School nurse for special education and disabilities

  1. I was offered a job as a school nurse working with high school children with developmental/intellectual disabilities and some have multi-medical needs. I am a new grad RN and am now feeling unsure of my decision to accept the position. Are there any RNs out there with experience in this that can give some advice?
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    About aparamo03

    Joined: Mar '16; Posts: 21; Likes: 2
    from IL , US


  3. by   bsyrn
    Honestly, as a new grad RN, this would not be a good position for you. As a school nurse, you are pretty much on your own ( you may have some phone support from your medical director or other district nurses). It is difficult enough in a "normal" school setting where you will have some kids with medical/social/psychological needs. Going into a school like you described will be very difficult without a strong nursing/school nursing knowledge base. If this is what you would like to do, I strongly suggest getting some nursing experience first.
  4. by   aparamo03
    There are 40 students, maybe a handful are multi-needs and those I will mostly be working with. Is there anything you suggest I should ask the employer to really know the depth of support, etc? I accepted the position and signed a contract for my intent to be employed.
  5. by   Neats
    I would find out the top 10 medical issues this school has and learn a lot about them to prepare. So if a student has seizures I would study about pediatric seizures, medication associated with this issues...i.e. keppra. Do this with each disease. Do this is the top 5 mental health issue. You have a lot of home work ahead of you. I would also keep nursing books around me. Good luck.
  6. by   aparamo03
    Thank you so much for this information and your help. Much appreciated!
  7. by   algae1492
    I do not see an issue with you working as a new grad. Know your skills: gtube, suction, trach etc. Review school/district guidelines for procedures and emergencies. Be open to parent input as they are ones who care for children majority of the time. Keep phone numbers of school nurses you can contact for support or advice. Advocate for the students. Review all the student IEPs and accommodations as soon as possible. Be on top of your assessment skills; you will encounter students not able to communicate their needs.

    Search this site for additional suggestions, because i'm sure the question has been asked before.
    Last edit by algae1492 on Jul 10 : Reason: additional information
  8. by   aparamo03
    Thank you very much for your advice, very helpful!