARN · Feb 12, 2020

what do you do for the kids who have had concussions recently (not that day)? evaluated by md and given instruction to take rest breaks. I had one yesterday I had to have her go to a conference room that the secretaries could keep an eye on her because I had so many kids coming in. I only have two cots and a chair next to my desk. 359 students.

she also has psuedo seizures so I had to make sure that someone had line of sight with her. she just wanted a quiet space with dimmed lights to rest.

I have another kiddo who just had a head injury during practice last night seen by athletic trainer but of course nothing communicated to me. thankfully today has been better and I was able to let him rest for a bit.

I usually only let kids stay for 15-20 minutes then back to class unless waiting on pick up or something else is going on I need to monitor longer.

ihavealltheice · Feb 12, 2020

14 minutes ago, OyWithThePoodles said:
Are we the same person? I've had this issue everyday this week.

Possibly! lol!!

CanIcallmymom, BSN, RN · Feb 12, 2020

14 minutes ago, ARN said:
what do you do for the kids who have had concussions recently (not that day)? evaluated by md and given instruction to take rest breaks. I had one yesterday I had to have her go to a conference room that the secretaries could keep an eye on her because I had so many kids coming in. I only have two cots and a chair next to my desk. 359 students.
she also has psuedo seizures so I had to make sure that someone had line of sight with her. she just wanted a quiet space with dimmed lights to rest.
I have another kiddo who just had a head injury during practice last night seen by athletic trainer but of course nothing communicated to me. thankfully today has been better and I was able to let him rest for a bit.
I usually only let kids stay for 15-20 minutes then back to class unless waiting on pick up or something else is going on I need to monitor longer.

My concussion kiddos get their rest periods as needed per their Return to Learn protocol set up by either their doctor or our athletic trainer. I try to stick to the 15-20 minute rule as well. If they need to lay down for long periods of time, they probably need to go home.

ihavealltheice · Feb 12, 2020

7 minutes ago, ARN said:
what do you do for the kids who have had concussions recently (not that day)? evaluated by md and given instruction to take rest breaks. I had one yesterday I had to have her go to a conference room that the secretaries could keep an eye on her because I had so many kids coming in. I only have two cots and a chair next to my desk. 359 students.
she also has psuedo seizures so I had to make sure that someone had line of sight with her. she just wanted a quiet space with dimmed lights to rest.
I have another kiddo who just had a head injury during practice last night seen by athletic trainer but of course nothing communicated to me. thankfully today has been better and I was able to let him rest for a bit.
I usually only let kids stay for 15-20 minutes then back to class unless waiting on pick up or something else is going on I need to monitor longer.

Wow! We have about the same amount of students and sounds like a far bigger office!! I'm jealous lol! I would let them rest in my office and still see other kids, but keep the lights off and instruct the other kids coming in to be quiet. That way, I can monitor the concussed kiddo and still continue to take care of the rest.

If they're concussed, aren't symptomatic and don't have specific orders for it, then I'm fine with letting them know that they have the option to come down if they start noticing symptoms as the day progresses. I'll always check in with them in first thing in the morning too to get a baseline and to see how they're doing.

ARN · Feb 12, 2020

5 minutes ago, CanIcallmymom said:
My concussion kiddos get their rest periods as needed per their Return to Learn protocol set up by either their doctor or our athletic trainer. I try to stick to the 15-20 minute rule as well. If they need to lay down for long periods of time, they probably need to go home.

thank you. we have a protocol but its just a flow sheet that doesn't really outline anything. so hopefully the trainer will refer him to an md. baffles me that I get no communication from the trainers at all. he is supposed to follow up with the trainer after school today.

as far as my psuedoseizure gal her concussion happened at home. her md order isn't very specific and just related to limiting assignments on the screen. I frequently send her home due to her episodes and not wanting to return to class. previous nurses have allowed her to hang out in the nurses office and I have had a hard time limiting her time in my office but I am trying to keep a boundary with her.

CanIcallmymom, BSN, RN · Feb 14, 2020

On 2/12/2020 at 11:44 AM, ARN said:
thank you. we have a protocol but its just a flow sheet that doesn't really outline anything. so hopefully the trainer will refer him to an md. baffles me that I get no communication from the trainers at all. he is supposed to follow up with the trainer after school today.
as far as my psuedoseizure gal her concussion happened at home. her md order isn't very specific and just related to limiting assignments on the screen. I frequently send her home due to her episodes and not wanting to return to class. previous nurses have allowed her to hang out in the nurses office and I have had a hard time limiting her time in my office but I am trying to keep a boundary with her.

I am on my trainer's butt all day long with athletic kiddos. We have a lot that try to avoid the trainer, because our trainer is actually GOOD and will hold the kids out of games. Hopefully your student follows up!

I had a couple kiddos linger last year with concussions--like for hours and hours. Some of them definitely need stronger boundaries. I had to kick one out and put him in a conference room earlier in the school year. I don't have a visual of that room, so I told the secretary to let me know if he's resting or not. Turns out, he was loudly laughing, cutting up, and staring at his phone (against dr. orders), so I was able to stop in there and tell him he will be going back to class unless he's having symptoms. I then notified the athletic trainer for him, but if you don't have that you are on your own.

jnemartin, BSN, RN · Feb 14, 2020

you guys... this is one of my favorite things to say: "In the absence of any other symptoms, tiredness is not a reason to see the nurse."

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