k1p1ssk BSN, RN

pediatrics, school nursing

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All Content by k1p1ssk

  1. k1p1ssk

    Determining Day Zero

    That's a great question... If I think back to conversations with our PH nurses, I imagine that if there was a consistent worsening of existing symptoms (I.e. headache and congestion that just keeps...
  2. k1p1ssk

    Elementary vs. Middle School Nursing

    Our Pre-K Staff are expected to take care of ADLs for their students. So if a student is incontinent, I am only involved if it is perceived as an illness issue. The age group can be challenging, but I...
  3. k1p1ssk

    OVER IT.

    I am so sorry; I think for a lot of us, holding on to the memory of pre-pandemic school nursing really pushes us through these dark times, but it doesn't sound like you have that... But it is true,...
  4. k1p1ssk

    Puberty Education

    This usually opens once a year, between November and December; Previous years I have received an email from them notifying it was open, but I do not recall receiving one this year. It may be that they...
  5. k1p1ssk

    Where to Draw the Line...?

    I am in a public, union district and the number of after-hours calls has been outrageous since Thanksgiving. I got texts on Christmas Eve, Christmas Day, and multiple times throughout the vacation...
  6. k1p1ssk

    RAPID rapid test

    Oh I'm sorry, I should have been more clear; While I work FT in a public school (where the Binax RATs are supplied by the state), I also hold a PT weekend job at a private boarding school, which has...
  7. k1p1ssk

    Dashboard info

    Maybe you can add an asterisk to the number and indicate that this number includes outside cases of students/staff that had no in-school
  8. k1p1ssk

    RAPID rapid test

    I had my first positive on a BinaxNOW last week; A TTS kiddo, asymptomatic; And same thing - BOLD line, as soon as the liquid hit that part of the strip. I couldn't believe it so I did a second one,...
  9. k1p1ssk

    Students Faking Illnesses

    I absolutely call on repeat visits to notify there was a repeated complaint, but still won't send home if it isn't necessary. Again, by the time the kid gets home, the complaint has almost always...
  10. k1p1ssk

    Students Faking Illnesses

    I have to say, I disagree with the above; It IS up to me whether or not a kid goes home... What's the point of having a clinically educated nurse if the kid or the parent is the one who makes the...
  11. k1p1ssk

    Students Faking Illnesses

    This is my procedure period, for elementary kids. For the "sick" kids, they are welcome to rest for a bit in my office and follow my no-fun office rest rules, but they HAVE to go to snack/lunch and...
  12. k1p1ssk

    SO. SICK. OF. MASK. ISSUES.

    Let me start off by saying that masking is essential and necessary and that I don't believe we should be without masks in school until a "herd immunity" has been obtained, BUT GOOD LORD AM I SICK OF...
  13. k1p1ssk

    Leftovers (meds, not food...)

    Same as above; Only thing I'll add is that we document that families were informed about picking up meds before the end of the school year and never showed up or that they asked that we dispose of...
  14. k1p1ssk

    Diabetes Documentation

    We use SNAP and their recommended templates for diabetes documentation. Their recommendations actually match the state's mandated reporting procedure, so when we submit our monthly/yearly reports, as...
  15. k1p1ssk

    New to work and School Nursing.

    I'm not trying to be a naysayer, but to be completely honest - coming into school nursing right out of the gate thinking it is going to be a good way to "ease" into working again is not a great...
  16. k1p1ssk

    RAPID rapid test

    I'm curious if Public Health had anything to say about the follow up PCR - did they have to repeat the PCR at all before being cleared? Last year, they only relaxed on the positive rapids with 3...
  17. k1p1ssk

    Returning After Starting Antibiotics

    This year my chronic pukers have been kids with new-onset migraines - one gets the intense headache, vomits, and is fine; the other gets blurred vision, the beginnings of a headache, vomits and then...
  18. k1p1ssk

    Returning After Starting Antibiotics

    I'd imagine any opportunity to NOT talk about COVID is welcome... It is for
  19. I don't think there's anything stopping you from getting your NCSN through NBCSN! You don't need to submit anything to NBCSN that shows you are working through certification through the state you work...
  20. k1p1ssk

    Portuguese Vaccine Record Translation

    We used this chart at the pediatric office I used to work at:
  21. k1p1ssk

    NCSN

    I, too, left convinced I had failed. It was so much of a guessing game. I remember way back when I took NCLEX - I left thinking I'd failed because all of the questions seemed so simple with...
  22. k1p1ssk

    Anyone get their Booster yet?

    I'm under 40 and have had shingles 3x and am now on an immunomodulator and so it was recommended I get Shingrix, but I can't even get a pharmacy in my area to give it to me, even if I pay out of...
  23. k1p1ssk

    Increasing Pool Testing and TTS Participation

    No, if Mom hadn't agreed to the test when he came back to school, I would have kept him in my office and sent him home again. We're just following DESE & DPH guidelines, which would exclude...
  24. k1p1ssk

    Increasing Pool Testing and TTS Participation

    I had a parent of a clearly ill student who told me there was no way I was putting a "government swab" up her kid's nose, even if it meant he could come back to school sooner (I was sending him home...
  25. k1p1ssk

    Increasing Pool Testing and TTS Participation

    I have heard from other nurses in my area that sending home the paper consent increased participation by 50% over the Spring-time. I would caution against the teachers reaching out to families -...