heavenwith7

How do you triage your asthmatics/sudo-asthmatics? I'm elementary & have some students that routinely receive prn MDIs before PE/recess per mom. Others are just prn. If a student presents with complaints of dyspnea, I assess their lung sounds. If clear, sometimes I just offer sips of warm water to "cool down", sometimes I just send them back (usually my everyday right after recess kids). Of course I get questioned by the classroom teachers:banghead: I have the avoiders that just want to come for their inhaler to get out of class. Often they come in directly from recess, where they've been running like crazy with no problem, are winded & think they need it, or because they can't transition from lunch/recess back to class, and the Health Office is the "escape hatch". I know them pretty well by now. I am also an ER nurse per diem, so I feel that I maybe too cynical at times. Just wondering how some of you handle this "Epidemic" of prescribed inhalers.

I'm a substitute nurse today, called to student having seizure > 5 mins. Pulled Diastat, checked order, went to student now 6mins into seizure, gave Diastat, and then realized it had expired. I feel like an idiot! Super said not to worry. I don't know why it was in there, but I should have checked. I feel so bad. Just looking for support from someone that's "been there done that". Thanks,