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jnemartin

jnemartin BSN, RN

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Content by jnemartin

  1. jnemartin

    How do you deal with overreactors?

    What's interesting is that I actually use this pain scale in my assessment (because they cannot answer properly as I've described) ~ they offer it up! Maybe they've heard it from their parents or on TV? I think I've asked for a numeric pain scale maybe twice when I've suspected a fracture, but find it more helpful to ask something like "Have you ever had pain like this before? What does it feel like? Can you move it?" etc.
  2. jnemartin

    How do you deal with overreactors?

    Sometimes I press them a bit and say "10/10 as in this is the worst pain you have ever felt in your life" (to which they say yes lol), or I just turn my head and roll my eyes into the back of my head.
  3. jnemartin

    How do you deal with overreactors?

    Therapeutic silence: I love that term! Also, I know pain is subjective, but when a 12 year old tells me their arm is in 10/10 pain after being hit by a football during PE I want to lose my mind
  4. jnemartin

    C'Mon Now!

    I hate it when teachers repeatedly send a student for the same reason. Look, you sent them, I assessed and intervened appropriately, and now they are back in class - deal with it. LOL.
  5. jnemartin

    none

    none: a variation of OVER IT. Written by the school nurse with 6 weeks of classes left before summer break
  6. jnemartin

    C'Mon Now!

    I just had a very similar situation! A HS student came to me in 1st period with menstrual cramps. I gave ibu and asked her to report back in one hour if there is no improvement and I will reassess. She says she felt nauseated for past 2 days but just got her period this morning, and she hadn't realized the pain/nausea was r/t period; says mom was aware she felt sick this morning but they did not know she was about to get her period. An hour later, I get a call from the front desk asking me to send the student down, mom is here to pick up. Turns out, after leaving my office she text mom that she feels nauseated. No mention of menstruation. Mom comes to pick up. I swear..... these kids.
  7. jnemartin

    Where is your office located within the school?

    Our building is middle schoolers on first floor and high schoolers on second floor. My office is at the top of the stairs to second floor, in the hallway with a restroom and water fountain. It's a good location because it's a straight shot from the front entrance and front desk, but being upstairs with the older kids probably cuts down on some unnecessary visits from the little ones. The bad part is that I am totally separate from classrooms, so I don't get to mingle with my coworkers much, although I also don't mind keeping to myself. I'd love a larger space and a window, and I've been scoping out open rooms... but that's probably a pipe dream - haha!
  8. jnemartin

    how big are your offices?

    Mine is about 14X8 ft. I've been scoping out other possible locations, but this was built to be the RN office (with locked cabinets and a angled door so it's hard to see who's in here), so other options are hard to compare. My gripe with my current office is that it is impossible to offer any real privacy with more than one student in the office, and I get a little claustrophobic without a window. However, my office is a bit hidden and as we all know, sometimes in the school setting, "Out of sight, out of mind" can be good
  9. jnemartin

    I don;t pull teeth

    Girl, I hear you. I learned REAL quick that there will be no wrapping in my office. To be honest, at first I was a bit conflicted on if it would even be within my scope of practice to wrap an injured limb/joint without an MD eval (this is my first year as SN, coming from acute care). Then I remembered RICE from nursing school and realized that it's totally within my scope. But for MY PRACTICE, in the school setting, if something is hurting/injured that badly that a kid thinks they need a supportive wrap, they need to get a diagnostic and MD eval before I'm touching it... just like I would have done in the hospital. Mostly, I think they kids think it is cool/looks cool and will also allow them to use the elevator if they have evidence of their injury. I'm not about that.
  10. jnemartin

    When to tell Principals I'm pregnant!

    I recently learned I am pregnant and will be about 15 weeks by the last day of school. My EDD is Nov 16. I plan to tell my family in the beginning of May. Should I tell my boss I'm pregnant at the end of the school year, or come in during the summer and let her know? We have 2 teachers who are pregnant right now, and everyone is very kind and supportive. I just don't want them stressing out all summer about coverage when I take mat leave
  11. jnemartin

    When to tell Principals I'm pregnant!

    I'd prefer to wait until about 20 weeks when I really can't hide it anymore, but that would mean I'd have to come in the middle of summer and tell her. I don't want to seem like I was hiding it by not saying anything before school lets out, but I really also don't want to come in the middle of summer with a big bump and break the news
  12. jnemartin

    When to tell Principals I'm pregnant!

    I do have a bit of a chip on my shoulder about the advice thing... I mean, I am an "older" mom, the pregnancy is planned, I have a dozen nieces and nephews (plus I'm the oldest in my family), and I am a nurse. If I want some advice, I will certainly ask for it, but I'm not like floundering in distress about pregnancy/motherhood, I feel confident. I get annoyed when people start offering unsolicited advice. I do realize the irony of me writing all this, along with posting a pregnancy-related question on this board haha! But I am referring to the unsolicited advice about motherhood in general.
  13. jnemartin

    STOP!!!

    EXACTLY! I say: "I am here with so-and-so, who is not feeling well. They said they talked with you about it this morning and you said you could pick them up if they could not make it. Well, they are here now saying they 'cannot make it,' and are unable to tolerate *sitting in class." *When a kid has no measurable clinical signs of illness (no fever, no vomiting, looks "fine," etc), I use this statement as a barometer. Can you tolerate sitting in class? If yes, then go sit in class. If no, then I will call home.
  14. jnemartin

    When to tell Principals I'm pregnant!

