May 16, 2024
“What makes a good nurse?”
These are the questions that, almost a year ago, we asked random strangers, friends, and family during one of our first nursing courses. We collected information on what the common perception of a nurse was and many of those answers revolved around someone that is kind, caring, helpful, and honest.
One thing that I did not realize, at that time, was that many people’s first personal encounter with a nurse is with their school nurse. Sure, they may encounter a nurse in the doctor’s office while growing up, but they are often accompanied by a parent or guardian. A school nurse, however, is a safe space within a school; a space where children can go for medicine, diabetes management throughout the school day, a band aid, or a place to rest when not feeling well; a space where children learn to vocalize their needs, their ailments, and their concerns confidently to an adult; and a space where a young child begins to form their perception of a nurse.
Ultimately, there is far more to being a school nurse than I had assumed, and on May 16, I witnessed the New Albany Primary School nurse in action.
But not without caffeine and a sweet treat to prepare for the energy of the young ones we would encounter throughout the day. New Albany sits in the northeast corner of Columbus and is home to one of Fox in the Snow’s location (some of the best coffee and pastries in town). We (Myrna, Jenni, and I) stopped for a morning cup of coffee and set off to get settled before the school day commenced at 9:05.
The morning consisted of routine medication distribution, including pills and inhalers, and monitoring the blood sugar of the 4 diabetics within the building. The day was busy as the school year was coming to an end, particularly with concern to the diabetic patients. Increased activity levels of second recess and fields days, coupled by class snacks of popsicles and cookies, had the school nurse chase the sugars of some diabetic students for most of the day.
To my surprise, these young students were given much of the responsibility of their diabetes management. Among this student population, each student had a Dexcom monitor synced with their own device and the nurse’s iPad. When the student trended low, the nurse called the teacher and requested that the student be allowed to eat a snack. When the student trended too high, the student was requested to come to the clinic for management (insulin or encouraged to drink water).
Overall, the school nurse encouraged the students to understand their illness and manage it accordingly while being a liaison between teacher, parent, and child. In addition to diabetes management, the office was full of tummy aches, scraped knees, bumped heads, and runny noses.
The children in this school, first through third grade, are very young and many of them are managing illness with the assistance of the school nurse. As expected, understanding the many pillars of health is essential in addressing a young person’s health. Many of the complaints that were made by students regarding ‘not feeling well’ were followed by questions regarding what the child had eaten that day and if they had any water. Nutrition, sleep, and hydration are essential for a child’s health and wellness (and adults, too) and ensuring that these needs are met is a key focus of the school nurse.
The promotion of independence and self-management of diabetes, even among the young children, aligns with the United Nations SDG Goal 4.6 which states “By 2030, ensure that all youth and a substantial proportion of adults, both men and women, achieve literacy and numeracy”. Literacy and numeracy, and promotion of such, translates to health literacy and health numeracy, in my perspective. Managing chronic illness warrants a certain degree of education and understanding to promote compliance.
In conclusion, I not only have an increased appreciation for teachers but an immensely increased appreciation for nurses, specifically working with school nurses, and all of those that work together to promote the health of young children and support their education!