XingtheBBB

I thought there was a thread about guidelines for teachers about what constitutes an emergency call to the nurse. I can't seem to find that. What guidelines do you use? I remember someone using "red white and blue" to summarize heavy bleeding, not breathing well, and... white? I can't find that either. (I think it was an article in a journal)

I work with a nurse (cover her building) who gives out crutches for use at school. They are to be returned at the end of the day. We have students who specifically ask for them during the day (the ultimate badge of pity?) Personally, I feel that injuries fall into two categories- 1. Those that can continue to bear weight although it doesn't feel awesome and 2. Those who cannot fully WB and need to be picked up to be checked out by a doctor. If they would fall under #2 and a parent is unable to pick them up and wants them to stay for the day despite severity then fine, crutches for ONE day. After being seen, the doctor either tells them to use them and provides them or doesn't. We decided at an admin level that it's a liability to provide them if not ordered. Right now, I'm on crutches and my co-ordination is terrible! I can definitely see the possibility of a kid who doesn't NEED them becoming more hurt because of them. Then it's my fault? Not happening.

Penn State Hershey has one in the end of June with several peds tracks.

I had a senior student transfer to another high school. The request from the new school nurse for his records arrived was the day after our seniors completed their last day of finals, the day before their grades were due. Are you kidding me? The new school runs two weeks longer.

Mostly concussions and seizures/ r/o new seizure. My most unexpected was a TIA. It was in the first week or two of school and because of our switch to a new computer program (instead of health cards) we were not aware that the child had a dx of AVM over the summer. In the HS, its ODs, fainting disorders (POTS), and mental health emergencies.

We have one student with these precautions except for the mask, and from what I've gathered one parent does keep the child in a bubble at home but the other parent takes the child out to restaurants that are not allergy safe when that parent is out of town- risks I would not take with that kid but I'm glad that the child gets some exposure to the real world and learning how to be as safe as practical there!

I used to use a big chunky diaper pin through my daughter's laces. We had duckies, crayons, and plain colors with locking heads.

Often, they function like a Drs office with some ready care hours. Usually there is a provider and then an office staff- MA's/LPN's, RN for triage, organizing screenings, some direct care. Depending on the clinic. Sometimes they do more ready-care services like Xrays. Usually they do phlebotomy. I think an RN with your background is helpful. There is STD counseling and screening, pregnancy testing, pregnancy counseling, and you may be needed to do some monitoring along with a students OB- weight, BP, etc.

That reminds me of a kid who said "I have an inhaler but I haven't needed it in about 10 years!" But Sweetie... you're 6.

OK, lets assume for a moment that at some point (haha) in the history of pencils, they contained lead in the writing core... Do they not know the first thing about how lead poisoning works? What rock do they live under? I'm honestly obnoxious enough that I would put a collection box in my office, addressed to the Flint Water Fund, and make them donate $5 every time they insist on being ignorant.

You'll have to take post-BSN coursework in school nursing to be certified. Otherwise you can work as an aide, not as a school nurse. Several PA school offer the course.

Ugh. I'll give allergy shots to staff at camp because they have to be onsite pretty much 24/6 and should not be wasting their 2 hours a day or Saturday off trying to get into the Dr office but it's rude that it was assumed you'd give shots and she declined teaching for that reason!

I usually just have them hold their nose with pressure. Ice if we need to. Afrin would be great if it was a frequent offender although one of our frequent nosebleed kids does great with just saline gel. It wasn't a crazy bleed worthy of any packing but in the 10 minutes that the kid was here (including the time to wipe his face and wash his hands) I got three panicked reminders that there is a test today and I need to hurry.

Does anyone know how to make nosebleeds stop faster when it's standardized test time and students are supposed to be participating so the whole class is waiting for them to return? Because, apparently, I'm supposed to?

It likely either reflects their ability to plan and implement an orientation program or just a mismatch of job and nurse. There are hundreds of specialites and sub-specialties, it's not one job fits most. I saw that you posted in a New Jersey forum. If you happen to have a passion for the LGBT+ community, I can point you towards my camp held in PA, HQ in NYC. It's a one week, 2 nurses onsite all the time.

I give in to power naps, too! Their schedules are a bit crazy. Why go to class and zone out if a pick-me-up helps. And the lack of long stories detailing questionable symptoms is refreshing!

I actually have some band aids at home that say "tiny unicorns will kiss you better"

Being able to be a 3 season nurse so I can go to camp in summer! Where I am not even the nurse anymore!

