Assessing the student on drugs - page 3

What does your assessment consist of for students who are believed to be on drugs? (I am a nurse at the middle school level) Adminstration brings them to me to be checked out and make sure their... Read More

  1. by   hppygr8ful
    Quote from cjl_RN
    What does your assessment consist of for students who are believed to be on drugs? (I am a nurse at the middle school level) Adminstration brings them to me to be checked out and make sure their stable. I do a full set of vitals and check their pupils and alertness and orientation. Also pay attention to any odors.
    At my son's school all parents sign an consent for UDS which can be done randomly or for suspicion.

    If they appear altered they should be sent to ER for evaluation.

    Hppy
  2. by   Alex Egan
    Quote from beachynurse
    We are not allowed to have stock Nalaxone in our clinics, but our resource officers have it in their offices. There is an "agreement for it's use" if he is not there. I would not be able to stand by and let a kid die all the while knowing I had access to the medication that could save them. I totally know the potential consequences, but I couodn't live with myself if I let a kid die.
    I wouldn't give Narcan even if I had it. Support respiratory effort with a BVM and call EMS. Let them deal with it, and titrate the Narcan rather than giving a big nasal dose.
  3. by   purplewaves45
    Quote from Flare
    The latest craze in my school is vaping. Fortunately, it seems like they are only vaping nicotine while in school and reserving the cannabis for their weekend parties. Crafty little buggers are even cutting holes into their hoodies so they can hide their juul or whatever in there. The e-vape doesn't leave a stench on them and if they are using thc oil, there isn't much of a smell on them. As far as assessment goes, it's pretty much a safety assessment. VS, balance, gaze, etc. Like previously stated, a modified police sobriety test is what I use however I make it clear to the administrator /teacher / whomever is making the claim of possibly impairment that I am unable to make the determination of under the influence or not. I can only give an opinion of whether or not I feel the child is safe to remain in school or has results different from their norm.
    There are actual "vape" hoodies, shirts and backpacks out there. Designed to vape or juul without anybody knowing. Hoodies, Backpacks and Gear with Integrated Vapor Delivery System! – Vaprwear
    Lots of marketing towards teens as well... arg.
    And the flavor pods are not nicotine free...
  4. by   Flare
    hmmm... what'll they think of next? I'll have to be on the look out for those "drawstrings". Thanks for the info, Purplewave
  5. by   CampyCamp
    Quote from MHDNURSE
    I work K-3, so thankfully have not dealt with this. But curious what the point is? Is it so admin can call the parents and send the kid home, saying they can't be in school? Or for disciplinary actions? Just curious. I feel like it's one thing if it a safety issue, but I would hate to have the responsibility to be the one deciding if a kid warrants disciplinary action, etc. I can already see certain parents trying to say the school nurse is wrong, can't diagnose, etc.
    I had to pull out my high school assessment sheet (similar to the one posted) one day at our K-4 for a sub teacher who was possibly under the influence.
    Luckily (for me) instead of coming to me for assessment like the principal told her, she snuck out the back door and drove off, never to be seen by us again. I did NOT want to be involved in a teacher's discipline!
  6. by   CampyCamp
    Narcan- We do keep it and we have used it in the high school along with CPR. Gave the kid an extra 2 years.
  7. by   stephrooth
    Quote from NutmeggeRN
    Great form! Are the two dashes after each sympton for either yes or no?
    It's for Yes or No answer
  8. by   pseudonym87
    I'm not a school nurse, but after reading the consistency among all of you in your responses, it makes me really glad to see you advocating for the students and not allowing your position to be used in unethical manners! You guys rock!
  9. by   NutmeggeRN
    Quote from CampyCamp
    Narcan- We do keep it and we have used it in the high school along with CPR. Gave the kid an extra 2 years.
    ugh....
  10. by   NutmeggeRN
    Quote from pseudonym87
    I'm not a school nurse, but after reading the consistency among all of you in your responses, it makes me really glad to see you advocating for the students and not allowing your position to be used in unethical manners! You guys rock!
    That is an intersting post. Do you see a nursing speciality that DOES do that?
  11. by   Cattitude
    Quote from Duranie
    Just curious, now that naloxone is OTC in 46 (48?) states, do any of you have it as a stock med, similar to epi-pens?
    Have any of you considered asking TPTB to allow you to have it in your arsenal?
    It seems like it could be prudent, given how many of you seem to be being asked to assess for possible drug-use.

    There are groups out there that are recommending that every household have naloxone in the "med cabinet" much the same way ipecac used to be recommended. If every home should have it, shouldn't every school?
    Just a bit of food for thought.... idk where I am on the issue, frankly.
    Old timer that hasn't posted in forever here! Yes we carry it in all of our 30+ schools in the district, including elementary.
    Thankfully I don't think I'll ever have to use it. XXXXX
  12. by   T-ROD
    I typically do a set of vitals. Check pupils and tracking. We have a community police office on campus so if we think its possible they go see them.
    Honestly every kid I have ever checked if they was guilty would fes up the minute the b/p cuff goes on or they show no signs of anxiety or nerves.
    I think honestly its used more as a scare tactic when I come in. LOL!!!
  13. by   Duranie
    Quote from IKnowYouRider
    I think it's difficult to assess students while on drugs, especially when the amphetamine causes my penlight to shake.

    Wait...what are we assessing for again?
    Aren't you a smarty pants....
    {Don't mind me....I just don't know how I didn't think of it first....}

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