Ah, the first day of school. It's an annual rite that conjures images of new backpacks, sharp pencils, fresh kicks, and gleaming corridors. But for the school nurse, back to school means active duty: scraped knees, tummy aches, and a host of health hazards from the schoolyard, presenting as quickly as the first spitball lodges itself into the ceiling.
According to the latest figures from the National Association of School Nurses, at least 74 percent of school nurses use EHRs. And in its bureaucratic way, ICD-10 — the medical diagnostic coding language — captures the diversity of school-based injuries, along with their potential for dark humor. Here's a sampling of injuries most likely to appear in the school nurse's office in coming weeks. Now excuse us while we go throw up on the tire swing.
W2100XA- Struck by hit or thrown ball, unspecified type, initial encounter
M54.5- Low back pain
What are they carrying in their backpacks these days, bricks?
S62.9- Unspecified fracture of wrist and hand
Monkeying around on the monkey bars.
H53.10--Unspecified subjective visual disturbances (eye strain)
S61.449- Puncture wound with foreign body of unspecified hand
Running with scissors.
B85.0—Pediculosis due to Pediculus humanus capitis (head lice)
The other four letter word.
L50.0- Allergic reaction due to food. Allergic urticarial
Timmy is allergic to peanut butter, and that EpiPen is really going to cost mom and pop now.
W45.1XXA- Paper entering through skin, initial encounter
“Sticks and stone may break my bones, but words will never hurt me" said the class gossip who just sliced her finger passing notes NEVER.
F33.0 - Major depressive disorder, recurrent, mild
The Sunday blues. They're back.
Caroline Smart is a contributing writer to athenaInsight