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shark_nurse14

shark_nurse14

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shark_nurse14 has 3 years experience.

shark_nurse14's Latest Activity

  1. shark_nurse14

    Recess/Gym Restrictions - Where do your students go?

    I'm not sure how close you are to your guidance counselors or librarian, but those are resources I use for these students. Because most of these kiddos have a length of time they are to sit out for, I'm usually able to work out a schedule for them that makes it so they aren't just sitting in my office coloring/reading, but are actually participating in something academic. For example, I had a student last year that was post op and needed to sit out x8 weeks. Together, the PE teacher and I had the student work on a powerpoint presentation in the library during his PE block about the importance of exercise and nutrition for adolescents. With it being just one student, the librarian is typically willing to let them hang out. If it ever became a behavior issue in the library, either I or the PE teacher would be called. Also for students that work closely with their guidance counselor, we've had it so that they are able to be with guidance during these times. Guidance can help coordinate with core subject teachers about what the student should work on, and sometimes those core subject teachers are willing to have the students sit and work in their classroom during their prep periods. Don't feel like because the student has to sit out for a medical reason, that you're the only one responsible for them! The purpose of school nursing is to increase time on learning when appropriate, sitting in the nursing office with a broken arm does not mean they can't learn!
  2. shark_nurse14

    PEs With Missing Info

    Yes! Just got a physical the other day that conveniently left out that the kiddo has type 1 diabetes.....big whoopsie
  3. shark_nurse14

    Internship School Nurse Project , HELP

    I agree with amoLucia and think an easier way to go about this would be to pick one topic and adapt it for each audience...this will save you time and effort when trying to get both things done. Some school-related topics I can think of that would be relevant to both groups are: vaping head injuries/concussions reasons to visit the nurse office bullying appropriate/safe technology use hand hygiene
  4. shark_nurse14

    What's the oddest thing you've done for a student?

    Sewed a blanket from home so a student wouldn't "lose circulation to [my] leg in the middle of the night" Poured chocolate milk into a plastic cup so they could make sure there was nothing else in the cafeteria carton Driven the forgotten diabetic care kit (only one meter ) to students house so they were safe all weekend...no one was home and mom said door was unlocked! Was hoping it wasn't a prank. Removed an arm from between the railing and the staircase...that was almost a call to the fire department GOT A STUDENTS EAR UNATTACHED FROM THE UNDERSIDE OF HIS DESK...I don't know if there's any way to explain the situation to make sense.... Drained pus from the worst ear infection I've ever seen. Got about 45mLs of green, clumpy, pus! All instances weird in their own way. There's probably more but I can't think of any right now....TGIF
  5. shark_nurse14

    Advice for Medication Administration

    Been in a similar situation.... Mom suggested placing the med inside the hole of a raspberry! Works every time. The student noticed it was in there after the initial administration, but enjoys raspberries so much he takes it just to be able to eat the rest of the bag of raspberries.
  6. shark_nurse14

    Too Sick To Stay Policy?

    Our policy states continuous coughing that prevents sleep or even a productive cough is reason for child to stay at home. We also have listed nasal discharge that is not clear and rashes with blisters or discharge. Still, there will always be the parents that SWEAR they were fine at home.
  7. shark_nurse14

    ROLL CALL!!! School Nurses 2017/2018

    I'm here! Was at school all summer to cover summer school, enjoying two weeks off (this week for errands, next week at the cape with my love) and then back to school I go! Excited to be at a NEW school this year!
  8. shark_nurse14

