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jnemartin BSN, RN

Content by jnemartin

  1. jnemartin

    We start on Monday - full in person

    Pray for me.
  2. jnemartin

    Long term disability for maternity leave ?

    I had a baby last school year and typically, you will use short term disability (6 weeks usually) which then rolls into the FMLA to complete 12 total weeks. STD will pay for those first 6 weeks (sometimes with one week exclusionary period - aka only paid for 5 weeks). Having a baby will not qualify you for long term disability unless you incur a major disability during pregnancy/labor. Not sure what happens if the baby has a condition that would keep you out of work for longer than 3 months, maybe LTD would apply then. CONGRATS!
  3. jnemartin

    A "real nurse" or school nurse

    After nearly 2 years of school nursing, today I finally got asked the age old question (from a 6th grader): "So… are you, like, a real nurse, or just a school nurse" LOL. To balance things out, yesterday a teacher told me how grateful she is to have "an actual nurse" at the school to deal with medical issues, especially because she was always made to dispense meds which made her uncomfortable (of course!), and with such a terrible flu season/now COVID19.
  4. I’ve been thinking about what our role will be if DHS does call for school closure. I was thinking we could create a screening tool that would identify higher-risk families and then call those families with instructions and education. Questions could include recent travel, symptoms, contact with others, etc. Families could fill this out online, so we could go old school and just call every family and administer the survey via phone. I am setting up a Google Voice account, so that I can call families from my cell phone without them having access to my person numbers (as we would be working from home in the case of a school closure). We will coordinate communications from top down (CDC -> local DHS -> our school) What else!?
  5. jnemartin

    A Question About Standing Orders

    For those that have OTC meds available to students, do you have standing orders and parent consent forms?
  6. jnemartin

    If your school is closed re COVID19, what is your role

    I heard him discuss that at the press conference, but it was unclear that the documents were already available. thanks for sharing!
  7. jnemartin

    If your school is closed re COVID19, what is your role

    this is a wonderful resource! thank you!
  8. It was painful to watch, but once I started I had to know what happened and I ended up binging the series this weekend. Anyone else see it? My thought throughout the whole thing was "Where is the school nurse?!" And regarding the teacher who called CPS to report the abuse 3+ times... did she do enough? I don't think so (just my opinion).
  9. So... the front desk receptionist just unlocked my locked door (with the sign up that says Nurse Office Closed), and brought a student in... while I was pumping (breast pump) at my desk. The best part... what was the emergency? The kid needed a snack. During lunch break. I want to die. I'm just praying he didn't see too much.
  10. ETA: the kid thought she had a fever. 98.0
  11. UNBELIEVABLE UPDATE: So I am pumping in my office and I hear the door pad beep, meaning the front desk lady is letting herself in. Fine - I told her she can come and get me for emergencies and I have a cover ready. She says from the doorway (cannot see me): You in here? I say yes, come in. She says: I have a student who the PE teacher says need to be "tended to." [she says this seriously, with zero sarcasm] I say: Tended how? She steps in the doorway, student right behind her: Oh, well I don't know... I guess I'll have her wait at the front desk with me. What the actual.... So mom's room it is. No more pumping at my desk. No privacy and no critical thinking skills about what would constitute a reason to disturb a nursing mom.
  12. jnemartin

    Gabriel Fernandez Docu-Series on Netflix

    An update - I can tell a lot of teachers have also just watched this documentary because I have gotten a couple emails this week saying "so-and-so misses a lot of school, can you see what's up with that."
  13. jnemartin

    Coronavirus and Schools

    I like the chart with all the cases by country, maybe I'll just do it like that. I was only going to track the US, state-by-state. That's the trouble - finding a chronological list of the cases with specific location.
  14. jnemartin

    Coronavirus and Schools

    I'd like to make an epidemiological map for my office that shows the US cases of coronavirus (the type with pins in a paper map - super simple). I've had trouble finding a good source with chronological cases - any suggestions?
  15. jnemartin

    Gabriel Fernandez Docu-Series on Netflix

    I know our school policy is that the child won't go home until the case is investigated by CPS. We had a situation last year, and the CPS worker arrived at school within about 2 hours of the call/report. Our backup plan was to either wait for the CPS worker if it was within a reasonable time, or call the police (from there, maybe have them transport him to the hospital or whatever they decided - the injuries were not serious in nature, but indicative of abuse).
  16. jnemartin

