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Shirley Carstens, RN, MS, FNASN

Shirley Carstens, RN, MS, FNASN. Good Morning Nurse !. PLAN: screen 5th grade Substitute PTA Principal meeting Head lice Volunteer. Priority? Delegate? Why?. Health Room. History Assess problem Vital signs Treatment Disposition. Medication Administration. Laws & Policies

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Shirley Carstens, RN, MS, FNASN

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  1. Shirley Carstens, RN, MS, FNASN

  2. Good Morning Nurse ! PLAN: screen 5th grade • Substitute • PTA • Principal meeting • Head lice • Volunteer Priority? Delegate? Why?

  3. Health Room • History • Assess problem • Vital signs • Treatment • Disposition

  4. Medication Administration Laws & Policies Rx and OTC Oral, eye, ear, topical Authorized Signed NEW! www.k12.wa.us/HealthServices/Resources.aspx

  5. Medication Administration Records Delegation Self-Administer www.k12.wa.us/HealthServices/Resources.aspx

  6. Medication • Original • Current • 1st dose LHP = MD, DD, OD, NP, DPM, ARNP, PA, OPA

  7. Medication Error(s) Deviation Missed Analyze Retention

  8. Medication Security • Storage • Count meds • Holidays • Thefts

  9. Field Trips • Train staff • Container • Return • Retain

  10. Frequent Flyer • Identify • Assess complaint • Develop plan • Collaborate • Communicate

  11. Headaches & Stomachaches • Assess • W.O.W. • Teach Staff

  12. Life Threatening Health Conditions SEVERE — • Asthma • Allergies • Anaphylaxis

  13. Asthma

  14. Diabetes - Type 1 • Incidence • Affects • Characteristics • School Nurse Role www.k12.wa.us/HealthServices/Resources.aspx

  15. Pens & Pumps • Pumps  – Continuous  – Consistency  – Back-up pen – Pros/cons • Pens • Dose dialed in • Refrigeration • Encourages independence

  16. SN Role in Chronic Health Conditions • Cerebral Palsy • Epilepsy • Juvenile Rheumatoid Arthritis • Obesity

  17. Communicable Diseases SN ROLE Fifths Disease Tinitis (Ringworm) Impetigo

  18. Strawberry Tongue Scarlet Fever Conjunctivitis Pertussis www.pertussis.com/hear.html

  19. Other Rashes Varicella Rubeola Rubella Koplik spots Parotitus (Mumps) MRSA

  20. Pediculosis Actual size • Condition • Transmission • Common age • Treating • Controversy

  21. Microscopic view of hair shaft.

  22. Pediculosis Capitis Magnified photos http://www.hsph.harvard.edu/headlice.html#Management

  23. Scabies • Cyclical • Mite • Communicable • Treatment

  24. Mite in its’ burrow Scabies on wrist Treatment

  25. AD/HD • Delightful • Frustrating • Student/Parent support • Nursing support

  26. Affective/behavioral disorders • Depression • OCD • ODD • Tourette Syndrome

  27. Concussion • Signs • Symptoms

  28. Middle School/Jr & Sr High • Bullying • Cyberbully • Drugs

  29. Violence To Self Or Others • Self mutilation • Suicide • Rape/Date rape • Gang activity

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

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