MountainRN

My district has said this would be a violation of FAPE laws but I would think safety of the student should take precedent. I have another student starting next week in that same classroom that will require a nurse and doesn't have one so trying to figure it out another solution again!

Hello! Today I took the temp of a student brought to me that was throwing a tantrum. This is a baseline behavior for this student. No fever so was escorted out by the para. The student was brought back by the counselor and coaxed into the office again 20 minutes later and counselor stated the student felt warm again. Again, no fever. I explained to the counselor we do not call home for behavior issues and this is the student baseline and she just ignored me and left anyways. The student proceeded to kick and scream for 30 minutes. This caused two students to loose access to the health room for headache and a nose bleed and a we had to log and count controlled meds with a parent in the foyer. This is not the first time this counselor has done this. I understand ruling out fever but I feel we are being dumped on and it is impeding other students access and the normal health room processes. She also has an office with sensory toys and a bean bag. Anyone have this issue?

My district agreed and we hired a nurse for the student! Yay! I'm so happy to have the support. I am so super busy and the agency nurse called in sick just today and thankfully we had our back up district nurse there to provide safe care. I would have been so swamped otherwise!

So I would still have my 2 buildings and 1200 kids, but any time the primary agency nurse called off, I would be expected to care for the 1:1 student. I would not be able to do anything else when I am with that student. Another nurse would take emergency calls and questions for my buildings. My fear is since he is so complicated, jumping in randomly and whenever would be really difficult and possibly a dangerous risk to him and my license. I feel like this is too much for one nurse but I wasn't sure what others have been asked to do. I decided and communicated that I cannot do this.

Hello! I am just wondering your caseload requirements and seeking some clarity/validation. I currently have 3 programs with around 1200 students including some pre-K classrooms. I have been asked to also cover a 1:1 medically fragile student when needed. This student is on a ventilator among other things and requires total care that cannot be delegated. I am capable of caring for the student but worry about keeping up with everything else. I do have two health paras that do the day to day office visits and help with immunizations etc. Is it a typical expectation of a school nurse to have a 1:1 student as well? Anyone else have this type of assignment? Thanks for your input!

Hello! So I've just begun a new nicu job after leaving my old one of 8 years. Wow do the two facilities differ in care. I'm wondering about some specific things. There are several but I'll start with this question: What is your policy for flushing medicines on central lines when there is currently heparin running in from the main line tpn on single lumen catheters? One place used saline as heparin was already infusing in the main line. The other uses heparin only to flush after every med including prn analgesics. Too much heparin? Thanks for any info!