ajessrn

I struggle with this as well. I have multiple kids in my building that have different preferred name/pronouns that parents do not use. I have to be really careful and intentional when making calls home. I don't want to cause any riffs at home but at school I do my best to use preferred with my students.

Are there at least two people in the after school program willing to be trained? If so that is what I would probably do. You cannot be expected to stay after every day. mom needs to establish a relationship with the after school people. We got intranasal glucagon recently. thankfully havent had to use it but feel better having it because it will be easier and faster to administer if we really need it.

as others have stated if it is a school sponsored program after school then the district needs to hire a nurse to be present or train volunteer assistive personnel depending on the laws of delegation in your state. I have chosen not to do our after school program for my 8 yo because it is a separate program from the school and I would have to train someone and have a third set of supplies since they wouldn't have access to his stuff in the nurses office. He doesn't self carry his supplies yet other than his receiver for his cgm. so 1. is this a school sponsored program giving you or your district responsibility for training someone or hiring another nurse? 2. if so who is willing to be trained to manage things. 3. if not you need to pass the baton to the after school program and leave it up to mom and the head of the program to decide on what they are comfortable with. please don't over extend yourself and make sure you are setting boundaries for what you can and are responsible for. I would not expect my sons school nurse to stay after school for him. I cannot stay after school for my students.

sounds like things are going OK. my own type 1 kiddo is in 2nd grade and dx in pre-k. we have frequent convos about what he wants packed in his lunch. we don't do the lunch line because it just has always seemed easier with his pickiness, food allergies, and diabetes to pack lunches. one day that may change. he gets dosed before meals but within the first few months after dx we dosed after until we were able to help him understand the importance of finishing what he says he will eat. we keep fast and complex carbs in the nurses office for him as a back up. one time a yogurt tube burst inside his lunch box all over his other food so the nurse had to grab stuff from his supplies to make up for it quickly because he had been dosed not realizing his lunch was ruined (we don't pack yogurt tubes anymore). another time he also suddenly decided he hated his main food item in his lunch (he had taken it for an entire year straight because that is what he said he wanted). he also has ocd so he likes things to be the same for long periods of time but something in his little brain changed and said I hate that food and its disgusting now. so again his nurse had to quickly make up the carbs because he had been dosed not knowing he was going to do that. thankfully stuff like that doesn't happen super often and he usually finishes his food. Good luck to you and your new type 1!

so far my sons diabetic camp is still on (Indiana) but they are having campers only pay the deposit so far as things may change. they will have less campers and masks will be worn. so far that is all the info I've seen come out. fingers crossed!

yes we do double checks still for all insulin.

oh my gosh you guys are so smart!

good idea!! Thank you!

I asked the other high school nurses in my district and they said nope they don't want them. they still have hundreds of them too. I could see having like 20 on hand in case a parent asks for info but geez 200 for a school less than 400 is a bit much.

2 years ago the health department delivered about 200 magnets and brochures to me for meningococcal b. My kids don't want them. I can't think of anything to do with all of them and they just take up space in my filing cabinet. I have tried putting them out for the kids to take and parents in the main office. any ideas? I did not ask for them they just showed up at my door. I hate to throw them away but that's what I am thinking I'll be doing with them.

thanks all. I don't have my own budget at the school or manage any of the budget. I get all my supplies from one of the other schools. I asked another nurse in the district if she keeps meds for staff and she did say that she does keep otc and gets them at the dollar tree. I feel like yesterday I was asked twice and today already once for something. I may ask my principal if there is money from some pot he can pull from for me to pick up some basic otc meds like tums etc. I already spend some of my own money to get the girls tampons, thin pads, snacks, and bottles of water when they forget theirs. we supply basic pads for the girls but I just like to give them choices for feminine products so I have chosen to take that one on myself with donations as well. Its kind of surprising how often lately they have been asking me for meds.

Do you keep medications like tylenol or ibuprofen for staff in your office? When I first came to this school there were several bottles of otc meds left, not students meds. They have since expired and been disposed of but the teachers come in and ask me if I have anything for a headache or heartburn sometimes. I don't have standing orders and other than initiating workmans comp don't handle staff issues. I am happy to check an occasional blood pressure and of course respond to any emergencies that may come up but otherwise I don't think its my place to keep medications in my office for staff use. They should keep their own on their person in my opinion.

We are super small. less than 400 kids. I didn't really change much. I use a conference room close by for my covid suspect or students waiting for pickup that have been contact traced. if its open and available. with less visitors allowed its not used a ton but sometimes it is needed to be used for testing in small groups so some days I have to wing it and put kids wherever I can find a spot to stick them. we are small though and im high school so usually I don't have too many kids at once. They have been really good about not coming to school if they are having symptoms so its not been often I've had a student sent home for symptoms. my district came back in person in august then had to go to e learning over thanksgiving break then went to hybrid for secondary after christmas break and are working our way back to full in person. loving the hybrid because way less kids get traced because we can actually distance them better. thankful out community numbers are getting better, but worried about how that could change after Spring break.

1st dose of pfizer mid december and 2nd beginning of January. Only had a sore arm for a day or so just like when I get my flu shot. I was fortunate and didn't have any other side effects.

thank you. yes the recess thing happened once so far this year. trouble following directions in PE class so PE teacher held him from going to recess for 5 minutes. maybe it was needed, can't say for sure since I wasn't there but thankful it doesn't happen often. recess is so dang short as is so missing any of it stinks for them. I think that his school overall understands the importance of recess and movement. They have been trying to add in flexible seating to more classrooms and do brain breaks throughout the day etc. He started a new medicine Friday, gaunfacine. I told the pedi I wanted to steer away from stimulants for his adhd hoping whatever we try won't make anxiety worse. I finally got the neuropsych eval official report and he had a lot more recommendations so I will share the report with the school so they can have it as informational to add in things as we see the need and if they actually are helpful for him. Too many changes for an OCD kid at once isn't a good thing. He told me the teacher changed his seat in class. I tried to amp it up as an awesome thing that he gets to sit closer to the teacher so he can focus better in class. Grateful that his teacher also sent me a note telling me what an awesome day he had yesterday. I need some good to balance out the hard. I appreciate everyones help and input so far! Thank you!