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jnemartin

jnemartin BSN, RN

Content by jnemartin

  1. 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??
  2. jnemartin

    my office is NOT a nap room!

    you guys... this is one of my favorite things to say: "In the absence of any other symptoms, tiredness is not a reason to see the nurse."
  3. jnemartin

    Any Nursing Moms?

    I recently posted about returning to work last week after mat leave... and I'm back to ask for some advice about pumping schedules. If you find this topic uncomfortable or too personal, please stop reading here. A little background: I will need to pump 3 times during the school day to keep up with my home schedule: 9am, 1130am, and 2pm. I'm making significantly less at school than at home, so ideally I could add a fourth session in, but that's not super realistic. I've started pumping in the car to/from work in increase supply. We have 4 other nursing moms at school and we do have a pumping room, but I prefer to pump in my office because set up is so much faster, but this may change if I start getting a lot of phone calls or knocks on the door. I haven't made an official statement to staff about my schedule (ie, an email saying to please avoid sending students during the following times) because I haven't found my groove yet and don't want to be sending multiple emails on this topic lol. What I've been doing is hanging my "Be Right Back" sign on the door and putting up a post-in that says "please come back in 20 minutes." It's not perfect, but it was pretty much working until yesterday when I went to reopen my office after pumping and there were 5 kids standing outside the door waiting for me. They claim that they saw the note, returned to class, and "came back in 20 minutes"... but I suspect they all just waited there for 20 minutes. Their complaints: kid 1: asking for dayquil after I told her earlier I cannot dispense that. Kid 2: hang nail. Kid 3: rash that she's had since Saturday d/t gardening/weeds touching skin, hasn't treated at home, would like something for it now... (omg). Kid 4: buddy of Kid 1. Kid 5 was actually sick (puked in PE). I gently chastised them all for hanging around and missing class, but really my system is not working and I need some tips so that (1) I can pump in peace and have this time respected by students and staff (without getting sending too many boob-related emails lol), and (2) still be appropriately available for the kids. If you guys have any tips or strategies that worked for you - let me know!!!
  4. jnemartin

    Any Nursing Moms?

    LOL! My front desk lady is also a mom and grandmother... I honestly don't know what's going through her head half the time
  5. jnemartin

    Any Nursing Moms?

    Our front desk lady is horrible at simple triage. She either gets the kids worked up over their issue, or calls me. A typical scenario is that she will pull me from a meeting to tell me a kid with known anaphylaxis is having an allergic reaction to something, and when I eval he kid, the kid will tell me they have a HA. Or she'll say "so and so is really sick and needs to see you." and the kid is asking for a cough drop. I don't get it, but this happens all the time. She is super sweet, by the way. Just TERRIBLE at assessing the kids. She feels it's not her place to triage kids, and I get it. Truthfully, kids should not be coming to me OR the front desk for minor complaints (MS/HS) like bandaids, because each classroom has a little first aid kit. And for HA/menstrual cramp or things like that, it's pretty much safe to say that the kids can wait about 20 minutes (in fact, often their complaint will resolve in that amount of time lol). I spent ALLLLLLL last year working with the kids on using the nurse's office appropriately, and they're pretty good about it. I say all of this, because if I give them another option - i.e. going to the front desk for help - they will do that. You know how kids are.
  6. jnemartin

    Any Nursing Moms?

    Thank you! I may switch to using the pumping room because I am told there is no cell reception in there... so you're really off the grid lol. I'm worried that if I'm truly off the grid, though, that it will quickly turn into the: "Where is nurse Jackie" game, and then I'm actually *more* on the radar, because everyone is constantly looking for me. I don't really want people questioning how much time I'm taking to pump, if that makes sense. It's annoying, because the teachers have 1-2 planning periods plus lunch, so they have blocks of time that students will not be looking for them. If I'm gone for 20 minutes three times a day... well you know what happens lol. Everyone thinks the world is ending
  7. 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?
  8. jnemartin

