No, I'm Not a Beauty Shop! - page 4
I should probably preface this post with some facts.......It was 3pm, I had just about EVERY frequent flyer in my office, I hadn't eaten my lunch yet and I just sat down to eat when in walks one of... Read More
Jan 27, '13By teaching her and assessing her ears you are now taking on responsibility and liability. If a child came in with ear pain at a pierced site, of course you would assess and treat if necessary. But, by setting yourself up as the jewelry fixer, you will be doing that all day. Not to mention giving frequent flyers a new excuse to come to the office. Plus you will have healthy kids sitting next to sick kids while you are triaging, making them more likely to get sick. Plus, they will be missing time from class. I am curious to know how many nurses who think this should be a service school nurses should provide have actually done school nursing. You have no time to eat, drink or use the bathroom as it is when you are just operating within the boundaries of your job description.
Jan 27, '13Quote from drowningdailyThis! A zillion times...By teaching her and assessing her ears you are now taking on responsibility and liability. If a child came in with ear pain at a pierced site, of course you would assess and treat if necessary. But, by setting yourself up as the jewelry fixer, you will be doing that all day. Not to mention giving frequent flyers a new excuse to come to the office. Plus you will have healthy kids sitting next to sick kids while you are triaging, making them more likely to get sick. Plus, they will be missing time from class. I am curious to know how many nurses who think this should be a service school nurses should provide have actually done school nursing. You have no time to eat, drink or use the bathroom as it is when you are just operating within the boundaries of your job description.
Jan 28, '13I agree with the OP - and sending the earring home in an envelope might send mom a good message that her child was too young to get earrings.
I think the teacher should have done the same thing.
Parents are making choices about their kiddos that are questionable in my opinion. Not that I can tell them how to raise their kids but to me, getting your ears pierced is an exciting and fun thing to do with an adolescent girl. Seems like we are taking away a lot of the things that make being a teenager fun.
As a school nurse for two elementary schools and two high schools plus seven other campuses, I don't spend much time at each school and my office is at the D.O.
I admit to helping out in the cafeteria and classroom when I come to one school to do insulin with a 1st grader who has an insulin pump. It was a way for the kids to get to know me and trust me. Now they run up to me in public saying "Nurse Spidey's Mom!" and give me a hug.
Boundaries are important - I'm a hospice nurse as well. We have to do a boundaries inservice once a year to keep us on track. It is very easy to cross boundaries to help people.
Jan 28, '13The OP never stated the piercing was new! Not new, not infected, no need for a nurse! I have had teachers send me pre- k and kindergarten kids to undo their belt buckle so they can use the restroom. A few had accidents before they even got to me? If we do not draw a line, we will get everything dumped on us! Not enough hours in our day!
Jan 29, '13It is the parent's responsibility to make sure those ear piercings are well-taken care of and infection-free. I would never expect the school nurse to monitor and take care of that on my children. If they were for some reason in severe pain that impeded their school day, then yes, I would expect her to at least have a look at it and let me know, but I don't think it's her "responsibility". I have had students come into my clinic with infected piercings asking for me to remove them. I won't do it, but I'll send a note home or call the parent letting them know it is infected and should be taken care of when they get home. I will clean it a little and put some ointment on it, but that's it. Far too often we are asked to take care of issues that could have and should have been taken care of at home. I've put earrings back in place and it wasn't a big deal. Primarily because they always seem to come from a class that has a male teacher and I understand that he may not know how to do those types of things. I don't have specialized training in zipper un-sticking or knotted shoelaces either. Not sure why they can't do those either, but that's a different topic. Whoever said the nurse's office is used as a "dumping ground" was dead on. I think putting it in an envelope and sending it home was perfectly appropriate.
Jan 30, '13I'm amused by the timing of this post: yesterday a girl asked me to put her earring back in for her . First time for that. She saw me in the hallway and asked on her way to lunch (i.e. the teacher did not send her). I gloved and put it back in.
20 seconds and I was back to my not-being-able-to-get-a-lunch-break....
