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jnemartin

jnemartin

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Content by jnemartin

  1. jnemartin

    Speaking of summer...

    I work year-round PRN at a SNF. They don't need me much, but they like me and find me shifts when I ask. I committed to working every Wednesday night over my summer break, but I think that's probably all I'll do I have a lot of projects around the house I'd like to get done, so it's a tough call between picking up more shifts and making it easier to pay for projects, or not working and having the time to actually do or manage the projects!
  2. jnemartin

    Nosebleeds

    Just curious - if you have a student with a nosebleed, barring any unusual circumstances or history - do they stay in your office until the bleeding has ceased, or do you give them instructions and send back to class after some observation?
  3. jnemartin

    Countdown to SUMMER!

    There, I said it. 28 working days for me (not including today... today is already done in my mind )
  4. jnemartin

    C'Mon Now!

    The kids have their class trips next week, so the teachers have been freaking out about all the kids' medical needs and have constant questions for me. The trips are outside of school, require their own consents and med supplies, etc etc. Most of the kids take their meds at home, so realistically I just don't know the specifics... and they should be asking the parents (who have filled out the forms and will be supplying the meds). The other day I was dealing with a student with a nut allergy who accidentally ate some sort of nut cookie and one of the teacher/chaperones comes in to debrief the entire 6th grade's med regimen. Dude, you are not the priority lol. Face palm.
  5. jnemartin

    Professional development days

    Yes! It's nice to connect with the other staff. We discuss issues we're running into, specific cases, questions about scope, whatever. It's very informal. This year I implemented a new sex ed program, and was hoping for a lot of help/support during our PD meetings, but I quickly realized the culture of these "PD" days was more about connecting and unwinding, not working. Like I said, not the WORST way to spend a Friday afternoon, but it just depends on what you hope to get out of it
  6. jnemartin

    C'Mon Now!

    (can you tell I am ready for summer break?! LOL)
  7. jnemartin

    C'Mon Now!

    ugh. I am glad I am needed and they trust me. But they (the adults/teachers/principals) have GOT to use their brain cells. If it's 8am and a student tells you they vomited and you know the nurse is going to be late (I actually told them I'd be in at 9am) - call the parents, please. Read the situation. Respect my time and personal space (ie, let me get in the door before bombarding me with issues).
  8. jnemartin

    Professional development days

    Our PD is rather strange - I work at a small private school with two campuses and each campus has a nurse and counselor. On PD days, the teachers have a full schedule of meetings and trainings provided by the school, but none of it is applicable to the health/wellness staff. So sometimes, we actually present to the teachers (stress coping strategies for students, how to use EPI pen etc) but usually we just meet privately at a Starbucks and gossip. I can't say it's the worst, but I'd rather have a half-day lol
  9. jnemartin

    C'Mon Now!

    I need summer to be here NOW lol
  10. jnemartin

    C'Mon Now!

    omg... I arrived to work a bit late today (principals were aware). I walk in at 805, first bell has just rung. Usually, I arrive at 730. Both principals (MS and HS) rush up to me with students in tow, and the front desk lady and her assistant jump up (LITERALLY JUMP UP) to greet me and tell me this parent called, this student is out sick, etc etc. I barely have both feet in the door. Like, would the building burn to the ground if I actually didn't come in? I really worry about these people. Luckily, I happened to walk in with the college counselor, so I am so glad to have an ally that witnessed the madness.
  11. 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.
  12. 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.
  13. 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
  14. 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.
  15. jnemartin

    none

    none: a variation of OVER IT. Written by the school nurse with 6 weeks of classes left before summer break
  16. 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.
  17. 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!
  18. 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
  19. 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.
  20. 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
  21. 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
  22. 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.
  23. 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.
  24. jnemartin

    When to tell Principals I'm pregnant!

    Thanks, guys! I'm excited for a raise AND a baby I feel optimistic about both
  25. 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
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