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jnemartin

jnemartin BSN, RN

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Content by jnemartin

  1. jnemartin

    C'Mon Now!

    when the middle schoolers use glue guns in science lab I want to quit
  2. jnemartin

    C'Mon Now!

    to the teachers who put their hand to a student's forehead, tell them they have a fever and should see the nurse... c'mon now! to the students who come to school using crutches, telling me they sprained their ankle but have not yet seen a doctor and can I wrap it for them... c'mon now! to the PE teacher who for some reason has crutches and lets kids use them when they injure themselves in PE... c'mon now!
  3. jnemartin

    what would you do - meds w/o labels

    this is my opinion, too, but I'm hearing people here say they do not accept anything unlabeled.
  4. jnemartin

    what would you do - meds w/o labels

    Many of you are addressing what you would do if a child/parent hands you loose meds. That is obviously a no-go - I would not consider administering any of that. Although some are saying they would not take/confiscate the med from the student, and some are saying they would... interesting.
  5. jnemartin

    what would you do - meds w/o labels

    haha!
  6. jnemartin

    what would you do - meds w/o labels

    absolutely never take random unlabeled meds from a parent - because the parent can just take them right back. But if a 12 y/o hands you some inappropriately packaged meds... do you hand it back? That is a huge liability in my opinion. I think the nurse should confiscate the med and notify parent. I'm helping my school determine policies on this sort of thing, so all input helps.
  7. jnemartin

    A really stupid incident

    Once I pulled two tabs of Norco for a pt who had and order for 1-2 tabs depending on pain scale. Pt only required one tab. I accidentally tossed the whole, packaged tab into the trash with my other opened packets. I realized almost immediately after and literally dug it out of the trash. So it can happen... I was horrified.
  8. jnemartin

    Accused of not giving dilaudid

    My hospital has the same policy. I know one reader was confused about the dosing - my docs frequently put in multiple orders for the same medication with different doses depending on severity of symptom. Also, my hospital policy is that a nurse can administer a lower dose of pain medication than ordered based on pt preference and nursing judgement. My hospital only has 10ml syringes, and when I don't flush the whole amount sometimes pt's ask if I have not given the whole "dose." I have to explain it's just a flush, but I'm sure they don't all believe me.
  9. jnemartin

    what would you do - meds w/o labels

    I asked mom what the meds were and she said "an ADHD med, some vitamins and a couple other things." It was so bizarre haha!
  10. jnemartin

    what would you do - meds w/o labels

    i totally agree. I am more relaxed with non-controlled meds like zofran (zofran is a big offender because they often come in those individual packets, inside a labeled box - so mom will drop off a few wrapped tabs, but no pharmacy label)
  11. jnemartin

    what would you do - meds w/o labels

    I have had a parent TWICE drop off a baggie of unlabeled, unpackaged meds at the front desk asking that "the nurse give these." Front desk is now very clear not to accept random baggies of meds, but I can't believe mom tried to pull that twice! I confiscated the meds and made mom come back and pick them up.
  12. jnemartin

    what would you do - meds w/o labels

    this is a really good idea for handling the meds in the interim.
  13. jnemartin

    Splinters

    oh wow - that seems like a very very conservative interpretation of an "invasive" procedure! But I understand the rationale.
  14. jnemartin

    Drug/Alcohol assessment?

    I work at a private school with some boarding students (not all) and was asked to drug test a boarding student. The test the school wanted me to use was expired, so I refused for that reason and because the consents for the boarding kids' treatment is handled by another department - my consents for them only cover OTC and their RX meds. So I referred the dorm staff to take him to an outpatient place and advise the parents. I was frankly pretty shocked they asked me to do that (especially while handing me an EXPIRED test - haha!)
  15. jnemartin

