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jnemartin BSN, RN

Registered User

Posts by jnemartin

  1. But why especially when they probably have to walk 1/2 way across the school to get to the nurse?? Just let them sit for a few minutes and explain that it'll take a bit for their heart rate to come down!

    that's exactly what I was thinking. the gym and field is on the opposite end of campus and it's a solid 7 minute walk door-to-door. If the kid sits and rests for 7 minutes they would have already been back to normal!

  2. Well, we can keep this going for allllll topics, yes?

    Yes! I agree! Sometimes I (and others) post things specifically asking for advice or input. Once I posted something and I was just interested in how other nurses handled the situation, I was not looking for advice. But I got A LOT of advice. "You should..." "You need to..." - I could have done a better job wording the question to elicit the types of answers I was looking for.

    I am (as I've mentioned in other threads) helping my admins to write some nursing/health policies for my small school that currently doesn't have a lot on paper. Many replies I've gotten as I've tried to learn various rationales for policies is "check the policy" or "refer to your district policy," so these aren't helpful to me. I think wording questions/scenarios like this will be super helpful in my quest for info!

  3. This is not an answer to your question, but I just wanted to say that I like how you've presented this question/issue as a would you/do you scenario. I would like to see would you/do you? threads for many topics, because we all run our Health Office differently, and I love hearing other nurses' rationale for their

    interventions or policies (or lack thereof).

    Sometimes I come on this board seeking advice, and sometimes I just want to hear other people's views on things. For those scenarios I am just looking to hear others' approaches and rationales, I will definitely steal your "Would you/Do You?" phrasing!

  4. I also have always wondered how they come up with the numbers because it never matches mine either - some years I am short others I have extra. I think all of the nurses in my district pretty much order the max allowed and then we share with each other all the extras if needed.

    Booklet info is pretty much the same - I just remove whatever is expired (coupons and usually the deoderant in boys packs).

    Yes, luckily I have another SN friend who sent me a few of her extra 5-6th grade materials, and I have extras of the 7th-8th grade girls materials. I had NO boys' materials, so I used my entire allotment on ordering boys' packets.

  5. This year my goals were to update the Health Office Manual and achieve 95% compliance rate with immunizations. I wanted to make some sort of goal about increasing the students' health knowledge, critical thinking, and self-advocacy/autonomy in health and healthcare setting. However, we're do SMART goals and that seemed hard to parse out. I do this, though, by asking detailed questions of each student to get them to critically think about what they need, what will help, and how they can communicate that in the future.

  6. Have a preconference with your PE teachers

    Repeat after me, Teachers: a student who is out of breath after running needs to rest and drink water. They do not need to see the nurse. I will send students with asthma to use their inhaler BEFORE running. I am an adult with a college education who knows that heavy breathing is expected after exertion.

    I wish the athletics dept would have given me a heads up. It was only in passing that I learned of it. Yesterday, a middle schooler came in with a c/o painful ankle after rolling it while practising for the mile... so that was how I found out. I talked to the PE teacher after and she made a joke about how my office "would be full tomorrow" (i.e. today, the Mile day). I wish I had a good reply like this to say to her at that moment! haha! If it is a big problem, and my office is "full" today, we will definitely be having a f/u convo!

  7. I ordered mine yesterday! The number of kits I was allowed to order was strange, though - it doesn't add up to how many students I have (they never asked). I wonder how they got those numbers. Luckily I have extras left over from previous years (the coupons are expired, but booklets are probably the same).

  8. Thank you guys all for your wonderful ideas! I've found a few great videos that cover puberty that work for 6, 7, and 8th. So that's 20 minutes down - haha!

    How long should I allow for questions? There will be approximately 25 kids in each session.

  9. OP, I have been teaching MS sex ed for 5 years. I love it! I teach comprehensive sex ed, using the Get Real: Sex Education that works curriculum. PM me if you want. I like to think I have a bunch of insight.

    Also, the internet. More MS students than you would like to believe have seen porn. And they have questions about it. And as I say every year, "porn is entertainment that is legal for those over the age of 18. It is not realistic and often portrays unhealthy relationships." Also my class is not a "how to" class.

    I also teach sex ed to 10th graders. Totally different experience, yet not at the same time...

    Thanks, Jen! I will look into this. I will also take a comprehensive approach and plan to incorporate

    away for kids to ask anonymous questions. As for porn/internet safety, our school actually does a whole separate program for that. I am not the hugest fan of it, because it is led by the local police and is very fear-based in approach, but I've attended it and although the delivery is not my favorite, the content is good.

  10. Yes, but they may ask DETAILED details. I remember at the middle school level they gave our parents a quick call for stuff like that.

    oh dear haha! Well luckily I am not embarrassed talking about sexual health and I would rather them hear a clear explanation from me, rather than getting weird info from their friends or the internet. I hope I can keep a straight face and not seem too shocked if they do bring up something I'm not expecting.

  11. If you don't have an objection to an attachment to religion...our church puts on "Created by God." It's a very, very, in-dept program, with references and explanation to slang terms, masturbation, STDs, as well as the A&P stuff. The program can involve the parents but doesn't have to.

    Cool! Do you have a link? Even if I don't end up using specific programs or frameworks, I'm interested to see what others are doing.

  12. One thing I'm committed to is that I'm straight forward with the kids and try to normalize the content and their questions as much as possible. I recently had a sixth grade girl come to me and say she had her period. She is a FF, so I thought maybe she was just informing me. I asked if she'd like a tampon or a pad and she said she didn't know the difference. It was then I realized it was her first period, which she confirmed, and we were able to have a teaching moment. Point being, I will have to spend a little more time on some of the basics, but I can foresee that it may be hard to balance the kids who are more "advanced" (asking about slang, etc), with kids like her who are total blank slates. (At least she wasn't embarrassed to come to me!)

