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k1p1ssk BSN, RN

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k1p1ssk has 9 years experience as a BSN, RN and specializes in pediatrics.

k1p1ssk's Latest Activity

  1. k1p1ssk

    Want to become a School Nurse, but is it worth it?

    Depending on where you are in the country, and even district to district, the life a school nurse is different. In my district, there is a FT nurse in every school, and 2 in the high school. I am salaried and on the teacher's contract, soon to be in the teacher's union as well. If I were to break down my salary to an hourly rate, it is comparable to a hospital-based floor nurse on day shift with my same experience. The biggest reason the pay discrepancy is so great for me, is because we generally get a ton of vacation time. In my district, we generally get around 10days at the holidays, a week in February, a week in April, and 9 weeks of Summer off, plus all federal and state holidays (Labor Day, Veterans Day, Columbus Day, President's Day, Patriot's Day (a Massachusetts thing), and Memorial Day). Since you've been working in schools in your area, you know what the atmosphere is like. The biggest thing I like to tell aspiring school nurses is to get a feel for the job before jumping in. It is a whole different ball game than hospital/LTC nursing. You may want to get some floor nursing under your belt once you have that RN degree, as one thing I have heard is that a lot of hospitals won't count school nursing as experience if you decide to transition. So if you have it under your belt before your start in a school and find out you're not into it, you at least have that hospital experience to fall back on! Plus, it looks real good on a resume for applying to school positions! Good Luck!
  2. k1p1ssk

    Incoming Seizure Disorder

    In Massachusetts, Diastat cannot be delegated as it is technically a controlled substance (Valium) and in order to administer, there is not only the need for training on HOW to admin, but when. With all this said, all faculty/staff that would have frequent contact with the student should have seizure recognition training and you should have a plan in place for what staff should do should they witness a seizure. I would want to know from the MD/Family when they want 911 called (I.e. EVERY seizure, or only seizures involving certain behaviors, or only seizures that last a certain amt of time, or only if Diastat needs to be given, etc.) The student should have an IHP / EHCP and depending on the severity/frequency/triggers of the seizures, a 504.
  3. k1p1ssk

    In Memoriam....

    I know many of us are away on Summer vacation, however I wanted to share an article that speaks about a memorial that was held for Laurie Melchionda, a school nurse from Eastern Massachusetts, who was a victim of gun violence at the hand of a former neighbor. She was by all accounts, an amazing school health advocate and a leader in our field. https://www.boston.com/news/local-news/2020/06/23/braintree-vigil-laurie-melchionda
  4. k1p1ssk

    PPE concerns as we return

    Our situation is unique as there are siblings in the district who both have 1:1 nurses and instructional aides. The family is doing the district a solid and paying for one of the two nurses. If the nurse is sick, the student doesn't come to school unless a sub is found. If the student is sick, that nurse doesn't come to the school, and usually provides homecare; However, the district provided nurse would remain at the school and help the office nurse or has to take a sick day herself.
  5. k1p1ssk

    PPE concerns as we return

    Who supplies PPE for outside contractors at your school? We have a nurse who is hired by the student's family who provides care during the day. Is she responsible to provide her own PPE for caring for that student, or is the district?
  6. Doesn't it always seem to be the parents with the most demanding jobs? Like, don't have kids if it is going to be too inconvenient for you to take a few days off of work to care for them AS THEIR PARENTS. On top of that, they MUST make enough money to have an on-call caretaker. I mean, c'mon... They must be making close to 300-500k or more per year collectively.
  7. k1p1ssk

    Is school nursing stressful?

