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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

    When parents are barriers to care

    Aha! Thanks
  2. bluebonnetrn

    When parents are barriers to care

    what does Nosferatu mean?
  3. 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.
  4. bluebonnetrn

    Do you ever NOT give out ice packs?

    THIS THIS THIS! 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.
  5. 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" (* we are required to call parent for every single head bump even if it is nothing)
  6. 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"
  7. bluebonnetrn

    Petty and not proud of it

    Am I mean because I actually laughed out loud at this??
  8. 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.
  9. 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.
  10. bluebonnetrn

    Autism and regressions - where do we fit in?

    As school nurses we all have access to information from physicians who treat our students: "Does the HIPAA Privacy Rule allow a health care provider to disclose protected health information (PHI) about a student to a school nurse or physician? Yes. The HIPAA Privacy Rule allows covered health care providers to disclose PHI about students to school nurses, physicians, or other health care providers for treatment purposes, without the authorization of the student or student’s parent. For example, a student’s primary care physician may discuss the student’s medication and other health care needs with a school nurse who will administer the student’s medication and provide care to the student while the student is at school. In addition, a covered health care provider may disclose proof of a student's immunizations directly to a school nurse or other person designated by the school to receive immunization records if the school is required by State or other law to have such proof prior to admitting the student, and a parent, guardian, or other person acting in loco parentis has agreed to the disclosure. See 45 CFR 164.512(b)(1)(vi)." https://www.hhs.gov/hipaa/for-professionals/faq/517/does-hipaa-allow-a-health-care-provider-to-disclose-information-to-a-school-nurse/index.html
  11. bluebonnetrn

    Do You Remember...

    Yes, we are teaching them to run to have every little twitch and momentary discomfort addressed. We are teaching them to have zero coping skills. We are teaching them to have their hand held through every single little thing and have no problem solving skills whatsoever. I shudder to think what it will be like in 20 years!
  12. bluebonnetrn

    The Gypsy Rose Blanchard Story

    YES! I have noticed this as well. I have wondered if there could be another term for this. It isn't exactly MBP but like many have said it's borderline. What I have noticed is lots of perseverating on truly small things and minor details. I had a kid come in for me to check her bug bite because "mom was worried and because she's never seen anything like it before" Ummm... it was literally an ordinary bug bite. Not a thing weird about it. I chuckled and thought the kid was probably being silly and sent her back to class. Well sure enough, her mother called about 30 minutes later asking me to check the bug bite, stated the exact phrase"it's like nothing I've ever seen before", was ready to make an emergency doctor's appointment, was talking with a shaky voice and on the verge of tears. I explained as nicely as possible that it was an ordinary bug bite, displaying normal healing and was absolutely nothing to be concerned about. She then said the reason she was so concerned was because of the "red ring around it". Um, no. There was no red ring. Nothing. Just a little scab where it had been scratched. I don't think this lady was making it up. I believe she actually saw a red ring. I think it is some sort of perception disorder related to anxiety. And that is what I we are seeing more and more. They run to a doctor's appointment for the slightest fever, one time episode of vomiting, etc. But I also see doctor's feeding it. I am sorry, but when you put a kid in a boot and on crutches for a broken pinky toe you are just feeding the alligator. I had one case that was very severe and for a while I believed it was MBP. I then changed my mind and I now believe this is a loving mother who truly thinks she is doing the best by her child and I think she actually perceives all of these "problems" as being real even though some are not and some are just blown way out of proportion. I know she had multiple doctor's fire her but I don't know if anything was ever reported. She now has a younger child and has shifted her focus to that one. I don't want to give details in case this gets "seen" (I really wish we had some guarantee of privacy on here) But what do we call this? It is definitely some sort of anxiety disorder. But if we could just be more frank with people instead of coddling them to make them happy we might be able to nip it in the bud. Oh, but I like to have fantasies like that!
  13. bluebonnetrn

    Coverage for the daycare?

    Yes, this. This is my favorite part about moving from elementary to middle school! No more preK and specifically no more preK teachers. I had one who sent me a kid one time that had a bruise and told the teacher that her sister had pushed her down the stairs. Well, I sat down and actually talked to this little cutie and it turns out she was telling stories. They were not related to each other and they were not even recent. She was just talking and telling her teacher a story about something that happened one time. This same teacher would send me kids to wipe their noses or because they had a nose bleed at home before they got to school or even to untangle their shoelaces. UGH! I mean, if you are going to be a preK teacher I am thinking you should know how to talk to a 4 year old and you should expect you might have to wipe a nose here and there and you should know that 4 year-olds fall down a lot and have bruises. They are adorable and sweet but I am so glad I don't have any more preK kids!
  14. bluebonnetrn

    When nurse is needed outside of the clinic

    I have joked about getting one of these Seriously though....
  15. bluebonnetrn

    When nurse is needed outside of the clinic

    LOL Well I am glad you are laughing. It *was* funny but in the moment I wasn't laughing!
  16. bluebonnetrn

    When nurse is needed outside of the clinic

    Yes, this. No magic answer either. I have tried for 5 years to emphasize that I just need a little info. Last week I had a call for the wheelchair. When I got to the classroom it was for a kid who was vomiting in the trash can...
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