Sometimes more teachers than kids come to see me

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Specializes in Pediatrics, Community Health, School Health.

Anyone else feel like sometimes the teachers are worse than the kids with their ailments? I have a couple "frequent fliers" who are teachers and come see me at least 2-3 times per week about stuff. One of them always has really weird symptoms and I never know what to tell her, other than "I would probably make an appointment with your doctor" :nono:. Monday it was "I have blood in my stools and when I cough, blood comes up, but otherwise I feel totally fine". She is 23 and otherwise appears completely fine. Mentioned she traveled to the jungle of Central America in July. She ended up going to the doctor Monday night after I told her I had no advice for her...

Sometimes I wish I could just tell those teachers what I tell my kids- "I think you'll live. Have a drink of water and go back to class". :cheeky:

No way I would put up with that! I'm here for the kids, I'm not your personal nurse. I wouldn't assess your frequent flyer teacher, just tell her that she needs to see her doctor. I've only had a teacher come down for a BP check after starting a new med or asking for IBU. I think you should start telling them to "Have a drink of water and go back to class!"

It is outside of our scope of practice to give medical advice. I open every staff interaction with that.

On the other hand, I sent out a staff member with BP of 180/120 yesterday. Happy to do that! I gave injections to a pregnant coworker so her husband would not have to-- BUT I specified to her "I am happy to do this as a friend. I am not doing this as an employee of our school district." and she came to my office after quitting time so it would not be on the clock.

Specializes in Pediatrics, Community Health, School Health.
It is outside of our scope of practice to give medical advice. I open every staff interaction with that.

On the other hand, I sent out a staff member with BP of 180/120 yesterday. Happy to do that! I gave injections to a pregnant coworker so her husband would not have to-- BUT I specified to her "I am happy to do this as a friend. I am not doing this as an employee of our school district." and she came to my office after quitting time so it would not be on the clock.

Oh I saw that post- what ended up happening?

Specializes in IMC, school nursing.
Oh I saw that post- what ended up happening?

I updated the other thread- they treated for migraine even though her BP was still 170/118 in the ER. No cardiac consult. She is following up with her own cardiologist

Specializes in Med-Surg, Oncology, School Nursing, OB.

I had one teacher that thankfully retired who would give me daily updates about her health from her constipation issues to whatever little ache she had. In my head I was thinking "I didn't ask-go away!". Just because I'm a nurse does NOT mean I enjoy hearing about your hemmorhoids, bunions, boils, etc!.

I spent one day listening to a teacher talk for over 20 min (to give me the whole story of course) and ask what she should do. I said well take your son to the dr because it sounds like he could use an antibiotic and maybe they'll give him a nasal steroid spray (back before they were OTC) for these issues and she says," Oh we saw the dr and did prescribe him all that plus a steroid but I just don't know if I should give it but he's not getting better so what should I do?" :banghead:

We're told we are to be a resource to our staff and I don't mind checking blood pressures (except when they want me to drop everything when I'm busy seeing a bunch of kids), organizing flu shot clinics, running a wellness programs, etc but the only real advice I ever say is "see your dr if it doesn't get better". But please, put your own bandaids on!

Specializes in GENERAL.
It is outside of our scope of practice to give medical advice. I open every staff interaction with that.

On the other hand, I sent out a staff member with BP of 180/120 yesterday. Happy to do that! I gave injections to a pregnant coworker so her husband would not have to-- BUT I specified to her "I am happy to do this as a friend. I am not doing this as an employee of our school district." and she came to my office after quitting time so it would not be on the clock.

'I have blood in my stools and when I cough, blood comes up, but otherwise I feel totally fine.'

What me worry? Time to punt.

Specializes in Pediatrics Retired.

After I listen to them drone on, I always like to start out my response with, "Well, you realize you are closer to death right now than you were when you woke up this morning."

After I listen to them drone on, I always like to start out my response with, "Well, you realize you are closer to death right now than you were when you woke up this morning."

:woot:

They come in to BS, mostly. I have to shoo them away.

Specializes in ED, School Nurse.

I had a teacher come see me with a weird rash last year. His doc thought it was weird too (after I said "Go see your doctor sooner rather than later please") and ran all of these tests and obscure labs. I was seriously thinking cancer based on the circumstances about how the rash appeared. Turned out all his tests were negative. He kept coming in to update me, which I didn't mind because I was curious about what was happening and I was concerned about him.

I had a teacher A call me about teacher B (both males) because A was concerned about how much pain B was in after his vasectomy. A wanted me to tell B to go home. Seriously. I passed on that one. B is a big boy and can determine if he needs to go home.

Teacher A also asked me yesterday if I have ever dealt with a detached retina. During our evacuation drill. I said not here at school, but I saw a few when I was in the ER. He said, well, it could happen at any time. I was like, huh? To me, he clarifies, I could have a detached retina at any time. We should talk sometime about what is going on with me.

Great. I can't reattach a retina, that's beyond my scope of practice.

I don't mind giving out the occasional ibuprofen/Tylenol/cough drop to teachers, but don't come in my office every day for a month taking my cough drops!!! Buy your own!!!

After I listen to them drone on, I always like to start out my response with, "Well, you realize you are closer to death right now than you were when you woke up this morning."

:roflmao:

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