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linda1959 has 38 years experience.

linda1959's Latest Activity

  1. linda1959

    No Contact Thermometer Recommendations

    Anyone have a brand of No-Contact Infrared thermometer they love?
  2. linda1959


    Fever, possible pink-eye, or something blatantly concerning, I will speak to the principal for them. Anything else, I tell them to go to admin. Today's gem: "do you think this is psoriasis? I get it every winter for the past 5 years." Me: "Doesn't matter what I think. You need to see a dermatologist." Honestly, it looked like dry skin . . . .
  3. linda1959

    NJ nurses - CBD oil

    I am coming at this both from the perspective of a parent AND a school nurse. I use CBD oil for my son with autism. He will be going on an overnight trip with his school. The school nurse will not give the CBD because it is not FDA regulated. I offered to get an order from his MD - answer is no. I offered to mix it in a bottle of juice and send: they just need to make sure he drinks the juice - answer is no. I understand it. If it were one of my students, I would work something out with the parent. That said, I completely respect and understand nurses who are by the book. But it got me thinking. Twelve years ago, my son needed a dietary supplement for weight gain. It was recommended by a nutritionist, purchased from a medical supply store, and came in a unit does container. The nurse refused to mix it into his milk or allow the staff to do it, and refused to give him the milk if I mixed it in first. So here we are 12 years later, and none of the standards for nurses to help and accommodate families who are taking a non-prescription approach have improved. My question is: how do we change this? Who do I start with to discuss the need to allow nurses to accommodate families in a safe way when they want to use a product that is not FDA regulated? And what is the general thought among nurses; if there is a policy in place and the paperwork is correct, would you be willing to administer CBD to a student who's family has found it helpful for whatever the reason?
  4. linda1959

    Petty and not proud of it

    JUST now while I am eating lunch and reading this thread. 1:pm - 8 year old student with TA; I am really sick today and think I have a fever cause my head feels hot. Me: Well, I can hear you have a cold, and you have been here for 4 hours and you are going home in 1.5 hours. Do you think you have a fever or did someone else? TA: Me and Ms. R think he has a fever. Me: Why are you feeling his head"? TA: Because he has been sick all day and we wanted to check if he has a fever. Temp: 98.2 . . . go rest your head on the desk and wait for the bus. AND just last week we had our in-service and I said "if you think your student is ill in the morning, bring them then. DO NOT wait till the end of the day and then say "they've been sick all day." WASTE of my breath!
  5. linda1959

    OTC Meds for School Staff

    I have concerns about you facilitating or approving of setting up med storage somewhere in the school that is not always locked. Standard of care and safety says medication is always locked. I know you said it is behind the secretary desk and no one has access. But unless you can guarantee that no student WILL EVER have access to the cabinet, it's a set up for a problem. And since you are not monitoring it and are trusting the secretary to do it, you cannot guarantee 100% it is a safe environment. Think about it . . . a student who is thinking of self-harm somehow manages to access the cabinet (lets be honest . . .they are crafty.) The student takes an overdose of Tylenol. First thing anyone will say is, "why was there a supply of unlocked medications a student could access?" Do you really want to say that you stocked that cabinet, knowing it was not going to be locked at all times? You have given the staff ample warning of the need to provide their own OTC's. That's where it should stop. And an issue on a far less important side . . . to the secretaries REALLY want increased traffic in their space for staff needing to access the cabinet?
  6. linda1959

    Blood transfusion and Normal saline bag.

    I am a school nurse, but I have many years of acute care behind me. I sometimes read hospital clinical posts on AllNurses just to learn and see if my past experiences are outdated or still current. This is the second post of yours today that I have read, where you appear to be "testing" the experience of others by asking a question. So I am curious - what is your deal? Are you a student or are you a nurse? Are you working, and in what setting? Are you really asking to learn, and if yes, why do you question the responses you get? Or do you truly just not understand the responses?
  7. linda1959

    IV Lasix.

    I think it's an online forum version of "Candid Camera" - for those old enough to know this show!
  8. linda1959

    Is this even Legal?

    There are many helpful professional responses to OP. But just a thought to those who are saying things like "anyone who takes that assignment is stupid", "you will be an idiot if you show up", and things of this nature.' How about not insulting someone who might make a decision you don't agree with and, instead, only speak if you can offer some support or advise? We need to support each other in a professional way - JMHO!
  9. linda1959

    Evacuation Bag

    I am finally getting rid of my GIANT Evacuation Bag (nurses in NJ might remember they were issued by the state many, many years ago) and scaling down to something much more reasonable. Anyone have a list of what you keep in yours? And as an aside, if there a way to search within "School Nursing" forum? I tried to find any previous posts about this but no luck.
  10. linda1959

    Parents keep medicating their febrile kids in the morning

    I share your frustration. My deal today is a 17 year old who can't stop vomiting/diarrhea/severe stomach pain since 930:am. Parents tell me they have no one to pick him up. When I call mom to say someone needs to be home when he gets home because he is unable to care for himself (keeps laying on the bathroom floor next to the toilet and vomiting on the floor) she assured me she will leave work early and be home. She then goes on a rant about how 'these people who send their kids to school sick is why he is sick." I assured her no one in the class is ill, and that I have concerns for what he is spreading through the building staying here all day! SIGH . . . . . .
  11. linda1959

    NJ Private School Med. Admin.

    Biscuit - can I ask what your training of the other staff people consists of? Is it written out as an official teaching plan, such as we do for EpiPen Training? and thanks for sharing your disclaimer!
  12. linda1959

    NJ Private School Med. Admin.

