Hi all! I'm looking for solutions on how to create a calmer, less distracted clinic for my middle school of 500 students. My clinic volume has tripled and I have several procedures that take me out of the clinic roughly 10-20 mins of most hours of the school day. Our current system is for teachers to call before sending students. But the constant ringing of the phone & missed calls are stressing me out & making it difficult to focus on the student/s currently in my clinic. I'm also trying to manage multiple calls & emails about the dozens of covid cases & contact tracing we have in between students & procedures. I also have to do actual covid testing when needed & requested (which is often). I spoke with my principal about using a pass system and having students wait on the bench by the clinic. But that system isn't ideal for many reasons & I can see it leading to abuse of passes & discipline problems, in addition to an increase in missed instruction time. We quickly brainstormed & are considering an email system. (Teacher emails me that LD needs to br seen for xyz & I call them to send student down when I'm ready). Thoughts? Downfalls? I also know I need to implement some paper disposition form for students. I used to walk students out to parent, but this year that has been impossible. Our interpreter ends up fetching them more often than not. The volume is very challenging, but possibly manageable (most days --- if I work a bit of OT to chart & finish pressing covid stuff). My last 30ish minutes of shift are typically student-free. However, that's also generally my first chance to pee/eat/drink so I'm not using that time very productively by that point. I also want to note that many of these kids are actually sick, so other than a couple of known ff's & drama queens, the clinic isn't being abused. My APs & school admin have been great about handling/intercepting/stopping visits for non-medical stuff (clothes for dress code violations, care closet items, maxi-pads, requests for water, etc).