.
Feedback

Despite Objections, Board of Ed Leans Toward Cutting School Nurses

The Pelham school trustees pay heed to parents' concerns, but will likely reduce the number of nurses in the district.

Although parents continued to voice their concerns on Monday night, the Board of Education indicated that it will likely cut the number of school nurses in the district next year.

Angelo Rubbo, assistant superintendant for business services, outlined the next draft of the $63.4 million school budget and its proposed cuts. If passed, the district will see a number of significant reductions, due to a loss of nearly $1 million in state aid. Some of the cuts include losing five-and-a-half staff members, spending $130,000 less on Board of Cooperative Educational Services and slashing $10,000 on bussing. But, parents were most vocal about the prospect of reducing the number of nurses in the district.

“I understand that there’s no fat on this budget,” remarked Alicia Darmona. “What I fear is that we’re going to look back at this moment…and realize we put our children’s welfare at stake.”

In an effort to save about $140,000, the Board of Education proposed keeping full time nurses at the high school, middle school and . The three other elementary schools and will each have a part-time nurse on hand from 10:25 a.m. to 1:30 p.m. and access to Colonial’s full-time nurse. This schedule assures that nurses are available for at least two key periods—dispensing medication at lunch and monitoring recess.

To better understand what the job of a school nurse entails, Board of Education Vice President, Dr. Martha Arden spent a morning with the nurse at . While Arden acknowledged the important role nurses play, she suggested that cutting the number of nurses could be a feasible plan.

“Is having a nurse truly a lifesaver or a convenience?” Arden asked. “It will be an inconvenience for whoever has to pick up those jobs. I think it will be an inconvenience for working parents.”

To try to dissuade the board from reducing the district’s nurses, parents drew up a petition and got 236 signatures within three days.

Louise Kelly, a parent of three Colonial students, presented the petition to the board and emphasized the fact that the money saved, could pale in comparison to the potential consequences.

“It’s one-tenth of 1 percent of the budget,” Kelly noted of the approximate $140,000 that would be spared. “Teachers who aren’t trained will be placed at the front lines.”

While Kelly recognized that many of the cuts fall into this range, she also mentioned that people weren’t objecting to those line items.

Arden noted that while it’s not ideal to rely on teachers to perform a nurse’s duties, she also said that “most of the things that [nurses] do are not very complex and don’t require a nursing degree.”

Parents impressed the urgency of their individual situations by sharing the varying illnesses and allergies their kids deal with on a daily basis. The board assured that any child with a chronic illness will be mandated to attend Colonial, where they’ll have access to a full-time nurse.

“I got a diabetic, peanut allergy and asthmatic. I got it all,” said Dr. Mike Prisco of his three children who currently attend . “How many people will be going to Colonial?”

Carolyn Laskaj, whose daughter is allergic to peanuts, mustard and also has asthma, echoed Prisco’s statement.

“Colonial is going to be bombarded and may as well be the only elementary school in town,” Laskaj said.

Arden said that the main issue, in her opinion, is how the schools will approach emergency situations, but she wasn’t able to get a sense of how many such situations typically arise.

“You do have those emergencies. Whether we’re willing to have a nurse that’s less than a mile away, that’s willing to drive over, is something we need to consider,” Arden said. “I think we should be able to manage, with careful training.”

Newsletter & Alerts

Get the best stories each day and important breaking news

Subscribe

Not from Pelham Patch? Find your Local Patch »

