RebecaRN
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It seems as if your corporation sees the school nurse role as being important. An LPN in each school in addition to RN's is awesome!
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I agree with you this is concerning. Although you do have a license aren't you also required to work underneath a RN? I'm guessing the corporation would just state that they haven't been able to hire one?
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There is a full time BSN minimum RN in each of our 23 schools. All middle and high schools have a part time office aide to handle the increased population. THIS is awesome to hear! I hate to admit that until a few years ago I assumed that each of our schools had licensed nurses. This has been an eye opener to me.
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The corporation has 1 RN that is at the high school (approx. 950 students), an LPN at the middle school (aprox. 750), 1 LPN at elementary A (approx. 500), a UAP at elementary B (approx. 500), and a UAP at elementary C (approx. 300). So the RN is responsible for the oversee, treatment plans etc for the corporation student body. Obviously in my research I've found that this is against recommended guidelines but I'm wondering if this is the norm or not elsewhere. (Sorry for the late response.. I work 12hr nights and was scheduled the last 2.)
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What do you feel is your biggest concern in regards to lack of use of RN's within the school? Are any of you the only RN for your school district? If so, what is your student body size? I'm in my final semester of completing my BSN and I've been working with the RN at my local school district for my Capstone practicum/ project. She is the only RN in our school district of almost 3000 students. I've heard her perspective & I've been creating my own along the way but I'd like to hear from some other school nurses. (I've been an RN for over 14 years but not in the role of a school RN.) Thank you in advance!
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I'm glad that you responded that sometimes it can be the patient that is the manipulative one and the RN the vulnerable one. I do believe that this scenario is more in lines with that. Regardless of my thoughts on that I still believe that it is unethical and a significant boundary issue.
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I'm not in PA. I'm from Indiana. :)
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I became aware via facebook posts of "in a relationship with" and other very obvious posts there was/ is in fact a relationship. I'm saddened to say that several other coworkers knew before I (via facebook) and told me that I would "get over it in a few days". I went home and slept on it and discussed it with a trusted person in my life. I did contact my manager because in fact I can't "get over it".
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Is it unethical to date a recent patient? A coworker was the nurse for this patient and days after discharge she was "in a relationship" with this patient. We work psych and this seems unethical and a boundary issue to me. It makes me sick to my stomach thinking about it. I'm not sure if I feel that this is a bigger issue than it is or not.
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This is a crisis unit? Oh my.... hope you never need the 2nd nurse to pull meds or call the psychiatrist when things go bad.
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I'm in awe that some schools already have policies in place for transgender students. Kudos to the school nurses that are making these children feel accepted.
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That is a very high nurse to patient ratio! What type of unit is this? Depression, older adult, or acute? I'm also wondering if this is short term stay or extended? Thanks for the information- my unit isn't seeming so bad right now!
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What is the nurse to pt ratio on your inpatient psych unit? Mht to pt ratio?
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I've worked inpatient psych for five years. Of course I've had some bad experiences but also many rewarding ones. I don't believe that there is much difference in psych vs other inpatient units except you are more aware of potential situations thus pay better attention to cues provided by the patients when working psych. If psych is your dream go for it!
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