bluebonnetrn BSN, RN

I have had EMS give the parent a choice on a 2nd grader with retractions and sats in the 80s without oxygen! Bologna! (Turned out to be a post-flu pneumonia) And another case with a 7th grader HR in the upper 190s to 200s for >30 min with a know...

YES! - I had a nurse parent stand in my office and say to my face "oh, I should get a cake job like this" ? yes, she did

For the most part my parents have been incredibly kind, understanding and grateful. They sometimes express frustration but it is clear that they are just venting and it's not directed at me. There have been a few jerks but only a few. I feel like the...

I COMPLETELY AGREE! I am there to evaluate if they are stable or if they need medical attention. If they want proof of substance abuse they need to do lab testing. That said, our district makes us do the assessment as part of their evidence gather...

NSV (non school victory) My hair mysteriously changed from straight to curly (yay hormones!) and I have been learning how to care for naturally curly hair. Big learning curve!! I am proud to say that I have finally got a routine that leaves m...

YUP! All of this. Before we had kids back in person I had some time to get my clinic super organized and take care of some cleaning/purging/organizing tasks that had been neglected. So that was nice. But now it is all of the above. Even tho...

Yes, I am also having to call and check on any student absence due to illness whether they are in person or virtual. Our kids can choose to do virtual even if they are an in-person student. I think we are getting a lot of "I don't want to do school...

We use our Dr's orders as the IHP. Asthma Action plan = care plan Food allergy action plan = care plan plan Seizure plan = care plan The only ones that I write up are the T1D kids and if they have some other unique/unusual situation.

the wisdom that comes with hindsight!!

I understand your anxiety. Your observations are spot on! However, school nursing is a very high level of autonomy. The normal, daily stuff you could learn and manage. But when the SHTF it's YOU and a bunch of teachers... I would not have had the abi...

YUP! At the end of February I had 2 N95 masks (one for me and one for my assistant) The next week our director asked for a supply count in the clinic and my masks were GONE. Someone did steal them and the most likely person (easiest access and knowl...

Here is a great screening tool to share https://www.sanantonio.gov/Health/News/Alerts/CoronaVirus

Just curious - what do your office hours consist of? Are you assessing students? Are you doing some teaching? Just talking and listening?

So - I really don't see how we need to be "trained" to screen people. We already do that. We already triage people. -"You're fine, go back to class" -"You should go home and let mom and dad take care of you at home" -"You are sick and need to be se...

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 ...

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...

I also really like what Dr. Hodges has to say on this topic. He is a pediatric urologist and got into this topic because he determined that most often the cause of bedwetting and daytime accidents was not the GU system but constipation. If you read t...

I agree that the GI doc is the next stop. But you can have regular BMs and still be constipated. A look at the good ol' Bristol stool chart can help with that. http://pediatricsurgery.stanford.edu/Conditions/BowelManagement/bristol-stool-form-scale.h...

This is what I do: Calculate carb ratio just based on carbs Calculate correction dose based on BG level Add 2 numbers together then round

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

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 ?

So true! Now....about that opioid epidemic ?

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 differen...

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...