aetienn6

Hmmm I 'm not so sure it's a great idea to try to get a blanket guesstimate on how much BG will increase after a carb snack due to variations in different students and even variations in that own students body that can change how their body responds to carbs at different times. Your best bet is to check BG level around 15 minutes after giving a carb snack everytime to check for changes.

you guys are hilarious.

I'm an LPN working as a school nurse for 2 years now. I will admit when I first started I felt unqualified (especially with regards to assessments and some of the decision making required) but after a couple of relevant in person and online CEUs, lot's of research on my local protocol and laws etc, and hands on experience I fulfill my duties with confidence now. My state (Florida) doesn't require RN license for the position but I know the district I work in only hires RNs (I work for a charter school so I'm hired by the school not the district).

WOW I can't believe the teacher went above you to call home. Oh wait yes I can. Teachers have done that to me. Then I went to admin about it and principal sent out an email that no teacher is permitted to contact a parent regarding a health or medical issue without speaking to the nurse. Ha. Idk if there are some that still try to go above me but they better not let me hear about it. IT's like Praiser said every one thinks they know btter than the nurse until the see blood or vomit.

If it's not an urgent situation I let the teacher or assistant know I am on my lunch break and I'll be back in XX minutes. If it's a small cut I tell them wash with soap and water and put a bandaid on from their first aid kits, if it's a stomchache (that doesn't appear severe) I tell them have the child rest until I can get to them and so on and so forth.

That's exactly it! My admin said it was the parents responsibility to discuss these things with their children but I know most parents are not discussing anatomy and bodily processes at home.

Hi everyone thank you for your comments. For those of you that asked, I was not notifying admin of my discussion with the indicated student per se as that is not required. I actually went to speak to admin about the discussion of puberty and reproductive cycles (the scientific aspects) in the classroom as that is not currently part of our school's curriculum which I believe is a disservice to our students. While discussing this I mentioned the student I was dealing with earlier and why I felt this was an important issue. After my discussion with admin yesterday I will definitely be more cautious in my discussions with students on this matter but it does seem like all of your schools have some sort of plan in place to provide this information to kids. It is my opinion that just because a child has special needs it doesn't mean they shouldn't know what is going on with their bodies. I'm hoping I will be able to influence some changes.

Hi Everyone! So I had a very interesting day at work today involving a young girl with special needs getting her first period. She had no idea what it was or why it was happening and was exhibiting a lot of anxiety related to the situation. I did briefly discuss the physiological processes occurring in her body and her teacher and I continuously reiterated that this was completely normal and that her mother would explain things more to her later. I brought up the issue with my school's administration (as I was concerned about the lack of info the kids have about their bodies) I was told I wasn't supposed to say anything to the kid, not to do so again in the future, and that knowledge of this subject is completely at parent discussion. At first I was astonished by this response but it is making a bit more sense to me now. I do feel the basic science of what is happening in our bodies at different stages should be taught in schools whether a kid has special needs or not. But I am wondering what are the policies regarding this subject at schools where you work and what state do you work in?

For all of you that see 30+ students per day, how do you guys do it? As far as managing documentation, phone conversations with parents, and all the administrative duties that come with the job? Do you guys have other nurses that work with you?

Thanks for all the responses everyone! Both the positive and constructive comments are well appreciated. This site is amazing. I hope one day that i'll be able to help a fellow nurse as much as you all have helped me. This is like a giant support network!

Seriously! Kind of along the lines of what my boss kept trying to get me to understand>>no matter what parents can always find a problem, stay within your limits, and do the best you can. I would probably add, if you have to question it, don't do it.

Snowyj, thank you for saying that. Even if I do end up having problems I just needed to hear someone say that.

My thoughts exactly. I won't be making this mistake again. Lesson learned.

Man I wish I could have had that. This first year has been a big learning experience for me for sure. I am going to join NASN and have been doing my best to take CEUs relevant to my practice. For the future I will be erring on the side of caution rather than apply something that may be questionable later.

I thought the parents were way overreacting as well but truth is it is a medication. I do not want any problems with the board or any negative notes on my license, especially over something like TAO! I don't have an order for it at this point so I have discontinued using it to avoid further problems. I am considering having parents sign consent for its use for next year or just stop using it altogether as it is not absolutely necessary though beneficial. By the way I have been seeing that vaseline is able to provide similar benefits so I am considering a swap (still want to get parental consent). Also, I have since purchased malpractice insurance.