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NYC School Nurse Recounts Swine Flu Triage

Shiloh

Editor, Senior Moderator
Source: http://www.flutrackers.com/forum/newthread.php?do=newthread&f=1517

Jul 9, 2009 3:29 pm US/Eastern
NYC School Nurse Recounts Swine Flu Triage

WASHINGTON (CBS) ―
The line of sick students outside school nurse Mary Pappas' door was too long. So she thrust thermometers and a pad of Post-It notes at a security guard: Take their temperatures and slap the numbers on their chests.

That was key to the triage the fateful April day that swine flu hit New York City's Saint Francis Preparatory School, site of the nation's most explosive school outbreak.

"I sent home 102 children that first day," Pappas said. As the only nurse in a school of 2,700, "you're it in a medical emergency."

Pappas had the Obama administration's swine flu summit riveted Thursday as she offered advice to other schools getting ready for the virus' presumed resurgence in the fall.

Telephoning parents one at a time to come get their kids would take too long. So she told the students at the upscale Catholic school to whip out their cell phones and call their parents, and she went down the row updating each parent with their child's temperature and condition.

That won't work everywhere, other school officials told the gathering. Lots of schools forbid cell phones; younger children don't have them; others can't afford them.

The audience scribbled notes -- make sure you can reach parents fast.

Pappas already has made new plans for this fall. If illness strikes again, she won't have to keep the students hacking on each other in her cramped office until parents arrive -- she's staked out an auditorium, where they can stay farther apart.

She'll send text messages to parents' cell phones. She's ordered forehead thermometers instead of oral ones, faster and less messy.

Her bigger challenge is educating the students on basic hygiene steps to prevent infection: Cover coughs and sneezes, stay home if you're sick and, the crowd favorite, "If it's wet and it's not yours, don't touch it," Pappas said.

Many schools lack nurses, and how much authority they wield varies widely. She offered advice to the federal government: "Every school needs a nurse."

The World Health Organization (WHO) raised the worldwide pandemic alert level to Phase 6 in response to the ongoing spread of the influenza A (H1N1) virus on June 11.
 
Re: NYC School Nurse Recounts Swine Flu Triage

Her bigger challenge is educating the students on basic hygiene steps to prevent infection: Cover coughs and sneezes, stay home if you're sick and, the crowd favorite, "If it's wet and it's not yours, don't touch it," Pappas said.

Now there's someone who understands kids. Have to remember that one!
 
Re: NYC School Nurse Recounts Swine Flu Triage

Many schools lack nurses, and how much authority they wield varies widely. She offered advice to the federal government: "Every school needs a nurse."


I like this lady already!! Absolutely! I'm overseeing a migrant/headstart preschool and daycare for 54 children. We do a basic health check before letting them on the bus, a visual check as they get off by staff, the staff are trained in first aid and also trained to identify basic signs of infectious illnesses and are instructed to bring the child to the health office first. Children and staff have to wash there hands upon entering the rooms each time, before any eating and toys and surfaces are bleached diligently. We isolate any ill child from the others and have to report to all families if any child has an infectious disease. I instituted a daily health check, which I work into the attendance check, though my director felt this was not necessary. All it takes are attentive teachers, who recognize basic signs of illness. Call it a take "5" or whatever.

I have so few kids compared to most nurses at almost all schools, and it's very busy. Give me 2 sick infants at a time, and I don't have the facility or staff to isolate effectively until parents can pick up.

I cringe at what it could become.

I only have 54, and my day is crazy!
 
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