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Do you have albuterol standing orders or a respiratory distress protocol?
We have a neb machine in each nurses office and also have each student bring their own tubing, mask, mouthpiece etc. I don't have the room in our MS office to store multiple neb machines which is why we ended up buying our own. I have had a few people donate unopened tubing neb kits so I keep those for emergency or if someone's supplies end up with "missing" pieces.
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Advice for Medication Administration
I had a student who reacted similarly. We gave him his medication in a spoon of ice cream and usually had to show him his reward (his favorite candy) before he would comply. It still took about 10-20 minutes. His one on one also came along and promised time on the iPad after he was done....he always reacted better to her than he would if it were just me. Good luck!
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What cracked me up today
A fourth grade student came in and asked to have his temp taken because he felt hot. His temp was normal, so I suggested he take off his hoodie as I could tell he had another shirt on underneath. He looked at me like I was crazy and said: "Well, that isn't going to work. I was already hot before I put my sweatshirt on. That's why I put it on....I was already hot." Love it!!
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Difficult Parents...
I agree it needs clarification. At minimum I would tell mom that 5 times a day in 24 hours is only every 4 hours, so if it needs to be more frequently than that, you definatley need a written order on how often. I dont' trust that all pharmacies think/get the computer alert as to what is going on the label. My own daughter was given a prescription of liquid codeine that said 3-4 teaspoon....it was supposed to be 3/4 tsp......scares me that some non medical parent would possibly have given the 4 teaspoons!
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Responsibility of teachers...frustrating
I work at a K-8 school that is split between 2 buildings within walking distance with a total of 1300 students. I am the only nurse and I do not have any assistants but I do have some GREAT secretaries. For the past 2 years I have been having difficulty with my elementary school (K-3) teachers not taking food allergies seriously ("I just wasn't thinking about it") and/or being "surprised" when a parent of a peanut allergy studnet complains to them about why peanuts were allowed in a classroom party ("I didn't realize little "Joey" was allergic to peanuts.) Let me tell you how I alert teachers: At the begining of the year, every classroom and specials teacher gets a list of only the students they see that have food allergies, severe bee sting allergies, asthma, diabetes, or any other life threatening illness. All other info such as constipation, history of ear tubes, etc is not shared (trying to follow the "need to know" rule while maintaining privacy of course). I do give all teachers who have a student with a peanut allergy a peanut free room sign also...have I forgotten a room sign?...of course....apparently this year. This is how the teacher put it to the prinicpal: "Since I wasn't given a room sign, I didn't know I had any allergy students to watch for." Seriously??? Would love some feedback on this.....how do you alert your teachers to life threatening allergies/illnesses? How does your school handle that gap of what information you give to teachers and the teachers not "paying attention" to that information? I am afraid that something serious is going to happen at this building with how lax these teachers are about this. I want to cover myself from liability but I dont' feel like should have to spoon feed this stuff to the teachers.