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jnemartin BSN, RN

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jnemartin's Latest Activity

  1. jnemartin

    Down time (HA, sure...)

    audio books or regular books, I'll watch semi-educational things on YouTube
  2. jnemartin

    School Nurse Salary?

    Arizona, private school, no weekends/holidays/summers plus fall, winter and spring breaks (equals an extra month of time off), benefits are NOT good (maybe one year I'll move to public school where benes are much better, but workload is much heavier...) = 48k I'm a relatively new nurse - I did a new-grad program at a hospital 3 years ago and my salary was 50k, my second year I moved into school nursing and started at 42k, and this year I negotiated up to $48k. At my current school I get a cost-of-living increase each year (only about 2.5%, but better than nothing). I work PRN at a skilled nursing/LTC facility where I make $40/hr, and I do this a couple times each month on weekends
  3. jnemartin

    Records Retention - Contact Cards & Vax

    thank you! I have something similar posted on my wall (from the previous SN) that addresses specific school documents like attendance records, rosters, all kinds of stuff... but of course the medical records section is totally vague. that's a god idea! currently, we only have vax records in paper form and don't get many requests for copies from parents/students. but supposedly we are getting SNAP and will be able to digitize the vax records, so that's great!
  4. If your state requires paper-copy contact cards to be updated annually, how long do you retain past contact cards, or do you shred the old one each year? I'm in Arizona and can't find a good answer to this. Also, it makes sense to retain past paper consents, screenings, incident reports, admin records, action plans, health records/excusals... but what about outdated immunization records - do you guys keep everything or shred the old one as it's updated?
  5. jnemartin

    Do you look...

    I just ordered myself an otoscope from School Health.com! You can actually get them inexpensively on Amazon, as well as an otoscope-like device that actually hooks up to your computer and takes a photo of the ear drum. I do a lot of throat checks and can easily identify swollen/inflamed tonsils or red throat, and I let parents know what I've seen when I refer them to doctor. I'm fine with doing this for ears, too. I do get a bit annoyed when students say "my throat hurts, can you look and see if I have strep"... but I use it as a teaching moment. Surprisingly, a lot of them know that they need an actual culture to dx strep, but they want to get a "professional" opinion/look, and I respect that.
  6. jnemartin

    Early Flu?

    https://denver.cbslocal.com/2019/09/18/cdc-flu-shot/ I knew it! Flu is hitting early and severe this season- CDC is recommending getting a flu shot ASAP.
  7. jnemartin

    All the nursing school posts

    I don't know about you guys, but I get a kick out of all the prospective nursing students who post in this subgroup about Nursing School questions, rather than "School Nursing" questions. Based on my experience in nursing school (utter hell with professors obsessed with attention to detail), I can't help but think nursing school might be a shock to their system... (This could just be my old and cynical self! lol)
  8. jnemartin

    Arizona Nurses - Fill me in on the vision screening

    Apparently, the law was signed over summer and in effect as of August 2019. I am a member of our Az SN association, and no word from them, as well as no word from the Dept of Health (in charge of hearing screenings). Also, I'm in a private school system, so there is no district nurse or someone that might be more connected/well-informed than me to go to. No one seems to know anything.
  9. I just learned today that over the summer a law was passed requiring vision screenings in AZ schools, as before it was not mandatory only recommended (*for a rant about the annoying way I learned this, please see the asterisks below...). 1) Who are we screening? As in, what grades/ages. The azrepublic article I found says: "Students just entering school. Students who receive or are being considered to receive special education services. Students whose teachers have requested a screening. Students not reading at grade level by third grade." The actual law is not even this specific. https://www.azleg.gov/legtext/54leg/1R/bills/SB1456H.htm 2) Who is responsible for training us to screen (dept public health, dept of education, or is no certification required?). 3) Who are we reporting this to? 4) When is it due? *RANT here: My school has 2 campuses, 2 nurses and 1 set of shared administrators (no lead nurse, although I am usually the one that coordinates between the two campuses). The nurse from the other campus called me today and said a few weeks ago, she learned about this new law on the news and put a request in to admin to hire a company to come in and do the screenings... AT HER SCHOOL ONLY. So she found a company, got a budget passed, and scheduled them to do both hearing and vision screenings... AT HER SCHOOL ONLY. I have my hearing screenings scheduled for next week - done by me. and when I'm done with the screenings, I go on maternity leave. So I have no time to do the vision screenings before this baby comes, and now I'm doing the double the work because I will probably have to . I am so annoyed.
  10. jnemartin

