School nurses and other RNs not supportive of decision to send their child home

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I have to tell you all I left school last week LIVID. Flu and strep are hitting hard here with most cases happening in one class. I had to send home kids with fever in droves. Some only had fever while others had a variety of symptoms. Two of the mothers, both RNs (one is a school nurse) proceeded to insist my thermometer is broken/inaccurate as they "didn't have fever" at home. They then proceeded to stir the pot on FaceBook with other parents. I did not see what was said because I do not "friend" parents, students, etc. as it crosses professional boundaries. However, the teacher relayed what was said.... And in came the emails from other parents questioning my thermometer, swearing their children were fine. REALLY?!

I gave our principal the heads-up. The principal had no issue with how I am handling everything so I went about my business. I have been an nurse for 10 years and have never been accused of not checking temperatures properly. I base decisions using appropriate tools, assessment skills, and experience.

Since then, most students who were sent home last week ended up flu and/or strep positive. One tested negative initially but the back up culture grew out strep.

I guess I am needing to share this experience so we can all be mindful how we treat other nurses. We may not all agree on decisions made but should still be supportive. There is no need to be rude and cause more stress and drama than already exists. This job is difficult enough. Most school nurses are the only medical professional on site at any given time. I am terribly disappointed that another school nurse could act like that. She knows the job and still chose to not only be insulting over the phone but also on social media.

Thanks for listening.

Specializes in hospice.

Oops, sorry. Honestly didn't even look at the pic. Just call it a brain fade. ;)

Specializes in Med surg.

Sorry!! Just remember-You can please some of the people all of the time, all of the people some of the time- but you can never please all of the people all of the time!! I'm sure you're a great nurse- Facebook sucks!! And people who use it to trash others- are just immature!!

Wow, posting on social media??? That is all kinds of inappropriate. I am on my town's FB page where moms have complained about teachers, policies, etc. I've gotten quoted out of context there. "The school nurse said there is a stomach bug going around the whole school and there are tons of kids out." I actually told the mom that stomach bugs frequently go around schools and we often have kids out due to a stomach bug.

I wish your principal had been more supportive. I don't believe parents should simply get away with saying these things. I had a child the other day with a temp of 100.4. We send home for temps over 100 so I called her mother. The mother said, "Every time you send her home, she is totally fine when she gets here. Your thermometers are all kinds of inaccurate. Did you test her with more than one?"

Uhhh.... no. I took her temp twice and she had an elevated temp. She is going home. I have sent this child home exactly 1 other time and her parents ignored the phone for hours as her temp went from 100 to 101 to 102 to 102.7 when they finally picked her up.

Dad call the next day and reported that she had strep.

Did I mention that she's been out for about 40 days already? So the one time she needs to be home, the parents protest because they know she is already a truancy case.

Specializes in kids.
NutmeggeRN,

I did not claim to be able to assess the same as a nurse, that I was a nurse, or that I do everything a nurse does.

As a school nurse, I am restricted as to what I am allowed to do. The vast majority of the tasks an RN is required to perform in a hospital/clinic setting are not legally allowed in Hillsborough County schools. I have been trained and re-trained by a tenured RN that trusts and respects me on what I am responsible for. I am perfectly capable of handling medical emergencies and administering CPR and the use of an AED.

My point was to bemoan this exact kind of mindset that I encounter in presumptuous and rude parents (and unfortunately other nurses that I am supposed to look up to).

Best,

A useless CNA.

I did not call you useless, I value very highly the CNAs I work with in another job, but you just called yourself a school nurse.

That is my issue.

Over and out.

Specializes in Pediatrics, High-Risk L&D, Antepartum, L.
NutmeggeRN,

I did not claim to be able to assess the same as a nurse, that I was a nurse, or that I do everything a nurse does. In fact, I specifically mentioned that I am missing many important skills that a licensed nurse has. I do understand why some parents may question why a CNA would be in this position as it is typically an RN or LPN at the very least. However, they come to trust and respect me when I care for their students and everything turns out fine.

When you say "us," to whom are you referring? I have extensive medical and scientific education, as I have a bachelor's in Public Health and I completed two full years of pre-nursing coursework, including pathophysiology. I have more knowledge than a CNA with no prior medical experience. My passion lies within caring for people and the science of medicine and disease. It pains me that someone might think that that doesn't matter or isn't useful for my job simply because I haven't gone through the same exact training as an RN or higher.

Would my employer have agreed to hire me for this position and ask me to return for a second year with a spotless evaluation if I wasn't qualified and skilled? I'd like to think not. I am presenting myself as a medical professional, an aspiring nurse and a caring human. I am sorry to "poo" on you, but the way in which you have just presented yourself is unsavory and judgemental.

As a school nurse, I am restricted as to what I am allowed to do. The vast majority of the tasks an RN is required to perform in a hospital/clinic setting are not legally allowed in Hillsborough County schools. I have been trained and re-trained by a tenured RN that trusts and respects me on what I am responsible for. I am perfectly capable of handling medical emergencies and administering CPR and the use of an AED.

My point was to bemoan this exact kind of mindset that I encounter in presumptuous and rude parents (and unfortunately other nurses that I am supposed to look up to).

Best,

A useless CNA.

Better make sure that whatever you are doing is legal! It doesn't matter if an RN trained you or if you are trusted. It is illegal for you to do many things an RN does. Also, please know that taking some classes but not completing a program and earning the degree and then the license doesn't mean much in the way of being able to do a job. It isn't how much you completed or didn't complete...it only matters if it is completed and license earned. So if somebody told me they were playing nurse at my child's school based off of some classes and not a license...I would be pissed.

And yes...right here you called yourself a nurse and any self-respecting nurse would have great issue with that. You are NOT a nurse of you do not have an LPN or RN license.

Specializes in kids.

Thank you IrishIzRn....thought I was out here by myself.

Nutmeg and Irish are right. You cannot call yourself a nurse if you are not a licensed nurse.

Wow, posting on social media??? That is all kinds of inappropriate. I am on my town's FB page where moms have complained about teachers, policies, etc. I've gotten quoted out of context there. "The school nurse said there is a stomach bug going around the whole school and there are tons of kids out." I actually told the mom that stomach bugs frequently go around schools and we often have kids out due to a stomach bug.

I wish your principal had been more supportive. I don't believe parents should simply get away with saying these things. I had a child the other day with a temp of 100.4. We send home for temps over 100 so I called her mother. The mother said, "Every time you send her home, she is totally fine when she gets here. Your thermometers are all kinds of inaccurate. Did you test her with more than one?"

Uhhh.... no. I took her temp twice and she had an elevated temp. She is going home. I have sent this child home exactly 1 other time and her parents ignored the phone for hours as her temp went from 100 to 101 to 102 to 102.7 when they finally picked her up.

Dad call the next day and reported that she had strep.

Did I mention that she's been out for about 40 days already? So the one time she needs to be home, the parents protest because they know she is already a truancy case.

Precisely! It truly drives me crazy. I wish there were something else I could do regarding social media but I'm afraid this is the world we live in now. Things calmed down for now. Hopefully this is the last incident with these parents this year. We shall see.

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