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jnemartin

jnemartin BSN, RN

Registered User

Posts by jnemartin

  1. I have two bulletin boards in my office - one is decorated from the previous SN, and the other was totally blank until two weeks ago when the kids were out on class trips and i had LITERALLY nothing else to do 🤣

    Bulletin boards are annoying to keep up, so good for you for even completing the task!!

  2. 3 minutes ago, OldDude said:

    This is more common, with many variants, than we realize...unfortunately.

    The Gypsy Rose story is pretty extreme, but in my school where the population is extremely affluent and lots of resources and time to focus on health issues, there are a lot of borderline cases... as in, parents seeking unnecessary medical eval and treatment for their children which ultimately effects the kid's self esteem, school attendance, participation in sports/extracurriculars, etc. It's such a shame. 

  3. We have a law here in Arizona that requires exclusion from school for unvaccinated kids UNLESS (1) parents provide an exemption form - the exemption can be "medical" (immunocompromised) or "religious," and neither need to be notarized or any additional support documents (read: total BS). Or, (2) if the student is not UTD but parents have relayed a plan to the nurse (ie, they have an appt in two weeks, or whatever), this is also acceptable to the State. 

     

    Last fall was an absolute nightmare with immunization forms because it was my first year and the previous nurse sent out no messaging to incoming 6th graders RE required immunizations. Not one student started school with UTD forms. My compliance reporting is due to the State Nov 15, and I literally worked EVERY DAY on getting those forms in, and still didn't reach herd immunity/compliance. 

  4. On 4/26/2019 at 11:15 AM, jess11RN said:

    I have found that my level of testy-ness is directly related to the amount of kids that I see before the school day even begins 😂

    YES! I actually stopped opening my office p/t first bell at 7:55. Before, I would have students coming off the bus and straight to my office for bandaids, HAs, injury from last night that "needs ice." It was so irritating, that I decided to keep my door locked until first bell, although I will of course meet with parents between 7:30-7:55 (usually dropping off meds in the Am). 

    And guess what....? Since I made that change, I have had about 2 knocks on my door in the past 6 months. It turns out, the extra-early visits are largely unnecessary (my guess is that the kids are just kind of bored if they have 30 minutes to kill before classes, and also like a little extra attention of having to drop by the RN before class). 

     

  5. I'm in a hot state and we already had our field day. This is my first year and I wasn't familiar with the schedule, so I actually requested it off! Happiest accident in a loooong time 

  6. On 4/25/2019 at 6:16 AM, MHDNURSE said:

    We had a family come in to register their kid for school and their little girl who could not have been more than 4 years old had "sexy" in bling across the butt of her ultra short booty shorts 😭

    A little off topic, but my BIGGEST parenting pet peeve is when adults/parents nonchalantly sexualize their children like this, or even by saying "my sexy little guy" or things like that. My best friend does it and I find it absolutely repulsive. 

  7. Is is summer yet? Here is a visit note I just wrote. On one hand, I'm so proud of the teacher for trying to divert the student from an office visit. On the other hand... 

     

    C/O SUPERFICIAL SCRATCH, NO OPEN SKIN, ON RUA, AFTER SCRATCHING AREA AGAINST BACKPACK. STATES SHE WASHED AREA WITH SOAP AND WATER PER HER TEACHER'S INSTRUCTION BUT IT "STILL STINGS." I ADVISED HER SHE HAS TAKEN THE APPROPRIATE STEPS, AND THE PAIN/STING WILL DECREASE WITH TIME.  

  8. update, I'm sending out the letter with a few edits to include info on headaches. along with this photo and caption: 

    image.png.a17ea418c2e31cea4a03069a4c1c558d.png(Actual photo of a student just before visiting my office – hah! Just kidding J)

     

     

    I hope they get the humor. I'm going out on a limb, here. A pollen-rich limb. LOL

  9. I used this study (link below) as part of my "I am asking for a raise" package. It states that the average American school nurse sees about 3-4% of the total student body each day (including daily meds/treatments). At my very small school of about 280 students (middle and high school, 2 T1D, 1 student with daily med given at school, no daily treatments), 4% of the population would be about 11 students.

    My median daily visit count is 25 (accounting for/removing half days and a few extremely high visit days of 30+). 

     

    http://www.shankerinstitute.org/sites/shanker/files/Manuscript Albert Shanker study school nurse 2 17 15 Final_1.pdf

  10. On 4/24/2019 at 6:29 AM, JenTheSchoolRN said:

    Email the teachers.

