School nurse job description

Originally posted by KristaTX
AMEN, year2late! I don't know how many days I have spent holding my breath and washing my hands over and over because some kid's parent leaves their poor sick child at school to be "babysat" :rolleyes:.

A few years back the school started taking a real hard line on kids showing up to school sick. It was made crystal clear that school was not daycare and sick kids would be sent home. Because of this absenteeism amoungst the students AND staff has taken a nose dive - since you don't have all the typhoid Marys running around. (but there sure was alot of grumbling in the beginning!!!!!)

There are, however, a few parents that just don't get it.
 
Originally posted by disneysnowflake
I volunteer in our school's nurse's office. It's a very hectic place.

There is one nurse for 1200 students.

There is never a time when there aren't at least 5 kids in the nurse's office waiting to be seen (in addition to the ones that are already there). The paperwork involved in the nurse's office is ridiculous. If one child comes to the nurse for anything it must be logged twice on computer and once on paper. If there is an accident like at gym class there is even more paperwork. If one student comes to the nurse looking for a cough drop she still has to make a log and all the paperwork just for that one student.

Our nurse is required to dispense daily medication (like ritalin and such). From 11am to 1pm there is a constant line of kids waiting for their meds. Plus she has to give kids their inhalers. No one but the nurse is allowed to touch any medication.

Our nurse is required to change the catheters of 3 students in the special needs classes daily.

She's required to do heights and weights on each child each year. That takes an entire week just to get all 1200 students weighed and measured in between treating sick kids and all that other stuff. She's also required to give eye chart exams and give eye doctor referrals each year, plus there are hearing exams for all the kids, scoliosis screenings for certain grades, and physicals. Each time she does an eye exam that has to be logged on one sheet, on the computer and again in the child's main folder. Before I started volunteering the nurse was taking the charts home each night to try to get her work done. She's also required to check each student for lice. If one child gets lice then the entire classroom has to be checked by the nurse once when the lice is found and again later.

The phone rings constantly in her office. It's either administration needing records on someone or a parent who needs to ask or know something.

There are only 5 cots in the nurse's office for sick kids. The school knows that there should be more room for the nurse, but she's at the bottom of the priority list.

Our nurse sent notes to teachers asking them to not send students to her unless they are truly sick or if they are injured. So many times you'll see kids come in who didn't get enough sleep the night before and just want to lay down.

Sometimes it's not good that teachers don't allow the kids to go to the nurse though. Last year my son was very sick. The teacher did send him to the nurse, but the nurse was too busy. She sent him back to class without even taking him temp. No one notified me. When he got off the bus he was so sick. I took his temp and it was 103 (he was feeling great when he left for school). He ended up with strept.

I volunteer one full day each week and 2 half days each week. I am always busy when I volunteer there. On the weeks where we have eye exams, heights/weights, ear exams, etc. I can volunteer all day all week. It's crazy.


I do understand why you were upset though.

You just described my nurses office at my job. Plus, I am at a middle school, so you have period issues with all the girl students. Then you have the diabetic students that need to get blood sugars regulated every two hours.

Then there is the wheelchair bound student that has to use her bathroom since the nurse is the only one that can help him (quadrapelic).
 
Originally posted by Cindy B
Plus, I am at a middle school, so you have period issues with all the girl students.

I was disgusted to hear from a friend that girls on a regular basis are allowed to lay down in the nurse's office because it is that time of the month. There are some girls with medical conditions that cause a hardship, but normal periods should not make an invalid out of a young woman. The LAST thing they should be allowed to do is curl up in fetal position on a cot. They should step up their activity and exercise on a regular basis. I think the first time they show up to the nurses office for "cramps" they should be educated. If it is habitual that they are incapacitated by menstrual cramps, they need to go to a gynecologist.
 
Originally posted by year2late
I was disgusted to hear from a friend that girls on a regular basis are allowed to lay down in the nurse's office because it is that time of the month. There are some girls with medical conditions that cause a hardship, but normal periods should not make an invalid out of a young woman. The LAST thing they should be allowed to do is curl up in fetal position on a cot. They should step up their activity and exercise on a regular basis. I think the first time they show up to the nurses office for "cramps" they should be educated. If it is habitual that they are incapacitated by menstrual cramps, they need to go to a gynecologist.

