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I would really not like moving from school to school every day. I am the full time nurse for our only school in the district, and I love the consistency of knowing the kids, seeing them from day to day, being able to follow injuries/illnesses, know who the frequent flyers are and who would only come visit me if they were near death, lol. I dont' know how having one nurse consistently would be a drawback.
We have one nurse full time in each of our schools with the exception of 6 of the smaller primary schools that share 3 nurses (one nurse has the same 2 schools).
I value the ability to build trust and provide continuity of care for my families. Some of the current student's parents were also "my students". There is a richness about this history.
My old school district has someone there every day (Clinic aide, LVN, or RN making LVN pay) & a pod nurse (RN) that over sees 2-3 schools. The pod nurse takes care of the ARD's 504's, care plans, etc & make sure the person in the clinic is doing well & if they need help the pod nurse will lend a hand. The person in the clinic every day does all the rest.
My current & much smaller district has a RN for each campus & an additional LVN at the high school.
My state dictates that each public/charter school has their own nurse. They don't dictate ratios though, and a large school may only have 1 nurse, though most employ more than 1 as needed.
I can't imagine running to different schools. I agree that being able to form relationships and follow up with students and families is a key part of the job where being in the same place every day is helpful.
We have 62 schools - elementary, middle, High + a career/tech campus and the campus where kids go that have been removed from school for whatever reason. Each campus has a full time nurse, high schools and a couple of the middle schools that are at capacity have one nurse and a clinic aide. We also have a full time "flex" nurse - basically our float nurse.
Our parents in the district are very fortunate that there is a nurse at each campus.
Feral.Cat.Herder, RN
194 Posts
Just curious how different school systems work. Do most of you have a specific school you are assigned to full time or do you go to various schools in your county or city?
My city schedules the nurses to different schools on a daily basis. Some days I may go to two schools, one in morning and one in afternoon. We do have full time nurse at one elementary school with a tube feeder that gets a bolus feeding 3 times during school hours, if that is your assigned school you stay all day. Other wise we divide up the schools and the times based on the procedures at the various schools.
We've discussed if consistency of care and learning the students would be better. Our supervisor thinks if we each had a permanent school the schools would think they have their "own" nurse. I'm confused by that reasoning. Any thoughts?