School Nurses?

Specialties School

Published

I just started a position at a k-12 school as the Health Services Nurse (school nurse). I would like to hear from school nurses, any tips/ strategies or pointers will be greatly appreciated. Here's a little background:

Today was my 1st day, the nurse before me was very unorganized and when it comes to what she charted on the students it is very illegible and files were not all in a central location. I find out that I have a 29 student caseload + the rest of the k-12 school and a certifies school nurse is only in once a week. They told me that they will supply me with whatever supplies I require. I honestly feel a bit overwhelmed being a new grad (this is my 1st nursing career since passing NCLEX). I am waiting on my laptop to come sometime within the week and one of the things that bothered me about the student charting system is that there is no "triage" charting I should say.

For example when a student comes in I have no set piece of paper that I can use to chart, when they came in, what their complain was, what I did to address the complaint and so on. I was told that "I can come up with a template for it and we can discuss it" but I am drawing a blank. Also on my caseload of 29 students I don't have a system to chart what we discuss.. basically the "care plan" I don't have a set piece of charting for that either.

Would any school nurses happen to have any templates or pointers? Also, My office is bare bones. Would anyone have any sites that has basic school nurse posters on hand hygiene, asthma, healthy eating and what not.

The help/ advice would be MAJORLY appreciate by this new nurse starting out with a big load.

Correction - August 2013!

For teachers I recommend telling them about the B's that you need to see about right away

-Burns

-Bumps on the head

-Broken bones

-Barfing

-Bleeding severely

-Breathing difficulty

And the final B if you have a middle/high school -- Baby! If a girl relays she is pregnant and having abdominal pains etc, that would also be straight to the clinic.

Specializes in school nursing.

These are all great responses! I love SNAP software, the school I'm currently with does not use it and I miss it dearly! As for your daily clinic log, in my state (GA) we are not allowed to use those for legal reasons, so you may want to check with your Lead Nurse. If I do write anything down, I shred it as quickly as possible after inputting into the computer. Some hospitals, like Children's Healthcare of Atlanta, really support school nurses and have books just for us with templates and clinic-organizing information! That book was my savior when I first started school nursing!

Feel free to PM me with any specific questions, I'd be happy to help you :)

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