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beachynurse BSN

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  1. beachynurse

    Judgement being questioned

    You aren't sending kids home often enough? Really? I don't think I would worry about that. I consider it important to keep kids that are not sick IN school, and send the really sick ones home. We use our assessment skills and professional judgement to determine if a student is ill. Little ones will complain of stomach aches for attention, or will vomit at or after lunch from eating too fast, swallowing too much air from talking too much while eating, which does not nmake them ill. Teachers don't understand that and once they see vomit, thats it, out and home. Just continue to educate them, encourage the use of the clinic passes and eventually they will get used to it.
  2. beachynurse

    How to Stop a Nose Bleed??

    This is the reccommended treatment... Keep them upright and gently tilt their head forward slightly. Leaning their head back could cause blood to run down their throat. It will taste bad, and it can make your child cough, gag, or even vomit. Pinch the soft part of the nose below the nasal bridge. Have your child breathe through their mouth while you (or your child, if they are old enough) do this. Try to maintain pressure for about 10 minutes. Stopping too early may make your child's nose begin bleeding again. You can also apply ice to the bridge of the nose, which may reduce blood flow.
  3. beachynurse

    How do you get paid?

    I took a large paycut to come to the school division I work at. I started in 2004 at about 38,000 yearly, and I am currently making about 52,500. I am salaried, and my hours are from 7:10-2:30. We have a 10 or 12 month check option, and I definitely take the 12. I am not disciplined enough to take the 10 month option, so my pay is spread out over 12.
  4. beachynurse

    Medical Alerts Question

    Our subs don't have acess to our computers either, but our teachers have to leave sub folders. I ask that any emergency, or health plans be printed out and copies left in the sub folders for the subs to review.
  5. beachynurse

    The Big Chill

    I have a dillemma about ice. I am well aware that ice chould only be used for fresh, acute injuries and not handed out for every little ache or pain, however, it has become a battle of the4 wills in my school that I have lost. I am in a high school, and the students use the clinic for ev ery excuse to get out of class. New Admin is not supportive of my prior practices to keep students out fo the clinic and in class. When they come for ice, I pretty much have to just hand it out like candy, no matter what the issue, or how old the issue is. If I explain that ice is no longer indicated for the "injury" the kids can text, or call their parents, some of which will call, screaming and yelling about just give them the ice, and if we persist, they call admin, and we get yelled at by admin. So, in a nutshell, we are now just handing ice out to anyone that simply asks for it no matter what. It keeps the parents, and the administrators from yelling and screaming about ice. Suggestions????
  6. beachynurse

    Family Protective Services

    In our state CPS reporting is anonymous. When we call, and thankfully I don't have to call very often, I usually make the call jointly with a guidance counselor. We actually have a script that we recite if a parent comes back to the school angry, which they usually do, "the CPS reporting process is anonymous and we are not permitted to discuss it. if you have any questions I must refer you back to the case worker that made contact with you". Let them handle it. Unfortunately, they usually do know it's the school, but if we don't discuss it, the anger kind of dissapates a bit quicker.
  7. beachynurse

    Help Please!

    I was a nurse manager when I took a leap of faith andwent into school nursing and have no regrets. I took a $25,000 pay cut, and it was worth it in reduced stress. I was able to spend more time with my kids, and I was able to pick up side work to supplement my income. I work in a busy high school with 2,100 students plus the faculty and staff. My days are ususally very busy, between seeing students, paperwork, and talking to teachers about their students. People are so surprised to find out that school nurses do more than give out band-aids, ice packs and deal with stomach aches. We wear so many hats, nurse, counselor, surrogate Mom, friend, confidant, advocate, and then some, dealing with more and more chronic illnesses in the school setting, it's not for the faint of heart. We are the only health care professionals in the school, and I would have to say that the only down fall is having to deal with our administrators, who are not medical at all. I love my school, my students, and my job. I can't imagine being anything but a school nurse.. Having to explain why we do what we do, make the decisions we make, can be the biggest problem. Having to explain why I can't accept medication orders, with the meds, that aren't signed by a physician, but the MD had their name printed on the order, (sigh), and why that isn't good enough... why I have to call 911 for a student that is hallucinating, and has constricted pupils, and a heartrate I am unable to count, (can't we just let them rest here?) ummm, NO!!!.... Why I can't administer a medication I don't have an order for because the parent is at work 30 minutes away as a "favor" to him??? (My license, that's why)... I have learned to just do what I have to do to deal with them and move on... I am here for the kids.. not them.
  8. beachynurse

    Would you? Do you?

    We do not. This is also a liability issue. If we provide care, an apply vaseline, lotion whatever, and it is the wrong substance and there is a complication we potentially can be held liable. This is something that should be cared for at home, along with nose, belly button, and or cartilage piercings. We will observe and look for signs of infection, and use the time to teach, call a parent, but not apply anything.
  9. beachynurse

    Assessing the student on drugs

    We are not allowed to have stock Nalaxone in our clinics, but our resource officers have it in their offices. There is an "agreement for it's use" if he is not there. I would not be able to stand by and let a kid die all the while knowing I had access to the medication that could save them. I totally know the potential consequences, but I couodn't live with myself if I let a kid die.
  10. beachynurse

    RN's are you happy with your career, why or why not?

    I love my job, and simply can't imagine not being a nurse. Where my dissatisfaction lies is with my administration. Working in our school division, we are supervised by the school administrators, who are not medical. This often leads to conflict because they don't always understand the decisions that we have to make, and why. Trying to explain why we can't accept an order for medication that the MD forgot to sign, but everything else is there. Trying to explain why we need to call 911 for a student who's heartrate is so high you can't count it, you can only get one number for a BP and you can't tell whether it's systolic or diastolic, pupils are constricted, but they can talk to you. Or tell you that you are not to call a physician to question an order that you think is inappropriate because you aren't a MD. They certainly don't make life easy, but they rotate around the division, and I figure I can just wait them out.
  11. beachynurse

    Parental difficulties. . .

    They complain to the administrators, who come and complain to us.... Couldn't this have waited until after school? We are trying to forge relationships with our parents, we don't want to piss them off you know... , Was it really necessary to send the kid home if you were able to bring their BP up?, and a million other questions from my non-medical professional bosses that make my life so very much fun.....
  12. beachynurse

    Holding voluntary patients - illegally?

    In the hospital I used to work at, we had the patient sign AMA papers, thats if they would sign them... If they were going to leave, we would try and talk them into staying, but if they were going to leave, they were leaving, with or without an MD order..
  13. beachynurse

    Diastat on field trips

    In our school division, we can ask the teachers if they are willing to be trained. They have the right to say no. If they say no, we have to inform the parents and inform them that the teacher is not trained and hope that they will be willing to go with the student. If not an emergency plan is developed where 911 will be called if the student has any seizure activity at all.
  14. beachynurse

    Terminated from my PerDiem Job... Need to vent

    When sending any e-mails like that to work, I cc my home e-mail. I have a folder for work there. This way, I can prove anything that might "disappear".
  15. beachynurse

    I quit on the fourth day

    Starting out as a new nurse in a school can be difficult. You need to set your own rules and your own boundaries. I came into a high school where naps were commonplace, as were rediculous visits for rediculous reasons. I quickly got a handle on the rediculous reason visits, and stopped them, and naptime came to a screaching halt. We don't come to school to nap during classes. Now if your tired, its a consequence to staying up too late, and you can wash your face with cold water and go back to class. Come back a second time and it's a behavioral issue and a phone call home, with a possible referral. so, no more naps. My clinic is run as a professional clinic for medical issues, and concerns... They are welcome to come and talk, but they know their limits...