missfixit

Obviously, when we added the title RN or LPN behind our names we also became more qualified to deal with urine/bm accidents. I have just tried to except it- to a certain degree. This is what I do. I ask for the teachers to request a change of clothes for students pre-k - 5k- if a student brings in clothes, the clothes stay in their bookbag. A few of the teachers will go ahead and send them to the restroom to clean up/change. They have bathrooms in their classrooms-- I do not have a bathroom in my office. All of the extra clothes are in my office. That way you are not running all over the place to get clothes. Because lets face it, no matter what they are going to keep coming to you for a solution. If a student shows up for urine/BM accident- I call a parent and ask them to bring clothes and help their child get cleaned up. If I can't reach anyone or the parent refuses - I tell the students exactly what they need to do to get cleaned up. I do not clean the children myself. Maybe if the student takes responsibility for the accident, they are less likely to continue having "accidents". As far as wiping the 5k student after his bm's-- NO WAY!!

I am by no means an expert on this topic, but I think student's medical information mostly falls under FERPA regulations. I am sure HIPPA applies in some instances as well. Anyway, as I understand FERPA- information that needs to be shared to insure a student's safe attendance can be shared on a need to know basis. Therefore, I do not think head lice would potentially affect the student's safety, so I would not share the information with the other nurse.

I would have called 911, the parent and stayed put. But now that the situation is over, you don't need to focus on what you should have done. My advise is to focus on what you need to do to ensure this does not happen again. Cut yourself some slack and get your "ducks in a row" in case something similar happens again. Set up each school to run separately-- pretend they are 50 miles apart. Also, on a side note, if you do not already, you need to have ER teams trained in each building to handle ER situations in your absence.

We have two set of keys- My set goes home with me, the other set is locked in the safe in the office.

Scrubs!! I like having pockets to stash my "stuff".

I got this note today. "has green glow in the dark putty stuck to his pants. Would you like to get it out?" I was thinking not really; do you?

Do you assist students with personal hygiene issues from urine or BM accident? I am not talking about students with medical issues or special needs. I am curious how other school nurses handle this.

Sorry this happened! Next time--just call! Did your principal say that you had to stay?

Yep! Sounds familiar.

At my school, students in 4K- 5th grade are only excluded with purulent drainage. 6th -12th are not excluded.

More privacy needs to be provided. Could be something as simple as a privacy screen or two. I would not "let it go". Since the principal did not seem to care, I would talk to the superintendent. I am surprised the nurse has tolerated this for so long!

Focalin, Vyvanse, Ritalin, Tenex, clonidine, seroquel Should be familiar with: Diastat, Abluterol, epi-pen, glucagon, insulin There are others, but you get the idea.

Do your teachers have to submit paper work to the office prior to the field trip? At my school, the teachers have to have the principal's signature to approve all field trips. On that form there is a signature line for the nurse. The trip is not suppose to be approved without a nurses signature. I check certain info on the sheet, sign it and turn it into the principal. When the form is turned in to me, I write the trip on my calendar. Works great!

Did you check mobility? Didn't mention if you did or not , just curious. I don't think you did anything wrong. How an injury looks can change quickly, how it looked 5 minutes after it happened can be a totally different ballgame 15-30 minutes later. If assessment checked out ok and he was not in pain, then I don't think you were wrong. No one has x-ray vision.

I agree with everyone and think you have gotten good advice. I also want to add that there are times when sexually abused children have poor hygiene on purpose to make themselves less "desirable". Not saying it is the case- just a thought.