May 2020
Leonelle Hans
Teopaco
,
Student
University of Kansas School of Nursing
Kansas City
,
KS
United States

 

 

 

I was Hans clinical faculty instructor for Population Health and Leadership Clinical. Hans was assigned to Olathe East High School for this rotation and his preceptor was the school nurse. School nursing is not always a desirable rotation as there are so many misconceptions about the role of the school nurse. Many times, the young people who visit the nurse's office have underlying issues such as hunger, anxiety, loneliness, or just the need for someone to listen. I enjoy this rotation as I hear so many wonderful stories and get to see the students in action as they interact with the school-aged population. While all of my students had wonderful experiences, I recall several experiences with Hans that helped me to see how much he enjoyed the role of school nurse and how he put himself out there to connect to and understand the population and to treat the true cause of the student's visit to the nurse's office.  A patient came in with a complaint of not feeling well. Hans took the student's blood pressure and found that it was elevated. The student also had elevated heart rate and respirations. Han's preceptor attempted to figure out what was going on with the student and completed her own assessment and asked questions. The school nurse could not pinpoint the cause of the elevated vital signs. She instructed the student to rest and lay down. Hans shared that he believed that the student was withholding information and that he possibly consumed something and was afraid to admit to it. Hans approached the student and sat with him. He asked him questions about his day, and the events leading up to lunch, which was when he started to feel the symptoms. Hans continued to ask questions in a therapeutic and caring matter and the student opened up that he took a hit from a vape pen that belonged to someone else. The student had not disclosed this to the nurse, and Hans shared this new information with her.  The nurse called the parents to inform them what took place and about the student's elevated vital signs. Even though Hans found out what the cause of the student's condition, he still desired to help the student by learning more about the reason for this behavior. When the parents arrived, Hans continued to use therapeutic communication by asking the right questions and providing time for the parents to reflect and share. The parents shared that the student just transferred to this school recently and that he was likely trying to fit in with his peers. In his journal reflection, Hans shared that through this experience he felt he was able to apply the concepts that were taught in class such as asking the right questions so that the nursing assessment is detailed and meaningful. He shared that he felt that asking the right questions and providing empathy, he was able to gain important information that helped him figure out the best route to take so that he could provide evidence-based, high-quality care. He shared that another important lesson he learned was the importance of being non-judgmental when it comes to patients.  In his journal, he shared "this is because it helps them open up to us more and we can help them feel like they're not alone in this world. Opening up can also give us answers when it comes to trying to resolve a patient's condition. I am more excited to become a mental health nurse now more than ever."  When I visited Hans at his clinical setting, it was great to listen to him and to hear how he was so engaged in his rotation at Olathe East High School. He recognized that his age was close to the students' age, and this can be challenging when you are trying to demonstrate your knowledge and competency as a nurse. I believe that Hans did not allow his age to be a barrier, but he used it as an opportunity to relate to the students and recognize their true needs. The high school population can be difficult or intimidating for some nursing students. However, it was easy to see that Hans easily fits in his nursing role within this population and how he is a compassionate advocate who desires the best for everyone who is in his care.