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Birthday Treats
Luckily my school does not condone celebrations in the classroom. They are grades 6-12. However, a teacher may want to somehow include food into their lessons. This year I created a Food Form which must be filled out by the teacher and they must attach a roster of the students participating. Once they get the approval through admin I go through the roster and pick out anyone who may not be able to participate due to allergies or other special diets. If I come across something, I'll speak with the teacher and we are usually able to come up with an equal alternative for the student with special dietary needs. It's a hassel and a lot of work but it seemed to work out pretty well this year.
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Walking into a mess
Boy do I know the feeling. I get aggrevated too coming on to a shift and trying to get caught up with everything that could have been done throughout the day. As time went on with my case I came to realize the time that my patient spends with their family is just as important as the maintenance issues. I am thankful that the parents of my teenage patient are able to care for their son in a safe manner until a nurse can come to relieve them. Yes, it may take me an hour to get caught up with everything but it keeps me busy. If it doesn't impede on the safety of the patient, I think parents should be just that, parents.
- School Nurse Salary?
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Do you keep clothes in your office?
Somehow when I signed onto this job I inherited the infamous Lost and Found closet. Once a quarter when the thing is literally busting at the seams, I will clean it out and set aside clothing that could be lent out. Unfortunately I lug it all home to wash it first but it seems to keep a steady supply in my office. I also have a sign out sheet when a student borrows clothing and I send a letter home in the mail after a week of not seeing it returned. It's been a pretty good system thus far for me.
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Field Trips
In the state of MA we have to apply for field trip delegation. Once I have the certification I go over meds with one teacher/staff member who will be attending the trip. I would also be sure that the student's permission slip states that there will be no nurse on the trip and that any prescription medications will be administered by a delegated staff member when necessary.
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Ridiculous Reasons to See the Nurse
I had a couple of good ones this week. One middle school student had her sweater stuck in her braces. Another one, I was called down for an emergency with no name or description of the incident (of course). I run into the class room and I find a girl with her hand pinched in her chair. Needless to say we had to call the maintenance worker for that one . I love this job you just never know what will walk in next.
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Age and previous experiance
I am 25 this is my 3rd year as a school nurse for grades 6-12. I came into school nursing straight from college. I also do pediatric homecare part time MWFSat after school. It gets easier every year!
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Enterovirus D68
The student who has been prescribed this has the most mild case of asthma in the school I would say. I've been getting the same cold and allergy cases, and one solitary case of pink eye. Crossing my fingers!
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Enterovirus D68
There are no confirmed cases in my state yet (Mass) however there are in states surrounding me. I do have one student in the school whose doctor has already prescribed him to take his inhaler every 4 hours even though he does not exhibit any symptoms. Has anyone else been prescribed to give inhalers prophylactically? I don't really understand how it will help.
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Anyone Else Feel This Way?
Whoa uthscsa2011 are you my twin? I'm 25...went into school nursing fresh out of college. I'm also doing Pedi home health part-time. I get out of the school at 4:45 and I'm exhausted. I pack a bag to go the gym everyday after work but I never end up going. Although I'm convinced it's my thyroid as my sister was just diagnosed with an underactive thyroid, my numbers are normal (slightly on the high side). I definately agree with Oldude. I'm going to try to find a hobby and hope that helps. I think with school nursing we are constantly changing our focus as new things come flying at us. One minute we are sitting quietly working on paperwork and the next you could be running down the hall for a passed out student. The fact that we constantly have to be alert in the back of our heads is draining in itself. I know this isn't much help, just know that you're not alone!
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HIPAA or FERPA - Privacy Issues at School
I'm in the same boat as you Massmagic. I'm from Massachusetts and have heard the same story and recommendation which is why I don't make any medical concern lists. I would also like to hear some suggestions. Each time a teacher wants to throw a classroom party I go through their list of students and inform the teacher of what can and cannot be given out. This takes up a lot of my time and I need to figure out a different solution that keeps children safe while keeping their information private.
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Testing Snacks
I guess my concern now is I thought it was a HIPPA violation to make lists of students and their allergies and give them to their teachers. With the diabetics who self test in classrooms, do they carry a sharps container of some sort with them?
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Testing Snacks
My school hands out snack to all the students who undergo a standardized test. Testing usually goes from 8:30am-11:30am for the whole school (grades 6-12). I think it's a good idea that they have something to sustain themselves but can I just say, it is a huge pain in the behind for school nurses to go through and figure out all the allergies and make appropriate substitutions. Not to mention, my school chose poptarts and fruit juice as the snack. Not exactly the best brain food if you ask me. Just wondering if any of your schools do the same. If so, how do you handle food allergies, diabetics, etc during testing?
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Nose Pickers
Today a teacher asked me to speak to an 8th grade girl who repeatedly picks her nose and continues to....consume what she finds up there. During her next period I called her into my office and stated the importance of not picking and I gave her my whole spiel on germ spreading and hand washing, etc. She didn't seem offended and it appeared she understood what I was saying and agreed it was unhealthy. I handed her some tissues to keep in her pocket and off she went. The next period, her teacher stated she was back at it. Now she stated she overheard some other students talking about it. Do you think this situation warrants a call home to get parents involved in helping her stop her habit? Any opinions would be greatly appreciated!
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Teachers and odors
I have had to deal with this issue a couple of times this year. Both were a female and male student from the same family. The female is 6th grade and the male is 10th. On the first complaint the teacher sends them to my office. I usually ask them what they know about hygiene, what they do at home, if they have supplies available to them. Then i follow up with Mom or Dad to make sure there are no medical reasons for the odor (found out one stinky student dribbles urine...you never know until you ask sometimes). If a casual discussion about hygiene doesn't seem to do the trick I refer to the Dean of Students. The last time, our DOS called home and requested their child be picked up because due to our policy which states the child must be well groomed they could not return to school until they had bathed. It may sound harsh but sometimes students AND parents don't take it seriously until they see how serious we are about it.