k1p1ssk BSN, RN

pediatrics, school nursing

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All Content by k1p1ssk

  1. k1p1ssk

    RN - LPN Power Struggle

    This is incredibly ignorant! LPNs are a very valuable resource in the nursing world - I've worked with them in every area of nursing I've been in - inpatient, outpatient, primary care, nursing homes,...
  2. k1p1ssk

    RN - LPN Power Struggle

    I loved what @Nurse Beth wrote; I am new to a health services manager role this year, but I took what I've loved about past managers and created my own management style. I, too, have difficult nurses...
  3. k1p1ssk

    Inhaler Use

    I mean, technically, yes, you would be operating outside of your scope of practice by not following the orders, however, in the school setting, you also need to use your nursing judgement and I think...
  4. k1p1ssk

    Inhaler Use

    I will admit that I have given an inhaler prophylactically, even if my orders do not call for it specifically, however, if I am needing to do it more than once or twice, then I would usually call the...
  5. k1p1ssk

    New to school nursing

    I would see if you can get contact information for the school ahead of time. Reach out to them and find out if they have a nurse manager in the district, get that person's contact info if so, or at...
  6. k1p1ssk

    Camera's in your office

    Why do they want to do this? This has so many privacy considerations. Where will the camera be pointed? Will it record sound as well as video? I think the only reasonable implementation of video...
  7. k1p1ssk

    Parental Bill of Rights

    At this point, it looks like there are only a handful of states who have passed PBOR laws. There is a federal bill that passed through the House in March, but that doesn't mean anything yet....
  8. k1p1ssk

    Advice for Nurse Wanting to Stay at Same School

    Congratulations! It is no small feat to work while obtaining your RN degree & license. Do you know for sure your assignment would change once you have your RN license? Is the acuity in other...
  9. k1p1ssk

    Excused or Unexcused absence

    Seriously - the parents who are mad about having to keep their kid home are just not thinking about the fact that their kid got sick likely because someone else decided to send their sick kid back too...
  10. k1p1ssk

    Entitled Staff

    We have standing orders from our school physician, so it is expected that we provide the ibuprofen. And yes on the PPE - I have started telling them that we can use the masks we have, but once we get...
  11. k1p1ssk

    When to administer Epi-Pen?

    Adding on to the above, wonderfully stated comment, if you have stock epi (which it sounds like you do), you should have standing orders that guide how you use it - this would come from your...
  12. k1p1ssk

    School Nursing: Everything You Need to Know

    The Work-Life balance with school nursing (Pandemic-era aside) is phenomenal. I am always talking up being a school nurse because you cannot find a better full time job as a nurse that allows you to...
  13. k1p1ssk

    Lice

    You're seeing live lice every time the kiddo comes back to school? Is this family struggling financially? Do they have health insurance? How many children are in the family? Are you sure they have...
  14. k1p1ssk

    Bulletin Board ideas

    Something with a skeleton! "Protect your Bones from Boo!Boos by keeping a healthy diet!" or something like
  15. k1p1ssk

    Excused or Unexcused absence

    I don't know your situation, but I don't know a single school/district who would take legal action after 10 days of absence. In our state, you can't do anything other than send a letter unless the...
  16. k1p1ssk

    Gluten Free OTCs?

    For your Celiac students, do you keep certified GF OTCs on hand? Or would you expect the parent to provide them for that student's use only? For reference, we are talking about one student in the...
  17. k1p1ssk

    Second guess itis

    I went from subbing in schools to a peds office to a peds inpatient unit to outpatient peds specialty and then to school nursing. The office and specialty (plus the subbing experience) were, by far,...
  18. k1p1ssk

    School Nurse Advice

    Also, don't forget, you are not spending 15minutes with each kid. These are "what is your immediate need" assessments and treatments for the vast majority of visits. For example: A sore throat...
  19. k1p1ssk

    School Nurse Advice

    I also think that that volume of kids may have to do with the culture of the health office, but I honestly don't think that ratio seems insane at all. I used to sub at a technical/trade high school...
  20. k1p1ssk

    School Nurse Leader Pay?

    I'm curious if anyone knows what the nursing admin in their schools/districts make and what their hours are, particularly in the Summer. Doing some research and I'm curious to know what people are...
  21. k1p1ssk

    Do you do anything PRN?

    I have been a school nurse for 5 years and I totally understand your concerns. I worked in various places in the preceding 6 years, including acute care pedi, LTC/sub-acute rehab, and outpatient pedi....
  22. k1p1ssk

    Injury assessments

    Hi! I have faced this several times. If it is a non-emergency situation (I.e. got kicked in the genitalia or student is complaining of itching/pain of unknown etiology) I would call home, let the...
  23. k1p1ssk

    C'Mon Now!

    Resurrecting this thread once again because I'm mad we still have 3.5 weeks of school left this year.... 2 second graders who picked scabs on their arms, "sharing" a tissue to dab at their...
  24. I also have had titers done, but that's more because I was starting an immunomodulator medication and they wanted to make sure all my imms were up to date prior to starting. Thankfully, my MMR &...
  25. Generally speaking, adults working with that age group do not have to provide proof of vaccination. I cannot comment specifically on Washington State, but in Massachusetts, only staff working in Early...