High School Nurses how do you....

  1. High School Nurses how do you deal with the I am tired shenanigans.

    Do you ever allow them rest or do you say sorry I don't let tired students rest and send back to class?

    I know I need to be firm when it comes to high school kids especially.
  2. Visit peaceful2100 profile page

    About peaceful2100

    Joined: Aug '00; Posts: 896; Likes: 83
    Registered Nurse; from US
    Specialty: 10 year(s) of experience

    7 Comments

  3. by   xxbeach
    Assess the student.

    Is there a physiologic reason for the student being tired? Consider medication side effects or recent illness. Is the student being bullied? Is the student feeling depressed and looking for a private chat?

    Rule out everything else, then notify the parent. Host a parent conference inviting a teacher, counselor, social worker, and/or administrator.
  4. by   BettyGirard
    Yes, let parents know. After a consult, we may "turf" the student back to class.
  5. by   peacockblue
    I try to get to the bottom of it-do they work super late? Are they hungover? Are they avoiding a particular class everyday? Are they hungry? If I can't figure it out, I send them to guidance. Sometimes it is just class avoidance and there is not much I can do. If they are with me, they are not roaming the halls causing trouble. As long as the teacher guidance and admin know, I have done all I can. Fortunately, there are not too many students like that.
  6. by   peaceful2100
    Thanks!! I definitely get making sure to fully assess and rule other things out first!!

    Do anyone ever let the student just rest after ruling everything else physical, emotional, social out?

    I work in the inner city so a lot of these kids may be up all night because of environmental issues like police sirens, gun shots, or some have to work and work late.

    I don't want them to take advantage though and I want to start out being consistent. I am the new nurse to the school and some know this already, and testing the waters already.
  7. by   withme
    Quote from peaceful2100
    High School Nurses how do you deal with the I am tired shenanigans.

    Do you ever allow them rest or do you say sorry I don't let tired students rest and send back to class?

    I know I need to be firm when it comes to high school kids especially.


    I'm not a nurse, but I don't like it when my child fails a class because of something that needs to be addressed. My child's illness happened during a science class. It was fixed when I stepped and asked the principal, social worker, and a nurse to discourage my child's behavior right in front of my teen's face. And quit bugging me for something they could do. I was a pain in the neck. Since then, she has been a rolling A/B student. She visited a nurse when she needed it for real. No malingering at a nurse clinic.
  8. by   MWOOD,LPN
    I have dealt with frequent flyers in middle school, I always speak with the teacher when I begin noticing the trend of them missing too much of a particular class. I will speak with the guidance person as well, in case there is something going on that they are aware of but I am not. If those two things do not help, then I will contact the parent and let them know that I am seeing them around this time every day which is during x class. I will request that they speak to their child about it and usually the parents tell me that if they are not vomiting or have a fever they need to go back to class.
  9. by   nutmegah
    Quote from peaceful2100
    Thanks!! I definitely get making sure to fully assess and rule other things out first!!

    Do anyone ever let the student just rest after ruling everything else physical, emotional, social out?

    I work in the inner city so a lot of these kids may be up all night because of environmental issues like police sirens, gun shots, or some have to work and work late.

    I don't want them to take advantage though and I want to start out being consistent. I am the new nurse to the school and some know this already, and testing the waters already.
    Sometimes they just need a quiet place. Im ok with that , within reason

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