mattfd37

Yea it's with the Influenza shot I believe. All letters to parents have to be approved by the BOE! SMH

So we just got SNAP (had Health Master) and we are doing immunizations and are finding non-compliance in a lot of students all over the District. The Supervisor would like us to call to MD's office and clarify the record, and if required, tell them that student will need a booster etc.. Then the MD's office gets hostile with you and ignores your request. Then we have to contact the parent and let them know, and in some cases (with the live vaccines), tell them we have to exclude them from school until it is completed (mind you, this is for all grades). This obviously takes a tremendous amount of time we don't have. We want to just send a letter to the parent stating they are non-comp and leave it up to them to contact their MD. I'm tired of being the immunization cop, my name is not stamped on the physical saying everything is up to date. Just curious how some of you handle the process. Thanks!

Nurse Matt

You do the males? In all 6 of our ES's, the 5th grade male teachers do it. I'm used as a backup only because they've been doing it for years. We use the pgprogram as well. The videos are pretty good and answer a lot.

Absolutely! We have kids that come in and say they need their inhaler and when asked why "I just think I need it". If their lungs are clear in all fields, they sit with water and are rechecked after a few, if no changes RTC. Wheezes and chest tightness I will obviously give it to them, but some are just using it for avoidance reasons and sympathy.

Just curious if you guys have policies/procedures for teachers/staff to follow when a child has a possible head injury. I had a call where the child fell on the play scape and couldn't move. I got there to find the teacher ambulating the child to me. I instructed them to sit on the bench and one look at the kid I called 911. They ended up having a concussion. This seems to be a common practice with teachers/staff. Any thoughts?

I wear scrub pants and a navy blue t-shirt with RN/Caduceus on the chest and NURSE on the back. Sometimes I'll wear scrub tops.

This happened to me 2 months ago while at school, it was Bells. I waited til school was over and went to ER and got tons of Prednisone for 10 days. As far as EMS, we would just take vitals and drop off in triage.

I float, but the HS has 2LPN and 1RN for 2000+, 2 MS's have 1LPN and 1 RN with 800+ and the other 8 ES have 1 RN except for one that has 800 kids which has 2 RN's. Only RN's can have their own school which stinks b/c the 3 LPN's we have, have at least 60yrs experience combined.

So we are under the BOE, which means someone on the Board has to oversee us. Traditionally, no member wants us, BUT it went to the Head of Special Ed. As we all know, every Board member is uniquely unqualified to supervise us, but this is how it is for now. Our Supervisor who is part of our union (not sure why) has no Admin privileges, nor does she even see herself as an Admin (unfortunately!) My questions are: how is your chain of command structured? If you have a Dir of Nursing, how did that happen? Is your immediate Supervisor in your union? And how are you recognized by the BOE when important nursing issues occur? Ultimately I want her job when she is ready to retire, and want to have my ducks in a row when it comes time for battle!

I'm the float for the District, so I travel to all 13 schools. I'll start at the middle schools and work my way to a smaller school if needed.

Unless you have a 12 lead, IV's and a lab, how can you be 100% sure of what you have? EMS has some of those tools, but even we err the side of caution and transport the patient. Yes, we might roll our eyes (I'm guilty), but these are kids whose bodies can compensate for a lot of things. It's always better to be safe than sorry.

I wear scrub bottoms and Navy colored t-shirt with RN on left chest and NURSE along the back that I made at customink.com (3 for $100!!!) rip off but they should last for a while. Other nurses in this district wear casual along with sandals.

Thanks for your input! It's interesting how many programs are out there. Now rumor has it we are going to SNAP, and by looking of the responses might be the way to go. I hope it can integrate with Power School though.

Our District uses Health Office 5.7 which is seems soooooo archaic. It has some potential, but also has it's limitations. We also don't use it 100% of the time. Many nurses continue to write on paper or the chart because of this program. They are looking at upgrading but only upgrading Health Office. Is there another program you use and would recommend?

[COLOR=#000000] [/COLOR][COLOR=#000000]I am a float nurse, the 2nd FT float for the town. We are very blessed to have what we have here, because other towns are not covered like we are. We have 13 schools (10 Elem [2 have 2 nurses], 2 Middle [both have 2 nurses] and 1 HS [3 nurses] for 2,000+ kids. We have 12 or so subs. I start at one school usually at the larger Elem and then float to one of the smaller schools half way through the day. They justified a 2nd float based off of nurses absent rate. They broke it down by how many days 1 nurse was out during the yr, then 2 nurses etc and then how many times there was coverage. I've been in this position for about 2.5 weeks and love it, I also work in an ER Per Diem.[/COLOR] [COLOR=#000000] [/COLOR]

I actually called one of the allergy centers the other day who write orders for a lot of our students and I spoke with the head of the group and he said 'the biggest mistake nurses make in a school setting is delaying the use of the EpiPen. The Pen will slow down or cure the problem enough for EMS to reach them. Benadryl only delays the inevitable, You have to remember, these orders are also written for daycares where you have untrained personnel trying to decide whether to give it. You are not going to harm someone by giving them an EpiPen'. I agree with his statement and being in EMS for 20 years I'm glad people give it even if they are unsure.

I was a sub for the past 1.5yrs and just got hired as the 2nd float for the district. Today was absolutely crazy trying to help the head nurse document the meds. School starts tomorrow (CT) and that's when a line of parents sit outside the office and drop off all their child's meds! woo hoo! The redundancy is mind boggling! Meds orders are photocopied in triplicate (1 in PRN folder, 1 with meds and 1 in permanent file (where you also have to write the meds ON the file) so technically 4 times! We have spent the last 2 days calling parents and telling them we need their childs 7th gr physical or they can't come to school, even though they got 3 letters since Oct and a call from the nurse in May. I also work in the ER, so tomorrow should be a walk in the park, NOT!

What's a good wage for a NG? ANYTHING! Just get a job, suck it up for a year and then move to where you are most interested in.

Try schools, large corporations and try correction facilites. Think outside the box.

NO! The job market is terrible here, especially with no exp. Stay in NY and keep sending out resumes?

I have a BS but not in nursing. I worked at the hospital already so I got hired fairly quickly. I've been on my own for a month now and love it. There are still a bunch from last Dec that haven't found jobs yet let alone those that graduated in May. It's very hard out there, I'll be honest. You need to think outside the box when looking for a job. Look at a correctional facility for example. If you're not already working in a hospital it MIGHT be a little hard with a ASD to get in. A lot of my friends who were working as a Nurse Assistant or PCA all got jobs within a hospital they worked for. Of course some got hired without being employeed by a hospital. Get hired, wait about 6mo or so and begin going for your BSN.

The PP is a guide.You need to read the book esp when you get into 203. Go over questions from Mosbys and Lippincotts NCLEX review..several questions come from those questions.

Yes it is true they are. Not sure why. We all sit for the same test. If you do go for the AD program, make sure you go get a job as a Tech or Student Nurse it's a good backdoor way to get into a facility.

We only lost 2. We graduated 48 I think. 201 is challenging, there is more expected of you. If I remember correctly 201 has a lot of adjuncts teaching which made it hard b/c they aren't writing the tests which made it kind of useless to go to class. I hope they read our reviews and changed that. Where r u doing clinical?