And they aren't even putting effort into acting or concocting stories. I keep hearing brutally honest "I'm tired and I just want to go home" and "Ummm. I don't feel like being here. Do you think I can go home? Lie down for the next 4 periods?" Bruhh... No... But the field trips? I'm ready to bust out of here with them! Bring on the field trips! That a favorite. (even if coverage is an issue)

What have you talked about with that other nurse? How much will she be available to you? How close is EMS? What is your medical support? What kind of personality are you- especially in an emergency? Is it a good learning experience? Undoubtedly, if you have enough strengths to build on. My camp is fortunate to be close to 2 EMS services, an hour (lights and sirens) from CHOP and St Chris, and an hour normal drive from a community children's ER. Just 2 hours from my camp, a camp EMT did compressions for 30 minutes waiting for help a couple years ago. My aunt did 45 minutes at an Easter Seals camp a decade ago. I *count* on my life guards, admin staff, some counselors giving me relief in that type of situation but when it happens, will they? A lot can depend on you and it's a wild toss of dice whether you'll see a real emergency or just a parade of band aids, rolled ankles, hot day headaches, and homesickness. My camp is not special needs- 100 campers means about 30 med doses daily, 5-10 epi pens, 10-20 inhalers. In my first year, I had a brand new EMT as my aide, she was not prepared to be there and I ended up doing a lot of extra time on camp and phone-call support. She was also Type A and tantrummed if she didn't get to eat on time. Sigh. Welcome to health care. That was the year that I had a parent cursing me out on the phone because they were angry that I called EMS before asking them. Their child hit her head and couldn't remember their own name or what happened. They said she was faking it and I would have to pay any bills. She wasn't faking the unresponsive, uneven pupils or the bradycardia but the parents chased the ambulance to the hospital and signed out AMA. Thankfully, most concussions are very minor but then the trick is picking up on them- don't provide too much worry or too little care! The same with wrist and ankle injuries. We complain about nursing being treated as customer service but CAMP actually is, so those fine lines need to be walked. I advise any camp health professional to take a PALS class if you can and read the books if you can't. Do you need to know the indication and dose per kg of adenosine at camp? Of course not! But PALS is SUCH an awesome course on recognizing early signs of deterioration and mentally organizing the situation. Also read up on mental health, take a Stop the Bleed first aid class, read Linda Erceg's Basics of Camp Nursing, Some great things? CAMP! Camp is awesome if you are camp-folk. Not every one is. Kids are actually being kids in their natural (dirty) habitat. They are doing fun guided activities and spontaneous ones as well. The songs will be stuck inside your head and one night, you'll wake up and not be able to go back to sleep until you know WHY Princess Pat lives in a tree? (and then you will learn more about Canadian military history than you imagined) Your wardrobe will never be the same after you get tired of tie dying shirts and move onto socks. You'll wear those socks to the hospital some day when you are rebelling against having to put on scrubs on a 90 degree September day and you miss rumpled t shirts and soccer shorts and even unbrushed hair. Your vocab will never be the same after you have British, Australian, and German roommates and you will find out that when you travel the world, you have sofas to sleep on in 7 countries! The kids will be happy to see you when you escape the health center and walk around camp (bonus points if you get to go swimming!) You'll get hugs on Fridays and notice that they've grown a lot inside and maybe outside since they arrived on Sunday and the next year, you'll be excited to see how much they've grown again. You will learn about how health care works when you take two kids to the clinic for ankle pain and one has the right insurance and the other doesn't. You'll learn Ottawa ankle rules and be able to debate PECARN vs CATCH vs CHALICE head diagnostics. You'll sound brilliant when you discuss Lyme disease risk and epidemiology with anxious parents. You'll ride in golf carts. You'll glow with pride when the message comes back that the ortho surgeon at CHOP complimented your SAM splint application (even though it was actually your first time... and you'll never admit that to anyone) You'll develop legit preferences of "band aid" materials and brands. You'll learn about essential oils for ADHD. Maybe you'll try the high ropes, rock wall, canoeing, and ride a horse. Maybe you'll like one of those things so much that you'll get trained as a facilitator and can work extra weekends during the year! (because you'll learn that camp sickness is real when you cry in a Macy's changing room because they just played a song that makes you think of camp.) You'll wear a tiara at least once. You'll learn task organization and new levels of flexibility. You'll gain leadership and management skills. You might end up with a resume touting your protocol writing.

I want this in poster form

We added glucose tablets (they never expire) to each Go bag in each building. Each classroom contains them as we never know where a student might be- homeroom, "special", or pulled into the closest room from the hall. (those already contain hammers to break windows, rope, foil blankets, a tiny first aid kit, whistle, flashlight, playing cards, pad and pencil, masks, tissues, glow sticks. They came pre-packed. I guess cards are for a flee and wait situation? We also take them on fire drills. We are checked! I've added basic student info, crackers, water, a bigger first aid kit, and juice to ours. We also take our trauma first aid bag with some meds on drills.)

My district is doing a seminar for interested students but discouraging walk out for safety reasons. And in a semi-rural school, why bother? Walk to where? Who would see your statement? The seminar will include law enforcement reps and a local senator as well as school officials. Students filled out a survey with questions they want to ask, ranked topics, and whether or not they will attend. (and no comparing your plans with your friends plans!) Unfortunately, I'm covering a different school today but I will watch the live stream, as will some middle schoolers. I'll do the march in NYC on the 24th.

We are allowed (by local regulation) to dispose of ours in our biohazard bag once it was securely taped shut.

Do you have the type of sling with the open bottom for toileting? Not the hole in the bottom but the U shape that leaves the whole bottom hanging out. I had a home care child that required some practiced wiggling, but I could get clothing out of the way with the sling in place.