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bluebonnetrn BSN, RN

School nurse
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bluebonnetrn has 18 years experience as a BSN, RN and specializes in School nurse.

17 years as nurse with experience in med-surg, rehab, L&D/postpartum, gyn and plastics. Currently a school nurse for a 1200 student middle school. Camp nurse a few summers when I feel like it.

bluebonnetrn's Latest Activity

  1. bluebonnetrn

    If your school is closed re COVID19, what is your role

    We were on Spring break last week and today should've been our first day back. We are closed this week and they have not announced regarding next week (or after) that yet. Today they announced our big state assessment tests are canceled this year so you can kinda guess where that is going. Meanwhile, today and tomorrow admin staff are in schools. That includes nurses... Wednesday the teachers and paras are supposed to join us on campus. Our hourly staff are guaranteed pay through this week but no news for after that. I have developed a tracking log for quarantined staff. I have called each of my regular clinic kids to ensure that they are healthy, have what they need and are stocked for meds and/or supplies at home. I am finalizing my state screening data. We do this anyway but usually not yet. No idea what I will be doing the rest of this week.... or after that for that matter
  2. bluebonnetrn

    "Hypothetical" Situation

    I was once asked by a parent to call EMS for a fractured finger. After I explained that the ambulance would bill the family and not the school it was agreed that it wasn't necessary. I did have to call for EMS assistance once for a dislocated patella. This child was in a lot of pain and between, mom, dad and I we could not get her into the private vehicle for transport. When I called 911 and explained the situation they asked "how old is this child" and I replied 12 and was scoffed at. ummm... sorry but this 12 year old is bigger than I am and 3 adults weren't able to get her into the car. Anyway, the EMS guys came, understood the situation and eventually were able to get her into Dad's car. So it took 3 firefighters to get her in the vehicle! They were very helpful and totally understood why I made the call.
  3. bluebonnetrn

    Coronavirus concern for incoming student

    Declaring it a global health emergency is just about getting funding to deal with the outbreak.
  4. bluebonnetrn

    New Normal Temp

    I hate this BS! I actually have a mom rushing to school to pick up her son with a temp of 98.6 because "that's a fever for him" nope ๐Ÿ˜พ
  5. bluebonnetrn

    Reaching my breaking point with middle schoolers

    So true! Now....about that opioid epidemic ๐Ÿคจ
  6. bluebonnetrn

    Presentation for area Pediatric Offices

    I think this is a fabulous idea. I am also frustrated with pedi offices in the area. You know that these kids likely go to this school district so it saves everyone time if you can provide what the district requires. I have recently had TWO different pedi offices try to argue with me about what immunizations were required. I happily sent them a copy of the state requirements with the contested immus underlined, circled and starred! Like seriously... why am I having to explain that to you? As far as the orders go... I usually write the order myself, fax it back with a note that says "Please sign these orders for Suzy Smith because the previous orders were written incorrectly" and include the copy of the erroneous orders.
  7. bluebonnetrn

    Reaching my breaking point with middle schoolers

    THIS Yes, this is why I have no problem being an ice pack nazi. I will gladly give an ice pack when it's warranted and I will withhold one when it isn't and gladly explain why. I think of this issue right here as a big part of my job and I am not in the business of handing out placebos.
  8. bluebonnetrn

    When parents are barriers to care

    Aha! Thanks ๐Ÿ™ƒ
  9. bluebonnetrn

    When parents are barriers to care

    what does Nosferatu mean?
  10. bluebonnetrn

    When parents are barriers to care

    Yup - I have had many of those parents. It's frustrating. I feel your pain. I feel like they are everywhere but also there seems to be more and more of them. Like someone else already said: DOCUMENT, DOCUMENT, DOCUMENT! And hold your ground as much as possible. As soon as you given them an inch you've lost.
  11. bluebonnetrn

    Do you ever NOT give out ice packs?

    THIS THIS THIS! ๐Ÿ‘ Yes, I am still standing my ground and this is exactly why. For those visits I document health education as the intervention. If it doesn't have visible swelling, redness or bruising or I don't have a reasonable anticipation of bruising I don't give an ice pack. If someone wants to come at me with pitchforks on facebook then it basically shows everyone how ridiculous they are. I am good with that.
  12. bluebonnetrn

    Parents be like...

