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Providing Care to Staff

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SchoolNurseK has 18 years experience as a BSN, RN and specializes in Home Health, School Nurse Newbie.

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OP 

You are there for the students.  Verify this kind of situation with your boss and ask how you should handle it.

I had a teacher's aide come in last time I subbed.  She didn't ask permission to grab some chips and candy , which are there for the students.  She wanted a bp check.  I might have done it if I hadn't been in the middle of something with 2 students.  I didn't say anything about her taking the snacks, although it did irk me.  And the regular nurse likely lets her do it.

I did tell her I wouldn't be able to do the bp right then and she said, "Oh, that's OK".  She left, thankfully, and didn't seem upset.

Reminded me of a jail job I had where the Supervising Nurse used to do a daily bp check AND give the same guard his Rx, out of our Clinic supply of meds.  Every day, 5 days per week.  Over the years she had been doing this, it likely added up to grand larceny.  

There is a disconnect with the teacher who thought you would/should always be there.  She needs to go back to whoever first taught her to do the shots and practice with that person until she is confident enough to give herself the med.  Just curious - is it insulin?  Or something that she REALLY has to do at school?

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On 2/6/2020 at 11:35 AM, AdobeRN said:

Thats crazy!  This teacher just burned her bridge....my resolution from now on would be "please call your doctors office if you need assistance".  

I will provide first aid for injuries for my staff and emergency care when needed but other than that I try to just direct to whatever they need and tell them to help themselves. 

One thing I did was set up a Auto BP cuff in the teachers lounge with info/directions from American Heart Association on how to use it - teachers now can check whenever they feel like it without interrupting me.   

great solution!  I hope it doesn't walk away.  😀

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TriciaJ has 39 years experience as a RN and specializes in Psych, Corrections, Med-Surg, Ambulatory.

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On 2/6/2020 at 10:36 PM, LPN Retired said:

The job I used to work at, people would come in to The medical dept all the time for a B/P check. And it didn't matter what you were doing they expected you to drop it and check their b\p. We had heavy

 med passes to get prepared and it wasnt always convenient to,check staff. They needed to realize it wasn't a requirement in our job to check them . it was a courtesy. Then it became even more annoying because they wanted you to say whether or not it was too high. And of course you cant say,that on just one b/p check. It wasnt my place to diagnose them anyway. I would just tell them they needed to discuss it with their doctor. I'm so glad I don't work there anymore. 

Let me guess:  corrections?

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On 2/8/2020 at 12:25 PM, TriciaJ said:

Let me guess:  corrections?

No, itbwas a facility for mentally and physically handicapped people, children and adults. Itbwas licensed as a LTC.  

There were alot of employees there. WE were expected to do the b/p checks as a courtesty. It could just be so inconvenient at times. 

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On 2/8/2020 at 1:37 AM, Kooky Korky said:

great solution!  I hope it doesn't walk away.  😀

so far so good - going on 2 years now.  🙂

 

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AutumnDraidean has 20 years experience and specializes in School health, Maternal-Newborn.

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I went through this today...I think the adult involved might be a drama llama, but I didn't like in the least what I was hearing. I took her BP and it was 140/90 manually. scarcely 90 minutes later we checked it and it was quite a bit higher. This had happened the day before and she had been told to redose her BP med, this morning she had doubled it. I said "You need to be seen by your doctor, either at the office or in the ER! I was not happy. I suspect (and hope) she was working herself into a frenzy, but I can't untangle that! The doctor's office double booked her in, hopefully she'll get sorted before I next work there. Uggggggggg!!

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