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Mavnurse17

Mavnurse17 BSN, RN

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Mavnurse17 has 3 years experience as a BSN, RN.

Mavnurse17's Latest Activity

  1. Mavnurse17

    Ethics question

    Am I the only one that thinks OP has a moral, ethical, and LEGAL obligation to report this to someone? Anyone?? OP says the sister's actions of improperly feeding the woman directly attributed to the person developing aspiration pneumonia. She might not have a license, but she's still inflicting harm! In my state, the it is against the law to impersonate and present yourself as an RN if you are not one. Yes, it will definitely stir up family drama but someone needs to know that your sister is causing harm. If not anyone else, at least the families of the people she cares for in the home (unless they know she is not licensed and they're fine with that).
  2. Mavnurse17

    Lice/rant

    Just need to let off a little steam. About 2 months ago, a teacher brought one of her students down because she noticed an active lice infestation. The student told me she was already being treated by her parents at home. Great! I'm at a high school, so we're not mandated to send letters home either. I sent the student back on her way. The next day, I get a call from my nursing supervisor saying that the teacher called her directly to complain about my "not doing anything" and "not caring about the situation." I had told the teacher there wasn't much more to do on my end, but alas. Yesterday, the same student is brought to me still riddled with head lice. Student confirms that she's still being treated at home. I had previously had a phone conversation with the parents, in which I reinforced how to correctly apply the shampoo. I knew this student was still being treated at home and that lice can be hard to get rid of for good. However, to avoid the fiasco from 2 months ago and to "seem like I'm doing something", I re-explained to the (adult) student how to use the shampoo and I sent her home with a few bottles. This morning, I'm told that the student's parents are offended I sent the shampoo home and they are wanting to have a meeting with our principal and myself. So now I feel like I'm trapped...cannot seem to win either way.
  3. Mavnurse17

    Clearing bathroom odors

    Hi all! I have a student with spina bifida that uses my clinic bathroom to clean up/change at least twice throughout the day. His BM's are particularly malodorous. I'm told the previous nurse before me used to have to burn matches/candles to clear the odor, but obviously that isn't safe in the school lol. What tips and tricks do you have to help clear bad odors? We've tried scented sprays, opening our main door to vent, turning the fan on, etc., and it does help but usually takes 15-20 minutes for the odor to clear. Many thanks!
  4. Mavnurse17

    Benefits

    I work in Texas at a school and my salary is roughly $57,000. I've been a nurse for almost 3 years. I get 5 personal days and 5 sick days per year, and those can be carried over every year. The time allotment isn't exciting, but we do get mad time off for holidays and of course summers.
  5. Mavnurse17

    Panic Attacks

    I had a student like this last year... senior in HS. He'd get them bad enough that he'd have to stop and sit in the hallway, which prompted teachers to escort him to the clinic. Happened every 2 weeks for about a month at one point. I sent him out to get bloodwork/testing done; doctors found nothing. I explained to him that in the absence of a physical problem, it could be a mental health problem. Student said he refused to go to counseling/therapy/etc because he "didn't believe in it." Yet, he continued to have these breakdowns in school and he'd be escorted to my office every time. Mom never answered or returned my phone calls. I got really tired of it after a while and sent him back to class after I determined that his VS/overall assessment was medically 'normal.' I couldn't keep letting him just sit in my office for an hour when he refused to help himself.
  6. Mavnurse17

    "huge puddle of blood!"....oh boy

    Exactly... my first thought when I hear "unresponsive" is loss of consciousness/no pulse/not breathing which immediately makes me wonder why people are just standing around doing nothing. When I get there, usually the kid is somewhat impaired because they've taken some sort of drug but not to the degree of being "unresponsive" as we know it in the medical world.
  7. Mavnurse17

    Discussing salary with co workers

    I was taught growing up that it's considered impolite to talk salary/pay with others. If 2 coworkers open up a discussion and want to disclose those things with one another, then whatever. But I wouldn't go around casually asking my coworkers how much they make.
  8. Mavnurse17

    Head lice

    Ah yes, for elementary schools. I can see why a letter might be needed then since the kiddos are all in one classroom all day and don't have awareness of personal space yet. But it shouldn't be required for secondary schools.
  9. Mavnurse17

