MelissaJaneRN, Do hang in there. I was the only school nurse (12 years, 4 schools, 3 different towns, Grds K -12). Pay was not good. Challenges were many, rewards from students and eventually parents were the best ever!!!!!!!!!!!!! Advice is to get to know teachers, help them problem solve with health issues - which helps build rapport. Keep up the effort with nurse passes - agree it is a good method for teachers to know where they sent student, communication tool from you to teachers, and very good communication tool to parents. Takes time to make changes. have to be patient. Remember to learn the language of the school (educators) and utilize it with your communication to staff (with medical communication words interjected). I found we communicate differently and best to speak their "language" a lot to begin to build the rapport and trust. When parents call about "scrapes, etc" tell them about the nurse passes, how they are to be used and why you use them to communicate issues that are not "life threatening". Good luck!!!