Sunday, September 19, 2021

Caring for Students with Chronic Health Conditions: A School Nurse's Guide

Caring for Students with Chronic Health Conditions

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Helpful School Nurse Tip: You don't have to become an expert on every health condition before the first day of school. Start by learning about the students in your building, use trusted resources, and build your knowledge one condition at a time.

Every School Is Different...

But Nearly Every School Nurse Cares for Students with Chronic Health Conditions

More than 40% of school-aged children have at least one chronic health condition. Some students require very little support throughout the school day, while others rely on the school nurse every single day to safely attend school.

The exact health conditions you'll encounter depend on your school population, but one thing is certain—learning how to recognize common conditions, gather accurate health information, and develop practical care plans is one of the most important parts of school nursing.

Fortunately, you don't have to know everything on day one. Every student, every diagnosis, and every school year becomes another opportunity to learn and grow.


Health Conditions You May Encounter

School nurses care for students with a wide variety of acute and chronic health conditions. Some diagnoses are very common, while others may only be seen once or twice during your career.

Remember, a diagnosis is only part of the story. Two students with the same condition may have completely different healthcare needs, accommodations, medications, and emergency plans.

Examples of Health Conditions School Nurses May Encounter:

ADD / ADHD

Allergies

Anxiety

Asthma

Bleeding Disorders

Congenital Neurological Conditions

Celiac Disease

Cerebral Palsy with Partial Limb Paralysis

Diabetes- Type 1

Gastrointestinal Issues

Gilbert’s Syndrome

Hurler Syndrome

Headaches/Migraines

Autoimmune Hepatitis

Hypothyroidism

Heart Conditions

Rheumatoid Arthritis

Ehlers-Danlos Syndrome

Scoliosis

Seizure Disorders

Vision Impairments-

partial and total blindness


Every Student Is Different

One of the first things you'll discover as a school nurse is that no two students are exactly alike—even when they share the same diagnosis.

For example, one student with asthma may rarely visit the health office, while another depends on daily medication, an Asthma Action Plan, and emergency interventions. The same is true for diabetes, seizure disorders, severe allergies, heart conditions, and many other chronic illnesses.

Instead of trying to memorize every possible diagnosis, focus on learning each student's individual healthcare needs. Review healthcare provider orders, communicate with families, collaborate with staff, and develop plans that support each student's success at school.

Build Your Health Condition System

Over the years, I've learned that confidence doesn't come from memorizing every diagnosis—it comes from having a reliable system.

When I learn that a student has a new or updated health condition, I begin gathering the information I'll need to safely care for them throughout the school year.

That may include:

Having a consistent process helps ensure nothing important is overlooked while making each new diagnosis feel much less overwhelming.

Where Do You Find Reliable Information?

One of the best habits you can develop as a school nurse is knowing where to find trustworthy information.

Healthcare provider orders, your state's school health guidance, evidence-based resources, continuing education, professional organizations, and experienced school nurses can all become valuable resources throughout your career.

You don't have to know everything.

You simply need to know where to find reliable information when you need it.

Building Your Own Resource Library

Over the years, I've created a growing collection of condition-specific resources that I continue to use in my own practice.

Inside The School Nurse Digital Toolkit™, GROUNDS FOR GROWTH™ members have access to a growing library of:

  • Individualized Healthcare Plan (IHP) templates
  • Teacher tip sheets
  • Health condition resource hubs
  • Editable templates
  • Practical tools & resources for school nurses

You do not need every answer memorized. You need a dependable process and trusted places to look.

Learn more about GROUNDS FOR GROWTH™ and The School Nurse Digital Toolkit™.

Individualized Healthcare Plans

As you become familiar with your students' health conditions, you'll likely begin creating Individualized Healthcare Plans (IHPs).

An IHP helps organize important health information, guide nursing care, support emergency planning, and communicate a student's healthcare needs with school staff.

If you're new to writing IHPs, I've created another blog post that explains what an IHP is, when you might use one, and what information to include.

Read more about Individualized Healthcare Plans.

Looking for a Specific Health Condition?

