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JenTheSchoolRN BSN, RN

School nursing
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JenTheSchoolRN is a BSN, RN and specializes in School nursing.

JenTheSchoolRN's Latest Activity

  1. JenTheSchoolRN

    Stomach Pain for 3 Weeks

    This is true. Though strep test is auto with stomach pain for a majority of the pediatric PCPs in my areas. Had three kids diagnosed with strep this way this year and I always mention it for kid with ongoing stomach pain. But, yes, GI referral to start. I just had a kid with ongoing stomach pain, nausea be diagnosed with ITP (Immune thrombocytopenic purpura) as well. Finally found on last ED visit due to stomach pain that would just not abate again over a weekend. (Unfortunately, care is supportive, but anti-nausea meds for a couple of days did wonders for this kid). Next question I have is: emotional health. Is this child also experiencing any new stress? Once the physical is ruled out, this is the next guess for me.
  2. JenTheSchoolRN

    School Nurse Pay

    I am salaried. On the teacher's scale. Get to pay into the teacher's retirement/pension program. I'm paid bi-weekly and over 12 months. So while I'm not paid for summer, I get paychecks. My contract is 195 days/per school year, with a PTO pool of 8 days.
  3. JenTheSchoolRN

    Which Thermometer do You Use & Why?

    Exergen Temporal Scanner, Professional model. Backup is a simple digital oral thermometer I use when a temporal makes me think, so to speak, but I find this temporal thermometer great in 90% of circumstances.
  4. JenTheSchoolRN

    SO many school nurse positions available right now

    The school physician employed by school is a contract, consult position. They sign off on all my OTC orders, standing order Epi/benadryl orders, and my allergic reaction plan and seizure plan. I usually talk with them 2-3 times a year, email as needed.
  5. JenTheSchoolRN

    Sick of nurses "referring" to our specialty

    One other thing I will say stress wise for this job: you learn to love the kids. You get to see them grow. Celebrate milestones. Become functioning people. If you work in a HS, you see them off to life in the more "real" world. And therefore when one of them experiences a crisis - for me always involving mental health - you likely are affected by it. Not saying that doesn't happen in the hospital setting, of course, but in my position I spend 6+ years with these kids. I don't have any kids of my own. I get asked why. I tell folks I'm a school nurse and I already have 500 kids I care greatly for.
  6. JenTheSchoolRN

    Student Overdoses

    So, yesterday was just an overall tough day for me. I had a student overdose on acetaminophen (~25 500 mg tablets taken) in school and on purpose. Revealed to me about a student in my office that visited me and appeared off - VS normal, but fatigued and very much subdued for the student's typical presentation. I had called Mom because something was off, waiting to hear back. Student's friends come in asking to talk to student - this is when one of the friends started crying and told me they came after seeing what their friend did. Student stable. Called parent and poison control. Parent close, poison control was like you can wait for parent to transport if that is what parent wants. Principal and counselor brought in after being notified by me. Parent became delayed, ok with my calling an ambulance to transport and meet at hospital - I went with student. Student stable whole time. Physically student is doing well. Emergency psych in of course on 48 hour hold right now. I've been a school nurse for 7 years, but hadn't quite seen this as first hand before. I was a mess yesterday (held it together and when I got in my car the emotions hit like a ton of bricks of course) and I'm still shakey today. Not enough to not be professional, but I know I'm affected. This student is very known to me as is the family. There will be more debriefing to come as there are huge take-aways to be gained from this incident. I know I am lucky to have that at my school. I have a fellow nurse colleague (who covered for me when I went to the hospital) who is supportive and fellow teachers that are as well. But I guess I'm coming back to my nurse's station as well. I know there are other nurses here who have likely seen this. Any additional tips for self care?
  7. JenTheSchoolRN

    CBD Administration in School? Policy?

    What the what?? But I did go here to read more and learned it is FDA approved for two seizure disorders. However, it is a daily medication, not taken when there is a prolonged Seizure: https://www.epilepsy.com/learn/treating-seizures-and-epilepsy/other-treatment-approaches/medical-marijuana-and-epilepsy
  8. JenTheSchoolRN

    Headaches

    I do this all the time as well! Migraine is a serious thing that is terrible and no, you don't have one right now. You have a headache, kid. Also kids don't hydrate. Or eat decently. Or even at all - at least during the school day. Also that "coffee drink" they had in the AM (that I can't even all coffee because no coffee was actually in it) - full of sugar and yes, it too may have caused your headache...
  9. JenTheSchoolRN

    CBD Administration in School? Policy?

