WineRN

I'm at a k-5 and maybe it's because like the above mentions, I talk with my staff so often since the littles are always getting hurt, we know each other better. How involved in you with school things? I feel like the more they see you outside of the health office the more human you become. I volunteer for a lot of our school time and some afterschool events, I help at arrival and dismissal and I send my staff not-so-serious things from time to time. It could also be a building culture thing. Some principals just don't bring a "family/friendly" feel and others do. Pre Pandemic my building would have monthly happy hours and quarterly events (wine and painting, BBQ etc)

CONGRATULATIONS!! That test is definitely a tough one!

I'm the odd one out here but I would talk with the teacher the next morning when kids weren't around if possible and see if maybe the student was having a bad day or hard time in class since your assessment showed they were fine medically and the parent was confused at the situation too. Some teachers respond well and might fill you in (maybe student failed a test or is in a group project where they don't like the others or something is going on at home or they were just interrupting the class non stop etc) and then you can explain that all medical issues really need to be sent home through you so that way everyone is on the same page since this parent was so frightened. Other teachers could be jerks if you approach them and then I'd go to admin. I feel like it always looks good that you at least tried to approach the situation with a cool head and tried to reach a resolution without going to admin first.

I do similar to the above where we share the list of high and low risk symptoms and request testing for any high risk and more than 1 low risk. I've had a handful of positive, ALL started with low risk symptoms

Amazing job! They are lucky they have you there to save lives!!

I agree with so much of the above. Just hold on! I feel like every day since it's gotten warm here I've been having more "normal" interactions with my students and staff instead of being the "COVID news bringer" that I was in the Winter and fall. I'm lucky to work in a building where we are at 100% fully vaccinated for all full-time staff and nearly all part-time staff has received at least 1 dose which makes me feel a little more hopeful that this Summer and fall will be more normal and I won't feel like I'm on call 24/7

Two in my building BUT they weren't at the 14-day mark from their second (One was 2 days out and the other was 11)

I might throw in a little scare tactic about security. Word docs are not a secure form of charting. If anyone gets access to your computer or if a virus attacks your computer those files are at risk and FERPA is a BIG deal. Or if the computer crashes and you lose an entire day of charting, recalling a whole day of assessments from memory can lead to incorrect record documentation. That being said it sounds like you are doing your best in a pretty tough situation so the above is NOT a judgment on you! As other's said, frame this in a student safety lens. EHRs allow for better data collection so you will be able to really support the students you serve while maintaining safe and secure documentation.

I love SNAP. It was made specifically for school nurses. You can pull data reports on everything from med administration to visit log information, it has a lot of templates which save time and it's pretty user friendly

I work at a school. Child comes in with a fever and dry cough so I call home. Parent answers and immediately says "It's probably COVID because his babysitter had it". I asked when the last time they saw the babysitter and parent responds "This morning. She's with them every morning and for an hour after school. She's not *THAT* sick and we figured we are all going to get it eventually anyway so we let her watch the kids." I asked "Just to be sure I understand...Your baby sitter reported to you they had tested positive for COVID but felt OK so you let them watch your children and then you sent them into school?" Parent: "Yes...What's the big deal?" We had a secondary case from this one go into a household where one of the parents is going through chemo.

Well looks like you can ambulate on your own!

I second this. I just caught up on a thread and part of me wants to tell you to stay just so then if this IS a malicious attempt by your supervisior she does something else to give your lawyer more ammo to bury her in the dirt. And if it isn't and it was just a med error that needed to be reported, then it all blows over and you are safe. Maybe he was sleeping in his later classes and that's why the audit was done?

I went from adults to school nursing and it is a BIG adjustment dealing with both your students and their parents. The other big adjustment was being the ONLY medically minded person in the building. You don't realize how different a nurse thinks until you are trying to reason with a teacher who is convinced someone with gas needs to see a doctor. I can't comment on Cali, but I like the suggestion above of shadowing or see if you can maybe even sub first? I LOVE school nursing, but it really isn't for everyone. People come into this role thinking it will be "easier" compared to other nursing specialties and then are blindsided and burn out when they realize that just because it's not as physically demanding most days, it definitely is a busy field with little to no help.

This is what my district uses regarding COVID http://wupaarc.wustl.edu/COVID-19-and-Children/Algorithms-for-Clinicians-and-Schools/-School-based-Algorithm

We are hoping to travel a little but I have two littles and a bun in the oven so I'm just looking forward to backyard adventures in the pool and in the garden. I will do the NASN virtual conference though because work just offered to pay for it (woowoo!)