Dear coworkers, I'm not your mom (or free PCP)

Specialties School

Published

Hey all -

New school nurse here - previously worked in public health and a hospital ED.

I like the job, I like ruling my own roost, I like the kids (high school), the pay is OK and the hours are amazing...one thing I can't figure out is my coworkers, the teachers and aides.

Our district has a clear policy that work-related injuries are to be called to the occ health triage nurse, and then if needed the employee reports to the designated urgent care or ER. I was very firm about setting those limits from the beginning - nope, I'm not looking at your injury - and that part is now going OK.

Apart from that though, the teachers and aides are in here constantly....they want ibuprofen, they want me to look at a bug bite, they want an ace wrap, they have a cough and want to know if they should go home. For OTC meds I generally have an overabundance (we can only order large bottles; our school is small and meds generally expire before I can use them up), so I will say, "I don't give medical advice or recommend medications to coworkers per district policy, but if there's something in this cabinet that would be useful to you, you may take it."

I'm a pretty direct person. Asked to look at someone's stitches, I said, "You should call your surgeon if you have a concern; I don't want to give you bad information" Asked if I think a teacher should go home sick when she had a cough, I said, "That's up to you - you should do what you think is best. I'm not your boss and you don't need an excuse from me. I hope you feel better."

And yet....this continues. It just seems really weird to me. These folks have good insurance and it's hard to imagine how to express myself more clearly. Does this happen to you? What do you say??

Specializes in school nursing, ortho, trauma.

add to that "this isn't Walmart"

I get really irritated when a staff member comes in for a sanitary supply. Doesn't say as much as hello to me, helps themself to my stash drawer and then has the audactiy to sigh and say, "ugh, don't you have the type with the wings?" First of all, no. I get what the catalog has AND i try to maximize my budget. Just be happy that there's something in there. Second, If you don't like what I have, go out on your lunch or prep and get what you want from the pharmacy 4 blocks away.

And while i'm on it. I don't carry belts or shoes. This is not a fully stocked pharmacy so your request for coricidin HBP is going to be met with a NO.

OK, your user name is the best. Because that's my other question - WHAT IS WITH THE ICE? Why does everyone (students and staff) want ice packs all the time? Also, why the fascination with Ace wraps? I have never seen so many people who want to compress and ice their healthy body parts!! :)

Right????Drives me nuts. You do not need an ice pack for a hangnail.....

And I figured if i stocked ace bandages and gave them out for every time requested - it would cost me about $1000 a school year. That would be tough since my budget is $400.

Staff are constantly asking me to stock medication, their brand of pads / tampons, etc. I just look at them and say - $400 doesn't get you a lot when you have over 700 people in the building!

Specializes in ICU/community health/school nursing.
I mean seriously, if you are going to ask me my advice, for the love of God, listen to it!

YAASS.

Specializes in Cardiology, School Nursing, General.

All my ice packs are gone. And it's like, where the Fluffing did they go? They cost a lot of money and I bought a bunch for the beginning of the school year!

Well then folks, at least it's not just me! I just wanted to make sure.

The funny thing is, they're hanging on my every word about self-care for a URI. Yet, the one time this school year that there was potentially a real emergency (female teacher who never comes in with anxiety-type questions for me, mid-50's, every risk factor for cardiovascular disease, hasn't seen a PCP in years, c/o chest pain and nausea, diaphoretic, had that bad color, feeling of dread)...not so much. Teacher absolutely refused 911 call, saying she was going to refuse to let them do an EKG and would refuse transport no matter what. Impervious to my long explanation that simple EKG, xray and labs would go a long way toward ruling out big problems and "You're right it could be nothing, you're right that you'll be stuck there for several hours. But it would be much better to go home tonight with a GERD diagnosis than die at home this afternoon. I know it's not what you want to hear, but literally any nurse or doctor would send you to a hospital right now."

Eventually she decided to have the principal drive her to the hospital - believe me, I also let them know why that was a bad idea, and documented my recommendations. They ended up keeping her overnight and doing a stress echo the next morning, so they must've seen something a little funky...who knows, she was annoyed at me for being the bad guy, and didn't discuss the outcome in detail. But at least I didn't have to bust out the AED in my first month on the job, ha.