    Thanks, guys! I'm excited for a raise AND a baby I feel optimistic about both
  15. jnemartin

    I don;t pull teeth

    I don't pull teeth, but I will instruct the kid how to pull it - haha! Also, I don't wrap anything (ankle, wrist, etc) without a doctor's note. The kids LOVE to get things "wrapped," I think because there is an overzealous athletic trainer that loves that training tape that has indoctrinated them into believing everything should be taped/wrapped. Not in my office
  16. jnemartin

    When to tell Principals I'm pregnant!

    TBH, although I am very happy to be starting a family and this is my first successful pregnancy, I am very committed to making as LITTLE fuss about this as possible. Mostly because I have been pregnant before and lost the pregnancy, and during the short time I was pregnant, I was under constant assault of unsolicited advice. I found the more you talk about it, the more people want to tell you their opinions. I literally did think how funny it would be to just not say anything to anyone - haha! I have a teacher-friend who was kinda chubby pre-pregnancy, and made it into her final months without ever "announcing." Finally, she was like "Oh, yes, this... I'm pregnant." I won't be able to get away with that, although it does sound blissful.
  17. jnemartin

    When to tell Principals I'm pregnant!

    RE the contract: we actually got our contracts a week ago, but I sent mine back asking for a lot more money So yeah... after I get my official, post-negotiation offer, then I will sign and tell them in May (I have to sign by the end of this week)
  18. jnemartin

    PG Supplies and Educator Kits arrived

    I finally got my box o tampons! Does anyone remember when orders were placed/due? I want to put it in my calendar so I don't forget next year!
  19. jnemartin

    Bad week

    I have been feeling this SO MUCH lately! I even had to have a special meeting with the principals on Friday to express my concerns that the students are visiting my office so frequently for completely unnecessary things. Some things I've tried: (1) educating the students about appropriate use of class time (not effective), (2) what type of symptoms I can help with and which typically go away "on their own" (not effective), (3) telling students to come back later if the symptoms don't resolve (this is 50/50 effective), (4) refilling the classroom first aid kits and having a 1-on-1 convo with each teacher about what the kit can be used for (not effective); (5) emailing parents and advisor when a student comes 2+ times per week, with exception of for tampons or cough drops, (somewhat effective). Things I'm going to start trying: (1) education to teachers during professional development day RE what to send to the nurse, (2) sending kids immediately back to class for an unnecessary visit, and emailing the teacher to let them know, (3) sending out a Nurse Visit Guidelines Email, as many of us have discussed here over the years. (This is my first year as SN) I KNOW THIS ALL SOUNDS HARSH, but I see 30 students daily in a school of about 200. The kids have a combination of no critical thinking skills, the desire escape class early and often, and teachers who are too busy to triage. I'll let you know how it all goes!
  20. jnemartin

    Body Image Sessions for MS

    Hi everyone! I've been tasked with putting together a positive body image session for 7th and 8th grade girls (at the last minute!). Last year, the 7th graders watched a YouTube clip from the Super Bowl and scrolled through the nasty comments about the female performers' bodies. I'd like to update it with something more recent - have you seen any good examples of body shaming on social media or media in general? I searched clips from the Grammys, facebooks of the Kardashians, plus sized models, and everyone I could think of that tends to get negative comments on social media, and SHOCKINGLY, the comments are all mostly positive. For 8th graders we are watching a YouTube clip of people reading each other their negative self talk, having a discussion, and creating mantras for positive self talk. (These are the same kids that would have done the Super Bowl activity last year).
  21. jnemartin

    C'Mon Now!

    It's final's week and a student just visited me mid-class period. For lotion. (Me: are you taking a final right now? Her: yes, but I'm done... why? Are kids not allowed to see you during finals? Me: They are, but not for lotion) She spent like 5 minutes lotioning her legs.
  22. jnemartin

    C'Mon Now!

    Haha! You should sign your email: Can't wait to hear back, DeadSea (sometimes I passive aggressively sign my emails "Talk Soon" to parents who, ahem, over communicate)
  23. jnemartin

    C'Mon Now!

    Principal, with 20+ years education experience, Bachelor of Science and Master of Science degrees: "Little Johnny is fine, no fever." Me: "How do you know?" Principal: "I felt his forehead." Me: .... This happens about once per week. Either febrile or afebrile based on their magical hand sensors.
  24. jnemartin

    Sex/Growth Ed for Middle School

    Hi All! I am looking for some advice/guidance about pioneering a sex ed program for middle school. A little background: my school is private and not affiliated with a district or other schools, so it is a bit of uncharted territory. We have a feeder elementary school that provides some basic A&P and puberty info in 5th grade, and our high school has a mandatory Health class (MS and HS are under one roof). There *was* a middle school sex ed program in the past, taught by a Catholic women's group, but the administration and parents didn't like the content (abstinence-based, and we are not a Catholic/religious school). But, in general, the staff and parents are in favor of providing sex ed to the middle schoolers - they just prefer something more medically oriented (good for them!). I was hired specifically because I was interested in developing a sex ed program, and leading/teaching the classes. This year, as a pioneer program, I will have only ONE class period per grade, per gender (70 minutes for 6th grade girls, 70 minutes for 6th grade boys, and same for 7th and 8th). This may expand next year, depending on how it goes. I have decided to use the CDC's critical sex ed topics as a framework. Link here: https://www.cdc.gov/healthyyouth/data/profiles/pdf/16_criteria.pdf From your experience, what are some topics that go over well for these age groups, questions I should be prepared for, any good teaching strategies or any other advice and reflections you have to offer. I will post my proposed outline below...
  25. jnemartin

    Sex/Growth Ed for Middle School

    I'm really trying to avoid saying it myself lol. But I will if I must.
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