    Me: "Hi this is the school nurse. Everything is ok but just wanted to let you know that Timmy bumped his head on the wall while standing in line. He's ok, no bump or bruise, he's been resting with an ice pack for a little bit and now he's ready to go back to class." Parent: "Oh NO!! Do I need to come get him? Is he bleeding out of his ears? Did he vomit? Do I need to take him to the doctor RIGHT NOW??" Me: "No, as I just stated, he's ok and he's ready to go back to class now" ๐Ÿ™„ (* we are required to call parent for every single head bump even if it is nothing)
  13. bluebonnetrn

    Parents be like...

    Excluded from first day of school for delinquent immunizations (8 total notifications went home starting beginning of May) Father calls and rants: "My children have never been vaccinated because I don't believe in poisoning their bodies, you don't need a new exemption every 2 years, I know because I always do them, you only have to do it once, I was in the military and a firefighter and I know because I have done my research" End of the week comes in with a completed exemption form. Show him how little darling has all the shots except this year's requirements and has never before had an exemption Father: "Oh yeah, little darling already has all the shots and that's why I don't want them to give any more" ๐Ÿ˜พ
  14. bluebonnetrn

    Petty and not proud of it

    Am I mean because I actually laughed out loud at this?? ๐Ÿ˜†
  15. bluebonnetrn

    Should I report this?

    I have the same problem. When teachers or admin are suspicious of a kid they send them to me for a drug assessment. It's called the Dibrep and is used by LEOs on the side of the road. They always say "we need you to do this so you can tell us if they are on something". Medically it's total crap. LEO's use it as a legal tool to establish reasonable cause. And I ALWAYS tell them that this assessment does nothing to tell if someone is using or not and what they might be using. The only definitive proof is a drug test done by a lab. As you stated, there are multiple reasons for abnormal VS and anxiety is a huge one. Also, like you said already, it falls on deaf ears. It's so frustrating. Last year I had to do an assessment on a kid because the teacher thought he was using. Turns out the kid had not eaten anything that day, had also slept very little the night before and was stressed about school work that he was behind on. Instead of checking to see if this kid was ok they immediately jumped to drug abuse. I was livid and let them know it.
  16. bluebonnetrn

    What was nursing like in the year of 2000?

    I graduated in 2001 but I was working in a hospital as a student nurse tech before that. Paper charting was the norm. I worked for the VA and we did have an electronic charting system and it was cutting edge. Because I was the young nurse I learned it faster and so I was unofficially elected to be the one to teach the older nurses how to use it. "Click there. No, click it twice. No, you have to click it twice real fast" That being said, there were still a lot of paper notes and orders. We still had large hard charts in chart racks. When certain doctors rounded we had to have all their charts pulled and sitting out for them because they didn't like to look for charts. At the end of the shift we did chart checks on each chart and there was a different pen color for day shift, evening shift and night shift. We had gigantic binders for our policies and procedures and the same for the MSDS book. Protonix was the latest and greatest med and only ICU patients got it. On the med-surg floor it was the norm to have 8-9 patients and one CNA to share between 2 nurses. My assessments were on a one page piece of paper that stayed on a clipboard hanging outside of the patients room. I would write orders and hand the chart to the doc and say "Hey I wrote this order. Sign it." and they did. I kinda liked trying to decipher doctor's handwriting. You would get to know the docs and their handwriting and it wasn't really that hard. We used iodine to change central line dressings. All of the patients meds were in a med cart drawer that was labeled and pharmacy filed it. Of course we still had to check meds as we gave them but we didn't have to go and gather all the meds. Everyone had their meds right there in a drawer together. We used multi dose vials for insulin and heparin. Nobody had to check my dose. An intern once accused me of administering insulin instead of heparin to a patient, which would've equaled 50 units of insulin. The way I knew I had NOT done that was because I had 3 patients on heparin and drew all 3 shots up at the same time so if I gave one insulin, I would've given them all insulin. Everyone was always looking for the narcotic keys. Who has the keys? I gave them to Jane? No Jane says she doesn't have them. And if you accidentally took them home in your pocket ooo boy you better turn right around and take them back. I once got stuck in a horrible traffic jam on my way to work. I was stuck on a highway and had no way of contacting anyone - no cell phones! I was TWO hours late to work. They had called my husband at home and he told them I had left for work at the regular time. So for 2 hours nobody knew where I was. On evening shift I "tucked" all my patients in for the night on my last rounds and for the most part they actually slept at night. We restrained patients all the time. Of course we had protocols and regular checks but we used side rails, wrist restraints, bed vests and enclosure beds. I also worked agency from 2003-2005. So I went all over to multiple units and multiple facilities. I think there was less standardization for care. I learned a lot doing that because I learned a million different ways to do everything.

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