    Got my P & G stuff today!

    is it just 5th and 7th graders this year?
  9. jnemartin

    First day back after mat leave

    I'm back in the office after my 12 weeks off snuggling my baby and changing a million diapers! Surprisingly, it's not that bad! I've been busy but not annoyingly so. Even found some time to pump. One little thing so far... As I walked in this morning, the front desk lady says, "there's a student nurse waiting for you outside your office." Apparently my long-term sub scheduled me a student nurse for the day I return. Nope. I rescheduled with her for another day and sent her home lol.
  10. jnemartin

    First day back after mat leave

    I drink the Mothers Milk tea, but I have never seen a huge increase in production. the only direct link i've noticed is when I drink more than 1-2 glasses of wine, then my production goes down quite a bit (of course). usually I pump 3-5 oz per breast, per session and this week i'm pumping 3-5 total... just to give you an idea! And I don't feel "stressed"... I know it's just the transition. I've never heard of the blue gatorade thing! That's wild. I'll have to look that up!
  11. jnemartin

    First day back after mat leave

    thank you guys for the tips! during mat leave i started subbing late night feedings with formula, and i was worried that coming back to work would just be too much to keep the milk supply up, given that I had already started subbing out 1-2 feedings with formula. Since Monday, I'm already seeing a dip (but also stress and adjustment, etc), so I'm going to try all the tips. I can't go back to BF/pumping in the middle of the night, it's way too stressful. also - i did have quite a stash that I accumulated when she was really little. but then she had trouble growing (technically FTT!), so ped said I would have to BF and "top her off" with pumped milk or formula. so i ran through my backup supply and also probably dinged my production while i was at it... but it is what it is. She's a fat little butterball now.
  12. jnemartin

    First day back after mat leave

    The transition was super smooth for the first day. My sub nurse really did an awesome job! I'm not sure how I am going to handle pumping... at home I would BF at 8, 11 and 2 (during school hours) - which are incredibly bad times to try to pump at school - first bell, lunch, and almost end-of-day. Yesterday I just locked my office and pumped around 11:30 and again at 2:30. I pumped about what I would have fed by breast, so that's good. My problem is that I take a long time to pump/nurse, so it was a balance between not being unavailable for too long and making sure i have enough food for my baby. I'm not anti-formula, but I'd be upset if my milk production decreased due to my job schedule.
  13. jnemartin

    First day back after mat leave

    it totally depends on your school policies. My school does not have paid mat leave, but i was able to use my "short term disability" benefit (free through my employer), and they paid 60% of 5 weeks. So not much. I took the full 12 weeks of FMLA, though. If you want to get in the school nurse loop, ask to shadow a school nurse as nursing student. Tell them you'd like to sub once you have your license. If you can't get a FT job right away, subbing is an excellent way to meet all the right people and make sure you like the work, too.
  14. jnemartin

    First day back after mat leave

    I hope I didn't come off as too rude to the student. I wasn't totally awful, but I wasn't exactly a peach about it lol. I was annoyed. Oh well, she'll be back next week. I'll be extra nice.
  15. jnemartin

    Pertussis Parent Notification

    What is your school's policy on notifying parents of a pertussis case?
  16. jnemartin

    Down time (HA, sure...)

    audio books or regular books, I'll watch semi-educational things on YouTube
  17. jnemartin

    School Nurse Salary?

    Arizona, private school, no weekends/holidays/summers plus fall, winter and spring breaks (equals an extra month of time off), benefits are NOT good (maybe one year I'll move to public school where benes are much better, but workload is much heavier...) = 48k I'm a relatively new nurse - I did a new-grad program at a hospital 3 years ago and my salary was 50k, my second year I moved into school nursing and started at 42k, and this year I negotiated up to $48k. At my current school I get a cost-of-living increase each year (only about 2.5%, but better than nothing). I work PRN at a skilled nursing/LTC facility where I make $40/hr, and I do this a couple times each month on weekends
  18. jnemartin

