after 2.5 years as working as a school health aide i conclude that every school needs a school nurse. lately i've disappointed of how my boss wants me to handle things. for example: student comes in with a small, round, itchy patch on cheek. i suspect ringworm. normally, for anything like this we do a medical exclusion for diagnosis. once again this is what i suspect and i never document on the exclusion form" he has ringworm" instead i document small, round, rash on face" and 10 times out of 10 the doc writes back saying " dx: ring worm". anyway, ofcourse since i'm not the nurse i call my nurse ( boss) to describe what i see. she tells me to send an exclusion. i also talked with mom to see what mom says. mom says she " thinks" key word " thinks" it may be from another condition, however she's not sure. when asked what condition she thinks it is she said she forgot. so once again i reported this back to the nurse and she says pull back the exclusion. i'm thinking why ? mom clearly is not sure what this is and for the rash to be round, itchy, and have a definite ring around it that is a red flag . however, once again my hands are tied.
this is just an example of how sometimes i don't agree with her or how she handles something. yes she's a rn and yes i'm just a cna and i don't have a problem with that. i just don't see why in this case he should not be excluded.
stevie wonder can even see that he has ring worm !
oh well. i just keep telling myself 5 more days left at my job and 9 more weeks i'll be a nurse.
so yes, i do believe that nurses should be in every health room because i constantly feel like teachers, parents, the principal, and now my boss don't trust my observations or judgement. maybe if there was a nurse in every health room we wouldn't have to deal with these types of issues or atleast i wouldn't.