    In a nutshell, yes, school nursing can be stressful; It is NOT easy. In most instances, you are the only medical professional in a building, sometimes a district, and you are responsible for the health and well-being of everyone in your building (And every building is different.) For example, I work in an elementary school serving pre-k through 6th grade, with around 190 students. I see an average of 18 illness and injury visits per day, plus 5 daily medication visits. However, you will see on here nurses who see 70+ visits per day. As the school nurse, you are not only a nurse, but a record keeper, social worker, psychotherapist, first responder, and case manager, to name a few of your jobs. I think to be a school nurse, you need to have a lot of self-confidence in your assessment skills. There is rarely another qualified adult available to bounce thoughts off of. You also have to be organized as there is a LOT of paperwork. Spend some time reading through some of the topics in this sub. You'll quickly get an idea of the kind of things we encounter. In general, I wouldn't necessarily recommend the job to a new grad unless they have very good previous pertinent experience that makes them highly qualified. I think if I were you, I would try to become a substitute school nurse in the district you're interested in working. Per-diem work in the schools gives you a really good idea of what school nursing looks like, without the commitment. Some other questions to ask yourself: -Can I work by myself (and I mean rarely any contact with another adult)? -Do I want to work with Children/Adolescents? -Do I feel comfortable with handling an emergency situation by myself? -Do I feel comfortable with my communication with families?
  8. k1p1ssk

    Good CE websites?

    During this time of "freedom", does anyone have any recommendations for CE websites? I'm thinking the ones where you pay a yearly fee and have access to "1000s" of CE credits. Bonus points if it is pediatric focused (or has a good number Pedi units).
  9. k1p1ssk

    Do you think schools will resume this year?

    I am also in MA and I think today's stay-home order announcement from Gov. Baker is writing on the wall. I'm taking this day by day, expecting to return April 7th, but preparing for Late August (or even later than that).
  10. k1p1ssk

    ED nurse to School Nurse

    Before transitioning to school nursing I worked inpatient pedi for a major hospital in my area; The pay cut is big, but for the amount of time off I get (all holidays, weekends, plus around 9 weeks in the Summer) it's worth it. I'm also salaried with the option to have 26 equal paychecks through the Summer, so budgeting is easier. If I break down what I make salaried into an hourly rate, I make almost the equivalent to what I would be making working three 12's on days in the hospital, just less hours overall throughout the year. I have a part-time weekend job at a boarding school health center, as well to supplement, which works out well. I'd encourage you to see if an area school will let you shadow, or try to work per-diem in the schools first before making the jump, just to see if you like it.
  11. k1p1ssk

    Positivity Posts

    I see that we often use this forum as a place to vent our frustrations, share stories of difficult situations, and seek advice on how to handle difficult coworkers who don't understand our roles... So, I thought it might be nice to start a thread where we can share positive outlooks, things we love about our job, and acts of kindness... Kind of an antithesis to the "C'mon Now!!" thread (which I am a staunch supported and contributor of/to)! I'll start..... Amidst all of the COVID-19 drama, our 5th grade teacher sent two of her students around the school this morning to wipe down surfaces with her classroom supply of wipes and I am just relishing the fact that my office now smells like antiseptic lemons as the two boys came through and asked what areas needed to be hit. I love how situations like this can sometimes actually bring a community together!
  12. k1p1ssk

    If your school is closed re COVID19, what is your role

    I imagine in our district, the nurses will work closely with admin to write communication to families, possibly formulate a questionnaire that will help guide families with questions/concern for exposure. Right now, closure is a real possibility in our district, just not sure when or for how long....
  13. I would insist that the pharmacy place it in a bottle that has measurements on the side in mLs OR that they use pre-measured syringes; Mark down the beginning measurement and count by mLs each day... maybe even mark down coloration and consistency to make sure that liquid isn't being removed and replaced with water or something. This is how it was handled in a nursing home I worked at.
  14. k1p1ssk

    "Can you do something about this?"

    I think teachers are super worried about being sued; They have become reliant on us as school nurses to bear the burden of assessment and decision making. If we all disappeared, their minds would explode with worry and what-ifs...
  15. k1p1ssk

    Face masks

    I am not going to worry about this until it is something I need to worry about... From the CDC: "Follow CDC’s recommendations for using a facemask. CDC does not recommend that people who are well wear a facemask to protect themselves from respiratory diseases, including COVID-19. Facemasks should be used by people who show symptoms of COVID-19 to help prevent the spread of the disease to others. The use of facemasks is also crucial for health workers and people who are taking care of someone in close settings (at home or in a health care facility)." https://www.cdc.gov/coronavirus/2019-ncov/about/prevention-treatment.html
  16. k1p1ssk

    Happy Valentine's Day!!

    Our school discourages treats, but some parents are rebels and have sent in chocolates and cinnamon rolls (YUMMO).

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