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J-lynn

J-lynn

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J-lynn's Latest Activity

  1. J-lynn

    Feeling overwhelmed

    Thanks kbm2002. I am going to try and hang in there just to get the experience. Thanks so much for the response. Sure wish our hospitals offered 8 hour shifts on the floor. Twelve hours is just so difficult.
  2. J-lynn

    Feeling overwhelmed

    Hi Everyone, I just returned to the hospital after many, many years away as registry. I am orienting on the Med-Surge floor and finding that the 12 hour shifts are just really too much for me. Wondering if just covering partial shifts is of any value to a hospital. I have seen it done once since I started. I am thinking that after orientation, I will come in when called rather than signing up for a full shift. I would offer to come in for 4-6 hours. Do you see this where you are working?
  3. J-lynn

    IHP templates

    Looking for a good IHP template. What do you use?
  4. Hi All. I was a school nurse in a deaf & blind school for 5 years & absolutely loved it. Now I am in the public schools & am pretty certain that I am not cut out for it. There has been a public health nurse position open for quite some time here. I am wondering what it is like to be a public health nurse. The paperwork in the public school is really getting to me. I am spending the majority of my time on case management & I hate that. I really need more interaction with people than with a computer! So I am curious about public health if you wouldn't mind sharing!!
  5. J-lynn

    Epi Question (new to school nursing)

    Hopefully I am understanding the policy correctly! This is my first year but I did train the teachers that they could give it as well for suspected anaphylaxis. That seemed to be the way our policy read....
  6. J-lynn

    Unusual med order?

    Thanks Ruby Jane & rbytsdy. I haven't done anything about it. I've been so incredibly stressed. Not sure school nursing is for me. I worked as a school nurse at a very tiny school but now I have a very large high school & an elementary school & I am struggling. My bp today was 150/108 & my normal is about 100/70! Thanks for the input. It has truly just not been on my radar since I first noticed it. I've had so many challenging situations. But the paperwork is what is killing me. & I have no office so I am lugging everything around everywhere!
  7. J-lynn

    Epi Question (new to school nursing)

    Here is the policy in my school district...."The District may maintain a stock supply of auto‐injectable epinephrine to be administered by a school nurse or other authorized personnel to any student or nonstudent as needed for actual or perceived anaphylaxis. If the district intends to obtain an order for emergency use of epinephrine in a school setting or at related activities, the district shall adhere to the requirement stated in 20‐5‐420, Section 2, MCA. " I train the teachers to use stock epi for known or suspected anaphyaxis.
  8. J-lynn

    2018 Lice

    I really appreciate the humor, knowledge & wisdom from all of you on these forums!! You are terrific nurses!!
  9. J-lynn

    What would you have done?

    Thanks Old Dude!! I am doing a good job of second guessing every decision I make & beating myself up. Hopefully, I can get better at letting go of it.
  10. J-lynn

    What would you have done?

    I had a 16 y/o girl present with pale skin, headache, nausea, dilated pupils, sitting b/p 104/70, pulse ox showed mildly tachy (104). Laid her down on the floor of an empty office (I don't have a health room or office.) put her feet up and started pushing fluids. It was right after lunch & she said she had eaten. She said this had happened twice before but that she'd never seen a doctor. I gave her some graham crackers to eat & started calling parents. I told dad I was very close to calling an ambulance. She improved but would still get sick when sitting up. I told dad when he got there that I was concerned she would pass out if she had to stand or sit up & would feel better if we sent her by ambulance. Dad wasn't too concerned & said she might just be dehydrated. Her color somewhat improved & pupils. I took her out by wheelchair. I spoke with mom about 4 hours later & she tells me her daughter has hypoglycemia--we have no record of this at school. Mom was just getting home & this young lady is still not feeling well & headache... I am worried about her & thinking I made the wrong decision not to call an ambulance. Mom doesn't seem concerned but I was very close to calling....
  11. J-lynn

    Unusual med order?

    I am sure it does....I will give her a call and make sure it's ok to give so close together. Thanks!!
  12. J-lynn

    rough start to the school year!

    What MHDNURSE says really resonates with me! I am in a similar position & planning to give myself a few months to adjust. If I continue to be so stressed, I will not stay. If it's not a good fit, it's not a good fit.
  13. J-lynn

    Unusual med order?

    I am working at a high school & don't give the meds. It is a very large campus with two buildings & I just can't be in two places at once. So today, I was about to go into a 504 identification meeting when the secretary--who was leaving for lunch--told me one of the students hadn't come down for his medication. I told her we needed to get him down & went into the meeting. He didn't come in until twenty minutes later. I had told her we had an hour either way. But when he came in, I looked at the orders. He had Ritalin 10 mg TID. I'm assuming dad gives the morning dose. According to the orders, we give 10 mg @ 11:45 & 2:15. We were basically an hour late, so I phoned dad to let him know we wouldn't be giving the afternoon dose. I just didn't feel comfortable with it. I am new at school nursing....Is this a normal dose to be giving so close together? Wednesdays will be even harder. We would have to give it at 11:25 & 1:43 or else pull him out of class. I was planning to call the parent about it because I don't have a release to call the NP. Thoughts?
  14. J-lynn

    Glucagon training help!!

    Thanks for all the help friends. I don't know of any specific plan that the doctors give regarding glucagon. In fact, the endo that is most frequently used apparently doesn't like to sign orders and so the parents are supposed to fill out the correction formulas/carb ratios and then we send to the DNE who will sign them. On our DMMP's there is just a spot to note whether they have glucagon and whether it is .5 or 1mg. On a different note....I had a meeting with one of my diabetic students and her mom this afternoon. The mom walked into the room in pretty severe chest pain. The only other symptom was nausea, (some heavy breathing from the pain). She kept heaving but never vomited. No other symptoms--good color, warm, dry skin etc--but had a history of arrythmia and blood clots in her legs. So I had to call the ambulance.
  15. J-lynn

    Help with diabetic students

    We do have independent management orders, but the previous nurse still called them out of class routinely to check on them. I just am not sure if this is really necessary or what it would accomplish. I hate to pull them from class if it's not necessary. Also, I will be traveling back and forth between schools and will have to be at the elementary school 3 times daily for a newly diagnosed diabetic fourth grader and then in the special education room 3 times daily at the high school for a diabetic who needs supervision.
  16. J-lynn

    Help with diabetic students

    I would love to hear from any nurses about how often you check on high school students who independently manage their diabetes and the types of questions you would have for them. The nurse I am replacing saw all the freshmen once a day at first. Then she would see sophomores once a week just to check on them. Then once a month she would pull the older kids out of class just to check on them. Maybe she just wanted to make sure there were no new concerns we needed to be aware of? Or just checking to make sure their needs were being met and numbers good? I am brand new to type 1 diabetes, so any suggestions would be helpful!!
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