As a nurse I make decisions for all different situations. Some situations are not emergent but important non the less. There are many times a situation can turn from a run of the mill situation into an emergency and will require well thought out decisions. In the school where I work there are medically fragile students. Every day is different at my job. Some days are consistent with nothing to write home about and other days are full of running from incident to incident while trying to make sure scheduled feedings and treatments and medications are provided on time. I’m not complaining, I’m not. I love my job. And it is what it is.

I’ve worked in hospital as a bedside nurse early in my career and I did not like it at all. So I left. I had great learning experiences there but that’s all I took away from there. School nursing; caring for this population of students has given me the best of everything in nursing that is important to me. The chance to make a difference in a students’ life and the opportunity to lend support and build bridges with parents. When Thomas attended the school I now work at, I received such wonderful support and feedback from his teachers and therapists. It was very difficult to leave there when Thomas needed a residential school. Fortunately the residential school exceeded my expectations of the care they provided for my son.

So…decisions. I am often assessing the situation and running decisions through my mind before deciding on a course of action. There’s so much to consider sometimes your head spins, but not in a bad way more like an information gathering spin; what are the doctor’s orders for this situation? Is there improvement after administering meds, oxygen, etc…. If no improvement, is calling 911 necessary? Which hospital will the EMT’s take the student to? Is that facility an acceptable destination for the family? There are times the parent or guardian will only consent to one particular facility and will not allow their child to be transported and take charge of the situation themselves. And that’s ok, they have that right.

I’ve learned so much working in my school. My students have taught me so much about about what it takes to be their nurse. Every student is different and they may have similar nursing orders but their needs are not the same. I’m happy where I work. And most days I’m satisfied with the job I’ve done for the day. There are days I leave, questioning decisions I’ve had to make that day. No one is perfect and no decision making process is flawless.

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