    Help is needed

    This is exactly the situation I was in this time last summer, so I totally get it! The first few days focus solely on filing/paperwork. Making sure you are organized from the get will make everything else smoother. Keep a running lit of kiddos that still require necessary paperwork so that you can hand them out on the first day- the sooner in the school year kids/parents get these, I find the sooner (and more likely) they are to return them. Next- know your policies. There will be parents on the FIRST day of school that ask questions- What meds can you give students? Can they carry their EpiPen/inhaler? Where do you keep the medications? What's the attendance policy? My kid has a fever, can they come to school? Everything under the sun, they will ask. Do you know if you will be utilizing a computer based program to track visits, or paper logs? Depending on the answer to this, I would either start to familiarize yourself with the computer system or create your health log and figuring out the logistics of that. Sure, bandaids are important but there is a lot more that goes into a nurse office. Make sure kids have water readily available. Is there a cot? Do you have supplies for girls who may need them during that time of the month? Other things I can think of off the top of my head to stock up on: wax for braces saline solution for contacts eyeglass repair kit flashlight any OTC able to give via school policy cough drops tweezers/scissors/magnifying glass all size ice packs gauze/tape/tefla/coflex cotton balls/qtips/vaseline/tongue depressors cpr mask heating pad ice packs batteries for thermometer/Oximeter Also, as you look through the physicals (remember, I said this is good to do first?) you'll see what your SPECIFIC population of students may need: For example, you have a diabetic student? You should have extra supplies (glucometer/test strips/ketone strips/alcohol swabs/fast carbs) Once you have all of that sorted out, I would start looking into your state requirements for mandated screenings so you can start planning that for the fall. Feel free to PM me with any questions!
  9. shark_nurse14

    Thoughts?

    Should I be bullied into changing a diaper even when it's dry, to try and "prevent leakage"? Background: Student came in for feed, gave student said feed; diaper was DRY. 6 minutes later aide walks in "So I think you are supposed to change student *every* time (student) comes in to be fed, because now (student) is wet and was JUST in here" *I explain how that isn't really necessary, but student can come back in to be changed now Aide "Well last week (student) leaked through pants so I think we should be changing every time, we have enough diapers to do it" How is one dry diaper better than the other? Also, this is summer school, no aides help me change the student, and the student arrives to school at 8:30 and they are requesting this diaper change for 9
  10. shark_nurse14

    Should I Apply?

    I say go for it. I am an RN, in Mass (SUPER high living expenses) and took my first school nurse job making about what you will be starting at. Do I think the salary is reflective of the work I put in? Heck no. Not even close. Do I regret taking the job? Absolutely not. School nursing is my passion and I can't imagine doing anything else. And that measly little job lead me to a much higher paying position just a year later. Did I have to take on a second job to live the life I wanted? (I see getting my nails done as a necessity ) Yes I did. I had to make that decision for myself, just like you will have to think about all of your options as well. If school nursing is something you really want to do, this is a great opportunity to get your feet wet. Luckily, the school nurse schedule is FABULOUS and finding a second job to work around the 7-3 lifestyle is actually realistic. And always remember that as a school nurse you have the summers off, which give you plenty of time to supplement your income (for example, I'm a camp nurse 3-4x a week) so that's extra earnings you aren't seeing in your projected annual income. I was able to supplement my income with a year round part time gig, and the summer camp, by $12k this school year. I hope this long-winded, self-reflective post gave you some help in your decision Good luck! Let us know!
  11. shark_nurse14

    Too young to do school nursing?

