OK, I assumed . . .

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Specializes in School Nurse.

First grader comes in sweaty, red faced, states I have a headache. The astute nurse I am asks, where did you come from? He of course answers from the playground. Me, about to explain well if you were able to run and play, you will be fine. Then he says where I was running and ran into a pole.

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Specializes in IMC, school nursing.

Don't you just hate when it goes from a simple instruction to a concussion workup?

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Had a kinder like this last week. It was 76 degrees outside and he came to me all sweaty after recess c/o head hurts. I ask all of my standard headache questions -Did you hit your head or get hit the head? Did you hit your head yesterday or last night? What were you doing before it started hurting?- He says no, he didn't hit his head or get hit in the head, no injury, and it started after he was running really, really fast for all of recess. He goes back with some ice to help him cool off. About 45mins later, another kinder comes down for a large paper cut and says "Did you know that kinder #1 was in a car accident last night? He told me about it on the bus" So a simple over heated turned into a call to mom to take him to the hospital for concussion eval. (and a reminder that hey, maybe you should tell someone that your kid may be injured!)

Fun stuff!

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Specializes in School Nursing, Hospice,Med-Surg.

Do you all have a lot of possible concussion situations (or just bumps on the heads) from kids running into things? I mean, my kids are constantly running into walls, poles, trophy cases....I don't remember this being an issue in my childhood. Of course, we didn't have a school nurse, either.

But I'm forever calling a parent and telling them their kid ran into something. When the mom seems slightly embarrassed I assure her that this happens ALL the time. Or if there's a really strange incident like when a kid accidentally had a holly berry "fall into his mouth" and thought he was poisoned. His mom just cracked up when I told her, "I promise, this isn't even the strangest thing that happened today."

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Specializes in School.
Do you all have a lot of possible concussion situations (or just bumps on the heads) from kids running into things? I mean, my kids are constantly running into walls, poles, trophy cases....I don't remember this being an issue in my childhood. Of course, we didn't have a school nurse, either.

But I'm forever calling a parent and telling them their kid ran into something. When the mom seems slightly embarrassed I assure her that this happens ALL the time. Or if there's a really strange incident like when a kid accidentally had a holly berry "fall into his mouth" and thought he was poisoned. His mom just cracked up when I told her, "I promise, this isn't even the strangest thing that happened today."

I call on most head injuries. I work on the high school campus and have seen concussion s/s show up hours later or the next day. Even when I work the elementary school I will call.

I also will call on strange things also. You never know what they Little Darlings will go home and tell mom.

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Specializes in NCSN.
Do you all have a lot of possible concussion situations (or just bumps on the heads) from kids running into things? I mean, my kids are constantly running into walls, poles, trophy cases....I don't remember this being an issue in my childhood. Of course, we didn't have a school nurse, either.

But I'm forever calling a parent and telling them their kid ran into something. When the mom seems slightly embarrassed I assure her that this happens ALL the time. Or if there's a really strange incident like when a kid accidentally had a holly berry "fall into his mouth" and thought he was poisoned. His mom just cracked up when I told her, "I promise, this isn't even the strangest thing that happened today."

I was just tell my hubby that kids are SO CLUMSY!

It also doesn't help that in PE they are learning how to "safely fall" while on roller blades, I have considered just camping out there until this unit is over.

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Specializes in School Nurse.

OMG the roller blade unit, the jump rope unit, the pacer, and on and on and on . . .

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Specializes in school/military/OR/home health.

The pacer test...why, PE teachers, WHY????

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The pacer test...why, PE teachers, WHY????

To torture the nurses!

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Specializes in IMC, school nursing.
Do you all have a lot of possible concussion situations (or just bumps on the heads) from kids running into things? I mean, my kids are constantly running into walls, poles, trophy cases....I don't remember this being an issue in my childhood. Of course, we didn't have a school nurse, either.

But I'm forever calling a parent and telling them their kid ran into something. When the mom seems slightly embarrassed I assure her that this happens ALL the time. Or if there's a really strange incident like when a kid accidentally had a holly berry "fall into his mouth" and thought he was poisoned. His mom just cracked up when I told her, "I promise, this isn't even the strangest thing that happened today."

^^^THIS^^^

This is the number one eye opener becoming a school nurse. I have more documented concussions in a 125 student school in 2 years than I heard about in 16 years of school (K- College). Egg heads, that's what I have found that children are.

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Specializes in school nurse.
^^^THIS^^^

This is the number one eye opener becoming a school nurse. I have more documented concussions in a 125 student school in 2 years than I heard about in 16 years of school (K- College). Egg heads, that's what I have found that children are.

Do you think the documented/diagnosed concussions were mostly the real deal, or do you think practitioners might over diagnose to cover their derrieres?

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Specializes in IMC, school nursing.

Most were symptomatic enough. I know there is more awareness now, but it really seems more prevalent.

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