Published Jul 14, 2016
TracyMarie76
3 Posts
Saw an ad on Indeed in my area for a "school bus nurse"! Curious if anyone has ever worked as one and what's it's like???
JustBeachyNurse, LPN
13,957 Posts
Yep it's usually through a private duty pediatric agency. You are likely a 1:1 for a child who has a medical complexity. Most common is some form of seizure disorder. You accept the emergency meds such as DiaStat from the parent and turn it over to the school nurse. You meet the bus at a predetermined location, arrive at the students help may help the driver load the child if in a wheelchair. But the driver/staff is responsible to secure the child or wheelchair. Minimal assessment. Monitor for the condition you are there for (usually seizures but may be a diabetic at risk for hypoglycemia in that case the emergency is glucagon and a PO snack). You follow the seizure (or diabetic) action plan on the way and make sure the student safely arrived. Report off the the school nurse & designed upon arrival which includes hanging over the emergency drugs. And ride the bus back to your car. Bus runs take as little as 20 minutes to the longest 3.5 hours in my area, my agency contracts for nurses to be paid a minimum of 2 hours by the district.
In my state you must have a fingerprint/background check report to the state DoE and school BoE in order to do any contract work with schools. This can take weeks to to months to process sometimes.
It's simple generally easy work unless a kid is has an emergency. In four years filling in on buses I've had to call 911 three times.
Also new grads are ineligible in my agency/area nurses must have 1+ years paid clinical experience and complete company training and preceptorship. Plus must have experience working with pediatric clients with epilepsy. This varies by state & agency.