{"id":5403,"date":"2019-08-12T10:00:04","date_gmt":"2019-08-12T14:00:04","guid":{"rendered":"https:\/\/www.singlecare.com\/blog\/?p=5403"},"modified":"2020-07-13T20:48:52","modified_gmt":"2020-07-14T00:48:52","slug":"school-nurses-chronic-conditions","status":"publish","type":"post","link":"https:\/\/www.singlecare.com\/blog\/school-nurses-chronic-conditions\/","title":{"rendered":"Working with the nurse\u2019s office at your kid\u2019s school"},"content":{"rendered":"

Whether your child has been recently diagnosed with a chronic health issue<\/a> or has lived with a specific diagnosis for a while, it can be scary sending him or her off to school each fall. On average, kids will spend six hours a day away from their primary caregivers\u2014which is when a school nurse can help.\u00a0<\/span><\/p>\n

If your child has asthma, life-threatening allergies, seizures, mental health issues, or another chronic condition, he or she will likely need to visit the school nurse at some point during the school day. It could be to take medication or attend to medical procedures, like testing blood glucose levels. How that visit is set up depends on your relationship with the school nurse and the school\u2019s specific policies. Here\u2019s where to start.<\/span><\/p>\n

Inform the school about your child\u2019s diagnosis.<\/b><\/h3>\n

It\u2019s important for you to know the specifics of your child\u2019s diagnosis and what <\/span>can<\/span><\/i> be done to help. Meaning, start with an idea of how nurses can help your child manage <\/span>diabetes<\/span><\/a> or <\/span>ADHD<\/span><\/a> during the school day. Then, communicate that to the school.<\/span><\/p>\n

Learn your school\u2019s medication administration policies.\u00a0<\/b><\/h3>\n

There\u2019s no blanket statement when it comes to medication administration in school. \u201cStates have policies about school health, but schools and school districts can also develop their own policies,\u201d says Laurie Combe, RN, president of the <\/span>National Association of School Nurses<\/span><\/a>. \u201cOne school district might only accept prescription medication while another might allow over-the-counter preparations like Tylenol or ibuprofen. There is no national mandate for a school nurse in every building.\u201d<\/span><\/p>\n

The best way to learn what your school nurse needs to administer medication is by referencing the school\u2019s handbook or finding a district policy. Some schools require that all medications must be in the original packaging with current prescription labels. There is likely a specific nurse\u2019s office form that may (or may not, depending on the school) require a pediatrician\u2019s or prescribing doctor\u2019s signature.<\/span><\/p>\n

Determine what the school nurse can (and cannot) do.<\/b><\/h3>\n

Find out exactly who is working in the school nurse\u2019s office\u2014is the employee a licensed nurse or an unlicensed assistive personnel (UAP)? \u201cA registered school nurse has education and training that focuses on assessment of student health and has received training in pharmacology and the science of medication,\u201d Combe explains. \u201cThey have an understanding of legal responsibility of what a drug\u2019s intended use is and what actions the medication can be expected to have, and what untoward side effects would be a cause for concern.\u201d<\/span><\/p>\n

Ask what the nurse\u2019s office coverage is during the school day or week. \u201cSome schools have a school nurse all day, every day, while other schools have a registered nurse managing four to five schools and are maybe at each one day a week,\u201d Combe says. Other schools decide to staff clinics with licensed practical or vocational nurses, who need to be supervised by a registered nurse, medical doctor, doctor of osteopathic medicine or dentist, while other school nursing offices are staffed by a UAP (may also be referred to as a health clerk), who is not a licensed nurse.\u00a0<\/span><\/p>\n

\u201cIt\u2019s important for parents to know and understand who is providing the care so that parents know what preparations to make,\u201d Combe advises in order to ensure medication is given safely and effectively.<\/span><\/p>\n

Get to know your school nurse.<\/b><\/h3>\n

It\u2019s important to check in with the school nurse at least once a year to ensure your child is receiving proper medical attention. \u201cParents should definitely seek out the school nurse,\u201d says <\/span>Linda L. Mendonca<\/span><\/a>, MSN, the president elect of the National Association of School Nurses who has been a school nurse for the past 24 years. \u201cThey should begin that line of communication and building that trust to develop a good rapport.\u201d<\/span><\/p>\n

Establishing a relationship with the nursing staff can help parents when obstacles occur, notes Mendonca. \u201cSometimes there are obstacles to go through, such as when some physicians\u2019 offices will charge for a copy of an annual physical [that may need to accompany medication information] and that can be a hardship on a parent,\u201d she says. \u201cMaybe the nurse can make a phone call to the physician\u2019s office and figure out if there\u2019s a way to work around it.\u201d<\/span><\/p>\n

Keep communication open.<\/b><\/h3>\n

Ideally, if a nurse is administering medication to a child, he or she will be in regular contact with the parents, and doing so can help make the process easier. \u201cIf the parent knows the child has a side effect to the drug that is well tolerated, it\u2019s good for the nurse\u2019s office to know that,\u201d Combe says. Doing so can help contribute to what \u201ccan be an ongoing, collaborative relationship.\u201d<\/span><\/p>\n

That collaboration goes both ways, Mendonca says: \u201cA school nurse can let a parent know when a prescription is getting low, so the parent can be responsible for filling it. Communication is key.\u201d<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"

Whether your child has been recently diagnosed with a chronic health issue or has lived with a specific diagnosis for a while, it can be scary sending him or her off to school each fall. On average, kids will spend six hours a day away from their primary caregivers\u2014which is when a school nurse can […]<\/p>\n","protected":false},"author":85,"featured_media":8859,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[8029],"tags":[790,8905],"coauthors":[9097],"class_list":["post-5403","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-health-education","tag-chronic-disease","tag-seasonal","wpautop"],"acf":[],"yoast_head":"\nHow school nurses can help kids with chronic conditions<\/title>\n<meta name=\"description\" content=\"When kids have a chronic condition, they'll likely have to visit their school nurses at least once during the day. 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