I'm at the high school level. I've been seeing a lot of these kiddos coming in with c/o chest pain, usually rated as severe, "pressure-like" substernal pain that sometimes radiates to the left shoulder/arm Like a prudent nurse, I assess appropriately; usually BP is a little high, pulse normal, no SOB, diaphoresis, distress, normal abdominal assessment, lung and heart sounds are normal, etc. Basically, there are no objective s/s to alert me that there is a cardiac or respiratory event going on. However, my background is in cardio so my brain can't help but make itself see a potential problem that might not be there. I'm afraid that even if my assessment is normal and I send them back to class, they'll pass out and I'll eventually be coding them later So just to be safe, I've been sending these kids home, but I don't want to be sending these kids home all of the time.
Any fellow HS (or even MS) nurses, how do you handle this at your school??