Whether you're supporting a student with asthma, diabetes, seizures, POTS, allergies, cardiac conditions, cystic fibrosis, or another chronic health condition, I've organized my Teachers Pay Teachers resources by health condition to make them easier to find.

Browse the collection and choose the resources that best fit your students, your school, and your workflow.

Browse Health Condition Resources on my TPT Storefront


Final Thoughts

I've been a certified school nurse since 1996 and I still learn something new every school year.

New diagnoses appear.

New medications become available.

New research is published.

The goal isn't to know everything.

The goal is to know where to find reliable information when you need it.

Take it one student, one condition, and one conversation at a time.

You'll be surprised how quickly your confidence grows.


                            

Wednesday, September 15, 2021

School Nurse Supply Lists

 Suggested School Nurse Supply Lists

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Helpful School Nurse Tips:  Having the proper school nurse supplies and school nurse assessment tools for your job actually can make your job easier! The proper health center supplies will add to the functionality of your school nurse office. Check out the nurse's office supply lists below that were you created with the school nurse in mind. 




Online Shopping for School Nurse Office Supply Items

Having the right school nurse supplies and assessment tools can make your job easier and your office more functional. Check out the detailed supply lists for online shopping, digital resources, resource books, medication supplies, PPE, Type 1 Diabetes management, basic first aid supplies, and emergency items to streamline your workflow and enhance your preparedness.

Does your school district have a business account with Amazon? Mine does, and I love it! I order most of my school nurse office supplies from Amazon because the prices are reasonable and the shipping is FAST. On average, items arrive within three days—sometimes in just one or two days. This is great because I can order last-minute items, receive them quickly, and have time to use them before they expire.  View all of The School Nurse's shopping idea lists today.

Why reinvent the wheel? This Teachers Pay Teachers (TpT) storefront is packed with digital resources specifically designed for school nurses. Most items are editable and integrate seamlessly with Google Drive. Many school districts permit staff to buy from TpT, so check if you can purchase these valuable school nurse resources without using personal funds. There are many FREE items in The School Nurse TpT store too- take a look.


SCHOOL NURSE RESOURCE BOOKS

I love the convenience of online searches, but I also really appreciate a great resource book that I can hold in my hands. Can you relate? For school nurses, having a reliable book to reference can make a big difference in our daily routines. Whether it's a quick guide, a detailed health assessment manual, or an emergency care handbook, these tangible resources are so valuable. Check out this curated list of essential school nurse books that will help you stay on top of the latest nursing protocols and procedures.  If so, check out this list of school nurse resource books.

MEDICATION SUPPLIES

Before the pandemic, I averaged around thirty scheduled medications administered during the school day. However, throughout the pandemic, this number has significantly decreased due to various factors such as remote learning and reduced in-person attendance. Despite the drop, I always need to be prepared for the numbers to rise again as students return to regular school schedules. Ensuring that I have a well-stocked medication supply, proper documentation, and an organized administration system is crucial. It's essential to stay ready to meet the needs of students and handle any potential increase in medication administration efficiently. Check out this idea list full of useful supplies related to medications at school.  

Also, if you train any unlicensed staff to administer medication you might be interested in this- It's a free PDF guide- it's here to help. It serves as a reference that you can customize to fit your specific school and district needs. Feel free to add personalized notes and details to tailor the presentation to your audience.

Presentation Sections Include:

  • Policy & Procedures
  • Forms
  • Medications
  • Inventory
  • Storage
  • Administration
  • Documentation
  • Resources & References


TYPE 1 DIABETES

This school year (2021 - 2022), 10% of my student population has a diagnosis of Type 1 Diabetes. The majority of these students function completely independently and usually have all of their needed supplies. I might only see them if they need help with a site change, to treat a low, or a random high. Even though those students are self sufficient, the office needs to be prepared to step in when needed and have the proper supplies to meet the doctor orders listed in the Diabetes Medical Management Plans

In order to help make sure we have what they need, I keep many of the items listed in the Diabetes Idea List for School Nurses in stock in the school health center / school nurse's office. Do you too?


