All Content by lvntrail
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Need Your Opinion About Medical Emergency
I'm confused as to why it became your role to 'run the code'. If the LPN ( sounds like there was more than one present?) the OT or even the teacher were already managing their student/ patient did they need you to step in? Does the student's care plan or your facility protocol state the RN will take over care? The reason school based nurses defer to EMS is not because they are necessarily more capable or ' higher' than us but because they have equipment we do not ( they add value to the care). Were you able to give a level of care the LPN or OT or even teacher could not? ( In the actual event- not scope) Was there need of you taking over care? Your team definitely needs a post- event review to clear the air and confirm steps for next time. I agree there is a power struggle and part of the issue is you do not seem to respect other professional staff or the dynamics of a team. You have been publicly disrespectful to fellow nurses and to the teacher. Even in your explanation you list CNA with nurses- perhaps you ment CRNA...If there is any chance staff saw your Reddit you will have a hard time overcoming the nursing assistant comment or having referred to the teacher ( who is likely very invested in the child) as a bystander. The explanation that it was to make it clear for the general public is odd since you used nurse clinician for yourself, a very unclear term. I hope you will go back to Reddit and try to undo some of the damage done the role of LPN by correcting your comment. Since you are a RN and have years of experience at this facility, you are perhaps the best one on your team to set the example of humility, growth and teamwork moving forward.
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School Nurse or Health Aide
I am a LVN, sometimes refered to as the 'site nurse' to differentiate from the RCSN in correspondence. An unlicensed employee has worked with the 'health assistant' title. :) I'm sure people called her nurse, but no one calls me health assistance.
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When School Nurses Are Required
You can Google CA ed code, but the short version is a nurse ( or parent) must be available for insulin administration/supervision and other injections. Epi pen and oral medication may be given by trained staff with appropriate order...if you do not have a nurse overseeing your district I would wonder who is responsible for the training though..maybe a public health nurse? :)
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Organizing clinic
I think you'll find you need to keep your meds in the original containers - whether bottle or card- and probably in a lockable cupboard (except insulin or other refrigerator items). You can keep them by grade, time, alphabetical..whatever make the most sense for use. I do alphabetical with dailys in front and the same child's prn's in a baggie behind. Diabetic students each have a supply kit , shoe box size, that is not in the secure cupboard. Even if the classrooms have kits you will probably see anything that is beyond a basic strip band-aid. Figure out ice for your clinic..do you use snap- packs or gels in a freezer or get ice daily from the kitchen :-) hope that helps some
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Any LVNs working for schools in CA?
Hi, I am a LVN working for a school district in CA. My salary is a bit less than my cohorts who are working LTC- $2-3 an hour. There are are other district s in our area that are on par with LTC, here the highest wages seem to be in corrections . This was my first nursing job, I love it and no amount of money could lure me back to LTC ( where most clinical hours were spent) at this time. I enjoy the pace, independence, and the students so much - not to mention the hours and time off ;-) You can go to edjoin.org to see what salaries are for your area.
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School Year 2015/2016: Who's in?
I'm pretty new here :) I started at our high school after Christmas and will happily return in the Fall, I also do a little camp work over the summer.
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CNA'S, do you use algebra?
I just wanted to encourage you- incase you are thinking of going beyond the CNA- I sucked at math in high school..it was so hard I barely got through geometry and algebra but later at the communtiy college I could do it! Sometimes all the stuff thats going on in high school or a not so great teacher or whatever make it not "gel" but a fresh start a couple years later and you are good!
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What do you think is better?
In addition to your schedule and what you can afford -as Fuzzywuzzy said- consider your long term goal. Do you want to be a CNA and be working asap? The school may be best. Do you plan to continue at the same college for a nursing program? Do they give preference to their CNA grads? Even if its just being able to use your teacher as a reference...then the college program may work out better over all. The actual required CNA training is pretty minimal-as the 3 week program suggests- but if you have no medical background it will be a lot to process in new terms and ideas and you may feel more comfortable with more time to adapt. :-)
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CNA Training at a Long-Term Care Facility?
I think the one year commitment is very long for a relatively breif training- especially if its not what you really want to do..is there another practical way for you to get to your goal? And as the other poster said it will depend alot on your trainer- but even with a poor trainer in a year of "on-the job" you would learn alot ;-) good and bad! Since you are 30 with family it seems like finding the fastest way to your real goal would be best. Good luck!