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jnemartin

jnemartin BSN, RN

Registered User

Posts by jnemartin

  1. 9 minutes ago, LikeTheDeadSea said:

    I got a "good luck" and a short intro to the computer program. 

    Haha! Me, too! I was told the wrong orientation date by the HR lady, so I was never briefed on the payroll/PTO/benefits side of things (actually, she told me it was for teachers so I "didn't need to worry about it"... smh). As for the actual duties of the SN - I emailed my local SN professional organization with a list of questions and started googling the state regulations/requirements. I had long conversations with Dept of Edu and Dept of Health Nurse liaisons, posted a BUNCH on here, and basically figured it out myself. 

     

    This weekend, I am going to a one-day SN conference particular to my state, and they hold a two-day conference closer to the start of school. It's out of my price range, but if I would have known about it last year it would have absolutely been worth the $$$ (I have to pay for my own conferences). If you can find something like that local to you, I'd highly recommend it. You can also get contacts from colleagues that you can call upon later when you have questions! 

  2. 1 minute ago, kidzcare said:

    That seems so late for starting so early. What kind of breaks do you have? Lots of institute days? How many student attendance days?

    I think we have 175 student attendance days. 

    our state requires 180 academic attendance days and we have 188 total. 

     

    Our holidays are standard bank/federal holidays plus winter (2 wk) and spring (1 wk) and fall (2 days)

  3. I'm in AZ.  If it makes you feel better, We started the FIRST WEEK in August (with orientation starting last few days of July). It was painful. 

    Admin is pushing our start-day back one week next SY

  4. 2 minutes ago, BiscuitRN said:

    For big drippy nose bleeds if under 3rd grade I will don gloves and pinch that nose for 3-5 minutes until bleeding stops, I'll repeat the "no picking or blowing you nose today."  If 3rd grade or over I'll have them stand over my bathroom sink and explain how to pinch their nose.  If they can't get it to stop then I'll pinch for them.  For the big nose bleeds a giant clot usually comes out, and I'd rather that happens in the nurse's office than in class or the hallway.  I've also sent out the attached notice to all staff after a few incidences of our school looking like a crime scene.

    Guidelines For Nosebleeds.pdf

    Great resource! Simple and clear! 

  5. 11 minutes ago, OyWithThePoodles said:

     

    ETA: Most of the nosebleeds that come in think they have to lean their head back to get it to stop, which isn't a good idea, so I will educate on the proper way to sit, hold the nose, etc.

    I had a student who asked if she could lie down. Um, no. 

  6. 6 minutes ago, k1p1ssk said:

     "nurse-worthy" nosebleed

    Haha! Yes, this is sort of why I brought this up!

    Typically I give instruction and have them manage it in my office until the bleeding has stopped - but most often the bleeding has stopped by the time they arrive. The kids want to linger and I'm not sure why.

    I have tried to think of all angles; of course they may be avoiding class, but they also may be embarrassed to have a nosebleed in class, or the teacher may be freaked out by a few drops of blood, and escalate the situation by demanding they run to the nurse. 

    Two situations made me rethink my approach. First was a 7th grader with a nosebleed that started after school and had stopped by the time she got to my office.  She wanted to linger and, selfishly, I wanted to go home! Ultimately I observed her for 10 minutes (no bleeding) and sent her on her way with tissues. The second case was a 12th grader who had an extraordinarily long nosebleed - upwards of 40 minutes off and on. After about 20, I considered sending her back to class because she was missing so much instruction, but didn't want her to be embarrassed by bleeding in class. 

    It's that "season" now, and I'm considering changing up my approach of letting them stay so long. But I'm so interested to hear how everyone else manages! 

  7. 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. 42 minutes ago, imaneedmycoffeefirst89 said:

    DUDE TAKE A HINT. YOU ARE AT THE BOTTOM OF MY PRIORITY LIST!!!!  

    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. 

  9. 33 minutes ago, Militarywife said:

    I wish we could have a Starbucks day! We usually do teacher training on a staff meeting. I am going to suggest to my director to include a time to do these on one of the PD days before the start of the school year. That should help with a half of a day of training. Thank you for the suggestion! 

    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 

  10. 1 minute ago, BiscuitRN said:

    Reminds me of last week--our guidance counselor was out 2 days for a conference.  She told me she got a ton of panicked emails "so-and-so is in my classroom crying.  He needs to talk to you ASAP.  I cannot find you," and once they discovered she was out emails asking "WHAT DO I DO?"  Uhhh I don't know, maybe try talking to the kid.  These were relatively minor issues too--a student anxious about a test, a middle schooler having conflicts with her friends, an elementary kid sad because their mom is out of town.  But, nope, can't console unless you've got a social work degree!

    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). 

  11. 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

  12. 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. 🤣

  13. 10 minutes ago, OldDude said:

    Elementary level...I don't do pain scales.

    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. 

  14. 1 minute ago, kidzcare said:

    To the older kids, I'll ask "10/10? Really? So you could only be in more pain right now if you were being drawn and quartered?"

    Bonus: explaining what drawn and quartered means to a gape mouthed 13 year old

    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. 

  15. 23 minutes ago, ruby_jane said:

    Usually ice/rest/elevation and therapeutic silence will tell those in real pain from those who are overreacting. Someone with 10/10 pain who voluntarily gets up, stating relief felt in 6 minutes is fine.

    And if all else fails...I lay it back on the parent because - what if I'm wrong? I have been wrong before. Usually I am right, it's minor, but I have a lot of parents tell me they appreciate me for calling and I think it's a win-win.

    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 🤣

  16. 1 hour ago, JenTheSchoolRN said:

    I'd actually be less mad if student texted because UGH UGH but all on the student. When teacher decided to send student to main office, I was just MAD. 

    This actually doesn't happen too often to me, most of teachers are more than happy to leave things to me. 

    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. 

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