    40 Students per day... YIKES!!

    I always struggle with office visits like this, because I know part of nursing is the soft skills, the psychosocial interventions, offering support and building trust with the patients/community, etc. But from a workplace/workload perspective, these visits are ridiculous and honestly kind of offensive/disrespectful. This year (year 2 for me), I'm trying to take a middle-of-the-road approach, and really focus more on the serious health issues, and educate students (/teachers) on appropriate nurse visits in a kind and supportive way. Like... empower them to take ownership of their own wellness. One thing I've done is some education with the students about different roles of nurses - I presented to the Health class and pre-med club about various nursing careers, and made sure to include info about how intense our education is, how autonomous we are and especially NPs are. I think this helped them to understand that nurses are not just bandaid applicators. I had a teacher tell me that my work outside of the regular clinic operations has built a reputation here for me being serious and professional. I was very pleased to hear that, because it's really what I was aiming for. None of this is a suggestion on how to reduce office visits, per se, just an observation and commiseration about how the perspective of the school nurse can be so different than our actual work, and something that seems to be helpful for me
  11. Yep! I attended a SN conference in the spring that discusses asthma, allergies, and all the big issues - and both the pulmonologist and allergist said that EPI in the case of an asthma attack can be helpful (or, specifically, "will not hurt"), and that albuterol in the case of severe allergic reaction can also be helpful (or, "will not hurt"). Now, I do not have a school stock of albuterol, but I do have EPI and would be calling 911 before giving it to an asthma attack, but still... very interesting!
  12. jnemartin

    Narcan- Do you stock it?

    I do. It's legally available without a prescription in my state, so I personally contacted an advocacy organization that provides it for free to schools, businesses, etc, and got 2 vials for my school. I believe my state is either working on or has already passed a law that states that in school settings, EPI, rescue nebulizers and narcan can be administered without an RX in emergent situations. I went to a SN conference last spring and this was discussed, but I'm not exactly sure of the outcome.
  13. jnemartin

    How do you handle screenings?

    Last year was my first as a SN and I had to get trained on the audiology machine, which pushed my screenings into second semester - I do not recommend this! This year, I'm doing screenings for 6th, 9th and new students w/o recent screenings in mid September. 9th graders I am pulling from Health Class, 6th graders from Advisory. Last year, I pulled all kids from PE, but the walk from the gym to my screening area was long and there was a lot of wasted time. Plus many kids don't have PE because they take a fine arts class or have some other replacement class (although PE is supposed to be mandatory at our school, and this is why I chose PE... part of my learning curve in year one!) The good thing about doing it as early in the year as possible, is (besides just getting it over with), you get to meet a lot of the students and get a sense for who they are, you can ask a couple history questions (allergies, how are they adjusting to MS/HS whatever).
  14. jnemartin

    40 Students per day... YIKES!!

    6) (I just remembered this) - I always try a non-pharmacological intervention first, whenever possible. So if they come with c/o headache, I advise them to drink water, move their seat from under the light, eat lunch, etc. This is super boring for them and makes visiting me less enticing.
  15. jnemartin

    40 Students per day... YIKES!!

    1) For grade school age kids, I would only allow a buddy if they are having a more severe issue. Tell the teachers this and if buddies keep arriving, immediately send them back. Use phrases like "maximize in-class learning," and "missing valuable class time" 2) No resting (absence of illness) in the nurse's office. 3) Review, in person, with the teachers what is in their first aid kits, have them all keep them in one same place (by the door, next to the clock, whatever). I don't think they read the emails because it wasn't until I did an in-person training and covered this, did my bandaid visits stop (almost completely!) 4) Like the pp said, anything you can outsource from your office, do it. I used to get multiple visits for school uniform issues. I literally removed all clothing from my room. Now they have to go to the school store. If there is a blood/body fluid issue I will give them a pass to borrow something from the school store. I am not a Forever 21 salesclerk, I don't have time to go shopping with these kids. lol. Same thing with kleenex boxes as and clorox wipes - this is all school stock stuff and I only keep what I need in my office. For re-stocking students/teachers have to go to the front desk. 5) Send unnecessary visits right back to class. Be straight-forward with the student that this is an unnecessary visit, and if it happens more than 2x in a week, start looping other people in - the adviser, principal, counselor, whomever would be the best point person. These things helped me reduce my office visits and control my workload.
  16. jnemartin

    Chest Pain in HS

    in my experience, chest pain/pressure in HS students is usually stress/anxiety. Plus everything rubyjane said They do not always make the smartest choices, and they're not always forthcoming about everything that's going on. So they may come to you presenting with these symptoms, and what you have to pull out of them is that they haven't eaten all day, only drank a monster for lunch, have a test today and two tomorrow... or whatever the case may be.