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beachynurse BSN

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  1. beachynurse

    Nurse Charged With Homicide

    How horriffic for both the nurse, and the patient's family. While I am horrified at the medication error, that's what it was. A tragic medication error that should have been utilized as a training tool to prevent something like that from ever happening again. The hospital needed to look at it's procedures and put new ones in place. As far as her license, I am sure that the guilt that she feels is more punishment than losing her license could ever be. I think that would be way too harsh. Possibly be mandated to take some medication training, monitored for a time and then returned to full duty. I think that is a much fairer outcome. We as nurses can be so cruel to each other, and I understand that this error cost a life, it was just that, an error. And by no means am I minimizing the error, I totally understand it's cost. We see physicians make deadly and costly errors and they go back to practice as though nothing happened, but nurses are crucified. Lets stop that kind of behavior, please!!!!!
  2. beachynurse

    POTS/Dysautonomia

    I talk to the student and the parents and find out what their symptoms and reactions are, and determine what response needs to happen in school. I prepare an emergency plan for teachers to follow until I can get to the classroom and take over. It's just simple step by step directions what to possibly look for and what to do.
  3. beachynurse

    POTS/Dysautonomia

    I have seen a significant number of students with this disorder, and the number seems to be growing. I agree that there seems to be elements of anxiety, and or avoidance related to the diagnosis depending on the student. I have also seen it used as attention seeking in some instances. I also have the parents provide salty snacks and have detailed emergency care plans that I provide for the teachers with instructions based on the symptoms that each student presents with.
  4. beachynurse

    Return after flu

    If I have an MD note clearing the student and the student appears to be ok. They stay. It's that simple.
  5. beachynurse

    Exclusion Policies

    Our division policy is 24 hours fever free without the use of medication, 24 hours without vomiting or diarrhea. It's based off our division guidelines. I only wish parents would follow it...
  6. beachynurse

    504 Madness

    It's definitely overused in my school. If a student gets 1 bad grade the parents can blame it on something and get the accommodations no questions asked. I only want to be involved so they don't put clinic accommodations in there that are inappropriate, or without my knowledge..
  7. beachynurse

    504 Madness

    I wish... We have parents that will say their child has "symptoms of" diagnosis A,B, and C.... there is no medical documentation at all, and they get the 504, accommodations and all.... I just find it frustrating, because when I'm not involved they will put clinic accommodations down that are inappropriate.
  8. beachynurse

    504 Madness

    It seems like just about everyone has a 504 these days, whether they truly need it or not, at least in my school division. I'm curious, how much involvement do you have with your 504 plan's and coordinators, and is medical documentation of a disability, or medical condition required? We only need a parent to say that the child has symptoms of******* and that's it....
  9. 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.
  10. 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.
  11. 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.
  12. 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.
  13. 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????
  14. 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.
  15. 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.
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