    Coronavirus and Schools

    I don't have much to add because my school is also scrambling to keep up with all the latest twists and turns (and of course our small private school has no plan, and of course the admin wants me to make the "plan"). But - I was at Costco last night to do my usual shopping, and they were out of bottled water, bleach and toilet paper. I heard the employees discussing it, as well. The only water left were liter bottles and there was only one palate of that. Every single cart I passed was filled with water. It made me feel very uneasy and, YES, of course I got some water, too! LOL
  17. the crazy part is that she knows my pumping schedule - 9, 1130, 1400. unless something comes up, but I'm pretty good about sticking to it. and she has never not knocked before. I just don't understand. the worst part is that I was so worried the admin would turn it around on me - like why was I pumping in my office rather than the pump room, why did I not let her know specifically (I mean, come on, I pump 3x daily, is that really necessary to send an email every time there might be a chance someone could walk in and see my nips LOL), I should have made a special "I am pumping sign," etc. my mind was going wild on how I could get in trouble for that. luckily no one has said anything to me yet. there is a big part of me that wants to throw a fit about it... but I just have this sinking feeling they will turn it around on me (see above reply). so I'm just gonna keep my anger to myself and keep a sweater handy to cover up if anyone barges in again.
  18. stuff like what happened to me and what you described happens all too often. the problem is that the staff, being non-medical, tends to think everything medical-related is an emergency. Like a bleeding skinned knee, a basketball bounces and hits a kid in the head, a kid "looks like they have a fever," a kid is super tired... there is no distinction among the staff that these are not emergencies. I gave a presentation at the start of the SY which helped A LOT in terms of decreasing unnecessary office visits, but if a kid or parent makes it *seem* like an emergency, the staff buys in. It's so frustrating. I once got low-key chewed out by my principal for not being available (I was in an all-staff meeting... with her...) AFTER SCHOOL for a kid who THOUGHT they had a fever. This same front desk lady was apparently looking all over for me (again, there I was in the all-staff meeting. with everyone else...) to take this kid's temp. When I got out of the meeting, she told me, in a panic, that she had a sick kid waiting for me in the conference room. There the kid sits, AFTER SCHOOL, in front of a phone. I was like... did you call her mom? no. did she call her mom? no. You know school is over and the parent can come get her... right? SMH. I literally cannot sometimes....
  19. she was so apologetic. I KNEW this day would come... but I really didn't expect her to bring a student in with her. I'm kinda pissed because now they are probably gonna make me pump in the "mom's room." which is super far away and not big enough for all of us (there are 5 of us nursing moms right now)
  20. the student was a 10th grader. smh. I want to go home.
  21. jnemartin

    OTC meds for Staff

    I gotcha. That makes sense. I'm not sure I agree... but I do understand.
  22. jnemartin

    OTC meds for Staff

    I'm curious what the rationale on this is? Our school doesn't have a policy and I'd like to present some options to admin. Like if a teacher comes and requests 400mg ibu for a HA, what is our (the SN) liability in giving that? (I'm asking this specifically because I've never counseled a staff member on what to take, but they do sometimes come in and say they'd like 2 tabs of Tylenol or 2 tabs of ibu or what have you). Some of the comments really emphasize not handing them the med, but I'm not sure that's less liability? I'd like to hear everyone's thoughts!
  23. jnemartin

    Which Thermometer do You Use & Why?

    My thermometer has not been giving accurate readings. I bought a replacement and it was even worse! (I took my own temp several times, using all the different modes, and it was significantly different each time). Which one do you all recommend??
  24. jnemartin

    How to talk to parents..

    And I always greet like this: "Hi, Carol, It's Jackie, the nurse over at [School]. NO EMERGENCY, but I'm here with John." And then I let them know my assessment.
  25. jnemartin

    How to talk to parents..

    I've learned to ask kids about vomiting vs regurgitation vs spit up (eg "when you threw up, was it clear and frothy or did it look like breakfast," etc). So I will make this distinction with parents: "John said he vomited in the bathroom, but described it as more of a dry heave with some spit up, since he did not eat any breakfast." If I told every parent that their kid "vomited" (because all the kids simply say "I threw up"), it would freak the parents out, often unnecessarily. For injuries that I do not suspect fracture, I say "John stubbed his toe/shut locker on finger etc. He has full range of motion with a little pain but no swelling or OBVIOUS DEFORMITY that would let me know it's broken" (I love the term "obvious deformity" lol). If a kid feels sick but doesn't have a fever or obvious s/s, I'll often just call the parents anyways (because otherwise the kid may just call from their phone and arrange their own pick up/make it sound worse than it really is). I'll say: "John is not feeling well and has a HA and general aches. No fever, vomiting or anything that would require me to send him home, but he'd like to go home. It's your call." It's about 50/50 if the parents will come or tell them to stick it out. I used to be a little indignant about parents who wanted to pick up their healthy, faker kids... but now I'm like whatever... it's their call.

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