River Song, RN

River Song, RN

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All Content by River Song, RN

  1. Travel nurse during summer break?

    I honestly don't know how that would be looked on by a potential employer. The better NICUs usually had fairly strict criteria for who they wanted to bring in on contract - mainly because you get at...
  2. Travel nurse during summer break?

    I worked as a travel nurse from 2006 - 2008 and STILL get called by recruiters even though I haven't traveled in years. I think the biggest potential problem is if your full time job hasn't been in...
  3. IHPs

    Does it make me a bad nurse to say that I honestly don't see the point for much of this paperwork?? I mean sure, I have my handful of kids with health issues identified and I know their histories. I...
  4. I love living/working in a small town :)

    I know many people love it but it wasn't for me - different strokes for different folks. I grew up on a farm in the Midwest and the nearest town was so small that it didn't even have a traffic...
  5. Thanksgiving Break is Upon Us!

    This is my first year as a school nurse and as I was warned, the transition from acute care to the school has been rough at times. I spent a lot of days wanting to quit and go back to the NICU but...
  6. ADHD meds in milk?

    You might want to read the medication insert previously linked as it states: • Capsules: o VYVANSE capsules may be swallowed whole. o If you have trouble swallowing capsules, open your VYVANSE...
  7. Anorexia

    I just wanted to send some supportive *HUGS* to you and hope that you continue to gain the upper hand in the struggle. This is a topic close to me as a good childhood friend developed an eating...
  8. $$ to spend

    Good suggestion. I have wondered about this .... I have a handful of asthmatics with no spacers and didn't know if there was a problem with my getting one to use with an MDI if the family didn't...
  9. How to handle a 3rd grade hypochondriac?

    I would appreciate any advice on how to best handle this student. Student quite dramatically holds his chest and starts breathing heavily claiming he has chest pains. Comes to me clutching his chest...
  10. Have you ever seen the vomit that is expelled after consuming flaming hot cheetos? It is a particular shade of red/pink that does not exist in a normal body and it actually can stain your bathroom...
  11. School Shootings

    I won't lie, when I started this job one of the first things I mentally went through was how I would respond to an active shooter. My office is right next to the front door and if I weren't in the...
  12. How to handle a 3rd grade hypochondriac?

    I feel bad for the teachers as his behavior is so disruptive to the class as he is doing it multiple times a day ... classroom, art, PE, cafeteria. Miraculously it never happens at recess. This...
  13. How to handle a 3rd grade hypochondriac?

    I do like this idea. I feel like pulling out my pulse ox and stethoscope every time is only fueling the problem but as a first year school nurse I'm always worried about my liability. Given that his...
  14. High School - School RN advice

    I am laughing out loud because semen extractor actually IS a job. A good friend who is now a highly respected genetic scientist told me about having to "collect semen" at the pig farm when she was a...
  15. Changing kids clothes and cleaning them

    Our District has a very strict policy that we are not to help (hands on) with changing clothes of Kinders and up. If they can't be talked through it, we need to call a parent. Obviously if we have...
  16. Flaming Hot Cheetos are NOT a health food choice!

    In talking to other nurses in my area, they are serving the demand. The high school only sells spicy chips like the spicy Doritos and flaming Cheetos. Our population is almost entirely Hispanic and...
  17. Flaming Hot Cheetos are NOT a health food choice!

    PREACH!
  18. NG Tube?

    I can't understand a reason that would happen. If it's a feeding tube for a short-term enteral feeding regimen I guess I can see it? I'm just not used to seeing pediatric patients discharged from...
  19. called 911

    You absolutely did the right thing. For perspective, our school district has stock albuterol and nebulizers in each school and a very specific respiratory distress protocol we can activate...
  20. What are you seeing in your office?

    This past week it's been broken arms for me! Two first graders in three days had closed fractures at recess from falling off the playground apparatus. One was a broken humerus near the shoulder, the...
  21. I did something wrong. Help!

    Was it a letter from the Health Department? I had a possible mumps case my second day on the job (reported to me by a parent) and when I called the Health Services Supervisor of our district, I was...
  22. Type 2 DM that parents refuse to treat

    I have a group of siblings at my school and after I started as the new nurse, two of them quickly tested the limits of how long they could get out of class with me for various non-specific complaints....
  23. Munchausen on the increase?

    I got my first request for this last week. The kid has ADD and asthma, he's actually quite sweet despite his Mom constantly telling him he's not smart (she said this in FRONT of me!) and other...
  24. Type 2 DM that parents refuse to treat

    This is my thought as well now. The 504 mainly mentioned hyPOglycemia issues and in the absence of any medication or insulin, I think this would be quite unlikely. If anything, I would think...
  25. Type 2 DM that parents refuse to treat

    I should preface all of this with the fact that I've only been working as a school nurse for 6 weeks and that my "training" consisted of being given a bunch of manuals. For a variety of reasons...