    This is may email I send - I'm also in the Northeast 🙂

    Spring allergy season is finally upon us! This means several students (and staff) have begun experiencing symptoms such as itchy eyes, sore throat, sneezing, and nasal congestion.

    A couple of tips and things of note:

    • I do not stock over-the-counter allergy medication (i.e. Zyrtec, Claritin). Sorry! These medications are most effective if taken consistently, not a one-time dosing. (If you hear a student talk about a hardship in taking this medication at home, let me know. These medications way be able to prescribed at no cost by a student's regular doctor under certain insurance plans).
    • Hand hygiene and hydration can help manage symptoms in school. Hand hygiene is especially important after coming from outside lunch/activities. A student whose symptoms flare up after being outside can get some relief by a trip to the bathroom to rinse face and hands. 
    • Consistent cleaning of surfaces can also help, especially when the windows are open as we welcome the warmer weather.
    • I do stock eye drops, but ONLY for persistent itchy or reddened eyes (one time use).
    • And a bonus tip for those of all that suffer seasonal allergies at home: make sure you remove your shoes as soon as you walk in your front door. Reducing tracking of any allergens on the bottom of your shows through your house.

    Thank you for all you do in this home stretch of the school year!

    Welp, the PE teacher, who is holding an outdoor class today, just sent me THREE CHILDREN AT ONCE: c/o HA, sore throat and "feeling out of breath," respectively. Looks like I will be sending this letter out today! 

  11. I read an interview with the principal who stated that the code was put in place to help foster a "real world" atmosphere in the school - i.e. this is not a place to goof around, going to school is serious and is meant to prepare you for college/workforce/adult responsibilities.

    In response to that, I would say that being exposed to a variety of styles, wardrobes, self-expressions, and ethnic or racial standards of beauty IS fostering a "real world" atmosphere. Kids should be exposed to it all, and they can form their own opinions  (especially HS-age). 

    On another note, everyone has pretty much hit the points that resonate with me as wrong about this code, but some of the language seems to directly target black women, and the code does not account for emergencies or enforcement standards. It's problematic at best and racist at worst. 

  12. 9 minutes ago, JenTheSchoolRN said:

    Thing is for a broken finger (or toe) there isn't much they will do unless it is a terrible break right on growth plate.  Did they cast the hand for this student or just splint it?

     

     

    In this case, they casted it and then he wore a brace for quite a while. I don't remember the specifics. I work in a very affluent area, so any tiny break that you or I would not normally treat very extensively is like 3 months of PT and a series of casts/braces with this population. Live and learn, I guess 

  13. I'm so glad I am not the only one who gets this from staff! I have one PE teacher in particular who calls me and says "Hi, can you come down to the gym. I have So-and-so here." 

    Cool. "What is going on with So-and-so?" I say. 

    She gets annoyed that I am questioning her call, but will reluctantly tell me. I just don't get it. How the heck am I supposed to respond to an on-site call if I have no idea what's going on? Maybe I should create a crash cart and roll it out for every call 🤣😜

     

  14. On 4/22/2019 at 7:12 AM, jess11RN said:

    Unless it's glaringly obvious that something is broken, I give them an ice pack and send them back to class. If they return I'll make a call home. 

    I'll also make a call home if I'm unsure or questioning anything. 

    This was my approach at first, but early in the SY I did this with an injured finger, and as soon as I sent the kid back to class (PE), the teacher called home and had mom pick up. It was, in fact, broken. The whole situation was a mess- I looked dumb for not catching a broken bone, and the PE teacher was way out of line for calling home to arrange pick up. But anyways, now I ice and ibu and call if there is swelling, if no swelling I reassess in 30-60 min and go from there. Usually always call home for ankle/wrist or finger/toe injuries because it's just so hard to tell without an xray. 

  15. I removed the heating pad from my office at the start of the year. I come from a hospital setting, and heating pads were not allowed on the floor (med/surg-tele) due to risk for injury/burns (we would use warm compresses if needed).   I felt that if that rule were good enough for a level 2 hospital, it was good enough for my health office. Also, offering a heating pad requires that the student will need to lie down for 15-30 minutes for effectiveness, and the pain will return when they remove the pad; my thinking is that if the pain is that intense/persistent then they need to go home. I have had this happen once this year, with a middle-schooler with intense menstrual cramps. Otherwise, first line in my office is ibu and water. 

    The only person that has ever asked me about the heating pad is the sub nurse who is also a parent at the school; she had previously let girls lie with the heating pad to treat cramps. If it's not available, the kids seem to make do. 

  16. 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! 

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