Under the Influence Assessment

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Alright y'all. I tried searching, promise. And I could not find a previous post on this even though I know they're there. 

I am at a high school now (working with Mr. Poodles!!) and I am unfamiliar with how to assess the students if they're suspected to be under the influence. I was brought one yesterday: Upon entering I first checked smell, through my mask of course. No smell of alcohol or marijuana noted. I check her pupils, gait, speech, how she reacted when I said was going to call mom (about an actual medical concern). I found nothing of concern. The SRO came in after and said his findings were the same. 

My question is: Is there anything else I should've done? Do you all make them do almost like a sobriety test (I.e. walk a straight line, nose to finger, etc.)?  I want to make sure I am doing everything I can do detect an abnormality if it's there, I've been in elementary the last 6 years, and thankfully, I never had this issue. My 9 years in the hospital dealing with DT patients yields some assistance, but I want advice from my "co-workers". 

Miss y'all. Covid is taking up so much of our time I know we aren't on here as much. 

Specializes in School Nurse. Having conversations with littles..
SuzieQ123 said:

This is to CATTZ, I tried to open those documents concerning Under the Influence Documentation but my organization doesn't use "WORD,"  is there any chance you could resend it as a PDF?  I know it sounds rediculous but we don't use MS WORD. ;-(

Suzie- I am so sorry. I can't get them in any other format. I think the best option is to fax them to you. If you want me to do that, can you let me know your fax number?

 

Happy Tuesday Friends

Specializes in LPN School Nurse.
SuzieQ123 said:

Thank you so much, there were 4 documents you had shared but my computer won't let me open them.  A PDF would be great, thanks again!!

I converted Cattz's files to PDF for our own use.     Here you go:

 

Drug_assessment2[1].pdf

Substance abuse assessment (1).pdf

Physical Assessment Checklist- Drugs.pdf

Specializes in addiction.

Nurse Trini, Thank you so much!

Specializes in School Nurse.

Do you all contact parents prior to completing detailed assessments? (Anything more than assessing for current safety.)

The assessments linked above are far beyond what I would be comfortable doing. When staff bring me a student they feel is under the influence, I assess for any urgent health concerns; if I feel the student is not safe I would call parent and 911, if they seem safe I just hand them over to admin, and they can have the SRO complete a drug assessment.  

 

Specializes in School Nurse. Having conversations with littles..

We don't have an SRO. So, if I do these assessments. It is only with the Admin. involved as well. Thankfully, I haven't had to do this for a long time.

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