  13. I remember back in my day, and with my kids, it was the slang they wanted to know. BJs were a big question, IIRC.

    I anticipate some of that. Many of these kids are pretty sheltered. I assume letting them ask and simply saying "BJ is a slang term for oral sex" is the best way to handle that...?

  14. I don't do this age group, but for my 4/5/6 graders I pass out index cards about a 2 weeks in advance when I send home the "you child is gonna have a lesson, sign if you refuse" letter. I encourage kids to write any questions they may not want to ask publicly.

    Year-to-year you'll notice the common questions based on your demographic and can incorporate those answers right into your lesson :)

    I forgot to mention that the school does have a policy on how parents opt out - so at least they have that set up for me haha!

    Good idea about the note card - I remember this from when I was a child! Do you pass them out at the beginning and collect them at the end?

  15. Here are the topics, loosely:

    6th Grade

    Health & Body

    a. Review of terms and concepts (anatomy, puberty, sex)

    b. How to access valid and reliable health information, products and services related to health/body; routine preventive care (annual exams, etc)

    Psychosocial (a separate class taught by the counselor)

    a. Boundaries - a lesson and exercise in appropriate boundaries, possibly taught during advisory

    7th Grade

    Health & Body, and Psychosocial

    a. Review of terms and concepts (anatomy, puberty, sex)

    b. Intro to sexuality: LGBT, healthy/respectful relationships, reducing risky behaviors

    8th Grade - April:

    Health & Body, and Psychosocial

    a. Review of terms and concepts (anatomy, puberty, sex)

    b. Overview of sexual behavior outcomes: pregnancy, STI, emotional (STI is covered more in US health class, this is just an intro to the idea/existence of STI)

    c. Overview of prevention methods: abstinence, condoms, birth control pills, etc

  16. Hi All! I am looking for some advice/guidance about pioneering a sex ed program for middle school.

    A little background: my school is private and not affiliated with a district or other schools, so it is a bit of uncharted territory. We have a feeder elementary school that provides some basic A&P and puberty info in 5th grade, and our high school has a mandatory Health class (MS and HS are under one roof).

    There *was* a middle school sex ed program in the past, taught by a Catholic women's group, but the administration and parents didn't like the content (abstinence-based, and we are not a Catholic/religious school). But, in general, the staff and parents are in favor of providing sex ed to the middle schoolers - they just prefer something more medically oriented (good for them!). I was hired specifically because I was interested in developing a sex ed program, and leading/teaching the classes.

    This year, as a pioneer program, I will have only ONE class period per grade, per gender (70 minutes for 6th grade girls, 70 minutes for 6th grade boys, and same for 7th and 8th). This may expand next year, depending on how it goes. I have decided to use the CDC's critical sex ed topics as a framework. Link here:


    From your experience, what are some topics that go over well for these age groups, questions I should be prepared for, any good teaching strategies or any other advice and reflections you have to offer. I will post my proposed outline below...

  17. Does you state have an immunization database you can access or get access to? When I finally got that, it made my job SO much easier! Still tracking down stuff that isn't reported into the database, but still reduced calls home and to doctor's offices by a huge amount.

    yes, my state does have a database and I was able to access it. However, the issue is that the students never got the 11 y/o immunizations to begin with. So now parents are all rushing to get them in at the last minute (although I sent out my first referrals in the first week of Sept), and aren't finding available appts until after the reporting is due. ugh :(

  18. Used to be an EMT gives him absolutely NO diagnostic, prescriptive authority in his current position. Maybe there is a reason he is no longer an EMT.

    I had a former army medic football coach (also athletic director for our school) who left a kid on the football field with a broken ankle for 40 minutes a few years ago. Early morning, he was waiting for me to get there to take care of. Did not even take the kids cleat off. I expected he should no more due to his position (coaches required to be first aid certified yearly), his background / experience, and you know - common sense!!

    oh, I know! I also learned two weeks after a student was concussed during a sporting event about the incident... the student came in and asked for Tylenol for a HA because he "has a concussion and the physical trainer told him that's what he should take." "Don't worry," he told me, he's been working closely with physical training regarding his CONCUSSION. Long story short, our athletics department LOVES to practice outside of their scope, and I have no problem letting administration know about it each time.

  19. Are you regulated by state law? Our state requires noncompliant students to be excluded. We didn't even give out schedules if they didn't have their immis. Some who slipped by and came to class the first day were called out of class and sent home. Yeah parents were mad, but it was their own fault.

    if I'm reading it correctly the state law requires that students who are non-compliant with vax with the reporting date (tomorrow) show proof that they have made an appointment within a reasonable amount of time. I am required to follow up two times RE this late vax appt and then the student will be removed from school. That is from the dept of health statutes regulating school immunization reporting, compliance and non compliance. So that is what I will do.

    Next year I don't want to spend so much time on this; I'd like to enact a school policy that these documents must be complete and filed in health office much sooner (this has been such a time suck). I work at a private school (not part of a district), and the principals tell me there isn't a policy in place and that this hasn't been an issue in the past. To be totally honest, I think the previous nurse was fudging the report numbers because all the files are a mess and many kids are missing immunizations or even entire records. Yet somehow, she was reporting 95-100% compliance.

  20. At the beginning of the school year, athletics sent some crutches in for a kid. Not only did I not allow the kid to use them, I hid those puppies. So far, they have not asked for them back!

    haha! Luckily it's only happened a couple of times, but this particular PE teacher is in love with those crutches. I've explained... but this teacher used to be an EMT and has a very hard time accepting my commentary on anything medical (it's been a struggle)