Gems0607

Thank you all for your reply. I spoke with one of our local school nurses and she stated that only a LMP could do it as well. Do you guys know the difference or why it's different from diastat or Epi? My coworker is trying to wrap her head around why can they be trainer for those but not cortisol.

How do you guys handle cortisol injections? Are health techs or trained staff in the school able to draw up and give the injection in an emergency for the child? If not what is the rationale or reason this is different from an Epi-pen injection. We have a child who will need this in the event of an emergency, I work in a childcare facility and we have 7 centers and only myself and another nurse. The staff aren't comfortable and I can't find anything that says which way we should go.

So I have a parent that's upset I didn't post for Adenovirus. I'm a nurse for a daycare center. We post for HFMD, pink eye ect. I didn't think I should however we are aware and have been monitoring how many children may be sent out with an illness. What would you do?

As a school nurse in the civilian sector do you have a Doctor as your liaison or overseer? I feel so confused by what the other nurses did or said before me that I'm questioning myself. They told the supervisor that they couldn't treat the children out of fear that they would lose their license because they didn't have a Dr. over them. The past nurses were Master's prepared so I'm not sure if that even makes any difference or they actually just wanted to do the education piece and not clinical. Although we do not work in a facility and have a doctor, each child that has a medication has an order from the Dr. so we have guidelines. Also, if a child were to fall, bump their head etc. I would do my assessment, call 911 (no one is charged unless they are transported) and the parent. I know some have already answered but does it sound like they were pulling some one's strings or were they right in a way. TIA

How do you get the School Nurse Credential in CA? I've been looking at the civilian sector as a school nurse.

Yes I have everything needed to give an inhaler, Benadryl, Epi Pen etc. We can't give or apply anything without a doctor and/or parent.

Thank you so very much. I have definitely witnessed first hand how parents feel when they know a nurse is present while their child is in care. Just this past week I ran into a mom from our previous base, she hugged me and was happy to know that I was here. I took care of her daughter at 6wks to 12 months and they were so appreciative.

These children are 6 wks to 5 years then 6 years and above. Normally the caregivers will say they are wheezing etc and then I'll check and sometimes it's not a wheeze. I also always check so I can have a baseline and let the parent know. That may be just my practice but I don't feel comfortable giving an inhaler in that type of setting and it's not my child without having some kind of information prior.

These are my thoughts!!! When I see medical procedures I go to invasive procedures or a task that takes away or adds something to a persons body. The thing is the UAPs are administering inhalers and giving meds. I never gave an inhaler at my previous location unless I assessed their lungs first. If they can perform those duties without a license why can't I use my nursing assessments and judgment. It's beyond me so I'll be talking with my supervisor.

I'm a nurse within the daycare centers we basically track imms, health assessments, and look to see if there are any trends with communicable diseases. So most duties a school nurse does. At my last position I did temp checks and assessed a child's lungs prior to inhalers. Now I am being told by non medical staff members that the previous nurses didn't do anything of that nature because we don't have a doctor over us. There was the sentence nurses do not perform medical procedures and I'm thinking they have a misinterpretation of what a medical procedure is.

I recently changed locations but with the same company. The position has the same title but at this location the duties are different. I work within the military base daycare centers. I stated to an employee that I hadn't used my stethoscope since coming on board and it was weird. I used it all the time and my nursing skills at the previous location. This person went on to say that the nurses couldn't use it because they weren't under a doctor's supervision. Um I'm a nurse and have my own scope of practice that includes a nursing assessment. I found some thing today that could be the reason they think this way. It stated Nurses DO NOT perform medical procedures. My question from you guys because I feel like I'm crazy but a normal nursing assessment is not considered a medical procedure? Also, if there is an order for medication then the doctor has authorized a trained professional to carry out the order. Please shed some knowledge if I am wrong. I'm so confused.

My husband is a Marine and we are stationed in Cherry Point. I worked at Carteret for almost a year with having a child, not knowing anyone and my husband's job I wasn't able to work the hours at times especially when he had to be in the field or what not. I enjoyed my time there and if time presents itself I wouldn't mind applying again. I only have experience with CarolinaEast as a patient on L&D, their nursing staff was very friendly while there however, I'm not sure how it is as an employee. Also, remember to look at jobs through contractors to work at the clinic and also MCCS to work as a New Parent Support nurse and any other nursing position that may be available. Good luck to the both of you and if I can help in any other way let me know.

I was able to get my CNA II while in school based off the first semester upper division courses I completed. I did an externship during the summer and really didn't work through the school year except for prn for weekends or breaks.

While in college in Winston Salem, I lived at Hawk Ridge Apartments in Clemmons. It is not far from Baptist or Forsyth Hospital. It was a studio apartment fully furnished with a door to the bedroom a kitchen and living room. They also allow pets.

No hardly ever sick or feverish. Therefore its not too big of a deal.

Raidermom thanks for your response. That's exactly what I asked when I spoke with mom but she never mentioned anything about it. If it is serious then documentation is further needed IMO. However, we'll just continue to approach it the way its been in the past.

Exactly Jolie. We have children that have proper documentation for an immune disorder so I was taking it pretty serious until there was nothing from the doctor. I have the same feeling about the doctor's office and the mom's research. Thanks for listening and responding just wanted to make sure I wasn't the only one scratching my head on this.

Our policy is 100.5 and I normally give courtesy calls at 99.8. When I came aboard there was documentation from the other nurse in regards to call the mom. However, I questioned them about having a doctors note and there isn't one. So we are just going by what mom says the physicians say because it 'runs in their family'. I did ask if there was a specific name for it and never received an answer. Go figure, huh?

All, Is there a documented disorder/disease where a person's temperature is clinically greater than the thermometer reading? I'm drawing a blank as to what it could be. I have a mother who wants a courtesy call or pick up call for her child if the temp is in the 98s/99s because if its 98 then its 99 and if its 99 its 100. She stated that all her family is this way but there is no actual diagnosis on file. Shed some light for me guys. TIA

I have the exemption :). Parents are aware that in the event of an outbreak the child will not be able to be in care. Thanks again for the advice.

Thanks Fetch that's exactly what I found. And NutmeggeRN they are onboard with us so hopefully things go smoothly.

Thank you so much for your responses.

I'm in NC and under the military SOPs as well. Which is a whole 'nother ball park at times. Also to add its a daycare center so we are responsible for all immunizations from birth until 5.

Hi everyone, How do you handle parents that insist on no vaccines? I had a parent who stated that there is no policy. However the policy does state that the child will be up to date per AAP and CDC recommendations. He then replies see it doesn't say required on AAP website only recommend for that age. Well they can't require you that's why its a recommendation but we do require you and any other school that your child will attend. The only waivers we have are religious and/or medical/allergy. Or they can bring in a note from the doctor stating they are on the delayed schedule. Any advice?

I forgot to state that I work at a childcare development center (6wks-5yr olds). I mostly educate the employees on medication administration, asthma etc. that is completed annually and when a new employee comes in. Most often times it is in the classroom lesson plans about hygiene and the caregivers go over that with them. However, thank you so very much you have just put an idea in my head and maybe I can ask them if they are doing lessons on health and I can help out.