    Hello All, I know all the state rules for med. administration for schools in NJ. I am wondering if anyone does a "variation." I work in a Private, For-Profit School. I am having a terrible time getting subs, and I have a lot of daily meds. Today I took a scheduled day off (rarely) and the sub called out, so no nurse. I need a plan for med administration for my absences. I am considering looking into a Training Course that is used for adult special needs worker for 1-2 staff members. I would then sign-off that I have taught and supervised the staff members giving specific students meds in my presence. We would then get parental and/or MD permission for those staff members to give meds in the emergency absence of a nurse. I would possible put together a box of "1 dose" medications in labeled envelopes, so the designated staff member wouldn't even have to measure out/open bottles. Has anyone done anything similar or have any thoughts on this? Again, I know the "rules", but these kids cannot go without meds, and many of the parents do not have the ability to come in and give it themselves in the absence of a nurse.
  13. linda1959

    Today's Mini Rant

    I don't typically rant on here . . . and I don't know why my patience today is low . . . BUT---- 1) Take kid off bus early for vomiting, chills and temp 99.8. Ten minutes later, temp 101.5, call parent who says "can't you just give him some medicine and let him rest? Parent arrives 75 minutes later . . . temp now 102.5 . . . kid wouldn't take Tylenol . . . 2) Staff member who says "can you listen to my heart?" Me: "Why?" Her: "It doesn't feel right. I can't feel it." putting her hand on her chest. No pain, no SOB, no history, denies palpitations . . . . I listen and get normal, regular AR/Radial Rate. Me: "if IT (whatever that is) doesn't go away, see your doctor. I don't see any emergent problem." Sigh . . . . Happy Wednesday fellow wonder nurses!
  14. linda1959

    Had to give Epi Today!

    I want to share my experience hoping it can help someone else, and to review for myself what I learned today. Got a call a student was choking in the classroom, and when I said "choking?" the TA said "well, coughing and she cannot stop." I get to the room to find the 17 year old holding her stomach, drooling, very mild cough, and constant sneezing. Eyes are closed, she is special needs and has a seizure disorder, but this does not look like seizures to me. Staff says she was just finishing her rice meal when this started, and she has not history of allergy and this is a meal she eats all the time. I first try to talk to her to see if I can calm her, assess her alertness . . . she can follow instructions to squeeze my hand. Lips and nail beds pink, no swelling, no wheezing, no retractions around neck or clavicle area. As I talked to her the coughing intermittently slows and honestly, at times, sounds forced, so there is a part of me that is wondering if there is something behavioral going on (it has happened) but I know the sneezing is real. I wonder if it's some kind of reflex reaction and is the cough and sneezing are related. After 5 -7 minutes it is not stopping, so I ask office to call 911 for a teen student in respiratory distress. I then start to wonder if this is an unknown allergic reaction. I ask someone to retrieve the EPI pen from my office. Myself and the teacher continue to try to keep her calm, and while it all continues, there is no worsening or improvement. At the 15 min mark I tell the teacher I am giving EPI - I don't know what this is but I am concerned about some kind of throat swelling. 30 sec after EPI the cough slows a little, again at the 1 minute mark, and by 2-3 minutes all symptoms stop. In the meantime, EMS arrives. O2 sats are good and lungs are clear. They suspect she started choking and had airway narrowing, and the EPI opened her up. I am going to have a meeting of all my EPI trained staff next week to share with them the signs I saw, and use this as a teaching moment for all of us. If I was having a hard time deciding what to do, it gave me insight into what it will be like for a lay person. I need to reinforce that better to give it if there is any question than not give it. I will be honest . . . I think I waited too long to give it. I was trying to be systematic in my assessment and other than the coughing, no signs of respiratory distress. But I kept thinking that if this goes on, it's going to progress to respiratory distress and then I will have a bigger problem. Off to the hospital she went. I am sure she will be fine. But if anyone has any comments to contribute (and please feel free to offer constructive criticism . . I want to use this as a learning opportunity), please do. Mostly, at what point would you have given it? That is what I am struggling with. I know if there were any signs of worsening, noisy resp., retractions, color change, it would have been an no-brainer. Without any of those signs, it was the longevity of the situation that became concerning to me. Thanks for listening!
  15. linda1959

    RN MGR Told me I'm too old.

    Age-discrimination is illegal, but the reality is, is exists. When I re-entered the work-force at 48 years old (after having been out for 8 years raising kids, but having done 20 years before I stopped) I had a recruiter at a conference take a look at my resume. He was very honest - "they won't tell you this, but your age is going to be an issue in terms of a hospital job. Your age puts you at a higher risk for injury. As well, the amount of time you were out of work means a full orientation to new technology, something they don't want to do." He said "you will get a job because you have a lot of experience, but I doubt it will be in a hospital." This was not a problem for me because I had no interest in returning to the hospital, but it made me sad . . .there is no doubt many institutions will miss the opportunity to hire very qualified nurses with this thinking.
  16. linda1959

    Dear coworkers, I'm not your mom (or free PCP)

    A topic near and dear to my heart! Attending to staff injuries or medical issues that occur at school is in my job description. So if someone is having an issue that has come up while at work, I will do an assessment. If it's an injury, I can send to Workman's Comp if it needs additional attention. But yes, I get the "I fell at home four days ago and my foot still hurts." I might look at it and acknowledge "yes it's swollen" but always, call your doctor. And this year, because the visits for ridiculous things or the desire to NOT see their doctor got so crazy, I announced in our orientation staff meeting, that I will never give medical advice and ALWAYS refer you to your doctor. It has cut-down on the visits. I won't do Blood Pressures for "I just want to know what it is" if there are no symptoms. But I recently had a favorite. An agency TA who has only been with us two weeks asked "Can you tell me what kind of vitamins to ask my doctor for so I can gain some weight?" Ummmmm, no ........ call your doctor, or see a nutritionist!