Kerber

I am doing 8 th grade hearing screening today. I sent schoolwork email that I am doing this today and keep that in mind before sending students. I keep getting i Interrupted With stomach aches or my finger hurts!! How do you deal with that? I sent another email only send students if it’s an emergency and not for minor complaints and I think I upset some staff members by doing that.

I am struggling about 504 evaluation. Student with ADHD. No problems from teachers but has many office referrals. This is due to peer relationships this student is always getting into altercations with girl drama. Last year parent requested plan we denied saying she wasn’t substantially limited with no classroom problems. This year parent requested again. End of last year she got expelled for planning a fight. What would you do?

How do you guys do your vision and hearing for middle school? This is my first year I was going do 1 and 3 hour core classes and knock them out but I got a lot teachers upset and got a call that I needed to talk to 7 th grade lead teacher so she came to my office and said in past they did science classes problem was I only had spot screener for 2 days these sciences classes were 5,6.8,9 hours I had a lot of wasted time in between I would go back to my office to wait and get stuck with health room traffic it was horrible!! I have hearing to do and I would like practical advice!

I did my vision today with 7th graders I sent email last week twice and again this morning but it didn't work every time I went to my office to grab something or use bathroom kids were coming in! These kids were coming in with headaches stomachache nothing serious. I was trying to do hearing screening in my office because it's quiet and same thing was happening. Finally I said " are you bleeding do you have anything broken"? I sent them out! I feel bad but jeez why do they send down all these minor problems?? And when I am screening??

I am at middle school I noticed like today there was couple sub teachers in 1 and 2 hour lots of kids were coming in. This is my first year how do you stop all these stomachaces headaches when they don't look distressed or have any other sx ? I had one girl come by saying she has sore legs from running night before. What am I suppose to do with that?? Or kids say they don't eat breakfast and their stomach hurts. I am at a title 1 school where 90% are free lunch.

I am in Kansas I have to see if they have state wide data base

I am new! I came from inpatient psych nursing last 16 years. Now I am at middle school over 760 kids. I am in Wichita Kansas. The district has been very helpfully with title 1 support nurse helping me. These immunizations are awful!!

I don't mind being called nurse that's what I am í ½í±

I subbed for our distinct last year but I am so lost being full time nurse I am at middle school 6-8 grade. I have all week and 3 days next week in my health room. I got 2 Med orders and 100 release of information I don't know what start doing? I ran reports today on kids with health problems. What advice would you have ?

Kansas

I am started new at middle school I have bear office I want make bulletin board need ideas how to indtroduce my self on the board as their new nurse?

I have this young patient 56 yr been on methadone for years he states it's for pain got into accident years ago had chronic leg feet pain. According to his h&p from methadone clinic he's was iv Herion user and bipolar he denies this up and down!! He's very poor limited transportation to methadone clinic to pick up meds. He wants morphine for pain and states he quit methadone doctor however refuses this states he never be able to come off methadone. I suspect he is selling his methadone when I visit him he has all kinds traffic coming in and out. I used to be psych nurse and can pick out a meth head from mile away! His DX is COPD and he does have trouble breathing. He's using Ativan now for SOB but he's always calling for more when it's not time to reorder. I told him today the doctor won't rx morphine or methadone he asked for another hospice agency number. What more can I do ?

I have 70 yr old hospice patient 6'7 250lbs primary Dx CHF and end stage alzhemiers bi lat pitting edema feet. 02 sats drop often. Very strong man! His confusion is worse takes clothes off won't stay in chair or bed but unsteady. Lives at home with wife. We have been using 1-2 mg Ativan topical and liquid because he spits everything out alone with 5-10 mg morphine for pain and SOA. It hardly touches him. This family tries to sedate him durning day because they are exhausted. He won't keep 02 on either. He's at respite now for 5 days to give family break. He won't eat drink the other day he tried to take off out house and fell down the stairs. Any suggestions on how to deal with this?

I started out med surg and hated it!! Went into psych was doing that for last 15 yrs and got burnt out on it. Looking back I am glad I tried other things you either love it or hate it

I did both inpatient and intake at our ER. I thought intake was very busy some days we were 10-15 patients backed up in ER you see them at the tip of crisis so it can be very crazy with drunks and drug users. I don't think intake was easy at all! You always had to have your guard up so you wouldn't get hurt!!