stat-nurse

It's not that the RN hates the LPN/LVN. Its the individual themselves, not the licensure.That's just the excuse the person is using to look down their nose at someone. Talking to MOST LVN's, they became an LVN due to lack of time/money/to invest in being a nurse. I was a young single mother with 4 kids to support, being an RN was NOT an option for me. NOW I'm just lazy! I've been an LVN for 20 yrs, and except for starting Blood, I've worked side by side and did same job as most RN's. RN's that like and respect me, and also those that didn't. I just keep on truckin, and realize it's the person, did the title.

Please help me if anyone has some answers I can use. I just accepted a position as a school nurse for a 24 hr residentual school, *parents/Prob officer/guardian have given school medical permission to treat students. There is a protocol book for the adminstration of OTC's by a another facility who we are contracted by that sets our standards, and supposedly,(though he is not there ON SITE, nor does he see any students now as he is very eldery) there is a DR that is "covering us". I am a 2o yr well seasoned LVN, all the nurses are LVN's. There is no RN. When these kids complain of "HA" or whatever, we can give, or not give meds, OTC or PRN. That is a no brainer. PROBLEM is this- there is a thing called "SICK CALL" where the students ask to see "medical personnel". When the student comes in, the LVN that I observed assesses them to see if it is something that we can handle, (and supposedly covered by our protocol), or if we need to send to Dr. When does it go beyond nursing into diagnosising? is IT a rash, OR can we say JOCK ITCH? SEEMS if the kids WANT to see a Dr, a nurse can't make that decision, as only a Dr. has the right to decide if and when he sees a pt, and how often. I KNOW we can decide WHO needs to be seen first, and who is sicker, but just not sure on other questions! AND, is there something in black and write, AND NOT our practice act WHICH IS WAY TO VAGUE, so I can explain to the other nurses? The nurse I observed triaging, is so wonderful, and SO DARN GOOD, I'd be flat jealous if I weren't so worried for her. Don't yell, just help PLEASE!