peaceful2100

peaceful2100 has 10 years experience.

peaceful2100's Latest Activity

1. 

   How to become a case manager

   peaceful2100 posted a topic in Case Management

   Is it possible to get a case management job if I have been doing school nursing for the past 6 school years now? I have been a RN 16 years. Spent 2 years working with adults on a surgical case floor, 4 years working as a Foster Care Nurse Case Manager, 4 years working in a Pediatric Clinic right before coming to school nursing. I want to switch gears. No longer want to do school nursing.
2. 

   High School Nurses how do you....

   peaceful2100 replied to peaceful2100's topic in School

   Thanks!! I definitely get making sure to fully assess and rule other things out first!! Do anyone ever let the student just rest after ruling everything else physical, emotional, social out? I work in the inner city so a lot of these kids may be up all night because of environmental issues like police sirens, gun shots, or some have to work and work late. I don't want them to take advantage though and I want to start out being consistent. I am the new nurse to the school and some know this already, and testing the waters already.
3. 

   High School Nurses how do you....

   peaceful2100 posted a topic in School

   High School Nurses how do you deal with the I am tired shenanigans. Do you ever allow them rest or do you say sorry I don't let tired students rest and send back to class? I know I need to be firm when it comes to high school kids especially.
4. 

   Broken leg/Ambulance

   peaceful2100 replied to peaceful2100's topic in School

   Update: It was just an ankle sprain apparently.
5. 

   Broken leg/Ambulance

   peaceful2100 replied to peaceful2100's topic in School

   I would have definitely called if any of those was the case. I second guess myself too much for no reason other than nerves I suppose when I end up experiencing something for the first time.
6. 

   Broken leg/Ambulance

   peaceful2100 replied to peaceful2100's topic in School

   Suspected lower leg by Ankle/or even possibly ankle. Kid flat out refused for me to touch leg. Place ice pack on leg right by ankle where they pointed, did not want it on leg/ankle. Assessed for pulse, and warmth. Kid was in pain, but not to the point of yelling or screaming.
7. 

   Broken leg/Ambulance

   peaceful2100 posted a topic in School

   A kid may have possibly broken his leg at school yesterday. I called the parents immediately to tell them my concerns and he needs to be taken to the ER for further evaluation. The grandma came to get him as she was closer and parents was going to meet her at the ER. This never happened to me before..of course it was during the absolute worse time of day...recess and my office is absolutely chaotic during that time, and plus dealing with all the sick kiddos right now... I questioned myself and wondered if I should have had an ambulance come and transport him instead??? Do you call an ambulance for possible broken legs??
8. 

   Undergrad Debt and going for NP

   peaceful2100 replied to peaceful2100's topic in NP Students

   Sorry, This last comment is in response to Caliotter3
9. 

   Undergrad Debt and going for NP

   peaceful2100 replied to peaceful2100's topic in NP Students

   Interesting I have read the opposite. However, I am pretty sure I have decided I am not going to go the nurse practitioner route.
10. 

    Undergrad Debt and going for NP

    peaceful2100 replied to peaceful2100's topic in NP Students

    I have owned 3 homes already! Unfortunately due to a divorce I currently do not own. I am currently working on that once again now though! Eventually I would like to retire!! I'm almost 38 years old. I think I am going to pass on pursuing my Masters and work on other things like starting my own business and writing.
11. 

    Undergrad Debt and going for NP

    peaceful2100 posted a topic in NP Students

    Who here has at least $30,000 in student loans from undergrad and still decided to go for your nurse practitioner anyway?? I have been an RN since 2003. I currently have $30,000 in student loans. I have been putting off going for my Master'a because that would only mean more debt. I am sure at least $30,000 more. Should I go ahead and go for it or would that be a stupid move?
12. 

    First week as elementary school nurse

    peaceful2100 posted a topic in School

    Last week was my first week as an elementary school nurse. I have done high school before. I have a couple questions. 1)Do you call parents over every single Recess injury sent in your office? Obviously, Recess time is a very busy part of the day. Obviously I know big stuff like anything involving the head, and possible concerns with fractures/sprains is a call home but, what about the rest? I feel like I am walking on egg shells and don't want to overly call. 2) If the kids at your school wear uniform and they are out of compliance is that your issue to deal with? Fridays is dress down day if the kid pays $1. 10 minutes into the start of the school day I had 6 kids (3 from the same class at the same time) in my office because they was not in uniform and they did not have a $1. I already had a couple kids with legit medical issues in my office at that time. The nurse closet barely has clothes for kids who have accidents on themselves during the school day which I know that is definitely my issue.
13. 

    If you are NOT allowed to dispense OTC meds

    peaceful2100 replied to MHDNURSE's topic in School

    I'm glad we have rules in place where we do not have standing orders for OTC medication. Although, I do wish we could have a standing order for Neosporin/hydrocortisone cream and that's it. I work in a high school and without a shadow of doubt these kids will take advantage if they knew we had stock Tylenol/Advil, or even cough drops. OTC medication parents can bring in and fill out a health history form but, I tell the parents unless your child has a chronic condition we would strongly prefer they do not send any OTC medication. In a school of 1100 students there simply is not enough space if a lot of parents was to do that. I tell them unless your child's DR specifically say to take during school hours just keep it at home.
14. 

    Tummy ache...

    peaceful2100 replied to momto5RN's topic in School

    *Note* to self keep construction paper in my office if I start working in an elementary school. Right now I work high school. Trying to get moved to a elementary school.
15. 

    Tummy ache...

    peaceful2100 replied to momto5RN's topic in School

    You totally rock!!!! School nurses often go above and beyond!! Often there is something else going on other than the typical "I have a headache" or "I have a stomach ache". When, we are able to figure that out and help make that difference in that kid's life it's definitely amazing!!
16. 

    how long do you wait?

    peaceful2100 replied to bsyrn's topic in School

    If it's close to the end of the day I will let the parent know your child needs to be picked up. However, please keep in mind if you are not here by the dismissal bell I will have your child get on the bus if they are stable enough to get on the bus. Now, if it's severe enough where they need monitoring but do not need an ambulance I will keep them, and wait for parent to show. I don't get paid for it. I'm not hourly. There was one time I really needed to leave and that was already after waiting 30 minutes past my normal go home time. The student was well enough, the principal waited for parent to show up.