Latest Comments by OldDude

OldDude, RN 14,446 Views

Joined Apr 22, '13 - from 'South Texas'. OldDude is a School Nurse. He has '19' year(s) of experience and specializes in 'Pediatrics'. Posts: 2,822 (75% Liked) Likes: 10,481

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  • 1
    RN_1978 likes this.

    Cardiology office

  • 0

    Quote from Amethya
    What should I write? Basically it says it was negligence in my part for not reporting it. How can I respond to this?
    That you were never provided the training in this area for you to be able to recognize some action was required arising from your receipt of such a communication.

  • 3
    halohg, ruby_jane, and WineRN like this.

    Quote from Amethya
    Update:

    So today I got a write up. Basically it said that it was negligence in my part.

    Yeah... I'm going to go find another job next year, possibly helping a school nurse next year.

    This is getting ridiculous.
    Write your rebuttal, get an acknowledgement signature from your supervisor, keep a copy, and file it with your write up.

  • 7
    WineRN, Jen-Elizabeth, BeckyESRN, and 4 others like this.

    Quote from Julius Seizure
    ...I'm not a school nurse (I just like it here), so my suggestion might not apply. What a frustrating situation!
    And...I'm glad you stop in. I enjoy your comments and perspective.

  • 4

    First and foremost...with 1200 students from Kinder to 12 grade on one campus you will "always" be busy and dealing with issues covering both ends of the rainbow. One thing you always know is...you never know, and your school day will be predictably unpredictable. I have 700 on my campus, PK-5, and never have two days that flow the same in regard to kids coming into the clinic. There is no rhyme or reason. So I think your challenge is to embrace this unpredictable environment and base your day on "shooting from the hip" in between your "scheduled" tasks. I don't play music or anything like that. This school nurse forum has been the most positive contribution to my work day for a few years now. I'd be sad if "big brother" cut me off from that. This July it won't seem so tough! Hang in there. Best job ever if you have kids.

  • 4

    Quote from Ashizzle
    Here's my update: I did ask the health director for help and she said she would talk to Becky. Here's what we have: My health office will now be getting siderails for all of our beds in the health office! Really. The director insisted that there's nothing we can do, and we must accommodate her or she could "sue us."

    When Becky feels like she's going to have a seizure I ask her to sit on the floor and I put pillows on the floor next to her so if she falls over, her head is protected. This has kept her safe during the seizures she's had in my office. Apparently she doesn't like that and took advantage of the talk time with the director to complain. I'm at a loss for words.
    This made me LOL!! Hey, if she doesn't like the pillows maybe you could get a football helmet from the coach and have it handy to slip on when a seizure is imminent? I'm really sorry you are stuck in this mire, but it sounds like typical school administration mumbo jumbo word salad.

  • 2
    River Song, RN and WineRN like this.

    That's the key...OTC medicine. The substance can't be sold as medicine unless the FDA says its a medicine; hence essential oils and similar substances used for alternative therapies are not medicine.

  • 2
    iggywench and Meerkats like this.

    All excellent advise. The main thing that makes a successful school nurse is the desire and ability to work alone. Make all the decisions independently, be a self starter, problem solver, self critical, and have the ability to set boundaries with students, staff, and parents, and be consistent - whether it's popular or not. If this sound like you, make a run for it.

  • 5

    Not no...but HELL no. Don't even go there!! As the others have said...only FDA approved medication and proven comfort measures.

    Welcome to the farm! Keep us informed how this unfolds.

  • 2
    MrsNurse08 and ruby_jane like this.

    Quote from ruby_jane
    Call the MD and get the verbiage that the parent may direct changes in dosing. Then you're covered. Because I hate to be in the position of justifying an action "because the parent said so" - even fully acknowledging that parents of students with diabetes are often the experts in the care of their kids.
    I'm ok with this but I would require an email, text message, or some other written record of the parent's instruction regarding giving more insulin than ordered on the DMP.

  • 3
    mc3, ctate, and MrsNurse08 like this.

    I would follow the MD order. If mom wanted to give more than the max dose she would have to do it.

  • 0

    Quote from JessiJam
    Are you all by yourself? Or do they have an aide that can help you with coverage in the event of overflow or an emergency?

    Even something as simple as someone making the calls for you (by your side).
    Typically school nurses work alone. We delegate needs to others in accordance to the scenario but in this case the principal "intervened" without invitation and mucked everything up.

  • 4
    MsTasha92, Flare, MrsNurse08, and 1 other like this.

    Quote from MrsNurse08
    I guess the reason behind why my school sends out exposure notices is because we have had some parents come in furious because they found out that a student in the class had one of the illness and was asking why they didn't get a notice about it
    So what are they going to do if they get a notice? Ask the doctor to prescribe antibiotics because their kid might catch something? Keep their kid home until they get a note that your school is disease free? Even if their kid gets sick and they take him/her in is the doctor going to say..."Oh, I don't even have to do an examination since you have this notification. I'll treat for that."

    Know what I mean? Geez, it's a school...a giant petri dish for boosting the immune system for all who enter.

  • 5
    3peas, BeckyESRN, Amethya, and 2 others like this.

    Quote from Amethya
    I can't because now it sounds I may get fired or in trouble for this.

    My supervisior's reasoning for this is because she shared forms on our google docs and a big poster that says this. I didn't read these.

    And my AP said it was my job to report it to the Health Department, not the doctor.
    Until they bring you the cardboard box to clean out your desk don't worry about it. Remember, you are not a "School Nurse" and can't practice independently. Everything you do or don't do is with the supervision and responsibility of your direct supervisor. Sounds like a bunch of buffoons playing hot potato.

  • 0

    Quote from Amethya
    Even if I didn't know, I am still being blamed for this. Because their reasoning is that it was negligence in my part for not reporting this to anyone or asking for help.
    HaHa...good one, dream on!! Forget about it.


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