Want some advice on what to do in situations

[ABRN2012]

Hi everyone. Im new here but not new to school nursing. I have been a school nurse for 4 years and I took a break and worked in another field. Well I am back school nursing but at a different school in the district I worked for previously. The teachers are very different here than my previous school and I have only been here a month so we are all getting to know each other. I need advice on the following things:

Where do the sick kids go when they are waiting for their parents to pick them up. (Here they stick them in my elementary office but I serve the middle and high school too and I get called frequently to go there. I have meds and other things that keep me out of my office and it isn't practical for them to stay in there unsupervised. They don't want them back in class and they will not let them sit by the office.) This is also the problem when we find headlice. (No live bug policy)

How do you handle injuries such as possible sprains/fractures. I do my nursing assessment but the staff and parents here think I should have xray vision. So usually the child ends up going home due to me and the staff worried there is a fracture and we will get in legal trouble.

Ok last one... How do I handle teachers sending students for every minor thing. I do not mind putting on band aids and checking temps. But when I have diabetics needing insulin or an emergency across campus I should not have 4 kids in my office with old scrapes that happened over the weekend or my toe hurts. They can put on band aids and use a thermometer. I guess I am asking how to be nice going about this.

Right now I am just frustrated and kicking myself for ever leaving the first school I was at because I thought it was "rough" there.

[ArryOtter]

I have a very small clinic and it's pretty busy in here. I do 4 caths a day and I get called out a lot to other areas on campus. I have said students can't wait in the clinic and if they must a para from the room must stay (special needs school).

Sprains/fractures. I give ice and let them sit for 10-15 minutes. If pain is still present I contact parents and let them know there may be a bigger issue and may need to be seen. My son attended my school last year for preschool and broke his arm. Lots of fun. Still my only actual break at work (knock on wood a million times).

Little stuff. I send out an email with Classroom Medical Procedures and let them know what they can and can't handle in the classroom. I also set up CLOSED hours this year for my heaviest traffic times and for my lunch period (although I still rarely get a lunch break). I also try to nicely say, "Do you need band aids in the classroom? you don't have to make a trip to the clinic for something small like this!" and most of them get it. A few still bring them up for every little thing, but there has been a vast improvement this year.