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Purple036

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  1. The teacher has a "potty schedule" and the student goes to the restroom but she seems to have them in the afternoon during transition time to another classroom. We have spoken to those teachers to allow the student to go before and after transition but unfortunately when she is in the classroom she has an accident.
  2. Purple036 posted a topic in School
    Hello everyone! It's been a while since I have been on this site but it has been a pretty busy school year for the past 2 years. So now that we are getting back into the swing of "normalcy", I am seeking some advice. OK so here it goes..... I have a PK student that has frequent restroom accidents, urine and bm accidents (not diarrhea). The student wears pull-ups and sometimes underwear but mostly pull-ups. We have tried to put the student in underwear to see if this would help the child learn to use the restroom but still, they have an accident. I have requested the parent to notify the PCP and requested documentation if there may be some underlying health problem or a solution to the problem. Ultimately I think my student has accidents due to being busy and does not want to take the time to go. What are your opinions or advice? I want to help this student and others that have the problem. Thank you all. Have a great day! **2 more days till Spring Break! YAY!**
  3. I agree. I feel bad especially because it is almost the end of the school year but people still need to remember COVID is not gone and you are still sending your students to school during a PANDEMIC!
  4. Purple036 replied to arlingtonnurse's topic in School
    I have a student who has hydrocephalus. They require tubal feedings and the parent request this take place in bed. The student is wheelchair bound but very mobile when laying bed therefore needing the student to be shifted up into 45 degree angle continuously. Also, the student has GERD and gags alot during feedings especially when they have a cold. Due to this I requested an aid to be with the student during feedings for monitoring and care. It also helps this year due to COVID and having to be in one place for an hour is not feasible for the only school nurse.
  5. These are my rules this year and we have been face to face all year: Headache · Give water · Did they eat breakfast or lunch? No, give a snack; yes, give water or rest. · Rest at desk 15 minutes or less · PERSIST SEND TO CLINIC Cough · Give water · CONSTANT/PERSIST SEND TO CLINIC Muscle/Body Aches · Did the student come from PE/recess? Advise to rest at desk and drink water · Localized injury? Give ice · PERSIST SEND TO CLINIC Congestion/runny nose · Have student blow nose and wash hands · Give water · PERIST SEND TO CLINIC SEND TO CLINIC IF STUDENT: · SORETHROAT · NAUSEA/VOMITING · DIARRHEA · SHORT OF BREATH/DIFFICULTY BREATHING · FEVER (FLUSHED, BODY ACHES, NOT ACTIVE) o *BE ADVISED IF THEY CAME FROM PE/RECESS TO REST AT DESK AND DRINK WATER* · NEW LOSS OF TASTE AND SMELL *CALL BEFORE SENDING STUDENT TO CLINIC OR PLEASE SEND WITH A NURSE PASS* EXTENSION: PLEASE GIVE THE NURSE: · STUDENTS NAME · COMPLAINT · TREATMENT DONE FOR STUDENT · HOW THE STUDENT GOES HOME · STUDENTS BELONGINGS DO NOT SEND STUDENTS TOGETHER TO THE NURSE’S OFFICE IF A STUDENT NEEDS TO BE BROUGHT TO THE NURSE PLEASE REQUEST NURSE TO COME AND GET STUDENT OR SEND STUDENT WITH A STAFF TO CLINIC WITH A NURSE PASS PLEASE RING THE DOOR BELL FOR ASSISTANCE STUDENTS AND STAFF MUST WEAR A MASK BEFORE ENTERING CLINIC.
  6. I have a TD1 1st grader. We do FSBS 3 times daily per MD orders. The first FSBS check the student will bring in a card that states what she will be eating for lunch. I copy this on a red index card so that she is able to show the cafeteria staff what she can eat that day. This card is made by the parent due to me providing the lunch calendar for the month to her. At the lunch FSBS and insulin administration we calculate the carbs she will eat and then admin according to her diabetic care plan. She will then return to lunch so she can eat. I have 3 UDCAs and 1 is a monitor in the cafeteria. She encourages and notifies me if the student did not eat her lunch. Also, if it is a lunch from home the parent will provide a index card with the carbs calculated (I recheck) and follow according to diabetic care plan of administration for insulin.
