Jeanine

HELP! I have 7th and 8th grade students with IDDM, who are having some adolescent related diabetes management problems. Some of the kids have been diagnosed for a long time, others within the last year, and some in-between. Even though we are in met...

We stopped using H2O2 in the ED over 10 years ago because of the tissue damage. The hospital used ShurClense, which is too expensive for me to order in school. I use plain soap and H2O. If it is a wound that they can't clean at the sink, I use Bactin...

Under the Allergies section, a parent wrote: HOMEWORK Not really a blooper, but gave me a chuckle anyway!

The NASN puts out a book "Ouality Nursing Interventions in the School Setting: Procedures, Models, and Guidelines". It contains a 5 page model for procedure development (based on Oregon Law), for "Delegating to and teaching unlicensed persons". It...

Would I be operating outside of the NJ Nurse Practice Act by giving a prescribed medication for a use not approved by the FDA? A doctor has prescribed Wellbutrin for a 13 year old student of mine. This student is non-compliant with taking his meds at...

Check with the Public Health Nurse in your area. She/he probably knows who's gotten what they're supposed to, and who is due for what by just looking. They may know of a specific program. I also think that you can purchase just the immunization pa...

If I have a question about whether I am seeing nits or not, I ask the student to pull out a strand that looks like it has an egg, (that I have separated) and I look at it under a microscope. The science lab has been kind enough to leave me one on lo...

I Love It! It's technically part of the job to keep kids in school, but also to keep them healthy! The kids on our retention list are usually the ones with the most absences/tardies. It truly is a conflict because you don't want them getting every...

my worst was cardiac arrest, cpr, revived, ambulance to the hospital, discharged with a dx of hypoglycemia (b/s of 112?). i insisted on a follow-up with peds. cardio., & he was placed on an event monitor. next week, cardiac arrest again, hit mo...

It takes a lot of practice, but you can give the appearance of being academically oriented while maintaining Nursing as your priority. Try to appreciate the fact that you will always be misunderstood by people whether you work in a school, hospital ...

Laws of supervision in schools vary by state. Some states don't even hire nurses in any form to work in the schools! I would make sure you know what your license allows you to do, and never practice beyond that or else you are opening yourself up t...

New Jersey state law requires a written MD order and parent signature for all medications, including otc's. This order needs to be renewed every year, and parents are required to supply the student's medications in our district. To diagnose/prescri...

Sometimes I do. I often find that a teacher knows the student better than I do, so I will give them the initial benefit of the doubt. If this is a frequent problem, I ask a staff member to watch my sick students for a few minutes (or close the doo...

If you have brought it to their attention in the past, I would press the button on the mini recorder or cell phone in my pocket. If not, you should tell them that it makes you feel uncomfortable when they speak to the students in that manner. I don...

My mother is an RN, and tried to discourage me from going into Nursing. That was 30 years ago! She did a good job, because I got my BA in Psychology. After working in that field for 4 years, and getting married, I went back to school to become, of...

It's up to the district to make a bus accident policy. If the accident is on the way to school, I just call the entire bus down to my office, and there is usually a police officer there with me Everyone gives me their names and gives the officer t...

I do the same as above. I also try and remind them that other kids notice these poor hygiene habits, and that it would hurt me if other kids made fun of them. Don't forget, some girls who are being sexually abused keep themselves dirty on purpose,...

I have a new student coming into 7th grade next year. She was an "average" kid prior to discovering a brain tumor a few years ago. Since then, she has had chemo and radiation, which has destroyed quite a bit of brain tissue. They don't really want...

Behavior Modification Therapist 3 years Developmental Disabilities Nursing 5 years Emergency/Trauma Nursing 15 years School Nursing 7 years Each of the jobs have overlapped, where I worked in both fields for a year or two. Nursing is my 2nd professi...

IF ONLY WE HAD X-RAY VISION!!!! But then we'd all be billionaires and who would take care of the school children?! My own daughter got kicked in the shin in PE, in my school, and complained for days. I finally took her for and x-ray which was inconc...

They are not talking about hiring a CNA. They hire a lay-person who would be made aware of their duties. I am the nurse on duty, and as I mentioned before, I can't close my office to change an ostomy bag, replace a wafer, straight cath., or directl...

The student should have been sent to the ER via ambulance. As mentioned before, better to err on the side of caution! Choking is something that I would always send out, even if the object was dislodged/expelled. If the mom gets to the school befor...

Middle school kids should be able to carry their own inhaler, we have a dr's form for that & I have them demonstrate proper use. You cannot leave your sick students unattended in your office to get injured kids from outside. Start sending stude...

Our day starts at 7:30, ends at 1:51. A student needs to stay until 10:00 to get credit for 1/2 day, 11:30 for a full day. The only true, excused absence is for a religious holiday, not celebrated by the school district (although a death in the fam...

We have a release on every student, signed by the parent. I got about 98%"yes" responses, one or two limiting the information to share, and a few that downright said "no". The release encompasses the school career in our town. The releases are in ...