Cheryl March 29, 2011 at 06:02 pm
I always find it interesting, that whenever a district is looking at ways to cut spending in the budgets, they always look at things like nurses, teachers, TA's, the staff that spends the most time directly with the students. Why don't they ever look at eliminating administrative positions, or decreasing their outrageous salaries? I bet for what the district pays 1 administartor, they could probably keep all those nurses they are looking at cutting.
Dawn March 29, 2011 at 06:23 pm
I have been a registered nurse in the school setting for 15 years. I am not even going to take the time to list the situations I have been involved with during that time which required an educated and competent nurse. I am absolutely appalled and shocked Dr. Martha Arden is a physician. However, with all the MD errors and malpractice I have caught over the years, it does not surprise me.
Dawn Wilcox, R.N., B.S.N.
Westchester School Nurse March 29, 2011 at 06:25 pm
How many out of district students attend Our Lady of Perpetual Help school, and how much do their home districts pay Pelham for Health Services for these students?
Providing health services to out of district students can be a robust source of income for school districts. The amount involved ca be as much as $700.00 per student.
colleen holman March 29, 2011 at 06:25 pm
I can only say that nurses play a very important role in keeping kids in school and that is what the schools will notice if they let the nurses go. There will be less monies because the kids will stay home and parents will keep them home because there is no nurse at school to assist. The nurse can find resources for the students so they don't need to suffer and the parents feel a sense of security knowing that the nurse will intervene if there is a problem on campus. Teachers and administrators have enough to do without being involved in and possibly violating HIPPA laws by compromising a student's medical information. Just because the administrators do not have time to spend time in the nurse's office and they are not being called by them to intervene on their behalf does not mean they are not valuble but that is for you to find out the hard way , unfortunately, if this goes through.
Cheryl March 29, 2011 at 07:14 pm
Does Dr. Arden actually believe what she says….Reducing the number of school nurses is not a solution to trimming the budget.
School nurses are the eyes and ears of school aged children. Often times they are the primary providers children see on a regular basis. Because of new technologies and treatments in health care and advancement in pharmaceuticals, students with chronic health conditions are able to attend school, instead of being educated at home or in special schools. The professional school nurse performs individual assessments, administers medication and monitors medication responses, respiratory/peak flow status (Asthma), seizure patterns, blood and glucose levels (Diabetes), and checks for parasites, skin infections, infectious diseases, and much more.
Cheryl March 29, 2011 at 07:15 pm
In “School Health Alert” the Center for Disease Control reported the following statistics on school-aged children:
• 3 million have food allergies (EPI-Pens) • 4.5 million had unmet dental needs • 9.6 million required prescription medication regularly for at least a 3 month period • 9% suffered from hay fever, 12% from respiratory allergies and 13% from other allergies • 9.9 million were at some point diagnosed with asthma and 6.8 million still have asthma • 15 million school days a year are missed due to asthma • 4.5 million have ADHD • 1 in 5 have symptoms of mental health • 4.7 million have a learning disability • 326,000 children through age 14 have epilepsy • 830,000 adolescents become pregnant and Nearly 5,000 cases of HIV/AIDS are reported each year among this age group. Add to this list Diabetes – 97% of school nurses care for students with diabetes, 95 % of care for students with seizures, 93%of care for students with chronic and severe asthma, MS, Thyroid problems, Eating Disorders, Cancer, Tube Feedings, Trach Tubes… DO YOU WANT TEACHERS TO BE RESPONSIBLE FOR STUDENT HEALTH? WILL THE BOARD OF EDUCTION TAKE THE RESONSBILITY WHEN AN EMERGENCY ARISES AND YOU DON’T HAVE THE RIGHT PERSONNEL ON HAND? DO YOU WANT YOUR SON OR DAUGHTER TO BE ASSESSED BY NON-MEDICAL PERSONNEL? The ramifications are enormous and as a parent I would be frightened for those who have children with special needs.
Elaine March 29, 2011 at 10:53 pm
As a parent of a diabetic who has fought a school district over FAPE and least restrictive environment i am alarmed at the utter ignorance of the Pelam Ny School Board. Any mandate or under the table requirement to go to a 'designated sick kids school' is a clear case of discrimination. IDEA is well established and cases against school districts have gone overwhelmingly in the parents and childs favor.