    Records Retention - Contact Cards & Vax

    thank you! I have something similar posted on my wall (from the previous SN) that addresses specific school documents like attendance records, rosters, all kinds of stuff... but of course the medical records section is totally vague. that's a god idea! currently, we only have vax records in paper form and don't get many requests for copies from parents/students. but supposedly we are getting SNAP and will be able to digitize the vax records, so that's great!
  19. If your state requires paper-copy contact cards to be updated annually, how long do you retain past contact cards, or do you shred the old one each year? I'm in Arizona and can't find a good answer to this. Also, it makes sense to retain past paper consents, screenings, incident reports, admin records, action plans, health records/excusals... but what about outdated immunization records - do you guys keep everything or shred the old one as it's updated?
  20. jnemartin

    Do you look...

    I just ordered myself an otoscope from School Health.com! You can actually get them inexpensively on Amazon, as well as an otoscope-like device that actually hooks up to your computer and takes a photo of the ear drum. I do a lot of throat checks and can easily identify swollen/inflamed tonsils or red throat, and I let parents know what I've seen when I refer them to doctor. I'm fine with doing this for ears, too. I do get a bit annoyed when students say "my throat hurts, can you look and see if I have strep"... but I use it as a teaching moment. Surprisingly, a lot of them know that they need an actual culture to dx strep, but they want to get a "professional" opinion/look, and I respect that.
  21. jnemartin

    Early Flu?

    I am in my second week of school and have 3 confirmed diagnosed cases of flu, and three additional students who presented today with fever of 101.5+ and flu-like symptoms. Anyone else seeing so much flu-like activity so early? *My student body is only about 400 students
  22. jnemartin

    Early Flu?

    https://denver.cbslocal.com/2019/09/18/cdc-flu-shot/ I knew it! Flu is hitting early and severe this season- CDC is recommending getting a flu shot ASAP.
  23. jnemartin

    All the nursing school posts

    I don't know about you guys, but I get a kick out of all the prospective nursing students who post in this subgroup about Nursing School questions, rather than "School Nursing" questions. Based on my experience in nursing school (utter hell with professors obsessed with attention to detail), I can't help but think nursing school might be a shock to their system... (This could just be my old and cynical self! lol)
  24. jnemartin

    Arizona Nurses - Fill me in on the vision screening

    Apparently, the law was signed over summer and in effect as of August 2019. I am a member of our Az SN association, and no word from them, as well as no word from the Dept of Health (in charge of hearing screenings). Also, I'm in a private school system, so there is no district nurse or someone that might be more connected/well-informed than me to go to. No one seems to know anything.
  25. I just learned today that over the summer a law was passed requiring vision screenings in AZ schools, as before it was not mandatory only recommended (*for a rant about the annoying way I learned this, please see the asterisks below...). 1) Who are we screening? As in, what grades/ages. The azrepublic article I found says: "Students just entering school. Students who receive or are being considered to receive special education services. Students whose teachers have requested a screening. Students not reading at grade level by third grade." The actual law is not even this specific. https://www.azleg.gov/legtext/54leg/1R/bills/SB1456H.htm 2) Who is responsible for training us to screen (dept public health, dept of education, or is no certification required?). 3) Who are we reporting this to? 4) When is it due? *RANT here: My school has 2 campuses, 2 nurses and 1 set of shared administrators (no lead nurse, although I am usually the one that coordinates between the two campuses). The nurse from the other campus called me today and said a few weeks ago, she learned about this new law on the news and put a request in to admin to hire a company to come in and do the screenings... AT HER SCHOOL ONLY. So she found a company, got a budget passed, and scheduled them to do both hearing and vision screenings... AT HER SCHOOL ONLY. I have my hearing screenings scheduled for next week - done by me. and when I'm done with the screenings, I go on maternity leave. So I have no time to do the vision screenings before this baby comes, and now I'm doing the double the work because I will probably have to . I am so annoyed.
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