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.

5 weeks!! Only 3 more mondays! We are off Memorial Day!!

Don't feel bad. Last week I was accused of making a sick child clean up their own vomit! The true story was the kid spit water on the floor and I tod them that they needed to wipe it up. Well, even after it was explained by me and my AP, the parent called the local radio station and says on the air that I made their sick child clean up vomit!! Small town, news travels fast! Next day people were calling in to "clear up the rumor" in my defense. Thankfully!!

I was told that pulling teeth is a dental procedure and it is not with in a nurse's scope of practice. I do not pull teeth. I encourage the student to try and they usually can do it themselves.

I have signs that I put on my door. Down loaded them from Geri Harvey's website- www.homestead.com I think it works pretty well-- not sure the kids can all read them, so if I return to my office and a student is standing by my door, I tell them that if a sign is on my door, it means that you go to the office. It has taken a while but the point is getting across. I close and lock my office door at lunch- the office will call me if something happens that they can't handle.

I agree with Praiser because you have to be flexible. However, you could always let them know the days that you could work. Hope it works out for you. It is a great job- I started out subbing.

Every situation and school district is different. In my district, staff members are not allowed to take children home. We do not have an SRO officer to go to the home either. So, I am not sure how this situation would be handled. Guess I need to find out now, just in case I am put in the same situation.

We have Spring Break the first week of April as well. Can't wait, counting down the days!

Sounds like it went well! Glad to hear to hear it!

I would call if the student was not a frequent flyer. BUT I would make sure that the parent knew that I did not see any symptoms of illness. If MY personal children ask to come home from school, something is wrong-- so as a parent, I would want a call. Don't get me wrong, I agree with what everyone else posted as well and follow most of the same rules, but there are times that a child, especially a young one, just needs to talk to a parent and they do not know how to ask.

In my state, trained UAP's can give diastat, so the med and all paper work are sent on the field trip- if a UAP is going of course.