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ARN

ARN

medsurg/school nurse
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ARN has 12 years experience and specializes in medsurg/school nurse.

ARN's Latest Activity

  1. we start Spring break tomorrow. all of our students are taking their chromebooks home today if they have a signed agreement by parent that they can take them home. something that happens at the beginning of the year I'm sure. I apparently signed one for my first grader because per his teacher he is "good to go". I have asked my director what will the nurses role be in case of an e-learning day and so far the response is they are working on a plan for us. She put out a Google doc to see who has a laptop/chromebook and who still only has a PC. So I am guessing we may have some education etc they might have us do? but as far as real workable time for 2 weeks I have my doubts they will figure something out. I can still work at the hospital because I am PRN there. (do I really want to? IDK because then that puts me at risk for further quarantines and unable to work my school job when we open). so much still up in the air.
  2. ARN

    my office is NOT a nap room!

    I have not. I should reach out to them. This is my second year here. we are a unique school and our kids travel to two other schools for certain classes and we don't have sports at our school but they can choose to play for one of the other schools. probably just going to take some work on my part to open up communication.
  3. ARN

    C'Mon Now!

    just had a kid come in and ask me for a qtip to clean out his airpod...come on now! I frequently get asked for qtips for various reasons. the answer is always no you may not use my qtips for that. nor may you use it for your ear! I am not going to be responsible if you bust your ear drum putting it in too far. clean your ears out at home!
  4. ARN

    my office is NOT a nap room!

    thank you. we have a protocol but its just a flow sheet that doesn't really outline anything. so hopefully the trainer will refer him to an md. baffles me that I get no communication from the trainers at all. he is supposed to follow up with the trainer after school today. as far as my psuedoseizure gal her concussion happened at home. her md order isn't very specific and just related to limiting assignments on the screen. I frequently send her home due to her episodes and not wanting to return to class. previous nurses have allowed her to hang out in the nurses office and I have had a hard time limiting her time in my office but I am trying to keep a boundary with her.
  5. ARN

    my office is NOT a nap room!

    what do you do for the kids who have had concussions recently (not that day)? evaluated by md and given instruction to take rest breaks. I had one yesterday I had to have her go to a conference room that the secretaries could keep an eye on her because I had so many kids coming in. I only have two cots and a chair next to my desk. 359 students. she also has psuedo seizures so I had to make sure that someone had line of sight with her. she just wanted a quiet space with dimmed lights to rest. I have another kiddo who just had a head injury during practice last night seen by athletic trainer but of course nothing communicated to me. thankfully today has been better and I was able to let him rest for a bit. I usually only let kids stay for 15-20 minutes then back to class unless waiting on pick up or something else is going on I need to monitor longer.
  6. ARN

    Student Overdoses

    this is so hard. we have several students who are on my radar right now as potential suicide risks. they have expressed thoughts in the past. self harm. are in counseling and have multiple supports in place. some even have good family support. they are still struggling. I also had a student take more of her antidepressant than prescribed last year but thankfully not enough to do any damage. mom was able to pick up and take for evaluation and VS were stable. thanfully she ended up in class crying on the floor in regret so the teacher alerted me. coming from the hospital setting as my background I have cared for a young teen who OD'd on ibuprofen I believe it was and had to have emergency dialysis. I don't know what his outcome was but he was very ill. I have never really sought EAP for anything work related but I did after my sons type 1 dx. When really its all the burdens that we as nurses carry that add up and affect us in other parts of our lives as well. the scale was tipped enough for me that I needed to release something. It was very helpful. I agree, seek out your EAP person. It is good to talk to someone and have that time to process.
  7. ARN

    Parent with Borderline Personality Disorder

    every meeting with the mom that we had last year resulted in similar things. she demands. we meet demands. she demands it in a different way. rinse and repeat.
  8. ARN

    elementary/middle school diabetics

    oh lord help my mother. this could be my brother in 30 years. my 4 year old asked me the other day "can I always be in your family even when i'm a mom". yes but you have to live somewhere else with your family .
  9. ARN