What really irks me about this situation is that the staff member does not want 911 called, does not want family member called, blah, blah. They also do not want to leave the clinic either - like you are going to pull out your magic wand and just fix it. They invariably come in during medication pass time, lunch diabetic care or when you are dealing with an urgent student issue. If you are an adult and you have turned down my every medical recommendation, then I will turn my back and put my full attention back to the students in my care.

All my ice packs are gone. And it's like, where the Fluffing did they go? They cost a lot of money and I bought a bunch for the beginning of the school year!

What I do is get like 4 of the 500 pack of the 3x5 baggies and fill them with ice when they need an ice pack.

#icepackonabudget

Specializes in Cardiology, School Nursing, General.
What I do is get like 4 of the 500 pack of the 3x5 baggies and fill them with ice when they need an ice pack.

#icepackonabudget

I buy the packs... because I can't get ice anywhere! D:

Specializes in school nursing, ortho, trauma.
All my ice packs are gone. And it's like, where the Fluffing did they go? They cost a lot of money and I bought a bunch for the beginning of the school year!

my rule is that the ice packs can't leave the clinic unless there is a really good reason. And even then - I expect it will be returned post haste. Most of the time the dire emergency that NEEDED ice only has the ice pack on it for about 34 seconds then it becomes something to look at or play with. If the injury needs a lengthy amount of icing, then it may be something it might want to call home about.

Specializes in Cardiology, School Nursing, General.
my rule is that the ice packs can't leave the clinic unless there is a really good reason. And even then - I expect it will be returned post haste. Most of the time the dire emergency that NEEDED ice only has the ice pack on it for about 34 seconds then it becomes something to look at or play with. If the injury needs a lengthy amount of icing, then it may be something it might want to call home about.

Same here, but when I'm gone for lunch or when I have a sub, they disappear. It's pretty annoying.

Specializes in School Nursing, Pediatrics.
add to that "this isn't Walmart"

I get really irritated when a staff member comes in for a sanitary supply. Doesn't say as much as hello to me, helps themself to my stash drawer and then has the audactiy to sigh and say, "ugh, don't you have the type with the wings?" First of all, no. I get what the catalog has AND i try to maximize my budget. Just be happy that there's something in there. Second, If you don't like what I have, go out on your lunch or prep and get what you want from the pharmacy 4 blocks away.

And while i'm on it. I don't carry belts or shoes. This is not a fully stocked pharmacy so your request for coricidin HBP is going to be met with a NO.

OK totally made me LOL, This is NOT WALMART! Seriously! People, I am NOT a store! Buy your own stuff! And we have a Walgreens across the street!

Specializes in Pediatrics Retired.
my rule is that the ice packs can't leave the clinic unless there is a really good reason. And even then - I expect it will be returned post haste. Most of the time the dire emergency that NEEDED ice only has the ice pack on it for about 34 seconds then it becomes something to look at or play with. If the injury needs a lengthy amount of icing, then it may be something it might want to call home about.

After being a school nurse for a long time, it was a few years ago, I read a post by Flare that was very similar to this one; not letting ice packs leave the clinic. At the time, the dim bulb in my head shined bright and I thought, "that sounds like a good idea." I didn't realize how good of an idea that was. I use the reusable cool-packs and was buying 400 per year. Since I've instituted the Flare Doctrine, I haven't used 200 in the past 2 years. This is just one of the golden nuggets of nursing savvy I've picked up on this forum from a bunch of savvy school nurses. I don't say it enough but you guys are the best!

Specializes in kids.
After being a school nurse for a long time, it was a few years ago, I read a post by Flare that was very similar to this one; not letting ice packs leave the clinic. At the time, the dim bulb in my head shined bright and I thought, "that sounds like a good idea." I didn't realize how good of an idea that was. I use the reusable cool-packs and was buying 400 per year. Since I've instituted the Flare Doctrine, I haven't used 200 in the past 2 years. This is just one of the golden nuggets of nursing savvy I've picked up on this forum from a bunch of savvy school nurses. I don't say it enough but you guys are the best!

TheFlare Doctrine that has screenplay for a movie written all over it!!!

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