Do you ever NOT give out ice packs? - page 4

I feel like I'm becoming some sort of icepack Nazi! I have literally gotten so low on icepacks that I'm now hoarding the few I still have for those instances where ice is NECESSARY and not just... Read More

  1. by   scuba nurse
    I do not have reusable ice packs, so that is not an issue for me. I make ice cubes, and put them in ziplock snack size baggies. I do have instant cold packs for bigger injuries that I use sparingly.
    I do not give ice packs for someone who is just "hot" from running at gym or recess, you can have a cold drink of water, you don't get an ice pack at home do ya? So you are not getting one at school.
  2. by   Flare
    it's kind of a balance for me between allowing the ice for the invisible injuries that the kids will hold on there for 5 seconds and scooting the kids out the door after looking at the afflicted body part and saying "ok, i'll make a note of it". Either way - ice packs do not leave my office unless you've got a really good reason.
  3. by   SchoolNurseTXstyle
    Quote from RobbiRN
    Thank you. Thank you. Thank you. I might add, from an ER perspective, there are times when ice is contraindicated. Burns - still seeing ice applied to burns which increases the tissue damage. Cool water to stop the burning, no ice. Cellulitis - any redness that is more than a day or two old and not turning dark is more likely infection than bruising unless the source is clearly known. Abscesses, including dental abscesses - again, any cooling of infection reduces the body's ability to get soldiers to the battlefield, and that includes ice cream and Popsicles for throat infections. This is a bit of a departure from the discussion, but, in response to the opening question, these are times I would definitely withhold ice in any form.
    Thanks for your perspective!! The one time I always say no to ice is for burns. So,so true about the infectious process, let the body do its job - it can do so much on its own without intervention.
  4. by   OyWithThePoodles
    I just told a kid no.

    Hurt his knee it yesterday, was kicked while playing soccer by a kid with cleats. He said it bruised really quickly so mom took him to the ER (I inwardly roll my eyes) and the doctors said it was just bruised (no kidding). Now he wants an ice pack. With 15 minutes left in the day. No. You are fine. Get one when you get home. His pants were so tight he couldn't even get this pant leg up to show me.

    I'll let you know tomorrow if I get an angry call for not giving an ice pack.
  5. by   NanaPoo
    I get ice from the machine in the cafeteria every morning and keep it in a beer cooler in my clinic. I make ice packs with ziploc baggies wrapped in paper towels. I give out ice packs pretty freely and there's no way I want a kid sitting in my clinic for 20 minutes...take the thing with you and get out of here! Kids sometimes say they get in trouble for opening the baggie and drinking the cold, melted ice which kinda grosses me out. They don't know if I clean out that cooler or not! But if teachers have a problem with kids drinking my ice packs instead of using them for their intended use, perhaps they shouldn't send them down with crazy, "my leg just randomly started hurting 2 minutes ago while I was sitting in class," or "I bumped my elbow on my spiral notebook."

    Like the rednecks say back in my hometown, "that'll lern ya, dern ya."
  6. by   WineRN
    Quote from NanaPoo
    But if teachers have a problem with kids drinking my ice packs instead of using them for their intended use, perhaps they shouldn't send them down with crazy, "my leg just randomly started hurting 2 minutes ago while I was sitting in class," or "I bumped my elbow on my spiral notebook."

  7. by   NanaPoo
    I guess I'm more of an ice pack socialist rather than an ice pack nazi.
  8. by   tippeny
    Yes, we refuse to give ice packs all of the time in our Middle School. We have the nice reusable ones, but we save those for head injuries and we don't let the kids leave the Health Room with them. Our school does not even have an ice machine (not even in the cafeteria) so we simply fold up the high-quality brown paper towels that the school supplies and put them in ziplock bags with water, freeze overnight and viola! Cheap-o ice packs.
  9. by   moreoreo
    I have just implemented the exciting "ice packs do not leave the health office" (unless there is a documented injury that would warrant an exception) rule and there has not been any resistance to it yet! I just clearly state to the student, "I am going to have you sit here and rest five minutes with the ice pack and see how you feel" and after five minutes they are good to go! 23 ice packs were used but not lost yesterday . And each student also receives a complimentary short teaching about how as we grow up, we bump ourselves on a lot of things, and the discomfort after that is natural and not something that I can or should get 100% rid of
  10. by   Flare
    i find with the "no ice packs leave the office" rule that the average time that the ice pack is actually needed is actually very short -unless we're talking either a legit injury or a kid trying to dodge something they don't want to do - class, gym, test, presentation. I love how they all think they're the first one's to come up with that.
  11. by   TeenyTiny
    Okay, so I mostly lurk here on allnurses as a whole and have long periods of time where I don't even look at the sight. Lately I've been visiting a lot and the school nurses forum pops up for me to lurk on as you all are so active and have such interesting threads. That said:

    I though of this thread yesterday morning when my kindergartner presented me with an accident report from her school nurse for an incident from Friday that I would have had no knowledge of without this report. In it was stated that another kid hit her on the nose with a toy and that an ice pack was given. I just laughed as, once again no marks or anything, no comments about it over the course of the weekend, and this is the first time that I've seen something from the nurse (meaning that my daughter hasn't had to go to the nurse for anything before this).

    I looked at my daughter, shook my head and told her that I bet she didn't even need the ice pack. My daughter absolutely disagreed and all I could do was say a little prayer that the nurse can make it through the remaining 5 weeks of the year.
  12. by   Amethya
    I'm the same way. I had a TON of ice packs, but then now they are ALL gone. I had to order more, but I accidentally got the big ones. So I been like hording them and telling them no you can't take it with you. I'm planning of asking for a ice maker machine for next year so I don't have to deal with so many like this again! And honestly I been finding them little by little but in the weirdest places. I found one in the ceiling of the girls restroom...
  13. by   mbcatac7
    I bought Ice Bags and a Ice Cooler. I fill it up with ice everyday. Then I just give out these bags that kids can throw away when done.