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archemichael

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All Content by archemichael

  1. Thank you for the treatment list, Commuter. If anyone else has anything to add to either list, please do so. This is beyond helpful. I am most appreciative.
  2. That is a very helpful post. Now, just need some treatments.
  3. May you please post a list of common medications you give to patients on the floor. I want to research medications in advance to save myself some time. Also, please provide some treatments or tasks I will need to complete so that I can research in advance the procedures. I am a new grad RN hired to a subacute/ltc facility. Thank you, Michael
  4. Had the job interview. Hope it went well. I will keep you guys updated. Thank you for all your valuable input.
  5. Utilizing ABC initialism, I would care for: #1 asthma attack - Sit the child upright, reassure the child it is going to be okay. - if unstable such as cyanotic, altered loc, difficulty speaking - call 911 - if stable, check if child has a plan for asthma. ie. albuterol inhaler - encourage child to breathe in through nose and out in the mouth - if stable and recovers, return to class. - call parent or guardian - follow up with child. #2 major nose bleed - encourage to breathe through mouth, and lean head forward - pinch nostril below nasal bone - utilize ice pack - if persistent major bleeding continues - call 911 - if bleeding stops, monitor child, call parent and suggest medical attention as is major bleed - follow up #3 child throwing up - offer something to throw up in - have child lie down on left side - offer water to sip on - if unstable: altered loc or throwing up blood - call 911 - call parent - urge to seek medical care - follow up #4 parent - assess for potential head injury - if suspect head, neck or spine injury, keep head and spine aligned. do not move individual - call 911 - utilize ice pack and have parent rest - discuss the possibily of delayed symptoms up to 2 hours. provide parent with print out discussing head injuries. So, if i'm assessing patients, I utilize ABC. Once individual codes, I utilize CAB. Is this correct? Also, what is your feedback on my plan. I utilized this resource: http://www.emsa.ca.gov/media/default/pdf/emsa_196-schoolguidelines_final.pdf Depending on the job description, it might not be in the school nurses job description to care for parents. I would file an incident report, regardless. My priority remains with the children.
  6. Referencing the following link: https://allnurses.com/school-nurses/school-nurse-interview-794566-post7005063.html#post7005063 How would you answer the following question: You walk into your clinic and a child comes in having an asthma attack at the same time another comes in with a major nose bleed, a parent is at your door and faints at the sight of blood in the hallway, the child that was already waiting for you starts throwing up......what order and how do you take care of each situation happening? Following AHA guidelines with CAB, would you assess the major bleed as priority as it is a circulatory issue and then the student with asthma attack? Please advise.

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