    Head lice

    What law is this? I'm also in Texas and at least the policy in my district is that letters don't get sent home to the entire class if it's a middle or high school, and not even to the identified student's parents if treatment's already begun at home.
  10. I was mandated to get my flu vaccine throughout nursing school and when I worked in the hospital. It was a hassle but I got it every year and never got the flu. Last year was the first year I chose not to get it (I'm a school nurse so I'm probably even more predisposed) and what do ya know...I got the flu. Needless to say, I'll be getting mine this year.
  11. Mavnurse17

    Patient safety in nursing

    At the very least I would've gotten the patient back to bed (with whomever was available at the time) provided that it was safe enough to do so. One night I was helping my post-op CABG pt to the bathroom. He'd been steady on his feet throughout his entire stay so I thought I could trust him to walk to the bathroom (4 feet from his bed) while I walked right behind him with both of his chest tubes in my hands. Big mistake on my part, but hindsight is always 20/20. Out of nowhere he felt faint and had an assisted fall to the floor. I wasn't near a pull cord and couldn't reach for my phone in my pocket so I had to yell for help. Why is Nurse A being reprimanded for yelling for help? At any rate, it sounds like a huge mess. Why was the charge nurse running to get zofran instead of helping? Why did it take 3 extra people coming in and out before the patient was stabilized?
  12. Mavnurse17

    Can We Talk About Nurse Suicide?

    After my first year out of nursing school, on a very high-acuity cardiac floor...I experienced major burnout. It got so bad, I thought about suicide. I never had a solid plan or anything, just fantasized about not being around to experience that burnout anymore. I couldn't quit my job because I had bills to pay; I'd put in multiple applications in every specialty over the prior months with no calls back.... I felt helpless. Luckily I finally got out of the hospital setting and I'm in a much better place now.
  13. Mavnurse17

    Should I report this?

    Hi all, Yesterday I sat in a parent meeting for a student that was being "charged" by the school for "being under the influence of marijuana." When mom asked how the administrator came to the conclusion that he was under the influence (the kid was not seen smoking and was not found with any substance when searched), admin responded, "he had a strong marijuana odor and the vitals that the nurse took showed that his blood pressure and pulse were high." I have no idea if this kid was using or not, but I don't have a blood or urine lab to confirm if he was or wasn't. How is it responsible for an administrator with no medical background to make this determination based on numbers she does not understand? The kid's been diagnosed with panic/anxiety disorder, so it's no wonder his VS were what they were when I assessed him. I want to report this to my nursing supervisor, but I'm afraid of catching backlash from my school administrators here. How many other kids are being "charged" with this offense and subsequently being punished because admin determines the VS I obtain to be out of normal range? I've tried telling admin that there are multiple reasons VS can be elevated in that situation: anxiety, ADHD meds, the fact that they were just frisked by the campus officer...?? It all falls on deaf ears. I am merely a tool that they can use to make these disciplinary decisions. What would you do?
  14. Mavnurse17

    Chest Pain in HS

    Hi friends! 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??
  15. Mavnurse17

    Petty and not proud of it

    Happy Friday, y'all. I am clawing my way to this 3 day weekend! Yesterday a counselor chased me down in the lounge (I wasn't even eating lunch...what is a lunch break? ) to tell me "Nurse...I have a kid who says his back hurts." My patience is so thin I couldn't even pretend not to be annoyed. Petty and not proud of it, but it is what it is!
  16. Mavnurse17

    Petty and not proud of it

    I realize you posted this yesterday so I'm a little late to the game....but yesterday I had a student come to me, referred by the teacher, for "possible allergic reaction to ant bites," which the student got *wait for it* 4 days ago!!!! Multiple ant bites on her leg with typical localized reaction symptoms to...idk...a stimulus foreign to the body?! No generalized swelling, pus, oozing, rash, inflammation, erythema, itching, etc. Just typical ant bites. I wanted to write a note back to the teacher that said "show me your credentials please? What makes you qualified to tell a student she's having an allergic reaction??" But I simply wrote, "no reaction symptoms" with a great big smiley face
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