Jump to content

Questions and Prayers!

Posted

Has 5 years experience.

I've worked in LTC, Rehab, and most recently tele-triage. School nursing.. I have no idea what to expect! I applied and have an interview Tuesday as the full time high school nurse. I'm so excited.. I mean I really REALLY want this position! I've been stalking this site and researching 504, IEP, etc. but I'm not sure what I should know.

I'm confident in my skill set but since I've never been in the school nurse setting I don't know of the policies and the proper way to answer the interview questions. For instance, If a girl comes to the clinic and tells me she's pregnant what would be the appropriate way to respond? or "You suspect a student is on drugs what would you do?" I mean I have an idea how I would respond and I would always refer to school policy but how would YOU that have worked this position respond?

Any advise on what to know before the interview would be greatly appreciated. She said I will sit in front of a panel!:blink:

Also, what kind of situations have you had to deal with on the high school level?

Farawyn

Has 25 years experience.

The drug kid. So a physical assessment, look in his eyes, etc., TALK to him. Sometimes the kid just tells you. They can't be in school under the influence, so they have to go home.

I would call the AP and tell him of my findings. I share an office with my SW, so usually we try to talk to the kid. The AP calls the mom, they take the kid home, and if there is disciplinary stuff it goes from there.

The pregnant girl- I would refer to my more experienced nurses here, but I would think that I would probably call social work as well and the parent. I haven't had this issue yet, and I wasn't asked that.

Good luck!

KelRN215, BSN, RN

Specializes in Pedi. Has 10 years experience.

^ In some states it is illegal to tell the parent of a pregnant teenager that she is pregnant. There are laws in place to protect the teenagers.

If a teenager came in and said she's pregnant, I would ask "how can I help you?" She may not even know that she's pregnant for sure and need to take a pregnancy test. If she is, let her talk about it. I'd ask "have you told your parents?" or "do you need help telling your parents?" but in no way would I call the parents myself.

Drugs are a disciplinary/administration issue. I'd call whomever is charged with dealing with those issues.

ohiobobcat

Specializes in ED, School Nurse.

High school nurse here. Both situations you are worried about have happened to me.

The drug kids, I assess, and as long as they are stable I get administration involved because it turns into a disciplinary issue at that point. If they are unstable, I call 911 or parent (whichever is appropriate) and still get administration involved.

The pregnant student- I don't have much to offer her other than education, support, and referrals. To be honest, the pregnant student I had last year dealt with guidance more than me. In my state (Maine), I would not call the parents. If an underage student is pregnant in my state, she can make her own healthcare decisions without parental input or consent. That particular student came back to school this year and will graduate this June!

I have 15 diabetic students on my campus. I am dealing with 2 students right know who have undiagnosed (work-ups in process) seizures on a weekly/biweekly basis. Anxiety and stress are huge issues in the high school population. I let students come in my office and "chill" for a bit sometimes. I keep coloring supplies on hand. I also have bubble wrap that I save from packaging that I let the kids play with. I deal with a lot of concussions and post concussive plans as well.

I love my students, even though they make me want to pull my hair out sometimes.

Flare, ASN, BSN

Specializes in school nursing, ortho, trauma.

A background in rehab will come in handy when you have the student marched into your office for suspected under the influence. I'm sure that all your as a whole experiences have given you enough assorted experiences to give you a strong start as a successful SN.

This job is definitely not like any other type of nursing. On the surface to someone who has never done it it can seem repetitive (you sit there and pass out bandaids all day) but it's far from that. It's busy, it's complex, and even during the moments when we have an empty office and down time - we can use that time to catch up or do the background projects.

There are times that I get aggravated with my job - there are times that i think i feel underappreciated and verbally abused by blowhard parents - but then I remind myself that I am here for the students who for the most part are really great kids and I really enjoy being around.

JenTheSchoolRN, BSN, RN

Specializes in School nursing.

I will also chime in on the pregnant student situation. In my state (MA), I do not have to call the parents (it is protected health information by law here) and can help the the student to receive health care/testing without parental permission. I would, of course, strongly encourage the student to tell her parents and help facilitate as well in conjunction with the school counselor if she needs support doing so. The way I can document any pregnancy-related treatment is also very protected info in my state, so I'd recommend being familiar with the laws/protection in your state for pregnant teens.

As for drugs, I access, and as someone else said up thread, if they are stable, it is discipline issue, not a medical one and I turn it over to the principal and dean of students. You can always stress the importance of good communication in an interview :).

NutmeggeRN, BSN

Specializes in kids. Has 25 years experience.

All of the above (HS nurse here). Kids are like onions, you have to peel them back layer by layer. Three things that present, often boil down to anxiety or stress; headaches, shortness of breath (from hyperventilation) and stomach aches.

Farawyn

Has 25 years experience.

ohio, I'm snagging your bubble wrap idea.

For myself!

ohio, I'm snagging your bubble wrap idea.

For myself!

Farawyn- You just said what many of the rest of us were thinking!! :)

ohiobobcat

Specializes in ED, School Nurse.

Not gonna lie- I have had to throw away a few pieces of bubble wrap, and it wasn't because the students used it up... :whistling:

SnugglePuggle

Has 4 years experience.

I let students come in my office and "chill" for a bit sometimes. I keep coloring supplies on hand.

Awesome idea! I have middle school kids and have a few regulars that come to chill due to anxiety. I am going to get an adult coloring book and a set of colored pencils for my clinic!

ohiobobcat

Specializes in ED, School Nurse.

I am going to get an adult coloring book and a set of colored pencils for my clinic!

I print mandala pages for free off the internet. I have colored pencils and markers for the kids to use.

OldDude

Specializes in Pediatrics Retired.

If I were a High School or Junior High nurse it'd take more than bubble wrap and coloring books to convince me to even show up every day; maybe transdermal valium would help - along with the bubble wrap.

You guys are awesome!

SassyTachyRN

Specializes in Peds, Oncology. Has 4 years experience.

I have 15 diabetic students on my campus.

15!!!!! 😮

Awagner311

Has 5 years experience.

Thank you for your comments, suggestions, and support! I think I did ok today... It was a panel of 3 RN's. They where impressed with my experience as a triage nurse and asked if/when I'm free to shadow if I'm one of the final selected candidates.

My friend works in their district as a school nurse (she's also an LPN) but I can't help but feel they are looking for an RN to fill the position.

They called me in knowing I was a LPN and I feel I did the best I could so all I can do now is stay positive and pray they give me a chance.

Again, thank you all who responded!