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.”
Dawn Wilcox, R.N., B.S.N.
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.
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.
• 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.
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.
I have found it is important in life to focus on improving myself .
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....
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!!!!
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.
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
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.
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.
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.
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!!!
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
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.
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.