Tell me about your sub coverage

Specialties School

Published

Hi friends,

So here is our situation. We have a float nurse in our district who's first priority is to cover for nursing absences. When not covering she has a regular rotating schedule. Due to many of us seeming to be bogged down with illness this year, we have had several times where coverage is NOT available, leaving nurses feel like we must drag ourselves into work, or the district scrambling to pull nurses from other schools or try to figure something out last minute. There have been times schools have been uncovered. (I know, not every school has a FT nurse, or even a nurse for that matter). It is a huge concern for us as the health needs of our children increase by the year (seizures, diabetics, etc.). We nurses have a simple solution which is to hire a second nurse for our middle school (a desperate need to be honest), or a second float nurse. Neither will happen because of the grand old problem of $$$$. We cannot get subs, because the sub pay honestly is laughable. Is there anything that really works for you guys? Do your schools go uncovered? I feel like this is probably a problem pretty much everywhere....

Thanks!

1 hour ago, NutmeggeRN said:

They need to pay the sub a decent rate and then they wouldn't have to go to the expense of hiring a second nurse. We pay almost $200 a day and it is RARE that we do not get coverage and if you look a the hourly rate it is little less than $30 per which is still less than hospital pay...

Wow, what state are you in? Our sub pay is around $80 I think... which is for 7.5 hrs...

1 hour ago, NurseMrn said:

Wow, what state are you in? Our sub pay is around $80 I think... which is for 7.5 hrs...

Same here.

Specializes in IMC, school nursing.

The wife and I are it. We cover each other. On the very rare instance we can't, we have a mother who is a CMA, so, by NPA, can pass meds to the students. Her hours are very limited and we have to give her a 2 week lead. There are times when there is no one here. I have trained admin to deal with our T1D.

If it's a planned absence, then we have an agency that we go through to get a sub nurse (which is UBER expensive). If it's an unplanned absence, then there's usually not enough time to get a sub nurse, so the district goes without a nurse. But, I cover multiple schools by myself, so it's not really something that people worry about around here.

6 hours ago, MHDNURSE said:

Interestingly, my good friend lives down in Maryland in PG county and was telling me how their middle school has no nurse. I asked what happens with the seizure kids, diabetics, etc. and she said "they just cross their fingers and hope for the best"!! I can't believe that there is no nurse coverage for these kids. I mean honestly what happens???? I guess they do nothing but call 911? As a parent I would be terrified for my child with a chronic illness that required emergency respose.

It's a lot more common than you would think, unfortunately.

Specializes in School Health.

I have one sub for my school. If she cannot sub then my secretary up front covers my office and she calls a sub in for her area... I try to plan my day off in advance to make sure that my sub CAN cover me. My secretary is awesome at covering but we all wear many hats and I feel bad if I have to pull her from her area.

Specializes in kids.
On 3/22/2019 at 12:29 PM, NurseMrn said:

Wow, what state are you in? Our sub pay is around $80 I think... which is for 7.5 hrs...

New Hampshire and I think our district is the exception to the rule.

On 3/22/2019 at 9:40 AM, MHDNURSE said:

No subs here- I am IT. And it has gotten bad enough that I am leaving next year to work as a sub, rather than here FT. And I am sure I will find plenty of hours b/c several surrounding districts are always looking for subs.

Interestingly, my good friend lives down in Maryland in PG county and was telling me how their middle school has no nurse. I asked what happens with the seizure kids, diabetics, etc. and she said "they just cross their fingers and hope for the best"!! I can't believe that there is no nurse coverage for these kids. I mean honestly what happens???? I guess they do nothing but call 911? As a parent I would be terrified for my child with a chronic illness that required emergency respose.

And then when something happens, the media picks up the story and says the nurse did nothing during the emergency or the nurse sent them back to class to decompensate before the emergency...

I think Middle School is the worst building to leave unstaffed. Diabetes, mental health, and seizure disorders are so sensitive to sudden growth spurts and hormonal surges.

Specializes in School Nursing, Ambulatory Care, etc..

I'm in Howard County in MD and we are really well set. We have several float nurses and subs as well as some agency nurses that get called in to sub when needed.

This is the first district I've worked in that does this and I am going to miss it dearly when the Army moves us or the hubs decides to retire.

4 hours ago, NutmeggeRN said:

New Hampshire and I think our district is the exception to the rule.

MA pays subs pretty well, depending on the district. I have seen anywhere from $80/day, to $180/day.

Specializes in Med-Surg, Oncology, School Nursing, OB.

We have around 30 schools in our district and about 15 subs (many of them retired school nurses or older retired nurses). Out of those 15 there's about 3 that we can count on to work a lot. The rest are hit or miss. Our nurse manager will try and find us a sub or rearrange nurses if a school is required to have a nurse due to certain procedures by law that cannot be delegated. That being said she does have a lot of trouble if there's a lot of nurses out like around flu season or whatever. We aren't allowed to take a personal leave day unless it's been pre-approved and a sub coverage found by ourselves which is annoying that teachers seem to take off last minute willy nilly all the time without a concern in the world. Also, we are kind of made to feel bad if we call off sick even though I've never called off unless I knew there was absolutely no way I could work. I've come to work feeling horrible or back earlier than I should have more than once.

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