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  1. BettyGirard

    I need my instructor

    Certainly, ask for clarification. Some students are just shy that way. Others are like you and would jump at the opportunity to learn a skill they hadn't done. I still remember one of my clinical rotations in the ER late one night having a doctor call me over to assist him with a central line. I told him I was just a student so he knew, but I was willing to try. I think to this day that is the only one I've been near since. You certainly can ask if you are OK to supervise these students on these sorts of task and if so, apply pressure to them to actually try to do things. You all got to learn sometimes even if it is a skill you never anticipate needing. I thought, I'd never see a foley again once I went into school nursing, but that turned out to be an incorrect assumption on my part.
  2. BettyGirard

    Sub Notes

    My usual sub is someone who is already in the district so she's familiar with the school. As with others, I have a "sub folder" with the scheduled visitors (diabetics, etc... ). I try not to be out on the days we have real issues but it happens and Beth is usually prepared for the worst.
  3. BettyGirard

    Typical schedule.

    Officially, I'm not on the clock other than when the children are in the building, meaning 20 mins before the homeroom bell until ten minutes after dismissal. I try to keep it to that unless I've got a kid with me, or a parent has made arrangements to come in before/after school. I do a lot more of that at the beginning and end of the school year, plus I do have to book some time at the beginning and end of the holidays for my cath kids.
  4. BettyGirard

    504 Madness

    I'm not involved with IEPs and 504s UNLESS there is some "in building" medical reason (i.e., the student needs treatment, etc.). Our district "exceptional student" (formerly special ed) has their own RN who handles such things.
  5. BettyGirard


    Parent was OK after she figured out what I was talking about. I reported it to my superior (the district student health admin, not the school admin) as it was technically an issue that I went ahead without a real consent. Hopefully, that is the end of it, since the parents aren't pursuing it.
  6. BettyGirard


    Well now that I'm home, have eaten, and had a glass of wine, I'm finally calmed down. I'm mad at one of the students (a bit), and very much angry at myself. It the past, I thought I was always pretty good at spotting forged notes, etc... If a kid brought me a note that claimed to be signed by a parent, I could usually tell and followed up with the parent. Similarly, I had parents sign doctor's names to med orders and the like and I can usually spot those (especially for the popular pediatricians in the area) and call on those. One got by me yesterday. A student had his mother's name forged on a consent form and I didn't catch it. I found out today when I talked to his mother that she hadn't been the one to sign it (and hadn't known about it). Fortunately, after her initial anger she seems to have directed all the blame at her son, so hopefully, I'm not getting in trouble over this. But I was shaking for minutes after I hung up with her.
  7. BettyGirard

    What would you have done?

    I don't get this "I'm sending you the bill" thing. Any other option that would have ended up with the kid in the ER (you call mom, and mom takes her or you call 911 and they take her), they'd still get the bill (perhaps even higher).
  8. BettyGirard

    What do your students call you!

    All adults (staff, parents, etc...) are referred to by Mr./Mrs./Ms/Dr. whatever and their last names. By the kids, by the staff when talking to or in in front of the kids. This is what is proper. I'm called Mrs. Girard or Nurse Girard sometimes. Same for everyone from the cafeteria workers on up to the principal. My administrator always refers to the students in the same way. I think it gives him a bit of formality: "Mr. Brooks, you dropped something" rather than "Bobby, pick up that trash."
  9. BettyGirard


    No, both the students I were referring to are pretty high functioning. As long as it's only a urinary (which it usually is), she's pretty adept at doing the change herself. I'll usually get her stuff out for her when I see her coming just to cut down on the time lost, but let her have her privacy. She'll ask for help on a more messy situation. She had an indwelling last year, but switched this year. We've got other ones that are more impaired, but as I said the special ed para's take care of most of those without involving me. Since we're in high school some of these kids are pretty large, but some of the paras are really strong. The attendant pretty much has his schedule worked out with the teacher for all the kids he is responsible for. Some are strictly diaper changes, and some are getting them onto the toilet on a timed basis. I'm not too involved in that other than helping set up the plan at the beginning of the year (or when the situation changes). The two non-wheelchair ones were new to me this year. Showed up at the beginning of the year. One's a mainstreamed pretty high functioning cerebral palsy kid (I can see a hint of a limp as well, but he'd fool most people). The other I'm not exactly sure why he's in diapers. The parents are pretty cagey when I pressed them.
  10. BettyGirard


    Fortunately, most of those with toilet issues in our school are handled by the special ed parapros (attendants/assistants), they have a changing area complete with shower table down in their area. I've got a couple of mainstream kids in wheelchairs, one who just prefers to use my bathroom and one who is diapered. Both do OK without assistance, so I guess I'm lucky. I've also got a few ambulatory incontinents this year who also use my area for changes. Keep their supplies in a cabinet near by.
  11. BettyGirard

    Okay School Nurse's......Check in !!!

    Kids came back Monday. Just trying to get the opening stuff caught up. No matter how much I prepare before the first day, it always looks like a disaster by now. Just the paper is getting me.
  12. BettyGirard

    It comes in cycles

    Oh, that's a term I use for a student with a condition that I first hear about on the first day of school. No heads up earlier from a parent or the nurse from the school they were at last year. Betty
  13. BettyGirard

    It comes in cycles

    Another new year started. Ever notice how certain things come in cycles. For example, I can go several years without a new kid with a bee sting allergy or diabetes and then suddenly I'll get several the same year. This year it's incontinent students. Three this year including a pop-up.