River Song, RN

River Song, RN

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All Content by River Song, RN

  1. End of the year new entrants

    Yep, we get kids all the time. I've had at least 10 enroll this month and their last day is June 1st. We had three poor kiddos enroll the day before our state standardized testing the first week in May .... so not only did I have to do screens and tr...
  2. Summer 2018 Plans?

    River's ears perk up:geek: crazy, small world as that's my hometown though I haven't lived there for close to 20 years!!! The first half of the summer will be me chauffeuring my children to theater camp, golf camp & ballet camp. The the other ...
  3. Potty accidents

    Research encopresis - in older children it's almost always a result of chronic constipation. Yes, there are medical things that can cause issues, but if it's an older kid who suddenly has issues - a medical cause like Hirschsprung's or something sim...
  4. ... and now for the consequences

    I have an entire file folder labelled "lice letters 2017 - 2018" due to this stupid law. I have however made the interpretation that the same kid with lice a month later is not a new case but just a continuation so I don't send out letters again unti...
  5. Nursing Interventions

    Stomach ache before 11 a.m. -I always ask about breakfast. Take temp offer bathroom, have them drink a glass of water then back to class. Stomach ache after lunch- inquire on what they ate for lunch after which they generally receive a lesson on how ...
  6. For those with T1D kids

    I haven't had to deal with a diabetic student yet but when I read about these non-compliant children, I think of my Aunt. She was diagnosed at age 11 and she was already the very spoiled youngest child per everyone's report. My grandparents didn't w...
  7. I'm a director, not a nurse

    I have one of those as well! The first time each specials teacher saw the student fall down they were quite concerned until I nonchalantly said, "ok, friend- time to get up now." And interestingly enough this kiddo has an older sibling who likes to c...
  8. How do you store your inhalers/spacers???

    So tell me how you store your inhaler and spacer in your clinic!!! I have a small locked medicine cabinet (smaller than what more people have over their sinks at home) on the wall where I put my oral meds. Then I have cabinets below the counter and ...
  9. How do you store your inhalers/spacers???

    Thanks for the ideas! Any more just keep them coming!! I do like the hanging shoe/purse organizer idea ... i have plenty of open wall space. I have a HUGE office but the storage was so ill designed. I have a row of fairly large cabinets above my coun...
  10. How do you store your inhalers/spacers???

    How do you actually store the items on the shelf though??
  11. The one time I take off ... 911 gets called!

    I have been at school every day since I started my job the end of August, to the point where my designated office staff trained to function in my absence joked about how I never needed them. Then the week before Spring Break my 3 year old gets strep ...
  12. Med Schedule

    Our medication policy states that only medications that are required to be given during school hours are administered- a once a day morning med is given before schools, three times a day meds are before school, after school and bedtime. Basically unl...
  13. The one time I take off ... 911 gets called!

    I meant to make it clear that I know nurses reluctant to give Epi when they have an action plan in place and have called parents instead.
  14. The one time I take off ... 911 gets called!

    Just wanted to respond to a few comments as I think this is such a great discussion and one I have particular interest in as an allergy Mom!!! To just reiterate, I was SUPER proud of my office staff and yesterday was our first day back since it happe...
  15. The one time I take off ... 911 gets called!

    I would love to see some research on *why* the hesitation to use epi? It is so very prevalent, I've had colleagues wait for parents to arrive as they would rather the parent make the decision. As an allergy mom myself, I know there are still so many ...
  16. The one time I take off ... 911 gets called!

    Getting praise from OldDude, RN at the virtual nurse's station should be what all new school nurses aspire to!
  17. Do you have albuterol standing orders or a respiratory distress protocol?

    My district does. It began as a partnership between a Judge and other government officials at the county level who partnered with a University and a local children's hospital as we have a higher incidence of asthma.Several districts in our county now...
  18. Bathroom accidents...

    To answer the original poster, my PreK and K classes actually have their own bathroom in the classroom. Shortly after I started, I had a discussion as some PK & K teachers were giving the children their spare clothes and sending them to my office...
  19. The Grinch Nurse

    One of my kinder teachers tagged me in it ... SO spot on!
  20. I feel that my building design was brilliant in that my clinic is off the main office and main entrance. Within 10 feet of my office door is the entrance to the cafeteria, the gymnasium as well as the exit to the playground area. I am only seconds aw...
  21. Medication Mishap

    Just some other things to consider doing for work, if you like working with children check into pediatric home health agencies or pediatric hospice. These agencies sometimes hire non-nurses to help with personal care tasks at home or in school ... ba...
  22. For the most part my first year has gone well and I think that most of the staff are quite respectful of my knowledge. When I started I often said, "I may not know exactly how things are done in this school, but I DO know sick children." Yesterday, I...
  23. Camp nursing in summer

    I am having a huge smile on my face as in college I worked as a counselor at a Girl Scout resident camp also called Camp Widjiwagan :) It was in Central Illinois and I would never have dreamed there was more than one place with that name!
  24. what do you do?

    I truly have this mindset and my limited experience has now proven that it's not "contagious" in the way parents and the public think it is. I have two sets of siblings that have been repeat offenders ... never anyone else in their classes showing up...
  25. Travel nurse during summer break?

    I like the idea of being held prisoner - I bet it is often like that! Is I didn't have littles at home, I would grab a camp job for summer, or at least a few weeks of it.