k1p1ssk BSN, RN

pediatrics, school nursing

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All Content by k1p1ssk

  1. k1p1ssk

    What do you do when a kid refuses to wear a mask?

    Disciplinary; The only exceptions have really been for our severe behavior students and students with severe autism. All are being encouraged to wear masks as much as possible, trying to teach it as a...
  2. k1p1ssk

    C'Mon Now!

    ALL OF THIS! Also, as an aside, we had a positive case at the high school in town and due to the nature of how that building runs, they'll be remote for the next couple of weeks. Right after we...
  3. k1p1ssk

    C'Mon Now!

    C'Mon now! COVID Edition: Dad calls in a student sick last week; no specific symptoms noted on the message, so I follow up. Dad reports student woke with a fever and cough. Ding Ding! I...
  4. k1p1ssk

    Are your kids back to school full time in person?

    I'm in North Western, MA; Full disclosure, my entire county has been essentially "low risk" since the beginning of the pandemic, but that is more due to population density - not a single town in my...
  5. k1p1ssk

    Sierra lifecare?

    I second what @NRSKarenRN has said; This sounds like a contract position as a 1:1 nurse with a medically complex child. As stated above, the orientation is likely relatively short, and depending on...
  6. k1p1ssk

    No Guidelines Yet on Screenings

    Screenings are not required in MA this fall; The powers at be have the option to change their mind in the Spring, but I don't see that happening. During the beforetimes, a parent could provide a...
  7. k1p1ssk

    Rapid testing in schools- any here in MA?

    The private school I work at in MA has a Quidel Sofia2 antigen test machine. It cost around 5k from what I've heard. They are hard to get now because the federal government seized most of them and I'm...
  8. k1p1ssk

    New to this

    @Looking_ahead - I would look into your state's particular laws around medications in schools. If you can't find your state's particularly, you could go through the Massachusetts med program, which is...
  9. k1p1ssk

    Just me, or everyone...?

    Thankfully most of my "non-compliant" kiddos are Pre-K & K missing a lead screen. But I absolutely love when pre-k kids move up to kinder and I get to add their Kinrix & MMRVs to their...
  10. k1p1ssk

    Sending Home Any Covid Sx?

    Ours is basically the opposite! If they have symptoms, we encourage testing and let them know they can return 24 hours after the negative test result, assuming they have been improving or better for...
  11. k1p1ssk

    Social Media Worry

    So, MA DPH announced that all students K-12 + college are required to have a flu vaccine by 12/31/20. I posted a snarky FB status about how many people will suddenly have religious exemptions this...
  12. k1p1ssk

    Antacid tabs in school

    Do you use Antacid tabs in your schools for upset tummies? The typical 500mg/tablet bottle labels say for "Adults and Children over the age of 12" and yet the Tums brand makes a "children's" variety...
  13. k1p1ssk

    Antacid tabs in school

    Other schools in the district had them on hand for adults in the buildings (plus the MS/HS just has them available). Mine had expired, so I tossed them and never re-ordered because no one ever asked...
  14. k1p1ssk

    Filing/Organizational Advice

    We have the physical file with hard copies of physicals, immunizations, and school medical forms, IEPs, 504s, IHPs, EAPs, med orders, etc., along with med orders and MD notes, absence notes, excuse...
  15. k1p1ssk

    Is it okay to drink water after liquid medication?

    I've honestly never heard this consideration before, but I would follow package instructions unless your orders tell you differently. If there is no mention of not eating/drinking following...
  16. k1p1ssk

    Anaphylaxis: Epinephrine First, Period.

    I have had multiple people tell me that this is what their allergist told them to do... feels wholly unreasonable to me. When has claritin or zyrtec ever worked quickly? I have to take zyrtec every...
  17. k1p1ssk

    denied FT job after subbing for school

    I'm assuming the person who got the job is an LPN and you are an RN. And in some cases, yes - If an LPN has more years experience, they can justify it with a pay difference. RNs command greater pay...
  18. k1p1ssk

    denied FT job after subbing for school

    I don't know how uncommon it is, to be honest, as SN jobs don't come up super often in the desirable districts in my area. If the district you were subbing in is desirable, then I wouldn't take it too...
  19. k1p1ssk

    exhaustion

    I haven't quite figured it all out yet. Trying to keep up an exercise routine and allowing myself each basically whatever I want helps ? But one night I'll sleep like a rock and the next I'll be woken...
  20. k1p1ssk

    Plan to Return to Face to Face Learning?

    The teachers in my building have been turning to me for every little thing (think "Make me handwashing signs! Make me a step-by-step visual aid for how to don and doff masks! Print and laminate that...
  21. k1p1ssk

    Anaphylaxis: Epinephrine First, Period.

    I use the FARE Anaphylaxis Emergency Action Plan, which includes an antihistamine as a "give first" option, but since this is the EAP that I send on field trips, I have begun just crossing out that...
  22. k1p1ssk

    Checking In

    Got a call late yesterday afternoon from the step-mom of the kid I sent home Monday; She was letting me know dad was on his way with the kiddo to his PCP and wanted to know exactly what they needed to...
  23. k1p1ssk

    Regular health office visits!

    Dry skin has been my only legit "normal" visit this week! Last week, I only saw the same kid 3 times for an anxious stomach ache due to our impending fire drill. Helps that we have less than 60 kids...
  24. k1p1ssk

    If I have to leave?

    May they recover quickly! Good call on notifying your higher
  25. k1p1ssk

    Checking In

    @JenTheSchoolRN I encouraged mom to get him tested, regardless. I doubt she will. His 14 days since symptom start will be Friday, so assuming he's better, he'll be back on Monday. I had another...