Jollysox

That was interesting that you mentioned the teacher's level of experience. I thought maybe I was just being whiney, but maybe that's the issue. There is one teacher, who is young, that sends me the bulk of the injured kids. She will bring them to the clinic and completely misreport what actually happened. One day she brought me a kid who hit his head, and "is now just a little disoriented.” Well he wasn't disoriented at all. Today she walked a kid to the clinic who just needed an ice pack after being hit in the head with a football. That student actually collided with another student, and then hit his head falling on the ground. To answer your other question, it doesn't matter the sport. This is every damn day. But I do think the number of incident reports, and kids sent home due to injuries is a bit much. I don't think it should be happening 1-2 times a week.

How many PE injuries do you all see a month? I'm seeing at least 1-2 a week that requires me to complete an incident report. And a fair number of those require a parent to pick up the student early, and take them to see a doctor. This is in addition to the everyday, all day PE injuries that only requires basic first aid. I worked previously at a high school, and I never saw PE injuries. I don't know if this is typical for middle school aged children, or if this is a lack of supervision during these activities.

I would not bladder scan at school. That could set you up for trouble down the road. Bladder scanning would require the student to pull their pants down just enough for this to possibly be an issue, and the parents did not give you permission to do that. I would call for an ambulance. Not urinating for 24 hours or more needs to be addressed sooner rather than later. That student has to be so uncomfortable, and he/she could possibly end up with pyelonephritis.

I work at a middle school, and I have girls (mostly sent from PE) that come to the clinic smiling, energetic, etc. They in no way look like they are in any acute distress. Asking to call a parent for pick up due to menstrual cramps. When I call a parent, and the parent is willing to come for pick up, I have noticed that other girls from the same class come to the clinic with cramps, and are asking to go home. Do you all just call a parent and let them decide? I want to avoid sending the message that I will automatically call a parent. Especially if you just say this, or that.

I am hoping to get some advice from veteran school nurses. I was offered a job as a school nurse, at a high school of about 1,650 students. It's a public school, with some "medically fragile" children, as the hiring manager described them, and then your diabetics, afternoon adderall passes, and what not. I was told that the clinic sees about 50 kids a day, and that I will have an MA working with me. I'm wondering if this ratio is insane? I have been a nurse for 20 years, and I have ER/critical care experience. I looked into being a school nurse as a way to slow down, but 50 kids a day sounds like I will need to work at the same frantic pace I do at the hospital, but for much less money. I don't know if this is just anxiety over trying something new, or it will likely be as bad as I'm imagining?