I am just curious how many out there are district health coordinators and a school nurse at the same time. I got this job last year in December but I worked at the same school system before from 2010 to 2012, and we worked under the health department then. Now I am hired by the school district. I am the nurse for both the Middle and High School, which has 950 students total. There is a nurse at each elementary school one with 200 students, and one with 500 students. I do not have a health assistant or a secretary, I have to do absolutely everything on my own. I am also the health coordinator and have those duties as well as the school nurse duties and I feel so overwhelmed. At the middle school I have 14 students with daily meds and/or chronic health care needs which often involve more visits and a lot more monitoring, but they send kids for every little thing and I see 35 to 40 students a day most of the time just at that school. I am at the High School from when school starts until 1030 or 11, so that many students come most of the time in that time frame as well. I feel like I can't adequately take care of the students that really need to be there, and then I am expected to monitor staff compliance with medication teaching, advising for all the health conditions in the districts, wellness committees, organizing staff health prevention measures and student as well, and many others which I am not going to name one by one. I have voiced my concern to the principal at the middle school, the dpp. I have given guidelines for when students should come down, I have implemented passes, everything that I can think of, and it is not working. Not to mention that at the Middle school I was still having to put consents together and learn about new conditions I need to be aware of because they had not all came to me until 2 weeks ago, a month after school started, and then you have to send home careplans, identify them, and send home all necessary paperwork, and so on and so on. I guess I just want to know if anyone else is out there in the same position or has been and if you have any advice or strategies that you have used that have worked in the past or are working. Maybe it will get better once I have all of what I consider are the most important duties which are careplans and figuring out what needs to be done for the students to be safe and secure, or I need to just realize that maybe I am just not cut out for it, and maybe I need to do them a favor and have them find someone better. I worked on a med surgical floor for 12 years and it was often extremely busy and overwhelming, but I was able to do my job effectively and get what needed to be done and felt satisfied with my accomplishments and felt I did my job well, and we had to work alone a lot too, but I feel like either I am not cut out for this, or maybe some others on here feel like I do and maybe I am doing the best I can and just need to be satisfied with that. I was often bragged about on the med surgical floor about my time management skills as well, so I don't feel like that is the problem. Any thoughts or advice would be greatly appreciated.