BettyGirard BSN

Yeah, around here girls are in short skirts and boys in shorts well into the freezing temperatures. Our building also tends to get heavily air conditioned even in the warmer weather. I tell kids that they need to put some clothes on if they're c...

No hats or hoods during class times.

We get out Friday. For the first time since they started the policy we've got an LPN to remove the catheters for the break. I can't believe I volunteered to stay and help her, but Trini says it's no problem for her.

Mine is closed but not locked. There's a sign that says "Come In" on it. It just gets way too noisy given where I'm located (not to mention blasts of cold air as one of the main building entrances is right here as well).

Not too bad for me either (though high schoolers are typically not trick or treaters in the major sense). I'm also happy they hired an LPN to pull caths for this weekend so I don't have to stay and do it (nor worry about getting in early Monday to...

I'm serious, and stop calling me Shirley.

I guess I picked the wrong week to give up sniffing alcohol preps.

The scary part is all the uncontrolled gunk in the THC blends that is tearing up people's lungs.

We don't have any "regular ed" preK. We start with K in our district. The PreK's that are in the buildings are all special needs and the district provides a low level aide (we call the attendants) to deal with various toileting issues whether it'...

Yep, no recess here (high school). I don't really handle temporary gym excuses, that's entirely with the PE teachers and they park the kids somewhere in their domain. If it's a long term thing, then we either put them in Adaptive PE or come up ...

One school, 2400 students. Just me in the clinic. Have an itinerant nurse who works for the exceptional students (special ed) about half time. And this year we have an LPN in the main office to off load the discipline issues that I had been p...

I agree with nursy. If it's serious, call 911. There's a limit to what you can do with your meager clinic capabilities. We don't even have what comes on a BLS ambulance, let alone advanced.

Of course, the diabetics won't fare well given TB derivative rather than their insulin, either.

one doctor on NPR basically said smoke/eat the flower instead. I'm pretty sure this is the CDC's current recommendation. Nobody knows quite what is causing the lung injuries on the vaping, but there's a strong suspicion it's the stuff they use to ...

The paperwork is different for sure. Rather than your typical hospital charting (I was ER nurse many years ago before I switched to this). But you get used to it in a hurry. Fortunately, our school is large enough that some of that has been o...

There was just some report that nearly all the THC-laden vape juices have cyanide precursors in them. Still, it's not advisable that students vape even if it were a perfectly safe nicotine delivery mechanism.

Officially, we don't. Our supervisor nurse does tend to spend a lot of time with the new ones making sure they are set. When we brought on Trini this year in her role, I spend a reasonable amount of time helping her learn her job duties. I'm als...

It's illegal under FERPA to deny the parents the information. Once we've verified we're talking to the parent (and it's not limited to the custodial one), we're not allowed to throw up more artificial walls around the record.

I'm not involved at our school. The forms gets submitted to the athletic directors office and I presume get stored in his files. I think he gets audited by the intermural league offices.

I'm not sure why one has to do with the other. Intubation isn't related to urinary issues. While the need for an indwelling cathter indeed should be revisited from time to time, I'm not sure why intubation is even a trigger let alone an indicat...

Any change in dosage requires it for us. It's a completely different thing to give meds to an asymptomatic child when the order says PRN is not something I'd do on a parent's say-so alone.

We all typically have two masters: the medical chain of command (your supervisor and often a physician who set up the school programs), as well as the building administration. You do have to understand that your medical role comes first. I guess ...

We use silicone-silver coated foleys here. Just easier. We don't use enough of them that cost is an issue. I don't know if we have any kids with latex allergies that need them but it's easier this way. I switched to nitrile gloves a while bac...

How do you do variable insulin dosages without understanding what the child is consuming? I've had diabetics at all grade levels, and while perhaps you didn't "count" carbs, you needed to track what the child was eating and counting "exchanges" was...

This is something the district (or above) should have a policy on. We had a number of TB cases in various districts in our state over the past years, so everybody gets tested periodically. Employees used to only be tested on hire. Now it gets ...