Shirley Carstens, RN, MS, FNASN

Good Morning  Nurse !

PLAN: screen 5th grade • Substitute• PTA • Principal meeting • Head lice• Volunteer

Health Room

• History• Assess problem• Assess problem• Vital signs• Treatment• Disposition

Medication Administration

• Laws & Policies

• Rx and OTC

• Oral, eye, ear, topical

• Authorized

• Signed

www.k12.wa.us/HealthServices/Resources.aspx

Medication Administration

• Records

D l ti• Delegation

• Self­Administer

www.k12.wa.us/HealthServices/Resources.aspx

Medication

• Original• Current • 1st dose

LHP = MD, DD, OD, NP, DPM, ARNP, PA, OPA

Medication Error(s)

Deviation

Missed

Analyze

Retention

Storage

Count meds

Medication Security

Count meds

Holidays

Thefts

Field Trips

˚ Train staff

˚ Container

˚ Return

˚ Retain

Frequent Flyer

• Identify• Assess • Assess complaint

• Develop plan• Collaborate• Communicate

Headaches & Stomachaches

• AssessAssess• W.O.W.• Teach Staff

Life Threatening Health Conditions

SEVERE —

A h Asthma

Allergies

Anaphylaxis

Asthma

Diabetes ‐ Type 1

• Incidence• Affects• Characteristics• School Nurse Role

www.k12.wa.us/HealthServices/Resources.aspx

Pens & Pumps

• Pens–Dose dialed in– Refrigeration

• Pumps– Continuous– Consistencye ge at o

– Encourages independence

Consistency– Back-up pen– Pros/cons

SN Role in Chronic Health Conditions

• Cerebral Palsy

• Epilepsy

• Juvenile Rheumatoid Arthritis

• Obesity

SN

Communicable Diseases

Tinitis (Ringworm)

N

ROLE

Fifths Disease

Impetigo

Strawberry Tongue

Pertussis

www.pertussis.com/hear.html

Scarlet Fever

Conjunctivitis

Other RashesOther Rashes

Rubeola Rubella

Parotitus (Mumps) MRSA

Varicella

Koplik spots

Pediculosis

• Condition

Actual size

Condition• Transmission• Common age• Treating• Controversy

Microscopic view of hair shaft.

Pediculosis Capitis

http://www.hsph.harvard.edu/headlice.html#Management

ScabiesScabies

oCyclicalyoMiteoCommunicableoTreatment

S bi i t

Mite in its’burrow

Scabies on wrist

Treatment

AD/HD

• Delightful• Frustratingg• Student/Parent support

• Nursing support

Affective/behavioral disorders

• Depression • OCD• ODD• Tourette Syndrome

Concussion

• Signs

• Symptoms

Middle School/Jr & Sr High

• Bullying

• Cyberbully

• Drugs

Violence To Self Or Others

• Self mutilation• Suicide• Rape/Date rape• Gang activity

• Tattoos• Body piercing• Sexuality• Steroid use• Pregnancy/STDs• Violence