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  1. jess11RN

    Invites to IEPs

    I am frequently the last person considered when it comes to IEPs. Recently, I was given a 5 day notice to an IEP meeting and even more recently, an IEP meeting was rescheduled and I had no idea until they called me...DURING the meeting. It doesn't help that I cover 2 schools (so out of sight, out of mind, I suppose) but the communication is lacking. I've tried several times to talk to people about this issue, but no matter how much I try, things seem to be getting worse. Folks are genuinely apologetic, so I can't get too upset, but I'm wondering if you all face the same issues? Is there a certain process that you follow that seems to help?
  2. jess11RN

    Gender Bias in Pediatric Pain

    I actually see so many more girls for injuries than boys. I feel like boys are more likely to "suck it up."
  3. jess11RN

    Lead School Nurse vs Health Services Director

    I'm in this type of position right now. It's extremely difficult and frequently disheartening.
  4. jess11RN

    What are your thoughts?

    So, here's my concern....I'm assuming you are taking over for a nurse that left half way through the school year. This doesn't happen very frequently, so it makes me wonder WHY the previous nurse left in the middle of the school year. Was it a health concern, maybe a job offer they couldn't pass up, maybe they won the lottery? Or, did the administrator set unrealistic expectations for them as well and they just couldn't take it anymore? I'd first gather some data, show the administrator how many students you're seeing in a day, note how much time you're taking to take care of each student on average and make note of how long it takes to enter all this data and try to show her how unrealistic their expectation is. Also, as previously stated, most states do require a certification for vision and hearing screening, not just a 5 minute demo. That's ridiculous. Find the law that supports that and show the administrator. If they are still sticking to their unrealistic expectations, then bye bye. If you can, pair up with another local school nurse, see if they can mentor you through the rest of your first year. They'll be able to guide you with regards to local mandates. Good luck and hang in there!!
  5. jess11RN

    PTO/Sick Leave, etc.

    Yep. I'd be sick that day. Family is the most important thing you have. We get 10 sick days and 2 vacation days. Sick days roll over into the next year, but vacation days do not.
  6. jess11RN

    Happy Friday!

    It's been a week
  7. jess11RN

    Asthmatic emergency

    I agree with Old Dude, there has probably been a history of lack of education/compliance. I'm wondering if mom got an earful from the pediatrician she's relaying to you what the pediatrician told her. Don't beat yourself up over this. This can be a tough gig. But, never second guess yourself about calling 911.
  8. jess11RN

    Life outside of school

    I'm so sorry Hugs.
  9. jess11RN

    Vision and Hearing

    It is state required to have an opthalmological exam before Kindergarten. I only screen the ones who haven't turned in their forms, which is typically about half. I had to fight that battle and last year when they wanted me to vision screen every one of them.
  10. jess11RN

    Judgement being questioned

    This is exactly what I dealt with when I started my position here. I was the first nurse in the district, so a lot of my judgement and my new rules were met with A LOT of push back. (NO! You can't keep your ice cream in the health office freezer!) I was even asked to take down a cutesy "privacy matters" sign because it offended some of the staff. The sign was directed more towards the students and simply asked nicely to not ask kids why they're in my office, not touch my stuff, and to wait patiently and quietly while I'm on the phone. I spent many days almost in tears out of frustration. This is my 3rd year here now and it has improved drastically since then because people now have gotten to know me and trust me. Many actually advocate for me and stress that I need help (I go between 2 buildings). I'm not saying all is perfect, but at least now I know that most of the staff have my back. The longer you're there, the more opportunity you'll have to get to know them and vice versa. Then, maybe a lot of the angst will go away. I'd try to stick it out through next year, see if you can build those relationships and see if things change. If you have to move on, then at least you tried. Try not to let the negativity get to you (easier said than done, I know), keep your head held high, and know that YOU are the medical professional.
  11. jess11RN

    Vision and Hearing

    Yay! We're back! I am getting the feeling that it will be proposed by other specialties that I screen hearing and vision in our incoming kindergartners (ie, the kindergartners starting in the 2019-2020 school year) before this school year ends. Do any of you participate in a kindergarten screening like this? I love the idea of finding potential issues before the school year starts, however I have some concerns: 1-Any fails, I would be unable to rescreen unless the parent wants to bring the kid back 2-If they passed the vision "screening" parents would hesitate to bring their student for the required kindergarten opthalmological examination. 3-I screen them first thing in the fall (I complete my mass screening within the first 3 weeks of the school year starting). Anything prior to that school year wouldn't be valid, so I would have to repeat everything again (similar to what I already do for our PreK program). I would love to hear from you guys to see what you do before I'm put on the spot later this week when we have our meeting with the kindergarten team and admin! TIA :)
  12. jess11RN

    Need to vent and process this

    I completely agree with self-reflection and further research. I do that with many situations and I agree that it does help make me a better nurse! FARE and ACAAI both recommend giving epinephrine with generalized hives. "Epinephrine should be used immediately if you experience severe symptoms such as shortness of breath, repetitive coughing, weak pulse, generalized hives, tightness in the throat, trouble breathing/swallowing, or a combination of symptoms from different body areas such as hives, rashes, or swelling on the skin coupled with vomiting, diarrhea, or abdominal pain. Repeated doses of epinephrine may be necessary." Epinephrine Auto Injector | Symptoms & Treatment | ACAAI Public Website I understand fully what you are saying regarding the definition of anaphylaxis and when epinephrine would be definitively warranted. I also understand that hives can be caused by a multitude of reasons. But, when these national organizations support the administration of epi in the community with hives, when both organizations campaigns are "when in doubt, give epi." What are we (as school nurses within the community) to do when things are questionable, other than give epi? It's a tough situation to be in, unfortunately. Especially being in the school when we are the only medical personnel armed with nothing but a stethoscope, pulse ox, stock epi (if we're lucky), and a phone to call 911 if we are in need of additional medical supports.
  13. jess11RN

    New School Nurse - how to prepare

    Is there another school nurse in your district or local area school nurse that you could ask to "mentor" you during your first year? Your biggest learning curve will be in regards to state regulations and what paperwork/mandates there are. So, that is where a local nurse can help. Always remember that we are all here to answer any questions too!!! :)
  14. jess11RN


    Happy almost Christmas Break to you! I still have 1 more sleep. Still unsure if I will make it
  15. jess11RN

    When admin fails to share "critical" information

    YES!!! I thought that only happened to me!