JustJai

Greetings, Old school method...years ago I made a paper record for each student and documented on their individual record. I'd have a record of how often they were seen, the reasons they came, etc. This doesn't help if you need overall stats, but it gives you a broad picture of a specific student rather than searching through days and days of records. I also kept a daily, handwritten, record of names of students I saw each day. Fortunately, we went electronic shortly after that.

I don't do mid or end year reports. What is the content of these reports?

I have never used USAJOBS.gov. I can't offer any suggestions on what you need to do get straighten out the password. I would suggest you call the school you are applying to and get the principal's email address. Get your name out there. Tell them you are interested in being considered for a school nurse position at that school, but you are having difficulty with USAJOBS. Ask if they have any insight into how to address the problem. I have to hold my breath when people start to complain about DoDEA working conditions overall. Sure everyone has issues with administrative decisions, but when your classroom population rarely exceeds the low 20"s (right now my school is averaging 18 students per class - I work at the ES level), supplies, for the most part, are not lacking, technology, for the most part, is supported with an okay number of computers, a salary that most people would not turn their nose up at, rent and utilities are part of the compensation package for those who work for DoDDS. DoDEA, Department of Defense Educational Activity, is the umbrella government agency, with headquarters located in Virginia. DoDDS, who I work for, is Department of Defense Dependent Schools. DoDDS schools are the ones located outside of the United States. DDESS, Domestic Dependents Elementary and Secondary Schools, have schools on military bases in the US and US territories such as Guam, and Puerto Rico. DDESS salaries are higher because they do not receive the housing compensation provided to DoDDS professional staff. Off the top of my head, the DDESS schools are located in NY, VA, KY, NC, SC, GA, and AL along with the two territories mentioned above. There are no DoDEA schools west of Kentucky. If you know of a school on a base other than the ones mentioned above, most likely it is run by the local school district. The staff at those schools are not employed by the federal government. nursetlm - yes, DoDEA now requires a BSN. I have an associates degree and got in just under the wire before that was implemented. Fortunately, I am grandfathered. I am close to retirement age. For me the costs of completing a BSN outweighs the benefits of having one. Education salary bumps don't start until you begin accruing graduate level credits. Many schools in Europe have health aids or techs and an LPN would be perfect for that, but DoDEA would only hire local applicants for those positions.

Put an application into USAJOBS.gov. If they contact you about an interview they will tell you which location they are interviewing for. I was hired before DoDEA began using USAJOBS.gov, so I don't know if you are able to specify a particular area. I work outside of the US. If someone is lucky enough to be offered an OCONUS position (outside of continental US), no matter where it is located, they should grab it. Great pay, great benefits, and we don't have the serious physical health conditions that some nurses have in stateside schools. Every student has at least one parent employed with a military related job. Adequate food and housing is not a concern we have to address. I read so many comments here about parents not returning phone calls, not following up, or unable to follow up, on needed medication or doctor's appointments. I don't have to pull teeth to get immunizations. If I can't reach a parent in an emergency we will contact their military chain of command. If the immunizations aren't brought up to date in the specified time the student cannot return to school until the updated documentation is received. No parent would dare send a COVID positive student to school or send their children to school if a member of the household is in quarantine due to either a family member being positive or in close contact with someone else who is positive. There are very strict rules in place during this pandemic.

SN's, you have my admiration in the handling of the hard times you have experienced for the past year. I am very fortunate that our students presenting with symptoms on the COVID-19 Testing Criteria are referred to military public health. There is no option on whether or not their child will be picked up from school. PH does the contact tracing and the decision on who has to quarantine. I wish I could bring all of your stories to our monthly meetings to reinforce with my colleagues that we are very fortunate in the overall support we receive from our medical community.

Google images for clonidine 0.1mg and you fill find 5 different appearing pills on the first page alone. I don't check that the pharmacy has placed the correct medication in the container. I guess I will from now on by comparing the medication description on the bottle to the actual med on hand. I consider I am meeting the 5 rights by verifying the name on the bottle with the name of the student in front of me, checking the medication administration information (name of student, name of med, dosage, and time) on the container against the written order. I am sorry that you are experiencing this.

Greetings, I've been a DoDEA nurse for several years. Like any job, it has good days and difficult days. To the best of my knowledge, all DoDEA schools are located on military installations both in the US, US territories, Europe and the Pacific. We serve dependent children of active duty, both US and overseas, and GS/contractor staff on bases outside of the US. There can be schools on bases in the US, Camp Pendleton comes to mind as one, that are not DoDEA schools. Please message me if you have specific questions.