If your child has a chronic condition and would be affected by an illegal mandate, i suggest you send a letter to the district noting this, remove your child from the school, and hire a lawyer for a strong and easily winnable case of discrimination as IDEA defines it in this case. A petition is nice, but legal threats work better. Especially when a district board is so flagrantly on the wrong side of the law here.
Elaine March 29, 2011 at 10:55 pm
HIPAA, one P.
Erica March 30, 2011 at 02:27 am
I understand all of the above, but in other places around the country, we don't have the luxury of being able to be at a single school all week, or even all day. Some of us have a load of 8 schools! I personally carry a load of 6 schools, 2 highschools, 2 middle schools, and 2 elementary schools. This is what's coming. The days of having only one school as your sole responsibility are coming to an end.
Erica March 30, 2011 at 02:31 am
I can understand not wanting your child to be sent to a specific center if the school is a sub par one. Typically though, it's a terrific school with a nurse there all the time. If your child is needing a nurse, why wouldn't you send your child to that school? Why would you take the risks and send them to their neighborhood school where unlicensed personnel are the ones providing the care for the majority of the time? I think this fight is punishing the wrong people, or fighting for the wrong cause. Instead of getting angry about "centers" why not fight to have a nurse in EVERY school EVERY day?
Lisa Rozean March 30, 2011 at 03:23 pm
School nursing is not only about treatment but prevention. One reason Arden didn't see the school nurse's job as being very complex is because she at the beginning of the school year she got Individualized Health Plans in place to ensure that her student's with health issues got their needs met and have a plan of action to take in case of emergency. A teacher is not going to be able to do that. Teacher's, or whomever they delegate the nurse's duties to, will be "reactive" rather than "pro-active". I am in agreement with the others who have submitted how offensive I find her comments.
colleen holman March 30, 2011 at 03:26 pm
Parents are very savy in education law especially interms of disability/SPED. lawsuits will be filed and schools will settle because it will be more cost effective and less of a public relations nightmare. There will be problems with attendance and increased drop out and decreased graduation rates. It would be wise to look at other school districts which have chosen this option before making a cosly decision. I am aware that administrators and politicos do not favor or listen to the human cost so I am focusing on what they consider most dear to them $$$.
colleen holman March 30, 2011 at 03:34 pm
Elaine, Oh so sorry.The print option was so small and there was not the option to edit so I made some mistakes.
I have found it is important in life to focus on improving myself .
Susan March 30, 2011 at 04:11 pm
Unbelievable!
Susan March 30, 2011 at 04:39 pm
Has anyone or any parent thought of being prepared to charge these adminstrators and other staff members with practicing nursing without a license and criminal impersonation?? How is it that these adminstrators think it is OK to perform and delegate nursing tasks without an RN license?
Are they really going to illegally take on the responsibility of assessing and knowing the symptoms of a child in respiratory distress, anaphylaxis, hypoglycemia, hyperglycemia, and seizure activity, to name a few?? Are they going to act as a nurse without a license and send a child back to class with what they assumed was a simple "tummy ache" and hope it's not appendicitis? Or are they going to have to call all the parents of children with health issues to come in and take care of their own children daily to avoid possible errors and the possibilty of criminal prosecution? There are many nusing tasks that can never be delegated, including but not limited to, physical assessment and medication adminstration, which include but are not limited to, all injectables and all PRN medications (due to the assessment criteria pre, during, & post administration). AND what School Nurse is going to allow this delegation to take place?? ONLY an RN can delegate allowable nursing tasks and has the final decision as to if, when, and who that delegation is to take place or not! Remember, it is the RN who is the one who will be responsible for ALL outcomes! CONTINUE NEXT POST....
Susan March 30, 2011 at 04:39 pm
CONT...
I'm thinking that the secretary is going to be a very busy person calling parents EVERY day, ALL day to have them come in and take care of their child(ren)'s daily chronic health issues, never mind the daily nonstop complaints of acute illness and injuries!! Good luck!!!!
Melissa March 30, 2011 at 05:16 pm
How about ADA & IDEA for these students?? Isn't lumping all students with a medical issue going against their rights? As a school nurse all I can say is this school district is setting themselves up for a huge law suit-and if the parents do not speak out about their children's rights under ADA & IDEA, then they are really placing their children's welfare at stake. Good luck!