BASIC FIRST AID SUPPLIES

Are you even a school nurse if you don't have a favorite bandaid, thermometer, or way to make an ice pack?  Your state and your school district will determine exactly what type of first aid care you can offer your students.  You want to always protect your nursing license and make sure you are practicing within your scope and offering appropriate services. In most settings supplying a bandaid, checking a temperature, and offering an ice pack are within your scope.




Are you ready for a health emergency at school? As school nurses, we've got to be prepared for anything, anytime. Whether it's a student, staff member, or even a visitor, emergencies can pop up unexpectedly. If you're a school nurse, you've probably been there when someone needed urgent help, and if not yet, you will be—it's just part of the job. That's why having the right emergency response training, stocking up on essential first aid supplies, and having clear protocols in place are absolute musts. Explore our complete guide on school nurse emergency preparedness to make sure you're all set to handle whatever comes your way.

View DOASN blog posts related to my emergency response bag / box!






Check out these other popular DOASN blog posts & links:









Sunday, September 5, 2021

How The School Nurse Tracks All Things COVID

 

All Things COVID For The School Nurse

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Helpful School Nurse Tip: COVID responsibilities have added another job to our already full time job, right? Use these Google items to help you stay as organized as possible.


COVID-19 Tracking Sheet

Welcome to the very first COVID-19 digital product The School Nurse created back in the fall of 2020. I needed something easy and editable to use that I could track student attendance, staff attendance, create a weekly report, etc. I also wanted something that could easily be shared with the other nurse at my school and those who "needed to know" in case I wasn't able to be at work for whatever reason.  


This Teachers Pay Teachers product is what I created and continue to use this school year. hey are 100% editable, so you can customize them specific to your school/s and your needs. Currently, the top row of each sheet is "frozen", so it will be visible whether you have 10 entries or 510 entries!  These COVID Google sheets keep me organized and provide an easy way to access all the COVID information I need on a daily basis.  I think they would help you too! You can create your own, or purchase these and edit them to meet your needs.

 

Tabs Include:

  1. Student Attendance Sheet
  2. Staff Attendance Sheet
  3. Weekly Report
  4. No Mask / Alternative Diagnosis Sheet
  5. LHD Notification Sheet

To help you get started, I created this informational video. Keep in mind I'm not a videographer. You will hear beautiful windchimes in the background but also some hopefully, helpful information about using this product and making your school nurse days a little easier!  Also, in this video you will hear me refer to using "email notifications"!... Keep reading below to learn more about that useful tool!




 



The sample wording in this product is based on Illinois guidelines from October 2020. Great news though- this product is 100% editable! So, you can update the wording based on the current guidelines your school is using today!  

The main purpose of the FREE product is to teach other school nurses how to use Google EMail Templates!  I've implemented the use of email templates for any email situation I can- they are a huge time saver and provide consistency when communicating with others on the same topic. I hope using them helps you too and remember my disclaimer about not being a professional video maker- enjoy the content ...



Includes Sample Notification Wording For:
1. Close Contact- free
2. Positive Test Results
3. Waiting on Test Results
4. Household Member with Symptom
5. Student with Any Symptom

Using EMail templates is a must have if you are a school nurse trying to save time but yet provide a consistent message with those you are in contact with related to the COVID issues above. 

These 5 sample wording options are
100% editable- the wording is a suggestion I used when I originally created them in October of 2020. Since then, I've updated my own based on the guidelines my school is following. You can edit and update these samples to be specific to your school's COVID-19 guidelines. 
 
This wording bundle comes with a How-To video (shown above), but you can also view the training video on YouTube here:  https://youtu.be/srXXOOi4RZs?si=ZApD0dUJybRMnCqn


   



Great for coaches and/or other athletic department staff to use as a symptom checker for athletes!


This product is an editable Google Slide. It is easy to use via print or shared access of Google drive.


Best of all- this COVID-19 Athlete Monitoring product is FREE.








COVID - Athlete Return To Play Progression Form  Many state sport associations are requiring athletes have a medical release post COVID-19 diagnosis and recovery and prior to their return to participation in sports. 

