- Medication Expiration Dates
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Elementary/Middle School Lunch Guidance
Same at my campus. Teachers are pretty good about making sure everyone has a lunch - whether it is their own from home or having the students go thru the lunch line and get a tray - we also have free breakfast and lunch in our district. If kids don't want to eat - not much we can do about it, but at least the student has access to a full lunch and parents can't complain. We do not provide snacks either. Those girls that are complaining of being hungry later in the day will learn soon enough that there are consequences for poor decisions - in this case they will be hungry if choosing not to eat lunch. Maybe the counselor should sit down with the girls that are "supporting" their friend and give them a quick lesson on why what they are doing is not really a good idea, help the girls brainstorm different solutions for supporting their friend besides denying themselves of lunch when they are hungry.
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Hanging Out with Coworkers Outside of Work
I have no problem hanging with coworkers outside of work.... but only ones that I like and actually friends with ? I am a school nurse so I have a handful of teacher coworkers that I get along with, we all like each other and are friends outside of work - friends where we attend happy hour, have gone to each others houses for BBQ/celebrations etc and even have traveled with a few of them. I am friends with the principal of the school I work at (technically my immediate boss) but we were friends before she came into that role - Our husbands became good friend first years ago, our kids grew up together, same girl scout troop, dance team etc. Some other staff know we are good friends but while at work we don't really advertise it, when we interact together outside of work social media posts about what we are doing are kept to a minimum and very sanitized, no pics of alcohol etc - LOL. She is very good about keeping work separate from our friendship, and while I would love to know all the juicy work stuff about other staff members, I don't ask about any of it.
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Need Advice
Yes, you are correct, If there is a contract involved you may have a problem. But in all my years (15+ years) working Home Health I have never had to sign a contract to work, so this has never been an issue. I guess I have been lucky.
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What are off-limit medications for school setting?
I have had a couple of requests over the years to administer allergy shots either by parents of students or other staff members - I have always declined. No way would I take on that responsibility. I went through the whole allergy shot thing for years with my own kid and there were a few times my kid had severe reactions and had to use the epipen/emergency medication for it. While for the most part we were always lucky (if you can call it that) to have the reaction while in the doctors office there was one time about 45 minutes after we left the office that I had to administer the Epipen for a reaction to the injections- not fun, very scary.
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Need Advice
Yes, very understanding. My experience with Home health is that there always seems to be a high turnover of staff - from nurses to the office staff. No hard feelings from the old agency - I still get the occasional call/text to see if I am interested in picking up extra shifts with them.
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Need Advice
Parents decided to change agencies because the new agency could handle most of the care for their child from PT, RT, supplies etc. When they decided to change agencies the parents asked me if I would be willing to change and I agreed as long as my pay wasn't affected and I could continue as PRN making my own schedule - it all worked out for both of us.
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Need Advice
I would contact the new agency and see what they can offer you. I have done PRN home health as a second job for years now and have changed agencies a few times to stay with my current patient. I have never had any issues of leaving an agency, getting references etc.
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What do school nurses do with student medications at the end of the year?
I don't think there is a better way......I hate that there is so much wasted at end of the school year and from someone who didn't always have great health insurance, its bothersome for me to throw out the inhalers and Epipens knowing how much they can cost. I send out an email to the parents of kids that have I have medication for. I also put the notice in our weekly school newsletter a few weeks before school is out. The notice states the medication pickup policy and a date/time of disposal if not picked up. Any meds not picked up by the deadline are bagged up and the Risk Management department comes around and picks up the meds to be disposed. We always have at least 1 parent upset that meds were thrown out - but there is no excuse of not knowing the policy and disposal deadline - it is written in our medication consent forms they sign, its in our student handbooks that they sign, my medication pickup email reminder along with the weekly newsletter has the same info.
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Personal Cellphone Reliance at School?
Nope....I would be OK if the school would provide me a cell phone. But I am not using my personal phone for work business. What about those staff members on a fixed budget with a bad cell plan? Using all their data/minutes etc for work and no compensation for that....no way.
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Student w/ PDN
why are you doing the assessment? If he has a PDN, she should be the one as part of her employment. You shouldn't need to do anything with that student unless it was an emergency. Same here....
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Vaccine Database/Parents Providing Vax List
What are your state requirements? Our district policies follow the state requirements. I am in Texas, our district does not allow enrollment unless we have all the documents in order including a complete immunization record or Exemption Affidavit. In my school, I work together with the registration clerk - she doesn't do any of her part until I have checked the immunizations and cleared student.
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How some kids are being raised...
Playdate???? so odd.....I stopped using that word with my kids when they finished preschool.
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Medication Safety in the Childcare Setting
I am an elementary school nurse. My district has pretty strict rules regarding medication and because of this parents are easily irritated when it becomes an inconvenience to them when asked to follow the medication policies. You would not believe how many times I have had to call poison control over the years because of kids bringing meds to school and letting friends take them or kids finding stuff on the floor or in another students desk/backpack and ingesting it....and believe it or not most of the time it is an older 4th or 5th grade kiddo that you would think should know better.
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Have you ever been looked down on because you don’t work in the hospital?
I am a school nurse - maybe not looked down upon but many have the impression that school nurses do nothing but give out bandaids and ice packs. I have run across so many people that don't realize that there are ALL types of kiddos with many different physical and/or mental abilities that attend school that need medical care during the day.