Try telling that to their mothers who think the little darlings have one foot in the grave and the other on a banana peel. That is the other thing that school nurses have to deal with. Whining parents.
 

Originally posted by year2late
I was disgusted to hear from a friend that girls on a regular basis are allowed to lay down in the nurse's office because it is that time of the month. There are some girls with medical conditions that cause a hardship, but normal periods should not make an invalid out of a young woman. The LAST thing they should be allowed to do is curl up in fetal position on a cot. They should step up their activity and exercise on a regular basis. I think the first time they show up to the nurses office for "cramps" they should be educated. If it is habitual that they are incapacitated by menstrual cramps, they need to go to a gynecologist.

Yes, it happens often. Now, on my team I have a special needs girl. The mother has decided when its her time of the month, she needs to go to the nurse every hour to check on herself.

Now the student does that herself, but think of all the classroom time she is missing per her parents directive.

I've seen some young girls not know what to do. They do seem scared, and sometimes they don't know what to do. (usually its the young 6th graders in that case).
 
I just have to give kudos here to the wonderful nurses I have dealt with at DS's various schools (he is 8, but he went to one school for pre-k, one for kindergarten, and the one he is at now for 1st and 2nd grade). My DS is a Type 1 diabetic (insulin dependent) and every nurse he has had has been wonderful to him. They have always made sure that he gets his blood sugar checked on time, insulin shots when he needs them, and have always called me when something seemed "off" to them. I was EXTREMELY nervous when he first started school (I almost lost him at age 2 when he slipped into a coma with a blood sugar level of 1287 :earseek: that was when he was diagnosed as diabetic) but now I feel completely comfortable knowing that his nurse is checking on eye on him. She is great!
 
Thanks for everyone's replys. I received a phone call from the school yesterday to tell me my appointment with the principal needed to change because she went home sick!!!

I called our district office to ask them about the job description for the nurse and the lady I talked to could have been a political candidate! She informed me that it is written up in the health room manuel. That I could go to the health room and ask to see it. I asked her couldn't she just tell me over the phone since I really didn't want to go ask the nurse for her job description! The lady told me it was too lengthy!!! I got no help there!

Several posters commented that it should be on the teacher to call me. My dd is in middle school and changes teachers every 50 minutes - once she asked the first teacher to go, she was to timid to ask the others. Students are also not allowed to make phone calls from the office. So she was basically stuck at school feeling BAD.
I have emailed all her teachers to explain that during certain times of the year she does suffer sinus headaches and that I expect her to be allowed to go to the healthroom if she feels the need. I copied the nurse and the principal on the email. I rescheduled to talk to the principal today - we'll have to see if she is better.
 
As a middle school teacher I try to use some judgement when I let kids go and call home etc. But usually you can tell when there is a student that never complains about not feeling well or even tell by looking at them that they don't feel well I will offer to let them call. WE had a new student come in and she had schoolidus and she wanted to call and we didn't know her so we let her and grandmother gave us an earful about letting her call. That she is not to call unless she has a fever. Sometimes we just can't win. If it is the kids that constantly ask I usually make them ask twice.
 
I have worked at our Middle School for 4 years and I have never seen the nurse. The secretary hands out the meds. We have one cot in a small room off the office. Students are allowed to lie down for no more than one class period. (59 minutes) then they either have to go back to class or go home. Any child that asks to call home is allowed to use the phone on the counter then it is up to the parents whether they go back to class or go home.

We have had kids that were very sick and the parents wanted us to have them sleep all day so they didn't have to leave work. Our response was if you or any of your emergency contacts can't come get them we will be happy to take your poor child to the ER and you can meet us there. That parent showed up mighty quick when she saw that we were not a day care center.

We also had a student who was being sent home with a one day suspension for behavior. Again this parent didn't think they should have to leave work to come and get their little darling. We said no problem, you can pick up little Johnny at the Police Station. ( which is just across the parking lot from the HS and MS) They came and got him.

At some point the other kids in the school have to be given the same condsideration that we want for our own kids.
 












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