  7. I have seen no decrease or improvement in my school at this time. I have 4 cases and that is with in 3 days of returning from SNOVID. I hope the TEA continues to require mask because if not the will increase and so many kids will then be quarantined.
  8. Excuse my language (said no cursing angry parent to me) but it's a damn if you do damn if you don't. I would rather they be upset with me for doing all I can than not and someone becomes critically ill or dies due to me not stepping up. It is sad that I have had to fight my administration to quarantine students such as classrooms. Recently I had a classroom of over 20 kids have 5 kids and a staff member test positive. When I found out we had 3 positive at the time I requested to quarantine the classroom due to that being considered by our health department an outbreak. The answer I received was we had to wait on administration to allow us to do so. Well the next day the finally agreed and by the end of the week we had 2 more cases. If we didn't quarantine the class then we would have 2 positive asymptomatic students in school spreading this and continuing this cycle. I loved my job but this year its making it harder for me to enjoy it.
  9. So Yes! A similar thing happen. Event: Called by PreK teacher and staff of a student c a possible seizure. I went down to the classroom with my emergency bag and basket of diastat. When I arrived the student was on his mat on the floor due to just waking up from nap. The student was pale, refused to speak and shaking. I called 911 and notified administrative staff. I requested the teacher to call the mother and request to come to school. I carried the student to the clinic and had the medical assistant present with me. I was unable to get a good pulse oximeter reading but managed to get all other vitals which were all in normal range. The student was still very quite and refused to speak but became more alert after speaking to him. The shaking stopped after less than 1 minute in clinic. EMS arrived and I notified them of the incident, assessment and student with out a history of seizures or medical problems. The teacher arrived and was able to notify that the student had no head injuries at school. Vitals were taken by EMS which were in normal limits. The parents finally arrived and the student was signed AMA with EMS by parents but the student was taken by car to ER by parents. The mother did state the student had a history of night terrors and does shake during and after them. I did a f/u and received discharge paperwork stating the student with night tremors and referred to neurologist for further evaluation. Also, the CT scan came back normal. The student returned to school and has had no episodes again. I believe you made the best judgement for your student. Do not second guess or doubt your skills. Improve your skills. Always review but never let the event dwell as it will make you have anxiety and cause you to doubt yourself.
  10. Purple036 replied to Purple036's topic in School
    Thanks everyone for the confirmation and input. I appreciate you all. I hope you are all doing well. You are all in my prayers. Good luck everyone because its already been crazy at my school already. 2 days down, 172 days to go. ?
  11. Purple036 posted a topic in School
    What are y'all doing about nurse passes? I think I will still have the teacher fill it out because I work with PPCD-1st grade students and a lot are spanish speaking. BUT I will NOT fill out and return with student. I may message the teacher or call if need be especially if I am sending home. Do you think this is safe or do I need to not do nurse passes? Thanks for your advice. I hope you are all doing well. Please take care of yourselves. You are all wonderful people.
  12. Hello everyone coming to you from Texas. At this time we are scheduled to reopen our school district in mid August with the option of face to face or virtual per parent choice. At this time our COVID rate is high and I am especially nervous for when school starts. Viruses spread like wildfire in schools and for us to go back especially face to face I am concerned we will definitely have a huge increase of COVID positive cases and end up back where we were in March/April.
  13. I'll continue to send emails with my concerns, but I have little faith that anything I say will be heeded. I'm just going to sit back and watch it burn.
  14. Purple036 posted a topic in School
    Hello everyone! I hope you and your families are doing well. I know we have tons of questions for everyone especially those in higher authorities but I wanted to get your opinion on matters we face at school already along with COVID19 in the mix. I have some students who have multiple underlying health issues. They are pretty critical and I am concerned for their health. Do you think it is best for me to mention to the parent and IEP staff of possibly making these students homebound due to the unforeseeable future due to this pandemic? I am concerned for the student and also the liability. If the student comes to school contracts COVID19, becomes very ill and something happens the parent/guardian would come back at the school. Especially the nurse (I would think). What do you think?
  15. I do hope it opens their minds to vaccinating their children especially for COVID 19 when it becomes available but I am sure it will not be mandatory for school entry.

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