stephrooth

LOVE LOVE LOVE this! thank you!

I would say...being the only medical personnel, I feel very anxious. I get chest pains everyday because of anxiety of whats going to happen each day

Thanks! Good point

I copied and revised this from pedi_nurse. What do you think so far? I want to add that I'm gonna stop giving Vaseline for dry lips and lotion for dry skin but how do I phrase it? Please let me know what you think. Thanks! MANAGE MINOR PROBLEMS IN CLASS: Please refer to the attached documents to help you manage some minor problems in class. Headaches, stomach aches, old injuries are common issues that can usually be managed in class. I often see students whose has a headache that "just started" or a stomach ache that started after they ate hot chips or cold cuts for lunch. The only thing I do differently for these students than you can do in class is check their temp. I do not give out medications unless the parent has brought some to the Heath Office for the student with a signed Medical Consent. Typically, students are allowed to rest for 15-20 minutes, given water, and sent back to class, which are things you can try first. Another common request is for ice for an injury that happened over 24 hours ago or that happened during athletics. Ice is not administered unless it is a new injury with obvious swelling/significant bruising. Anything other than that can be treated at home. For vomiting x1, have them gargle then send them to me. If no fever and they hold water down (and don't look pale and sick) they go back to class. Please let me know if you have any questions about this email! Thank you so much for working with me to ensure that we keep students in class learning. And remember, I am here for YOU as well! Please feel free to call or come by anytime if you have a question or concern.

**raises hand** What would be an emergency vomiting? besides green emesis

Thanks for believing in me! I'm going back to work(school) today after being out for 2 days because of sever anxiety

Yes I started seeing a therapist 4 weeks ago, I see her every Wednesday. It's something new to me so I can't tell if it's working or not

Aww thats so sweet. Thank you!

I always give meds first so they can leave right away and back to class. Okay, now I realize that they can wait too

I do "over assess" because I'm very thorough in nature and I don't want to miss anything.

What would be an emergent vomiting? besides green colored vomit?

Thanks for the advice. Idk why who I a head to toe assessment on an abdominal pain or headache.

A little side note: I have Bipolat disorder, GAD and ADD. I work for a special ed school and I see about 15-20 students a day (Not a lot I know) but I feel so burned out with amount of attention (Nursing assessment I should say) that I'm giving them.

I get really nervous when I have too many (more than 1) students in the Health Office. Is this normal? I could feel my face turning RED. Any tips or advise?

It's for Yes or No answer

This is my Form Date:_______________ Time______________ PHYSICAL ASSESSMENT BP ________ Pulse _________ Respirations _________ Temperature _______ Symptoms Observed Affect/Emotion/Behavior: YesNo Agitation __________ Combative behavior _____ _____ Exaggerated self-confidence _____ _____ Excitability _____ _____ Flat affect __________ Flight of ideas __________ Increased emotional instability_________ Irritability __________ Mood swings __________ Quarrelsome __________ Suspicious __________ Eyes: Inability of eyes to hold a fixed position on lateral gaze__________ Markedly contracted or pinpoint pupils __________ Pupils dilated/appear frozen __________ Pupils non-reactive to light __________ Red eyes-conjunctiva injection________ Watery eyes __________ Speech: Difficulty in articulation __________ Incoherent __________ Rapid __________ Slurred __________ Mental Alertness: Confusion __________ Decreased attention span __________ Depression __________ Drowsiness __________ Euphoria __________ Groggy __________ Poor judgment __________ Slow reaction time __________ Sluggish _____ _____ Stupor __________ Nurse in attendance: _________________________________ Neurological: Yes No Inability to perform rapid alternative movements __________ Inability to put finger to nose, finger to finger, stand on one foot with eyes closed or, walk In a straight line _____ _____ Jerky irregular movements____ _____ Tremors _____ _____ Poor coordination _____ _____ Other Signs and Symptoms: Chills _____ _____ Cramps _____ _____ Distortion of space _____ _____ Dizziness _____ _____ Nausea/vomiting _____ _____ Body and breath odor _____ _____ Odor on hands _____ _____ Odor on breath _____ _____ Clothes: ___________________________________________________________________________________________________ MEDICAL HISTORY: Diabetic _____ _____ Seizure disorder _____ _____ Unconsciousness _____ _____ Substance abuse _____ _____ Medication _____ _____ Other: __________________________________________________________________

oh nooo

Can you post the link please?

In my office everything is locked

Thanks. Okay so no more incentives. If they dont wanna participate then I'll document it

Once in a while I "deliver" their meds to their classrooms.

Gotta vaccinate! Sadly, I have parents that are non compliant

UPDATE: I'm starting think if its a good idea to give these kids incentives. I'm afraid that they will do something with chapstick or squishy things and may cause drama between me and the teachers. What do you think?

Ohh I like this idea. If they are not sick enough they can do work while they're waiting.

I learned my lesson by cleaning the nose with vaseline without having them to blow their nose first. So blow nose FIRST! lol