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One of the biggest problems recently is fighting the "Political" battle of COVID. There are so many different views on it and it has made it hard to move forward with "stand protocols."

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I believe the biggest problem school nurses face is that our case loads are to large. In the hospital we are given a cap in California as to how many patients we have based upon illness/trauma criteria. In school we can have case loads of up to 7k students. The safety of those students become a problem when there is only, sometimes, one of us.

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Some problems school nurses face include the prioritization and delegation of tasks due to being short staffed and having a high nurse/student ratio.

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Admins and district actually has zero clue what a school nurse does. The role of what an RN and LVN does is confused all the time.

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My biggest challenge as a school nurse right now is understanding the expectations to my role and prioritizing my time between tasks.

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The biggest problem we face as School Nurses in my district right now is that we are severely understaffed. Our school district has 56 schools and only 4 District Nurses. We are working beyond what is feasible for safe and effective case management and care.

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The problems that I often face as a school nurse is the communication between the school nurse and parents. I have experience some of the parents are being rude, unreasonable, and they would argue and yell at the school nurses. It becomes even a bigger problem when we don't get support from our managers or administrators. Another problem that I face is the shortage of supportive health staffs.

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Often times we do things differently than other district. Additionally with seven district nurses working closely together we often disagree on policies or right way to do things.

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Problems we face as a school nurse is limited resources including staff with too many schools and high case load.

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My biggest problem this year is having to prioritize where I give my time, ultimately resulting in other tasks, students and staff not getting my attention and falling to the wayside. And it's all important stuff! I know my case load is too much this year. Another problem I face is parent demand, expectation and resistance. Just in this week alone, I debated with a parent about a conditional admission for immunizations, another parent about lack of 1:1 nursing support for his son and another parent about diabetes support on campus. Lack of staffing support everywhere are factors out of my control but having to address these issues with parents is exhausting and discouraging.

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I have too many students spread across too many schools.

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School nurses face problems such as limited support from the district and staff. Because the staff do not understand what we do, or the knowledge that we have as school nurses, we are commonly left out. We also have high caseloads. Sometimes it is also difficult to earn the trust of the family when they don't understand our role.

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School nurse to student ratios is what I feel is the biggest problem, lack of support, lack community knowledge of what a school nurse does, these all impede what I am able to do as a school nurse. Many times, I feel so stretched and that I am only able to put out fires all day, no room for any other positive work within my scope of practice.

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This problems faced as a school nurse include: lack of resources, lack of support staff and high caseloads which prevent the school nurse from completing many tasks available under the scope of practice.

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Lack of support staff and resources, lack of funding, lack of understanding of the role of the school nurse (people tend to view the role of the school nurse as putting on bandaids).

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Lack of resources/necessary equipment to do my job, lack of staff, lack of training, lack of orders for children who require specialized health care procedures

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Lack of resources, support, staff, time, and guidance.

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We have a high traffic health office in my middle school. Sometimes when doing protocols there are interruptions that can disrupt procedures.

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The biggest problems I face as a school nurse are lack of time and resources. There is so much more I could and should be doing but I’m stretched too thin.

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I have many students and limited support. It is difficult to complete required tasks at times, and prevents me from doing more education and follow-up with students and families.

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Not enough resources and a high caseload.