    Splinters

    i've heard that some school nurses do not remove splinters - apart from the microscopic ones that will require opening the skin further... what is the rationale for not removing it? (new school nurse and just wondering about scope)
  16. jnemartin

    horrible immunization compliance rate

    thank you guys for the supportive comments. I do realize I inherited a mess, but I had such high hopes on rectifying the messy records and lackadaisical approach to nursing and the Health Office. My admin is listening, but not really understanding the issue. I think at this point, after 4 email referrals and 1-2 phone calls per family, the best I can do is report what I have. I opened by report document and there is a section for "comments," and I plan to use that space to let the auditors know how many students have upcoming appointments and also the reason for a drop in compliance stems from no messaging over the summer. Hopefully they get the idea that I worked really hard to get the rate up from where it was (even though it's still quite bad).
  17. jnemartin

    horrible immunization compliance rate

    this is a good idea. my principal did back me up by sending a strongly worded email (your child may be removed by the dept of health after Nov 15), but I don't think we were strong enough from the onset. of my 52 students, 11 of them have appointments scheduled for AFTER the reporting date. so annoying.
  18. jnemartin

    horrible immunization compliance rate

    RE the online immunization records: Yes. I have accessed it, but didn't turn up any additional vax info. the issue is that the families weren't totally aware that they needed to get certain vax over the summer.
  19. jnemartin

    horrible immunization compliance rate

    This school is not regulated by a district, but I plan to look into writing a policy if our parent company/school doesn't have one (I doubt it). Next year our plan is to require the immunization reports along with tuition payment/registration, as well as streamlined messaging from the nurse at our feeder 5th grade.
  20. jnemartin

    horrible immunization compliance rate

    This school is not regulated by a district, but I plan to look into writing a policy if our parent company/school doesn't have one (I doubt it). Next year our plan is to require the immunization reports along with tuition payment/registration, as well as streamlined messaging from the nurse at our feeder 5th grade.
  21. jnemartin

    horrible immunization compliance rate

    update: I just told my principal very bluntly that I am worried that if our immunization compliance rate is reported at 65-75% I am worried our school will be investigated by the dept of health. She said that she will send a strongly worded email out to parents warning that if they don't send in the reports, the dept of health may come and require their students be removed from school. so not *exactly* what i was hoping for (of course I'd prefer the dept of health not be poking around looking for issues), but better than ignoring the issue
  22. jnemartin

    horrible immunization compliance rate

    ok true. Apart from giving my admin weekly updates on the status of the health files, I have sent all referrals by email, so I have a record of my communications with parents, and documented when I called and LM re the missing documents, too. So I have a good paper trail. I have gotten the strangest replies from parents - like they have sent old vax records after I explicitly ask for Tdap and MCV, or they just email me back with an updated contact email but then never reply when I email to their the new contact - it's so weird!
  23. jnemartin

    horrible immunization compliance rate

    I have kept my administration in the loop throughout all of this - but I'm not sure they truly get how bad it is (although I literally told them we have 11% compliance and so on...). I actually send weekly progress reports and have included this topic in almost all of them. I believe the law in my state is that children are not allowed to attend without the required documentation... however, my school is TINY and private, and many of the state laws here do not apply to charter/private schools. So i am not entirely sure if the law applies here or not, but I can 100% tell you my administrators will not enforce that even if it does, due to the culture of the school being very close-knit.
  24. Hi All! I just accepted my first school nurse position and I couldn't be more excited. After working bedside in critical care and skilled/LTC, I have a chance to develop and implement health promotion campaigns and classes/training for students and faculty, in addition to the day-to-day of school nursing. I'm so excited! So I'm asking all the school nurses out there - what are you favorite places to go for up-to-date information, best practices, evidence-based health promotion programs, etc... I even found some podcasts I've been listening to, so I am open to anything you all find helpful! I have already looked into the NASN, and will probably join, so if there are particular toolkits or info from NASN that you love, please let me know! LINKS appreciated :)
  25. Thoughts on how this could affect the job market and nature of nursing jobs in the next 5, 10, 15, 20+ years?
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