Melissa March 30, 2011 at 05:21 pm
Further more-this Dr. Arden-I wouldn't take my animal to her-obviously she has NO clue as to what value a nurse is, or what we do for that matter-pretty embarrassing considering her well documented background. She seems pretty impressed with herself posting her CV on her website, but she doesn't back up her training, degrees, or medical knowledge with this decision that she is trying to make. She is obviously like most doctor's are becoming, all about the almighty dollar and could care less about the patient-that's why we need nurses because we are focused on the patient-we are NOT driven by the dollar-if we were most of us would steer clear of school nursing that is for sure!!
Jennifer March 30, 2011 at 05:41 pm
OMG, she's an actual MEDICAL doctor and had the nerve to say what she did? I figured she held a doctorate in another field. This makes her comments even more offensive. I wonder how many of her patients are seen daily in a school nurse's office? She's obviously one of those doctors who feel that nurses are nothing but her handmaidens. Terrible and shameful.
Bittersweet March 30, 2011 at 06:29 pm
2:21pm on Wednesday, March 30, 2011
Dr Arden is not the only one that should be embarrassed. How can Rosemary Matthews as the Director of Special Education ever suggest cutting the number of school nurses in the district next year? OMG All great comments - but we have to get to the BOE. We are only preaching to the choir.
Westchester School Nurse March 30, 2011 at 07:26 pm
Firstly, as a Westchester County taxpayer I applaud school boards as they look for ways to trim their budgets. I also applaud Dr. Arden for her public service on the school board.
I know that Pelham SD, like all districts in WC, places a high priority on the health and safety of the students. I imagine that any and all initiatives impacting the health and safety of children is done with the utmost due diligence, and is supported by the best current evidence. Certainly, the current trend in health care dictates that evidence informs health care decision making. Bergren, in her comments above, provides abundant evidence in support of having a school nurse in each building. In addition, the American Academy of Pediatrics (AAP) also supports this position, and their policy statement: ‘Role of the School Nurse in Providing School Health Services’ recommends that ‘pediatricians should play an active role in supporting the availability and continuing education of the school nurse’. The full AAP statement is available at: http://aappolicy.aappublications.org/cgi/reprint/pediatrics;121/5/1052.pdf
Westchester School Nurse March 30, 2011 at 07:27 pm
With the AAP policy statement in mind, one of the quotes attributed to Dr. Arden in the above article interests me greatly, namely: ‘most of the things that [nurses] do are not very complex and don’t require a nursing degree’. This appears to be one of the arguments underpinning the rationale for eliminating the school nurse position.
My interest in this statement is professional. As a school nurse, I have never seen any evidence to support this point of view. In fact, all of the evidence I have seen thus far highlights the complexity of the school nurse role, reflecting the increasing complexity of health conditions seen by school nurses in today’s schools. I would love to see the evidence used by Dr. Arden to support the quote attributed to her in the above article; I think it would add to the greatly to the current discourse.
Brandy April 2, 2011 at 09:05 am
The ignorance of Arden and any who believe the schools would be better without a school nurse as a way to trim the budget. Would we leave a class para to teach and eliminate the teachers? No. The school nurses provide front-line treatment to children who otherwise may not have any medical care. We connect families with resources. We prevent, treat, educate, follow-up, provide state-mandated vision, hearing, dental screenings, IEP evaluations, educate staff in the schools, educate the student and family, teach prevention, healthy habits, care for chronic and critical health conditions. Yes, we pass meds...but these meds are not just "meds." These are heart meds, emergency asthma meds, insulin, emergency glucagon, epi-pens, seizure meds, mental health medications, things needed to keep the student healthy and able to learn to their best potential.
Stop stealing from our children! Take a stand to follow evidence based practice and keep registered nurses in our school....cut the budget at someone else's expense.
Brandy April 2, 2011 at 09:13 am
