Jump to content
jnemartin

jnemartin BSN, RN

Registered User
advertisement

Content by jnemartin

  1. jnemartin

    my middle schoolers are running The Mile tomorrow

    I did have a few with nausea that mysteriously presented RIGHT before PE class - haha.
  2. jnemartin

    my middle schoolers are running The Mile tomorrow

    UPDATE: I survived! Only one student with an asthma issue, and one student who lost a contact. I can't believe it went so smoothly. I went down and thanked the PE teachers haha!
  3. jnemartin

    my middle schoolers are running The Mile tomorrow

    that's exactly what I was thinking. the gym and field is on the opposite end of campus and it's a solid 7 minute walk door-to-door. If the kid sits and rests for 7 minutes they would have already been back to normal!
  4. jnemartin

    Would you? Do you?

    Yes! I agree! Sometimes I (and others) post things specifically asking for advice or input. Once I posted something and I was just interested in how other nurses handled the situation, I was not looking for advice. But I got A LOT of advice. "You should..." "You need to..." - I could have done a better job wording the question to elicit the types of answers I was looking for. I am (as I've mentioned in other threads) helping my admins to write some nursing/health policies for my small school that currently doesn't have a lot on paper. Many replies I've gotten as I've tried to learn various rationales for policies is "check the policy" or "refer to your district policy," so these aren't helpful to me. I think wording questions/scenarios like this will be super helpful in my quest for info!
  5. jnemartin

    Would you? Do you?

    This is not an answer to your question, but I just wanted to say that I like how you've presented this question/issue as a would you/do you scenario. I would like to see would you/do you? threads for many topics, because we all run our Health Office differently, and I love hearing other nurses' rationale for their interventions or policies (or lack thereof). Sometimes I come on this board seeking advice, and sometimes I just want to hear other people's views on things. For those scenarios I am just looking to hear others' approaches and rationales, I will definitely steal your "Would you/Do You?" phrasing!
  6. jnemartin

    FYI: P&G is open today for orders!!

    Yes, luckily I have another SN friend who sent me a few of her extra 5-6th grade materials, and I have extras of the 7th-8th grade girls materials. I had NO boys' materials, so I used my entire allotment on ordering boys' packets.
  7. jnemartin

    Performance Evaluation Goals??

    This year my goals were to update the Health Office Manual and achieve 95% compliance rate with immunizations. I wanted to make some sort of goal about increasing the students' health knowledge, critical thinking, and self-advocacy/autonomy in health and healthcare setting. However, we're do SMART goals and that seemed hard to parse out. I do this, though, by asking detailed questions of each student to get them to critically think about what they need, what will help, and how they can communicate that in the future.
  8. jnemartin

    my middle schoolers are running The Mile tomorrow

    I wish the athletics dept would have given me a heads up. It was only in passing that I learned of it. Yesterday, a middle schooler came in with a c/o painful ankle after rolling it while practising for the mile... so that was how I found out. I talked to the PE teacher after and she made a joke about how my office "would be full tomorrow" (i.e. today, the Mile day). I wish I had a good reply like this to say to her at that moment! haha! If it is a big problem, and my office is "full" today, we will definitely be having a f/u convo!
  9. jnemartin

    my middle schoolers are running The Mile tomorrow

    That was a great read - those comments are hilarious! It is crazy that the kids spend all year messing around in PE and then once or twice a year are forced into such vigorous exercise that they all feel they are dying!
  10. jnemartin

    FYI: P&G is open today for orders!!

    I ordered mine yesterday! The number of kits I was allowed to order was strange, though - it doesn't add up to how many students I have (they never asked). I wonder how they got those numbers. Luckily I have extras left over from previous years (the coupons are expired, but booklets are probably the same).
  11. jnemartin

    Sex/Growth Ed for Middle School

    Thank you guys all for your wonderful ideas! I've found a few great videos that cover puberty that work for 6, 7, and 8th. So that's 20 minutes down - haha! How long should I allow for questions? There will be approximately 25 kids in each session.
  12. jnemartin

    Sex/Growth Ed for Middle School

    Thanks, Jen! I will look into this. I will also take a comprehensive approach and plan to incorporate away for kids to ask anonymous questions. As for porn/internet safety, our school actually does a whole separate program for that. I am not the hugest fan of it, because it is led by the local police and is very fear-based in approach, but I've attended it and although the delivery is not my favorite, the content is good.
  13. jnemartin

    Sex/Growth Ed for Middle School

    oh dear haha! Well luckily I am not embarrassed talking about sexual health and I would rather them hear a clear explanation from me, rather than getting weird info from their friends or the internet. I hope I can keep a straight face and not seem too shocked if they do bring up something I'm not expecting.
  14. jnemartin

    Sex/Growth Ed for Middle School

    Cool! Do you have a link? Even if I don't end up using specific programs or frameworks, I'm interested to see what others are doing.
  15. jnemartin

    Sex/Growth Ed for Middle School

    One thing I'm committed to is that I'm straight forward with the kids and try to normalize the content and their questions as much as possible. I recently had a sixth grade girl come to me and say she had her period. She is a FF, so I thought maybe she was just informing me. I asked if she'd like a tampon or a pad and she said she didn't know the difference. It was then I realized it was her first period, which she confirmed, and we were able to have a teaching moment. Point being, I will have to spend a little more time on some of the basics, but I can foresee that it may be hard to balance the kids who are more "advanced" (asking about slang, etc), with kids like her who are total blank slates. (At least she wasn't embarrassed to come to me!)
  16. jnemartin

