photomom

Hey all, I come from a critical care background but have an opportunity to work as a school nurse sub. I thought it would be a great opportunity to broaden my nursing experience and to pick up a few hours without being unavailable to my kids for a fu...

Working this week in an inner city alterniative middle/high school as a sub. They actually haven't hired a FT nurse yet (and I heard rumors they're looking, but the way I've seen this place run, who knows when that will really happen). After this wee...

I had a situation yesterday that I'm personally frustrated about. I had a student who brought her insulin pen to school, and her brand new meter, and left them with me. I thought everything she needed was in the case she brought, but I didn't check i...

I think sometimes, not all cases but some, the parents are scared. Either they don't know how to care for their child or they're afraid of stepping on the nurse's toes. I agree that it's important for parents to get away, etc, just as it is for paren...

I like the idea of telling parents (backed by the principal) that they must have the authorization in place to come to school, but what if the parents just don't care that much about whether they're in school or not? It's an alternative HS - last cha...

Unfortunately, there was only one number for mom (a cell) and it was turned off because she was at work and the child didn't know where her mom worked (it was fast food, but she didn't know which location and there were plenty to choose from). I did ...

I understand requiring parental consent, but why a drs order or sunscreen?!

No, not necessarily, but it doesn't hurt to be friendly. On the flip side, I've heard from several agency nurses that they always just feel like they're there alone and that the FT nurses are too clicky and exclude them from everything. If you want t...

Yes, I am in touch with the supervisor several times a day but she is also new to the district and rather at a loss of what else to do. Ended up sending a student to the ER today - oh what a mess!! When is rains, it pours, right?

Just a quick question as a new school nurse sub. If a student comes asking for a bandaid because the one they had on fell off, do you need to fill out all the paperwork as if that was a full clinic visit or can you just give them the bandaid?

Go with how you feel about the situation, but honestly it's not always about being nosey. Before I started working with an agency, talking with agency nurses was honestly the best way to do my research. What's a good agency? Do you get cancelled? Do ...

Hey danceluver, I actually got an ICU job right out of school and have been doing that for the past 5 years. I am only starting as a school nurse sub now through an agency and apparently it depends on your state and even disctricts in some cases as t...

Oh, and maybe a silly question, but how high of a fever = send home criteria?

Thanks Donnacee! That makes me feel a LOT better! I know, I know. It's just a basic nursing job, but my brain isn't usually in minor complaints mode when I'm in scrubs so it's sometimes hard to step back and remind myself I'm not at a hospital and th...

MassED, thanks! You make it sound so easy and fun and like maybe I'm worried for nothing. :) I just don't like to be unprepared and since I don't know what to expect, it's hard to prepare. I think I'm probably worrying myself to pieces for nothing! I...

I was wondering if anyone has ever given FFP with diprivan before? I had a pt with 1 peripheral and needed to be sedated with diprivan, but also really needed FFP and we were unable to get another peripheral or central (for various reasons). I was to...

Anytime you CAN run drips by themselves, it's good practice to do so. However, you don't always have that option and it's important to know what can and can't go together. There are several drugs which can run with insulin, but if you're running 3 dr...

Yes, it drives me absolutely bonkers. Recently I had a pt with orders for blood and she had a 20 in her boob... uhm, not the best access?? And I don't think there is a good reason that they don't come up with appropriate IV access when there are orde...

Well, she had just been admitted at shift change, and her antibiotics were being held until morning when hopefully we'd have another line in place. Yeah, we needed more access.

again, good idea. I think the most frustrating part of it was that the physician wasn't willing to be involved in the solution. He was in surgery all night and wouldn't even really talk to me (except through the OR nurse to tell me to place another p...

Hmm... Good to know for next time! I wonder why that is? Unfortunately, she would not have made it 15 mins without sedation - at least not pleasantly and with ETT in place - as we had toyed with that idea.

I'm guessing your question is are insulin, magnesium sulfate and pitocin compaitble to run into one iv site at the same time? If so, the insulin should not be run with either of the other 2 because compatibility is uncertain. However, the other 2 may...