it really irks me when schools post clerical jobs that state, "act as school nurse when required." it offends me that whoever wrote that thinks it is just something anyone can do.
Jul 2, '10
Quote from gamba
i am not a nurse but i am a clinic substitute (and substitute teacher) for a local school system. becoming a clinic sub didn't have any special requirements besides being cpr certified (if i remember correctly) and taking a day of training on things like common communicable dieases, first aid, allergic reactions, low/high blood sugars, how to handle meds, etc. i am restricted in that i can't be a clinic sub for any elementary or middle school that has diabetics.
i've done it for about 2 years (the upcoming school yr will be my 3rd yr) and must say that i don't see the big deal about a non-nurse filling in for the school nurse as a sub. anything longterm requires an lpn or rn, and they instruct you in training to call 911 for anything heavy-duty. also, there is an area nurse who is on-call for any emergencies or questions you may have. in the event that a school can't find a clinic sub if the school nurse calls out, usually someone in the front office (ie the secretary) has to handle the job for the day. there has been many a time that a school's front-office staff has been happy to see me walk thru the door. i save them the hassle of having to unlock the med cabinet every time a child needs their meds, from having to check the temp of every kid with a clinic pass, from having to call the parents of every kid with too many symptoms of illness, and so on.
i would like someone to explain why they feel non-nurses should not be allowed to operate the school clinic in the nurse's absence if they have had training to do so. to be honest, of all the schools i have subbed in clinics for, there hasn't been a single situation i was not able to handle. i've encountered some interesting situations in my 2 yrs as a clinic sub but nothing i didn't feel prepared for.
having clinic subs serves a purpose. when a school nurse has to call out, it's great for the school system to have a group of trained people available on short notice.
it is not of matter of my feelings as to why non-nurses are not and should be expected to act as the school nurse when required.
i acknowledge that in many areas without a full time school nurse, schools have certain protocols and policies in place as to whom, and how they will carry out certain tasks (within the law). this is not what this is about.
the fact of the matter is that a job posting i came across stated, “act as school nurse when required.” the whole wording is terrible and sets everyone up for lots of trouble. there is no such title as unlicensed substitute nurse.
practicing nursing without a license is a crime plain and simple.
Last edit by nyteshade on Jul 2, '10