    Sex/Growth Ed for Middle School

    I anticipate some of that. Many of these kids are pretty sheltered. I assume letting them ask and simply saying "BJ is a slang term for oral sex" is the best way to handle that...?
  17. jnemartin

    Sex/Growth Ed for Middle School

    I forgot to mention that the school does have a policy on how parents opt out - so at least they have that set up for me haha! Good idea about the note card - I remember this from when I was a child! Do you pass them out at the beginning and collect them at the end?
  18. jnemartin

    Sex/Growth Ed for Middle School

    Here are the topics, loosely: 6th Grade Health & Body a. Review of terms and concepts (anatomy, puberty, sex) b. How to access valid and reliable health information, products and services related to health/body; routine preventive care (annual exams, etc) Psychosocial (a separate class taught by the counselor) a. Boundaries - a lesson and exercise in appropriate boundaries, possibly taught during advisory 7th Grade Health & Body, and Psychosocial a. Review of terms and concepts (anatomy, puberty, sex) b. Intro to sexuality: LGBT, healthy/respectful relationships, reducing risky behaviors 8th Grade - April: Health & Body, and Psychosocial a. Review of terms and concepts (anatomy, puberty, sex) b. Overview of sexual behavior outcomes: pregnancy, STI, emotional (STI is covered more in US health class, this is just an intro to the idea/existence of STI) c. Overview of prevention methods: abstinence, condoms, birth control pills, etc
  19. jnemartin

    what would you do - meds w/o labels

    scenario: a student brings in a wrapped/sealed med from home, but it's not in original packaging (like zofran, some ADHD medications, and even EPI pens, for example). consent is signed... what would you do? This happens to me all the time- sometimes parents will even bring the meds in like this with the consent filled out. They have no idea the meds need to be in original packaging. I understand why they do it (usually to split the med between home and school). What I've been doing is notifying parents of what is missing/required and holding the med in my office until the original packaging is brought in. My rationale is that it is safer for me to hold on to the med, rather than have the child keep it on person or send the med home and then the child has no access in case of emergency like EPI.
  20. jnemartin

    horrible immunization compliance rate

    my immunization reporting is due for 6th graders on Nov 15th (not sure if states differ on this). My compliance rate is about 65%. It's my first year as a school nurse at a very small school. both the feeder school's nurse and the nurse who used to hold my position quit at the end of last year, so there was apparently no messaging on vax schedules to parents whose kids were leaving the 5th grade school and entering 6th grade at my school. I was hired just as school started (and I've never been a school RN before), so it took me a couple weeks to get my bearings, and first referrals went out the first week in September. Second referral went out October, followed up with at least one phone call. Most parents have received 2 email referrals and 2 phone calls regarding the missing documentation. I'm about to make another round of phone calls tomorrow... At the beginning of my outreach efforts only 11% of students had their documentation in, so obviously I've made some headway, but it's crunch time and I'm not quite sure what to do with this large group of parents who are simply not responding. The point is, I'm really nervous to report these low numbers because I'm worried I may trigger an investigation from the State and they will think "What the heck is going on over at that school!?" Next year, I will put some things in place to prevent this from happening again, but at this point... what should I do? has something like this happened to anyone else?
  21. jnemartin

    horrible immunization compliance rate

    yes, my state does have a database and I was able to access it. However, the issue is that the students never got the 11 y/o immunizations to begin with. So now parents are all rushing to get them in at the last minute (although I sent out my first referrals in the first week of Sept), and aren't finding available appts until after the reporting is due. ugh
  22. jnemartin

    C'Mon Now!

    oh, I know! I also learned two weeks after a student was concussed during a sporting event about the incident... the student came in and asked for Tylenol for a HA because he "has a concussion and the physical trainer told him that's what he should take." "Don't worry," he told me, he's been working closely with physical training regarding his CONCUSSION. Long story short, our athletics department LOVES to practice outside of their scope, and I have no problem letting administration know about it each time.
  23. jnemartin

    horrible immunization compliance rate

    if I'm reading it correctly the state law requires that students who are non-compliant with vax with the reporting date (tomorrow) show proof that they have made an appointment within a reasonable amount of time. I am required to follow up two times RE this late vax appt and then the student will be removed from school. That is from the dept of health statutes regulating school immunization reporting, compliance and non compliance. So that is what I will do. Next year I don't want to spend so much time on this; I'd like to enact a school policy that these documents must be complete and filed in health office much sooner (this has been such a time suck). I work at a private school (not part of a district), and the principals tell me there isn't a policy in place and that this hasn't been an issue in the past. To be totally honest, I think the previous nurse was fudging the report numbers because all the files are a mess and many kids are missing immunizations or even entire records. Yet somehow, she was reporting 95-100% compliance.
  24. jnemartin

    C'Mon Now!

    haha! Luckily it's only happened a couple of times, but this particular PE teacher is in love with those crutches. I've explained... but this teacher used to be an EMT and has a very hard time accepting my commentary on anything medical (it's been a struggle)
×