    I think there are some misconceptions here that need to be addressed before you can really consider school nursing for being an "easier" nursing SPECIALTY (because that's what it is, a specialty). I think reading through the school nurse thread on AN will be very helpful to you, but also highly recommend substituting before even considering to apply to a full time position. I think you will be surprised how different it is than what you imagine it to be. Let me break it down for you so you can see some real differences between school and hospital: 1.) The ratio between you and your patients is most likely 1:500. YOU, JUST YOU, ARE RESPONSIBLE for all of those little lives. 2.) We may not have a patient who has constant meds, Q2 turns, Q4 vitals, bladder scans, or I&Os to chart but we FREQUENTLY have 6-10 kids in our office at one time that all think they are the most important. And there are no call bells, just yells and crying, LOTS of crying. No other nurses to pop into room 32 for you. No aides to take those vitals. 3.) All kids come to school. You may see kiddos with diabetes, seizures, allergies, anxiety, bleeding disorders, cancer, asthmatics, CP, CF, and muscular dystrophy ALL IN THE SAME DAY. And you care for them, and you check up on them, and you chart their visits, and you make their care plans, and you talk to parents, and you discuss with doctors. You change diapers, you do tube feeds, you suction. You are the medical professional that sees them most days of the week. They are relying on you to keep them safe. 4.) When you step off the hospital floor, you know that patient you worked so hard with that day is being taken care of by a whole other TEAM of nurses, doctors, aides, and resource staff. When my kiddos leave me at 2:30, I worry. Weekends are the worst because I have a whole 48 hours to worry. Will they be fed? Do they really have an appointment at the urgent care for that cough? Are they going to come back to school with bruises? 5.) Teachers. The good and the bad. The ones that send you 13, yes 13, of their class of 22 all in one day because one student is out with a fever. Those 13 students add about an hour of your day because of assessments and charting. You now have no lunch (but, then again, when do you ever have a lunch?) Teachers take A LOT of time. Training them, because yes that's part of your 7 hours a day too. Convincing them they don't NEED to know everything medically going on with a child in their class. Reminding them I can't tell them everything because of HIPPA and FERPA, not that those acronyms mean anything to them. 6.) Parents. Also, the good and bad. The parents that want a call everytime their kiddo has a hangnail, or the parents that never pick up the phone, or never pack a lunch, or never show up at dismissal. Or there are also (and these are my favorite) the parents that ask you, "Are you even a real nurse, like how do I know you know what you are talking about?". Or the ones that question everything you say, and then sure enough an abx little Jimmy is taking for his strep comes to school (unlabeled) in a plastic bag that you knew he needed three days ago. You feel alone and unheard most of the time. 7.) There problems become your problems. The stories these kids have told me break my heart. I drive home crying. There are the kids that lost their parents. The kids who don't know when their next meal will be, or if they'll have electricity and heat when they get home. The kids that don't go home, but go to a homeless shelter. The psych! If you are going to be a school nurse you must be comfortable with you psych nursing. The amount of kids with GAD, OCD, PTSD, bipolar, and schizophrenia would probably shock you. 8.) Emergencies. It's on you. There are no doctors. No nurses. No code team. No meds at your disposal. It's you and your assessment skills. And PLEASE FOR THE LOVE OF ALL THAT IS HOLY do not think for one second that emergencies do not happen at school. Allergies happen. Asthma attacks happen, and can be deadly. Injuries, boy do they happen. Just sent a kid via ambulance this week for obvious deformity of RUE after a fall from the playscape. This child needed 2 surgeries and 4 days in the hospital. I got him there. I made the 911 call. I splinted it. I iced it. I coordinated his ambulance ride to the RIGHT hospital for him. I advocated for him, as this child is nonverbal. And this week I'm revising his care plan for accommodations. And this is summer school. There were 22 kids here the day that happened. But you just never know and you always have to be ready. Kids lose lives from accidents that happen at school and aren't handled properly. I'm sure I could think of 100 more things to say, but kiddos are showing up for summer school, so duty calls. About to go change a diaper, do a tube feed, take vitals, and assess a wound all in the same STUDENT I love my job!
  12. shark_nurse14

    Peanut butter

    omg.....I would be STORMING down the hall to have a word
  13. shark_nurse14

    School Nurse Haiku

    Classroom party fun Peanuts, tree nuts, eggs, and milk EpiPens at home Throat red and swollen "Mom gave me pink medicine" Voicemail left on cell Did you poop today? Oh, you say it's been three days? I am not surprised
  14. shark_nurse14

    C'Mon Now!

    Friend tied his shoes together and he fell....somehow he ended up with his ear split WIDE open (surprised the tip of it is still on there) SMH
  15. shark_nurse14

    C'Mon Now!

    Stapled himself in the thumb to get out of class- Parents LOVED that phone call
  16. shark_nurse14

    School Nursing capstone project idea?

    I've always been interested in doing research on the difference between schools who have playground equipment vs schools that just have the kids run around in a field for recess. Just from my own experience, the nurse's office was a different place at the school I used to work at because of injuries related to the jungle gym.
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