River Song, RN

River Song, RN

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All Content by River Song, RN

  1. Type 2 DM that parents refuse to treat

    River Song, RN replied to River Song, RN's topic in School

    Oh sorry, 504 is actually mainly for a learning issue and this health issue was apparently tacked on. I was totally blindsided when I got pulled into the meeting during my lunch

  2. Abstinence Programs

    River Song, RN replied to KeeperOfTheIceRN's topic in School

    Well that's because our teenagers don't have sex before marriage ... Texas has the highest rate of repeat teen pregnancy in the country | Commentary | Dallas News Or maybe

  3. Head injuries

    River Song, RN replied to OhioBPH's topic in School

    That is so true as to what will happen in the hospital. I used to work at a children's hospital in an observation unit/ED overflow and we would get the occasional closed head injury that they decided...

  4. Stressed out, is it just me?

    River Song, RN replied to AllykatRN's topic in School

    You're not alone! I've only been doing this for 5 weeks and I still think of quitting at least 4 days a week :) In the beginning, I made a list of priorities and goals and it helps me stay sane. A...

  5. Immunization Compliance

    River Song, RN replied to RNTexas13's topic in School

    It's definitely a process and I'm so jealous of those who have full compliance! This is my first year too and I didn't start working until the second week of school. Usually the nurses start the week...

  6. What happens when the nurse is sick?

    River Song, RN replied to Julius Seizure's topic in School

    Ha! Now that's some truth! I'm in a district with over 125 schools and the list of subs has 5 names. I quickly realized that the nurse can't be sick

  7. Homecoming ......

    River Song, RN replied to cooties_are_real's topic in School

    I am not a native Texan and for giggles and grins I have my friends google Texas homecoming mum.” I'm glad I don't work in high school as I don't know if I could contain my laughter. We just...

  8. Tips for....

    River Song, RN replied to KeeperOfTheIceRN's topic in School

    Adding that in the future, I would wait to screen my Kinders and 1st grade til they were farther along in school, I think it would have gone quicker but I had to get everyone screened by mid-September...

  9. Tips for....

    River Song, RN replied to KeeperOfTheIceRN's topic in School

    Kinders and 1st grade were definitely a challenge! I went to their class and talked to them all before hand so they knew what to expect. Side note: I was surprised at how many 1st graders didn't know...

  10. Question

    River Song, RN replied to Amethya's topic in School

    The fact that she confided in you speaks to how the students must feel about you, take heart in that. I'm also in Texas and I was told that if I became aware of anyone under the age of 14 having sex,...

  11. Asthma and Field Trips

    River Song, RN posted a topic in School

    I did search through old threads on field trips and got some great ideas on things to send with the teachers, so thank you to the community for that! My specific question is that in my student...

  12. Asthma and Field Trips

    River Song, RN replied to River Song, RN's topic in School

    Also wanted to add, all of the schools in our district have been provided nebulizers by the home health agency run by our local children's hospital. We have standing nebulizer orders and a protocol...

  13. Asthma and Field Trips

    River Song, RN replied to River Song, RN's topic in School

    So to answer the questions, my best guess as to why this kiddo has an albuterol neb order is that it's written from a family practice doc vs. a pedi or an asthma doc. My own asthmatic was never on...

  14. HSV Encephalitis

    River Song, RN replied to nurseshajwani87's topic in School

    We sadly do see those kids in the NICU and unless they have lesions (I can only recall one child that had herpetic lesions on their skin in addition to the encephalitis), we don't even isolate them...

  15. Asthma and Field Trips

    River Song, RN replied to River Song, RN's topic in School

    Oh sorry that might have been confusing, the field trip to the zoo for this particular student is this coming week and it's a half day trip. The one where I have a whole group of asthmatics going all...

  16. Asthma and Field Trips

    River Song, RN replied to River Song, RN's topic in School

    Thank you for your comment! I do have several kiddos with inhaler orders that specifically allow PRN prior to exercise and hadn't thought of that. I was just feeling uncomfortable with administering a...

  17. Crowded clinic

    River Song, RN replied to OhioBPH's topic in School

    I haven't run into this problem yet as I am blessed with a huge clinic but a good friend worked in a very small clinic that had upwards of 80 visits a day. At busy times she started giving out "come...

  18. A new one for me

    River Song, RN replied to mrsfoster601's topic in School

    At what age are kiddos normally able to understand the concept of gargling?? I'm amazed at how many don't understand putting the thermometer under the tongue when I'm checking for fever or spit when...

  19. Old Dude or other Tx nurses...is it true?

    River Song, RN replied to SaltineQueen's topic in School

    Yes, we had lively discussion on this as the wording is so poor. I keep thinking of all the health topics that *could* have been addressed and we got this?? I actually haven't seen any live lice yet,...

  20. Old Dude or other Tx nurses...is it true?

    River Song, RN replied to SaltineQueen's topic in School

    I'm in Texas and we were just talking about this exact situation at a staff meeting. The way our new law is (poorly) worded says that we have to notify if we become "aware" so I guess if I have a...

  21. Ears and Throats!

    River Song, RN posted a topic in School

    Hello everyone! Newbie school nurse here and I'm curious as to: 1. Do you look into ears and into "sore" throats? 2. What do you do with your findings? coming from the hospital environment (and mostly...

  22. New School Nurse

    River Song, RN replied to CM1244's topic in School

    I'm in my third week of the transition from NICU to school nursing. Two of my coworkers made the transition the year prior and told me straight up not to make any judgements until the end of the year....

  23. Ears and Throats!

    River Song, RN replied to River Song, RN's topic in School

    Thank you to everyone for the responses. I honestly have a lot of frequent fliers that I've already detected in my 3 weeks as a school nurse so if nothing looks abnormal, I'm just sending home a note...

  24. How do your students address you?

    River Song, RN posted a topic in School

    I'm going to be working out of the hospital for the first time and in an elementary school and was wondering how you normally have students address you? I have a hard to say hyphenated name and in...

  25. Help RN with BSN at school

    River Song, RN replied to dimaanorolando's topic in School

    I won't dispute the kids are fun but the benefits are horrible where I'm at, the most expensive and worst coverage of any job my husband or I have had. My recent hospital insurance was amazing and I...