jacjon

Hi everyone, I am a school nurse at an elementary school - I was just informed by my supervisor that a student will be at school on Mon with a Picc and antibiotics are to be given during school hours. I have not had to work with a PICC in a few years, but, I looked at a couple of reference books and my mind has been refreshed. But, I am having a hard time finding any info on activities this student should refrain from (ex. PE?) Also, my office is also used for storage, so, I am worried about contamination. Any suggestions would be helpful. Thanks!

I am a nurse in a rural elementary school approx 7 miles from the closest EMS. We do not have an AED at out facility (in the works though). I do have a teacher who has an implanted defibrillator. Does anything change if this person arrests? I would think I start CPR as I would anybody else until additional help arrives. What other information would they need? She does have information about the ICD for me. I worked 2 years in a medsurg unit and my experience with cardiac is limited. thank you for your time!!

School nurses - do you keep epipens in the clinic or in the classroom. I have been a school nurse for approx 3 months and the epipens are in the clinic. My thought is that the teachers should be trained and kept in the classroom with the student. But, then agan, the student goes to lunch, art, PE, recess, etc. would it be better to keep it in the clinic where we know where it is?? Thanks for your help!!

I worked as a medsurg nurse for 2 years before becoming a long term sub school nurse. Here is my problem - I have never seen actual nits/lice. I have seen them in books and videos on the internet - but, that is not the same. I have had to do lice checks for 2 entire classrooms and did not find any lice/nits. One child was in the clinic twice complaining of her head itching. I looked - but did not see anything - sent her back to class. 2 weeks later her mom calls the principle - the child does indeed have lice. The parents treated and sent her back to me to check. I "think" I found some nits because they were brownish and were hard to remove from the hair shaft. Because our county has a no nit policy, she was sent home. So, now I am so stressed out over this lice thing. I keep thinking that I somehow missed some students in the classes I had to check. Should I recheck them? Please give me advice on how you check at your schools. Thanks for your time!

I have worked as an RN for 1.5 years in a busy Med surg unit. I have been interested in working as a Hospice nurse. There is a position posted in our local paper - the ad states must have IV skills. What does this mean? Do hospice patients have peripheral IV's? That is my worry because inserting IV's is my downfall. Or, is it mostly PICC's, vas caths etc.

Please tell me what I did wrong. Patient was on levaquin IV. Doctor prescribed a now order for Lasix IV push. So, I stopped the levaquin, ran the Saline line at 100 for 25-30. Then I proceeded to push the lasix. I drewback and the syringe looked a little cloudy - but, because I never saw a med precipitate (I thought it crystalized immediately). I made a stupid, stupid judgement and thought it was ok. I started to push it but then second guessed myself and stopped. I turned off the pump immediately and took the line off the patient. Only then did I see the crystalization. Can you please tell me what I actually did wrong? Did I need to flush it longer or should I have gotten a new saline bag and pushed it through a new line. Luckily, the IV therapist was in the next room so, I had her look at patient's iv site, she was able to flush 10cc. I am really upset about this - I keep thinking what if i would have continued to push the lasix. What would happen? Also, I worry that some of the contaminated fluid entered the patient. Most likely not, but, would the IV flush if the precipitated fluid went into the vein? I am a new nurse, but it doesn't excuse my mistake. thanks for your response.