Nurse Trini

I think it was a cost cutting thing with my current employer, but I pushed and we have a couple of boxes of them on order now. They won't be in for me to use on Tuesday, but should be here for the next round on Feb 17.

That's an interesting observation. Old job, everybody got it, current job, nobody gets it. I didn't get a reason other than they didn't want to mask problems. I guess I might understand that in older patients, but in peds, it's unlikely that there are issues. Of course, "frugality" wouldn't surprise me. I'll inquire further and see how it goes.

Yesterday was our last day. Had to rush at the end of the day dcing caths but wasn't home late.

In my previous job when placing catheters in conscious patients, we always preceded it with glydo (lidocaine gel) Now our guidance is to just use the regular lubricant gel. I asked and they said the anesthetic can mask problems with the placement. Any ideas?

No AI, don't trust it. However I do have a whole computer folder full of templated letters and reports that I just add the names and dates in (or cut and paste when multiple apply).

Yeah, having two whole weeks out this year was great due to the way the Holidays fell. Normally if it falls on the other days we have to go in two of the days before or after. Of course, that doesn't mean that it wasn't busy in the office this morning. I'm just now catching my breath and grabbing a sandwich.

Our last day was Friday. Of course it's busy for me the last day before the holidays, but I got some of the kids pulled to come in early. We don't go back until Jan 5.

I started on Monday, kids started yesterday. I used to not have any contract days when the kids were not in the building, but we fought to get a couple of days of prep so I don't get slammed so bad the first day.

I wasn't expecting catheters to be part of my job, but they were clear about it when they interviewed me. It's not that I'd not done them in my previous clinical experience, I just didn't expect it.

I am covering Summer school at my building. I'm doing the normal school nurse stuff in addition to my normal discipline office responsibilities.

Ooops.

We require a doctor (or at least a medical provider) note that demonstrates eligibility. Once that gets the kid on the 504 the rest (accomodations , etc...) is a negotiation between the parent and staff.

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Well, that's not true. The school is obligated to provide PPE when necessary, but it is not (at least not in our district) the student health department's job to do so.

Guidance primarily does student curricular advising: helping students pick courses, apply to colleges, etc. They also have a generic "advice" function to students that the students/parents request themselves. That advice may redirect students to the school psychologist (who is attached to the guidance office and not student health) or to the nurse. Guidance does play a strong role in coordinating plans for the "exceptional students" when we do IEP, 504s, IDPs, etc... The "normal" students don't get "checked on" regularly.