KittyKatRN

I would have done the exact same thing. You were assessing the injury and I am assuming the student probably assisted somewhat in removing the boot so I am sure you had their consent. Think of what could have happened if you didn't remove the boot and assess. You may not have made the decision to call parent for pick up and the student may have walked on the injured foot all day. Dad is just likely fishing for some financial assistance that he assumes the school would cover.

My bosses gave me a blank card with just their two first names on it LOL. Thankfully my secretaries and I all do a gift exchange. I definitely feel the love from them more than admin LOL

It all depends on your local school district. You might get lucky that your child's school is hiring a school nurse at the same time you are wanting to get into school nursing. But in my opinion, school nursing is just like any other nursing specialty, sometimes you have to pay your dues to get the assignment you want. I started with elementary students even though I loved the preschool age. I had to wait a couple years working in elementary until the nurse at the preschool moved out of state and then I asked my superior if I could switch assignments. Some school districts you are hired by the actual school and in others you are a district employee and they can move you wherever they have an opening. I would keep your options open if you truly want to get into school nursing and know that it might not necessarily be at your child's school.

Colorado here. We have been open with students since Aug. 21st. We have had double digits of positive students and staff. Unfortunately, my county/state Public Health Orders aren't mandates so my district has decided to make their own guidelines (you know without anyone who is medical on the team). We have seen a sharp increase in cases since then. It's all politics and its just so sad.

Here is one, preschool kiddo, developmentally delayed especially in speech, just waiting in the bathroom stall. I'm in there as a second adult with the teacher. We ask if he is finished and peak in, he is just standing staring at the dirty toilet. Then immediately reaches in hand in, grabs his cloth mask - which has been stewing with his recently evacuated waste - and immediately hands it to the teacher. She looks at me with the most fear and disgust I have ever seen a preschool teacher have. All I could say is I took that friend to get a new mask while the teacher spent a good three minutes performing the closest thing to a surgical scrub as you can get in a school setting.

Individual Health Plan- who creates these? The students PCP? Should this be done for asthmatics or does asthma action plan cover it? These are typically created by the school nurse in order to make sure that staff working with the student are educated on the disease process and what their role is when working with the student I.e. send student with an escort to health office if complaining of shortness of breath or wheezing. I have a student who has one but its two years old- as long as I ask Mom if anything has changed thats OK? I call parents at the beginning of every school year and try to see if anything has changed over the Summer. This would be a great time for you to introduce yourself as the new school nurse and ask them if anything has changed. What if a student is epileptic but hasn't had a seizure for years/since infancy? Is an individual health plan/action plan always needed? )I ask because sometimes it can be difficult to get anything from parents! I would say it all depends on how comfortable you are with your staff. Do they know seizure first aid I.e. keep student physically safe, lower to the ground if in a chair, do not place anything in the mouth, start timing seizure and call for help. If you do not think that your staff would remember that in an emergency it might be best to have an IHP written up as a backup for them to reference. Do you all chart on AEDs/daily checks etc at your school? I know in my district we check the AEDs once a month. More than that I fear we waste its batteries. Do you count controlled meds every shift? Looking for things I may have missed as I walked into this role with almost no training. Again, in my district the nurse and the health tech count the controlled meds once a week to ensure the count matches the doses given. I hope this helps!

In my district there is no pay change for receiving or having your NCSN. ?

We have a form for parents to fill out electronically that gives the parents the option of making an appointment to come in or to opt out of the screening this year. At least in my state, parents can opt out of state mandated vision and hearing screenings.

I am so sorry this is happening. It is the same in my district. Even though we have a nurse lead, we have not been made a part of the decisions at all. Keep advocating for your voice to be heard. That is what we are trying to do.

My district is enforcing that, if there is not an extra designated space, admin (principal, AP, etc.) will have to give up their office and create it as a designated isolation room.