- Superficial cuts & Abrasions: Cleaned with antibacterial soap & water. Antibiotic ointment & appropriate dressing will be applied. Peroxide will be used for puncture wounds or new wounds that are very dirty, but not as a routine would treatment. Peroxide can actually kill new cells in the various stages of wound healing and therefore is discouraged from routine usage.
- Deeper cuts: If appropriate, wounds will be cleaned with antibacterial soap & water. An appropriate dressing will be applied and contact will be made with the parent/guardian or 911 will be called.
- Bumps, bruises & sprains: are treated with a cold pack and elevation as needed.
- Severe sprains, potential or obvious fractures: Dependent on the situation; ice, elevation and potentially inflatable limb stabilizer will be used. Contact will be made with parents/guardians or 911 depending on severity of situation.
- Asthma: treatment with inhaler or nebulizer if prescribed and the parent/guardian has supplied the school with it. Parent/guardian will be contacted with concerns, and 911 will be called for emergencies. Parents/guardians are encouraged to supply their asthma treatment to the school to decrease the risk of an emergency and or to treat an emergency.
- Allergic reactions: Immediate treatment with prescribed & delivered Benadryl or Epi Pen's will be performed. Students with known food, environmental, or bee allergies are encouraged to have their life saving Epi Pens & Benadryl kept in the RN office. Parent/Guardians will be contacted if a student is suspected of a mild allergic reaction. 911 will be called for students with anaphylaxis signs or symptoms, along with administration of their prescribed medication if prescribed & available.
- Eye Injuries: Dependent on severity of situation; examine with ophthalmoscope to visualize for any obvious injuries. Foreign bodies will be removed only if it can be done very easily. Eye wash station is available and will be used under supervision when deemed necessary to use. Parents/guardians will be contacted with any concerns.
- Headaches: treated depending on the situation; rest in dim lighting, OTC medication if parent has provided for the student, glass(es) of water, and or an ice pack. Common headache triggers such as not enough sleep, dehydration, not eating on time, and or stress can be easily resolved with life style changes.
- Coughing & sore throats: treated with warm salt water gargle after oral cavity inspection with light. Parents/guardians will be contacted if there is concern after the oral inspection. Parents/guardians are encouraged to provide the school with cough drops/lozenges for their student to be kept in the RN office. Drinking extra water will be encouraged to not only help the body fight off the cough/sore throat, but to keep the lungs moist so that the secretions are easily coughed out and not left to settle creating a bacterial "breeding ground".
- Skin irritations/rashes: treated with calamine, caladryl or an anti-itch ointment. Parents/guardians will be contacted with any concerns and may be required to have their student evaluated by a Dr. before return to school.
- Sunburn or mild burns: treated with Aloe Vera gel. Parents/guardians or 911 will be contacted for any burn concerns or emergencies.
- Bee sting or insect bite: treat with a topical anesthetic stick. If student has a bee allergy providing the school with their Benadryl & Epi pen is in the best interest of the student.
- Upset stomach/indigestion: treated with peppermint water (2 drops of peppermint extract into a 5oz glass of water). Soda crackers may be given if the students' issue is related to not eating. A students' temperature is taken with a complaint of a stomach ache.
- Ingestion of poisonous substance/over dose: Poison control and or 911 will be contacted and treated if applicable.
- Health or Safety Concerns: these issues are handled very carefully and with the students' best interest as the main focus. Parents/guardians will be contacted in regards to concerns for the students health and or safety and referrals may be made.
- Life threatening or Emergencies: 911 will be called if and when any situation is above the capability of the RN or parents/guardians. If your student is placed in an ambulance the EMS providers are given a list of your students parent/guardian contact, allergies and any medications. Parents/guardians are contacted immediately by office staff not directly caring for the student and will be told an over view of the situation along with where the student is being transferred to.
- Over-The-Counter Medications: Minnesota state law prohibits schools from keeping "stock" OTC medications to provide to the students. The school more than encourages parents/guardians to bring their preferred OTC medications in to the RN office to be kept for the students need/use throughout that school year. Please note that there is a form to fill out for the medications and that sending medications to school in backpacks is not allowed. I understand the inconvenience of having to bring it in, however student safety is at the top of my priority.
- Prescription Medications: This includes daily medications, and rescue medications such as inhalers or anti seizure medications. The appropriate form must be filled out by the parent/guardian, the prescribing DR will then be faxed for their order & signature. As with all medications, Rx medications need to be brought to the office and not sent via backpack.
Questions and or concerns are more than encouraged; please contact me via phone, email or stopping into the office.