Is this a requirement in your state?  If so, use this Google Doc as the form student athletes use to provide their medical release and/or Stage of Return to Play Progression prior to their return to sports. 

The Google doc is 100% editable which allows you and your athletic department or athletic trainer to customize it to your specific needs and requirements. 

Help you student athletes return to their sports as soon and as safely as possible.



SCHOOL NURSE STRONG
Organize your desktop today and thank yourself tomorrow with this "School Nurse Strong" 1920 x 1080 computer wallpaper.  You can even purchase coordinating School Nurse Strong items in this Zazzle storefront!



School Nurse Strong


Purchase The COVID-19 Bundle Purchase all of the above plus the bonus (Return To School Email Template Wording) for a discounted price!  COVID BUNDLE LINK





She Wanted To Change The World : School Nurse

Wednesday, September 1, 2021

RETIREMENT for SCHOOL NURSES

School Nurse Retirement Quotes!

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It's never too early to start dreaming about and planning for your retirement.

Retirement. It sounds the same to most, but it looks vastly different for many. 

Helpful School Nurse Tip: The school days might seem long and never ending but the school years will go by quick. Trust me, before you know it you'll be ready to retire from your school and move onto your next phase of life! Are you ready?

(just a few) RETIREMENT QUOTES

when you stop living at work and start working at living

Seriously though, have you ever thought about the number of hours you spend at your job / school? And then how many hours when you're not physically there, but you are thinking about being at your job / school?  Let's not and say we did.  

                             

retirement is better at the beach

Retirement at the beach sounds amazing!  That is probably because my retirement dream includes being at a beach. We'll see if that dream changes! 

What does your retirement dream include? 

If you need help understanding the difference between a 403(b), 401 (k), IRA (Traditional or Roth) then contact my licensed husband! He will answer your questions using easy to understand language and he gives honest advice (and I'm not just saying that because we're married)! HERE

                             

goodbye tension, hello pension

There are a wide variety of ways to save and plan financially for retirement. Some school nurses have been contributing to a pension plan. Other school nurses have saved money on their own through a 403(b), 401 (k), IRA (Traditional or Roth), etc...

What does your financial retirement plan look like? If you need help understanding how to plan for your financial future then reach out to my licensed husband! He will help you by explaining all things retirement with easy to understand language and he will give you honest advice (and I'm not just saying that because we're married)! HERE

                             

after climbing the mountain, you can finally enjoy the view

Mentally, I want to climb mountains but physically I'm more of a flat land person! Can you relate?

However, a view like this would be worth a few hills. Once, I went on a mountainside horse ride in Estes Park, Colorado. Soon into the guided ride I realized that the Colorado & Illinois definitions of "some hills" were NOT the same and I wondered why I hadn't selected the meadow view ride! 

There were several times I envisioned my horse slipping down the mountainside and me falling down to a vacation injury of some sorts, but thankfully that never happened. So, I decided to take few deep breaths and appreciate the views. I also had this sense that my horse most likely could have successfully finished the tour with it's eyes closed and so I relaxed to took some great pictures! 


my reel retirement plan? go fish

I'm not that into fishing, but I know many people love to fish. And, if you are one of those people who love to fish then I hope that fishing is part of your retirement plan! I'd go fishing but mostly just to be surrounded by water and to eat a bag of Cheetos.



retirement- not the end of the road

but the beginning of the highway

I believe Semisonic said it best in their song Closing Time- every new beginning comes from some other beginning's end! Those lyrics ring true to so many aspects of life but especially retirement.  I hope you're ready to see where the road of retirement takes you too.

retirement- doing what I want, when I want

last, but (no pun intended!) not least

I'm 100% certain this quote is not referencing "going to the bathroom", but any other school nurse & healthcare worker and/or classroom teacher will 100% relate with me- right?! Most employees do not consider using the restroom whenever they feel like it a luxury, but many other employees have experienced the pain (literally and physically) of having to wait until "after this next med" or "when the bell rings"... Hopefully this photo makes you laugh or at least smile.





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