Yes, we apply bandages, but... we clean, teach hand hygeine, provide comfort and build trust to allow us to care for these young as we assess and evaluate other possible needs. Why is it okay to take away from our children? Why is it okay for administration and up to continue to have padded pockets but we keep taking from the children? They need the nurses for the tender boo-boo care where they received more than a band-aid - they received compassion and education without realizing they it was a lesson and they took interest. They need nurses for their broken hearts and mental health. They need nurses for the emergent situations. They need nurses because evidence based practice shows children are healthier and perform better in school when they have a school nurse. They need nurses because they deserve that care. Legislators need to reach into their own pockets and stop stealing from our children. Our children are our future...and to me that is pretty important!
As for replacing the RNs with LPNs...wake up! Read the LPNs scope of practice; and only 1 year of education. They can not function without the DIRECT supervision of an RN, a DR, or a dentist.They can not educate students and their families, assess, delegate, perform health screenings, they can not educate staff, their tasks they are allowed to perform are not enough. How will that work...oh and only an RN can do any services that allow the schools to bill medicaid to bring money back to the schools.
Tara April 4, 2011 at 11:24 am
I am also annoyed at 'dr.arden's' ignorant statements... As a Nurse Practitioner with over 15 yrs experience, I am still in awe of school nurses! I've worked in cardiac cath labs, ccu's and many adult critical care areas in many NYC hospitals, but pediatrics and school nursing is a subspecialty, one which I would never attempt to 'fill in' for, let alone let an unlicensed, untrained person do!!!
nancyalice April 4, 2011 at 06:13 pm
I am a school nurse I also work in other medical facilities (due to the low wages of being a school nurse..I know it is my choice and I love being a school nurse)
So Dr. Arden please stay well every nurse in the area knows how you feel about our profession! Hey I can do your job...it's not very complex!!!
Leslie Cooper April 4, 2011 at 06:32 pm
Dr. Arden,
I hope you are not ever in a position to be taken care of by a non medical professional when you are having your heart attack! I think the opposite is true, we can do your job with our eyes shut, it obviously doesn't take anyone with a brain to do your job. Many healthy and happy returns, NP Coop
Louise Kelly April 5, 2011 at 03:12 am
All - just came from the BoE meeting. I just want to mention that all of the BoE members are volunteers, who devote huge amounts of their personal time to this work, and get NO compensation for it. I have been one of the people most actively involved in trying to help keep full-time nurses, but I think some of the comments posted here, particularly those aimed at Dr. Arden, are totally out of line. Even when we are passionate about an issue, we should all try to keep the Golden Rule in mind in what we write and say.
Thanks, Louise Kelly PS - it seems that the Board may consider keeping full time nurses at all schools for this year and try to get more data to evaluate what the nurses actually do and who would (or could) do that work if a change was made to part time in the future. Also - please all look out for information from your PTA about lobbying the State government - there are a number of potential changes that could make next year's school budget process even worse and we should be getting information soon on who to lobby and what to say.
Pat Galway April 6, 2011 at 03:14 am
As I read this, it seems Dr. Arden does not have a full idea of how emergencies will be handled under the proposed plan to reduce the number of nurses. She does not have a clear idea of how many such emergencies occur. I want to point out that a simple number is not indicative of "how many emergencies take place in an "average" day. The important thing to know... the presence of an RN, using her or his assessment skills, professional knowledge and nursing intervention is a main factor in identifying situations that have the potential to become emergent with both students and staff. The nurse's response many times makes the difference between a situation that is identified as serious and that can be successfully treated and one that left untreated goes on to require emergency intervention.
When and if emergencies do occur they occur at all times of the day, not only during recess and lunch periods. They are not based on staffing levels. EVERY CHILD DESERVES A SCHOOL NURSE FOR A FULL DAY.
Bill April 6, 2011 at 12:25 pm
To all that seem to feel that taking care of children that are sick is the responsibility of schools: I question the child care that they receive at home. Perhaps sending a sick child to school with a nurse shifts this responsibility to the school and allows the parent to go to work (stay at work, shop,go to lunch) with a guilt free conscience. You as a parent should be watching and monitoring their health care. I think if a diabetic child is suspected of going into Ketoacidosis immediate care needs to be given! CALL 911, as well as report the parents to protective services.
Note Article
Just a short thought to get the word out quickly about anything in your neighborhood.
Share something with your neighbors. Write a new post... What's up? Make an announcement, speak your mind, or sell something