kidzcare
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For me, the trickiest part to having a type 1 diabetic at Summer camp is overnight. The activity level at camp is so much higher than at home plus there's different food, snacks all the time, and the excitement of being around friends all day/night. During the day, the fluctuations are relatively easy to manage but at night they'd end up bottoming out. The first year we had a camper with diabetes, the overnight on call nurse was in her cabin 3-5 times a night for the first week and the camper was almost sent home. In the end, her endo adjusted her basal rates and we would send her to be running a little high (180-200) and that helped.
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This reminds me of a story my dad told me about when we were moving back in 1984 (I was only 4 so I don't really remember). He was a truck driver at the time and asked his coworkers to come help us move. It was a Friday afternoon and he gathered everyone's paycheck and took them home with him so they couldn't back out of helping ?
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What "tricks" do you use to get compliance? One of my go to tricks when I need something from a parent (I.e., paperwork, health update for IEP) is to call and leave a vague message "Hey this is the nurse from [school]! I need to get a hold of you. Call me back as soon as you can!" When they call back, they're usually asking if their kid is sick and I feign ignorance "Oh, I'm sorry! I didn't mean to alarm you! There's no emergency... I need XYZ from you ASAP"
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Nice! This gives me an idea for another thread... the tricks we use!
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I work in my kids' district and occasionally sub in their schools. They love when I sub in their school and beg me to. Maybe that would be different if I was there all the time though. I also work as a camp nurse at the camp my daughters attend (my son is at the brother camp) and they love that. All their friends know that their mom is one of the nurses and tell them "Your mom is funny" because I mess around with the kids a lot.
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The only thing I would've added is checking BP. Low or dropping BP is a symptom of anaphylaxis. The one time I've given epi, I took the student's BP and it was fine, 5 minutes later it had dropped and her O2 was also low. Great job!
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I have worked 3 summers as a camp nurse (last Summer was cancelled ?) It's a sleepaway camp in Pennsylvania (we live in Illinois) My kids attend the camp I work at for the first session which is 3.5 weeks and they absolutely love it! Not sure what this year will look like with the COVID restrictions and whatnot but my kids are very excited to be getting back there and seeing their camp friends.
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Holy shnikes! This sounds exhausting!! How do you have time for anything else??? Awesome news on the promotion! Hoping it comes with a hefty pay hike! I recently took on more responsibility in my district after a higher up quit unexpectedly. It's been overwhelming to say the least. I feel proud that I was the one that was asked to step up and fill in for some of the duties but it is so much and I am feeling the anxiety building and building... 30 days left!!
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Immediately. They were not happy but I told them that it was just like they were in class. A little therapeutic boredom gets them back to class much faster.
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I don't mind checking out a (recent) injury or a BP check here and there. As always, there are some that will take advantage. When this happens, I want a memo to go out that MOST workplaces do not have a nurse on staff so please handle your health situations as you would if you worked in an office, at a grocery store, in construction, etc.
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I work at the preschool level now so we don't have this come up. But my first year as a Summer camp nurse we had a transgender camper. It is an all girls camp and he was allowed to attend still because it was his last year before aging out and he had been coming for many years (as a female camper) before that. No one had informed us in the health center that he was transgender though. So when he came to take medication, I asked his name and he gave me his preferred name but his medication was under his legal name so I couldn't find it. It took us a couple minutes to figure it all out and I was able to make a note on the medication package with the new name so there wouldn't be an issue the next day.
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We want the health office to be comforting but not comfortable (as in, a place to relax from math class). I switched schools in the middle of a school year a few years ago and the previous nurse was obviously a lot more casual than I was. I had (junior high) kids coming going "I've got a headache" and proceeding to the nearest chair and pulling out their phone without another word. It took me about a month to get the number of unscheduled visits a day from 80+ to ~40.