I am a school nurse in Illinois and am working on my MSN in School Nursing. The issue of Nurse Subs is so citical in my district that it is the focus of my Master's Project. The problem has worsened this year in particular due to increasing medical needs. Another issue is the pay. It is not competitive with area districts as well as other areas in nursing. It is difficult as nurses not to feel we are letting our patients (in this case, the students) down. This is issue seems common in talking with other school nurses, but is not published in the literature. Any comments from other school nurses, would be appreciated.