    And this is what is legal in several states. I haven't encountered any students prescribed/ordered it, but do know it is legal for parents to give it for students diagnosed with epilepsy in my state. However, I know school staff giving it vs parents is very, very different. And right now, I think only Colorado allows school staff to give (and by school staff, I mean pubic school staff). Correct if I'm wrong, friend, though. This discussion intrigues me to no end. I'd be on phone with my department of health/school health department as well.
  10. JenTheSchoolRN

    How to talk to parents..

    @halohg said it well above for me. I work with MS/HS students. My calls home are for they are needed (with a few exceptions for a list of parents I have to call for every little thing - we all have that list): going home due to exclusion-type symptoms or significant injury that needs more immediate care, FYI about injury that is minor but leaves a mark, head injury even if minor, something to FYI about that does mean dismissal but might need monitoring/doctor follow-up. I also do what I call "check in" calls and I call them that with students. These are for the students that keep visiting and I find no significant medical reason, so I call home as FYI for parent, ask parent how they have been at home, basically open up line of communication with parent. These calls always start: "I don't have any medical reason for your child to not remain at school today, but I wanted to check in and let you know about their day since they have visited me xx times."
  11. JenTheSchoolRN

    No, parent of child, I don't have a lab and imaging

    This is the questions I have about - insurance. In my state, telehealth isn't always covered by Medicaid, which so many of the students that could benefit for it have.
  12. JenTheSchoolRN

    Bellyache

    True story. LMP is a must for me for any student with a uterus. Than sexual history.
  13. JenTheSchoolRN

    Bellyache

    All this. As Scrubs said "It all comes down to poo" and so often they are right! Constipation is huge in kids - especially the MS/HS population I see. Also, they don't eat. Or what they do eat is sugar, sugar, and more sugar. And the sugar breakdown in digestion can cause a major stomachache. What age are you working with? Because of the age I work with, I will also any of my students with a uterus "regular stomach or girl stomachache?" to determine if matter is cramp related - especially if my office is busy with mixed gender company ;).
  14. JenTheSchoolRN

    Coping with emergencies at any time.

    I just gave my 7th (or is 8th?) Epi pen this week. Full body hives, mouth tingling, dry cough, nasal congestion - one look and I just grabbed the stock Epi I had. I remember the first Epi-pen I gave; 3:30 pm on a Friday, just about to walk out the door. School had been out for 30 minutes. I am literally at my car, when dean of students calls my name to say "I think a kid is allergic to something." Walk in. Kid covered head to toe in angry hives, coughing - has known peanut allergy and accidentally ate peanut twix vs regular twix after school. I ran to to my office (I was surprised how quickly I just ran!), grabbed kid's Epi-pen, stuck them, called 911. Afterwards, I was an emotional MESS. Heart pumping, sat in my car and actually cried a little before I could drive home. Had a glass wine ready (I have a great husband) when I did get home. But in the moment? I just did it. I had reviewed what to do a LOT - I was really a very new both RN and school nurse - it was my first year of nursing. When it came time, instinct and adrenaline kicked in. When I gave Epi this week, the adrenaline was still there, but I had experience behind me. But still had take some time for me after before I headed home. How can you be ready? Just prep for it - like you said, I don't have any other magic advice. When the time comes (and it likely will), you may be very, very surprised how you can kick fear into the corner of your brain and focus on patient care. Okay, maybe one more thing - make sure your to go bag is stocked and easy to grab. Get to know your students - this takes time. If I'm told possible allergic reaction, I throw my stock Epi-pen and benadryl into my Go bag. I ask student name - student with seizure and meds - throw them into the Go bag. Student's emergency meds are labeled and kept in a shoe organizer on the wall in my office, so I can grab Epi-pens, Seizure meds, Inhalers super fast.
  15. JenTheSchoolRN

    504/IEP

    I only manage and write what I call the strictly medical 504s - basically students with 504s for diabetes, seizures, migraines, etc. I do not manage 504s for students with ADHD or hearing loss - but I am part of the team. I work our SPED director, principal, and the student support liaison that is assigned to the student. For IEPs, I only participate if my role is part of the IEP. I will pass along health info and do additional screenings if needed.
  16. JenTheSchoolRN

    What to do with Nursing students?! HS Nurse

    I actually still do some longhand charting on some visits - my nursing school was all about it! Students: I teach health, so I have had students lesson plan with me and come and observe classes. I've had one come to a 504 meeting with me (with admin and parent permission); we go over the difference between 504s and IEPs and nursing roles in both. Most I've worked need to design a project, so we've looked at data they can use, designed bulletin boards. I've introduced to my counseling team. Reviewed psych and its importance in school nursing. Really just imparted the info I've learned.
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