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SchoolNurseK BSN, RN

Home Health, School Nurse Newbie

Content by SchoolNurseK

  1. SchoolNurseK

    Parent Pick-Up of Sick Kiddo

    How long do you give parents to pick-up their sick kiddo? I am going on one hour with a student with terrible diarrhea. I've called Mom and Dad. Mom said she would be an hour and a half. No. Dad told me 40 minutes. No.
  2. SchoolNurseK

    EpiPen Storage

    Our EpiPens are currently in an unlocked drawer in the clinic. I am not crazy about this location because while it is labeled, I don't think anyone other than me could find them in an emergency. I would like a more visible option, but I am not sure what that would be. An over the door shoe holder sounds good in theory, but again, someone would need to know to look behind the door and to pull them all out for evac sounds too time consuming. I've also looked into Safety Sacks, which I've seen hung from a curtain rod or towel bar. I like this idea, but the Safety Sacks are pretty pricey. Anyone have an organizational system they absolutely love?
  3. SchoolNurseK

    Uniform Closet

    One of my duties is to maintain the uniform closet here in the clinic. We get a lot of donated uniforms and it can get to be overwhelming just storing all of them! I just had our volunteer coordinator ask about possibly doing a uniform sale with the excess. Has anyone else done this? Also, does anyone have tips for keeping the uniforms organized??? I have a big cabinet right now, but try as I may, it is very difficult to keep the sizes labeled and separated for easy access when a student comes in. I seemed to have missed the "uniform closet organization" class in nursing school.
  4. SchoolNurseK

    Uniform Closet

    Are these uniforms that have been donated by the parents throughout the year? Just wondering if parents would be upset that we are selling something they donated. Have you run into anything like that?
  5. SchoolNurseK

    Doctor's Orders

    Do you have parents initial that they understand or is this something that you send to the doctor when requesting order clarification?
  6. SchoolNurseK

    Doctor's Orders

    Anyone else spending significant amounts of time trying to get doctors to clarify their orders? I can't understand why they wouldn't include the most basic components of a medication order such as FREQUENCY, DOSE, ROUTE. Basic stuff! Ugh...just complaining...
  7. SchoolNurseK

    Doctor's Orders

    That could be the case. I do feel that if the doctor gives them that responsibility, they should be instructed on the required components of a medication order. It creates so much work and risk for those of us that are supposed to follow the order.
  8. SchoolNurseK

    Providing Care to Staff

    This is my first year as a School Nurse. I am at a high school, so it can be pretty slow in the clinic. I have on several occasions, had a teacher or staff member stop by for a temp check, BP check, etc... I have never thought twice about this, as it never interferes with my care of the students. Recently, a teacher asked me to be a standby support as they learned to inject a new medication. I made it clear that I will not inject, however if available, I would be in the clinic with her. Well, that has come back to bite me in the bum big time now. I was out with THE FLU last week and unable to provide this support, so apparently the teacher demanded that my unlicensed back-up do it for her. This person of course refused and the situation escalated all the way to the principal. What a disaster!!! My attempts to do a simple Teach and Train out the kindness of my heart, created a terribly dependency. Not only that, I fear it looks like I wasn't doing my job. So my question is, do you all see teachers when they come in? If no, how do I change my methods mid-year like this? Help!!! I just want to set up camp under my desk at this point.
  9. SchoolNurseK

    Sick of nurses "referring" to our specialty

    I just had someone tell me that it was "cute" that I was a school nurse.
  10. SchoolNurseK

    Doctor's Orders

    I can give SOME grace to parents on this one. I think they figure they don't have to have an order to give their kid the med, so why should we? BUT DOCTORS??? No. They know we need orders! They would never do this if they were ordering Tylenol for an inpatient....at least I hope they wouldn't!
  11. SchoolNurseK

    Attendance Overboard

    This is terrible! Do you have an overarching School Health Services as part of your district services? That is the entity that makes our health policies, so if a parent has an issue, we can always point back to them.
  12. SchoolNurseK

    Doctor's Orders

  13. SchoolNurseK

    Asthma Medication Assistance List

    I thought this was a helpful list of drug companies providing medication assistance for asthma meds. https://www.allergyasthmanetwork.org/outreach/patient-resources/asthma-medication-assistance-for-patients/?utm_source=January+E-newsletter+-+Asthma+Biologics%2C+Prescription+Med+Assistance&utm_campaign=January+2020+E-news&utm_medium=email
  14. SchoolNurseK


    Y'all, I think I am going down with something. Flu like symptoms just hit me hard in the last hour. I have 26 more minutes until I am off work for the day so I am trying to hang on but UGH... I feel horrible!!!
  15. SchoolNurseK

    Coping with emergencies at any time.

    This. I was at the hospital all day yesterday with my dad for a shoulder replacement and I found myself feeling a little sad and envious of the nurses. They were eating lunch together, grabbing coffee on a break, just being nurses doing their regular things side by side and I realized how much I miss that. I appreciate the image of a "virtual nursing station" because it got my out of my pity party a little bit. Thank you for that!
  16. SchoolNurseK


  17. SchoolNurseK

    Nurse Go Bag

    What does everyone have in their Nurse Go Bag? Just had an incident and realized mine is packed more for orthopedic/bleeding issues than anything else. This is my first year as a school nurse and none of the people in this position prior to me had a bag, so I am kind of figuring this out as I go. I hate feeling unprepared and I totally just did because I had no idea what I was walking into. Any seasoned School Nurses have some insight for a newbie?
  18. SchoolNurseK

    What to do with Nursing students?! HS Nurse

    Students aren't learning regular charting anymore?! My nursing school was crazy about charting! It drove me bananas as a student, but it has served me well. Charting by exception is ok, but honestly, it just doesn't give the full picture the way longhand charting does.
  19. SchoolNurseK

    New Normal Temp

    So I think I am on the opposite end of the spectrum. If a student is symptomatic (chills, sore throat, body aches, etc..), but afebrile, I am sending them home these days. More often than not, those afebrile kids end up with high temps and a flu Dx later that day.
  20. SchoolNurseK

    Nurse Go Bag

    Are these something your order from your supply vendor? Not sure I know what these are.
  21. SchoolNurseK

    Reaching my breaking point with middle schoolers

    Middle school has to be tough! I have two of my own and some days, I am so happy to come hang out with my high school students! Only once have I had to pull out the "Try again" in my mom voice because a student barged into my clinic using a demanding tone. We have such a nice group of high schoolers and now I am starting realize, maybe this is a strange magical place compared to other schools!
  22. SchoolNurseK

    Addressing Student Body Odor

    How do I delicately approach a student regarding body odor? Particularly if they come from a cultural background where deodorant is not common and body odor is not viewed as an issue?
  23. SchoolNurseK

    Packet for incoming Kindergarten students

    Has anyone put together a similar packet but for High School? I would like to get something like this together to give to incoming families so I can *hopefully* catch most of the significant health conditions before they present with them in the clinic.
  24. SchoolNurseK

    Really Sick

    I have yet to get sick this year (fingers crossed!!!) but I have been crazy with the Clorox wipes, gloves and if you even look remotely sick, you get a mask in my clinic! The kids hate it, but I DO NOT want all the junk they are bringing in here to me! Also, I swear by Emergen-C. One packet every morning on my way to school seems to do the trick. If I do start to feel like I am getting something, I increase it to two doses per day. Works like a charm!

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