I can't stomach watching this docu-series yet, but I am reading through the comments posted here. Some have said the teachers are told to not call 911 until an admin has been involved in the situation. Perhaps an anonymous 911 call requesting a welfare check could be made if there is push back from an administrator when there is concerns about a student that are being poo-pooed.

Does the student have a significant amount of pain associated with her IC? What is the pain management plan? Does the parent given a specific reason(s) that she is missing so much school? Embarrassment, pain management, etc? What accommodations can be put in place for the specific reasons she doesn't attend school?

Very sorry to hear about your little. I've had one student death in my SN career. It was crushing. Fortunately, the school psychologist is a great friend and would listen to my sadness. Use whatever options you have open to you for emotional support.

Treatment protocols for my district are a combination of oral and topical antifungal cream, lotion, or shampoo. As stated by OP, oral treatment is necessary because the fungus invades the hair shaft and goes beneath the skin. Medications are taken for 4-8 weeks. Selenim sulfice shampoos such as Head and Shoulders and Selsun Blue may help since another medicated shampoo was not prescribed. Silly, silly person. Sometimes I want to complete the NP just to tell them they are a silly, silly person.

Mu union dues are approx $1000 a school year. Worth every penny to me. For pay purposes, I am on the teacher pay scale. My liability insurance is provided through the union. There is a union spokesperson in every school that has monthly meetings with the principal, and a union president that meets with the district superintendent and area superintendent also on a monthly basis. The one thing I wish the union would pay more attention to is re-credentialing credits. I am required to earn 6 college level credits every 6 years in the "area of my instruction." I, and other nurses/psychs, have argued for years that we should be X number of CEU's required every two year state licensing period rather than college credits. The CEU's I have taken provide much more valuable information to me than a college class does at this point.

On the first day staff members returned I received one hour of training time for blood borne pathogens training, proper medication administration, providing first aid during field trips, review of EAP's for anaphylaxsis and asthma, YouTube videos on use of an Epi pen and inhaler (I found a great 30 second video of a woman have an anaphylactic reaction. The teachers were able to hear her respiratory distress and saw the huge improvement within 3 seconds of her using her Epi pen. It is one thing to hear me drone on about it and a whole other ballgame to see it actually happening.) I reviewed the items in their classroom first aid kits and why they should use the band-aids in these kits, after hand washing of course, rather than sending students to see me, stressing the reduction of missed instructional time for the student. I see students on a first come/first treated basis unless it involves puke, respiratory distress, LOC, or major bleeding. The student could be gone 40 minutes, depending on the time of day they come, from the classroom for a simple band-aid that is probably not needed in the first place.

For me all of the forms used by school nurses were created at the superintendents level. We don't have to come up with wording for immunization notifications, exemptions, or dis-enrollments letters, it is already done. We have a Request Immunization Exemptions form that is provided to parents as requested. The form has to be completed yearly for non-medical exemptions. The statement the parent signs begins with "I have received information on the risks associated with the diseases for which immunizations are required for school admittance/attendance...." Our nurses are responsible for providing the parent information/education. I print out the CDC VIS and attach it to the waiver request. I write "VIS for _____________ (usually the seasonal flu) was provided to parent" on the bottom of the waiver request. I am amazed when I read all of these battles other SN's are fighting to get back either immunization documentation or the immunization waiver request. Parents are given ten days from enrollment, or date the immunization comes due such as the 11th birthday, to turn in the immunization record. On the eleventh day, when no paperwork is received, or an email/phone call explaining extenuating circumstances, a letter is sent from the principal with an additional ten days and a dis-enrollment date. It gets the job done every time. Too many other SN related responsibilities, such as caring for the little ones standing before me, to spend loads of time on chasing paperwork.

I am going to add to this thread. This is my second year in a primary school after 11 years in a MS. I have 650+ student population in Sure Start and K-2. I work in a US government school for military connected children living outside of the US. My organization requires V/H for K-2, 5th, 7th, and 10th grades, however some nurses screen their entire school. I could plow through V/H on MS students in the blink of an eye. Now kinder head bumps and near vision screenings are the bane of my daily existence. My school purchased a wonderful lightbox with remote control for the distance screening. I can usually complete a hearing and distance vision screening in 2-3 minutes per student. I have not figured out how to quickly and smoothly complete near vision screenings on these young students. Between holding the card the correct inches from their eyes, making sure they are not moving their heads backwards or forwards, while at the same time ensuring they are reading the 20/20 line correctly is such a time-consuming juggling act. I have researched and researched affordable devices I could use other than a Titmus, but haven't found anything other than the WelchAllyn Spot Vision, which is pricey. I got the other 12 nurses in the district on board to share one SV and a purchase request was submitted. The district denied the purchase request. ? There has to be an easier, more streamlined way to do this, but I just haven't figured it out. Thank you for any suggestions.