One of the biggest problems is that the schools
are all about education. They have standards they must meet. They would prefer to spend all of their money on education, not health care. One thing I think is most improtant for school nurses is to advocate for ourselves. We must convince the administration that we are invaluable to the district where we work, and that we do work to keep kids healthy and in school and that is the only way they can learn. Health care people (like us) have a totally different world view than education.
Also, sometimes it is hard to listen to their whiny-crybaby complaining about things like lice when you have spent so many years in the hospital taking care of REAL health care emergencies. They complain if they have to work too many weeks in a row without a day off, if summer break is ONLY 11 weeks this year...you get the idea. It can also be hard having a principal as a boss intead of a nurse. They just don't speak the same language.
All that being said, this is the best job I have ever had. The kids appreciate me, the parents appreciate me and much of the staff appreciates me. You work with kids and families over many years, building relationships, helping them through hard times (divorces, deaths) and seing them grow and become independant with their diabetes, food allergies, whatever. You're part nurse, part social worker, part mother, part psychologist. Of course there's tons of paperwork, screenings, mandated and other tedoius stuff, but you're used to that in the hospital.
Check out Gerry Harvey's site-can't remember the address but just google "school nurse perspectives" She gives you some great insight if you are thinking about school nursing.