Jan 31, '13Quote from SudsyI haven't had it happen yet .. . . we shall see.I'm amused by the timing of this post: yesterday a girl asked me to put her earring back in for her . First time for that. She saw me in the hallway and asked on her way to lunch (i.e. the teacher did not send her). I gloved and put it back in.
20 seconds and I was back to my not-being-able-to-get-a-lunch-break....
Jan 31, '13Wow-I was a little suprised by this because whenever I've had a student sent down for that reason it's because the teacher and/or student already tried everyone knows the nurse has the rubbing alcohol which makes earring insertion much easier! I never had a problem with it OR a run on students needing help with earrings because I did take that five extra seconds to help.
I completely get that school nurses want/deserve/need more respect for their position but after spending 11 yrs doing this I don't see much change and here's why: we are in a school setting with stable healthy kids for the most part-not a medical setting. We are surrounded by non-medical personnel who only see us doing things they could do themselves. We pass meds, screen kids, do tube feedings, help with diabetics, etc that they can and sometimes are trained to do. If they see a kid with a head injury they do not have to document well. They give them ice and if they keep complaining of pain or act funny they call the parents to pick them up-no big deal. To us we have to document to prove we gave them the best care and that we didn't hurt them further by missing some important sign and not seeking medical attention if that were so in order to keep our license. Teacher don't get that because they don't have to. They don't care if we can read monitors, start IV's, intubate someone, etc to keep someone alive because that kind of stuff doesn't happen in a school unless a paramedic has been called.
I see myself in a school setting as part of a team that is there to keep the school day running smoothly. If that means I am sometimes asked to do non-nursing things I do them. If I'm not busy I don't mind. I'm still getting paid after all. I've been asked to help set up for class parties, count lunch money, answer the phone/door for the secretary, deliver messages to teachers, etc. In return, there are days the teacher/principal/secretary, etc will check head lice for me, call parents, pass out a bandaid, administer medication, etc because I'm too busy or not available. They don't say well that's not my job! If you keep refusing to do things that help others out just because they aren't a part of your job description you will get a label and it will not be one that you like.
All that being said-this is the reason I don't enjoy doing school nursing so much anymore! I want to feel like I'm using my education more and it's really hard to in a school setting so I totally get where you're coming from but what you're seeking you will not find in a school setting.
Feb 3, '13Quote from CherylRNBSNYou have a set number of patients that are assigned to you but if a fellow nurse constantly called on you to do their task it would infringeAs a mother of two school age children, I truly feel the earring should have been reinserted.
I allowed my 11 yr old daughter to get her ears pierced, and OMG, we had a terrible time.
I also had my ears pierced about that age, and had to have them re-pierced, b/c the hole closed.
This also happened to my daughter.
The issue is, these children are growing, have super great, healthy, fast DNA, and the holes close rapidly. So the earring needs to be in almost ALL the time.
As they should only be wearing small studs at this age, I'm sure what the risk during PE is that would preclude earrings, tho admittedly, my child got hit during PE and it did hurt. But that was b/c it was a fresh piercing. While the ear is healing, that is an issue. But we all know Olympians compete while wearing earrings! So sports is not the issue.
The issue is that the earrings need to be in place for the healing to occur. The longer they are out, the more traumatic the reinsertion.
I do not consider this any different from my duties as a very busy med surg nurse. I put dentures in, remove them, give oral care, etc. Just this week, I provided a pt. with normal saline and specimen cups so she could remove her contacts before surgery. These are personal hygiene issues, and very much , I feel, my responsibility.
Do I have a million other things to do and tons of charting? YES.
But you do what the "patient" needs at that time, and reinsert the earring. Then move on to what's next. The pt. needed the earring reinserted.
on your boundaries and inhibit the care YOUR patients receive. The teacher can put the earring in. Let the nurse eat her lunch for once this week.
Feb 5, '13I would use that earring oppertunity to make that child feel special and loved! Such a little thing!
Feb 5, '13Quote from RFarleyRNIf you are serious???? Boundaries, please!I would use that earring oppertunity to make that child feel special and loved! Such a little thing!