    elementary/middle school diabetics

    even if she hates being pushed on right now (it needs to be done)....hopefully one day she will see the benefit of helping her child become more independent. personally i don't want my type 1 diabetic kid to live with me forever (or my other kid who is 4 and wakes up and climbs into my bed often at night). one day i'll miss them but also one day i will enjoy being an empty nester and not reminding my children to wash their hands, dose for food, don't leave your toys in the living room or the dog will eat them etc etc. my 23 year old brother still lives with my mother, doesn't have his drivers license, and I am not sure if he will ever move out. thank goodness he at least works but guess who takes him to and from everywhere...yup my mom. he was born with multiple health issues. was on ECMO and didn't come home until he was 3 months old I believe. when he did come home it was with a feeding tube, oxygen, heart monitor. his diaphragm didn't form completely and his organs were in the wrong places, lungs full of fluid, not fully developed, heart murmur, and his soft palate didn't form, bowel issues ( I can't remember all the technical terms for what happened it was just a random thing that happened to him and they knew when he was still in the womb so they were prepared when he was born to intervene). he is perfectly healthy now aside from asthma flare ups and he eats like garbage and has zero physical activity. anyway my point in sharing this story is, i have seen what it looks like to not push your chronically ill child to be independent and to coddle them. while it sucked he had to go through all that as a baby and had multiple surgeries as a child he could be totally independent of my mother now. fingers crossed one day she will push him to move out!
  10. ARN

    CBD Administration in School? Policy?

    https://www.doe.in.gov/sites/default/files/news/sea-52-low-thc-hemp-extract-guidance.pdf
  11. ARN

    Any Nursing Moms?

    Is your office in line of sight of any other adult who can help police the door? ie send kids back if they don't go back on their own? or have a puker wait with a trash can until you get back? call you for a legit emergency that can't wait? my office is in line of sight of the secretaries so they can catch kids and grab a bandaid or let a kid lay down that legit looks sick until i get back in the rare instances I take a quick break to run an errand. there is literally no room in my building that doesn't have a window (no blinds or curtains). so if i were pumping in this job i would probably opt to use my office and a cot with curtain drawn. either that or i would have to ask to transform a supply closet and make a spot in it for myself. note on door and let my secretaries/principal/and counselor know i am unavailable unless its a real emergency. I think an email is in order once you know your general break times but of course those times could get messed up because you could have a situation come up that makes you run late. but I still think a general email to let people know that this is the best laid plan so they can avoid sending kids certain times of the day. this time is important. pumping is hard work. it won't be for forever.
  12. ARN

    Parent with Borderline Personality Disorder

    similar situation last year. it is so sad.
  13. ARN

    Diabetes Question

    I edited my response above. it makes more sense to me to add both together and then round. but i am pretty sure we were taught when we came home from the hospital to round each then add. but I will have to look for that info when I get home. i am 100% sure i now add both and then round once. but thats for my own kid. now you've got me curious how we were originally taught so im going home and digging out papers lol.
  14. ARN

    Diabetes Question

    round each number then add together is what my sons orders say...I think....now that we pump and don't calculate as much I am really not 100% sure. we do have a rounding rule that i put in my phone. 00.-.24 round down to whole unit. 0.25-.74 round to 1/2 unit .75-.99 round up to next whole unit. since im in the high school setting my students are independent and there isn't anything on their orders about rounding or adding doses together.
  15. ARN

    elementary/middle school diabetics

    https://www.sugarsurfing.com/single-post/2016/07/22/Gaming-Your-CGM-ala-Pokémon-GO a fun idea to get kids to engage in their care more. maybe make up a guessing game with him based on something he likes to try to get him to come up with some answers on his own. maybe start by getting him to tell you how many carbs are in one food item in his lunch. he has no interest so I feel like you might need something to get him started. we already guess at what the glucometer is going to say vs what the cgm says. I have my kiddo tell me what number he feels like he is. Sometimes he is super close. he might say im like way low, like urgent in the 50's. or im in the 60's. sometimes he is wrong and he feels low because he just had a big drop so we talk about that and why its important to double check and wait before treating.
  16. ARN

    elementary/middle school diabetics

    my 7 year old type 1 knows he needs to eat a starburst if he feels low or some other fast form of carb and at home he knows where they are, although we decide how many grams of fast carbs and help him do that still. he can read labels for total carbohydrate count. he can check his dexcom and put his blood sugar into his pump for a correction, and can put carbs into his pump. he frequently doses himself with his pump with us double checking that he did it correctly. he can also check his blood sugar with his glucometer himself with a little supervision to make sure he doesn't forget to clean his finger first. he still forgets to wash his hands after going to the bathroom so . he doesn't always want to do those things but I try to give him the opportunities so he knows how. I am hoping by the time he is in 5th grade he will be mostly independent with adult backup for most everything. I expect I will be helping him put his dexcom sensors and omnipods on for a while though. he already knows a lot of carb counts for his regular foods. like he can go to the pantry and get a prepackaged snack that he eats frequently and will yell out how many carbs in this mom? and before I answer he will tell me what he thinks and he is usually correct. we have some foods we don't dose fully for that are high in fiber etc that tank him if we do and he has figured that out. we are always talking numbers and he loves math. I hope you can get mom on board with giving him more small responsibilities at home and building his Independence.
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