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More Students With Serious Health Issues in Schools
By Susan Miller, Missourian Staff Writer
01/29/2008
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There are more students with serious health issues in the Washington School District than ever before, school board members learned last week.

In a written report to the board, the health services department's No. 1 concern was the increasing number of health issues requiring nursing care in the schools.

The report notes there are students with Type 1 diabetes, asthma, seizures, cystic fibrosis, heart conditions, bleeding disorders, kidney disease, cancer, hydrocephaly, peanut allergies, mental disorders and many other conditions.

The district employs a total of seven nurses, but not all of the schools have a full-time nurse on duty.

Clearview and Campbellton Elementary share a nurse; and another nurse is responsible for Augusta, Fifth Street and Marthasville Elementary. A nurse/secretary serves Labadie Elementary.

Due to their larger student populations, a full-time nurse is onsite at Washington West Elementary, South Point Elementary, Washington Middle School and Washington High School.

However, a health clerk is actually employed at the high school this year because the district was unable to find a qualified nurse for the salary offered.

The report, prepared by Georgana Hagan, nursing supervisor, said the quality of staff is above average and the nurses are very knowledgeable and have good communication with students, parents and staff.

The nurses also have trained all school secretaries, cooks and custodial staff in CPR and the secretaries in first aid. They also are willing to train any employee, if asked, the report notes.

Despite the department's many strengths, the report urges officials to consider employing full-time nurses at all buildings for the health and safety of students.

The most urgent need, according to the report, is for an additional nurse at the elementary level due to health issues and the large geographical area being served.

There has been an increase in students with Type 1 diabetes, the report states, which requires a nurse to give insulin injections every time the student eats at school.

Currently, South Point has four students with Type 1 diabetes; Labadie has one; the high school has five; and Washington West has a homeschooled challenge student who comes one day a week.

In the past, students attending one of the outlying elementary schools with this condition were brought into Washington where there was a full-time nurse. Next year, there will be two students with Type 1 Diabetes at Marthasville and Clearview.

Injections must be given by a school nurse, so a full-time nurse will be needed at these sites or the students will have to be bused to a school that has one.

The report also notes the increasing number of students with severe peanut allergies which requires their doctor to write an order for an epi-pen.

Presently, there are five students at the middle school, three at the high school, three at Washington West and one at South Point with peanut allergies.

The epi-pen did have to be used to save the life of a student at South Point this year, the report notes.

Superintendent Dr. Scott Huddleston told the board that increasing the nursing staff should be considered for next year.


©Washington Missouri 2009

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Reader Comments
Added: Sunday February 03, 2008 at 07:29 PM EST
WSD has come a long way....
How wonderful to hear that WSD is working so well toward the nationally recommended ratio of 1 school nurse to 750 health students (more when the students are not well.) When I was a student (would have been class of '58 at WHS if family had not moved) there were NO school nurses. As I have been a long time school nurse, I've often wondered what became of some of my class/school mates who did have health problems and what all could have helped if we had nurses then. Good luck to WSD getting the nurses your students need. Best wishes for the continuing partnerships of parents, students, staff in helping healthy students learn better. Thank you, Susan Miller, for the enlightening coverage.
Jane (Bodenweiser)McEldowney, BS,RN,NCSN, Bend, OR
Added: Thursday January 31, 2008 at 08:28 AM EST
new role of teachers
I wonder how the Washington School District handles the availability of epi pens in the elementary schools. Are teachers responsible to carry them and use them for students on field trips, recess, etc. What is a teacher is not willing?
Marguerite Clarkson, White Plains, NY
Added: Wednesday January 30, 2008 at 05:17 PM EST
Response to the shortage of nurses in schools
I have been both a nurse and a teacher. Neither of these trained professionals should be doing both jobs at the schools. Healthcare has changed dramatically over the last 20 years, as one writer noted. There are more treatments available sooner than ever for children. For that we should be truly thankful. However, more students that have chronic illnesses that would never have attended public school in the past, are now in the system because of legislative changes in the public school systems. Nurses are needed because only they can dispense the up to date healthcare that is needed for these children. Teachers are not trained in healthcare and neither are they family members or childcare providers who might otherwise be giving a diabetic child an injection if needed. Where will the expectations of the teacher end? With all the added pressure of meeting the standards of today's classroom and the projected influx of more children with learning disabilities that do not fit the criteria for special services in our regular classrooms, now teachers are also expected to give shots, pills, perform suctioning of trachs and even the catherizing of children's bladders who have unrinary problems. How can sensible parents expect all that of a teacher with a room full of children? If the disabilities act protects these kinds of children and reserves their right to be in the classroom, then there should also be a trained healthcare provider. God forbid, something would happen and the child have some reaction to a teacher performing this duty! Is the teacher covered by medical liability? No! And we must remember that this is a litigious society. It is time that our communities stepped up to the plate and began to take responsibility for the needs of our children. Parents need to stop treating schools like childcare providers and teachers like nannies. Communities need to realize that teachers and schools cannot completely meet all the needs of the child. That is the parent's reponsibility, first, and a God-given one. If the school stakeholders want to provide a service for the community, then start finding ways to contribute money into the school to build it up, not strip away all funding except that of the federal or state government. I challenge Missourians, and all U.S. citizens, to get their priorities right regarding our children. Schools never have and should never be the end all need for every child to be fully prepared to participate in this unique society and form of government. We need to divide the pie, folks, and then take our share.
S. Sittner, Niceville, FL
Added: Wednesday January 30, 2008 at 12:49 PM EST
I'm sorry I really do not understand what the big deal is with "all the Type 1 Dibetics" in the Washington School district and not having a full time nurse at every building. My bother I and i both made it thur the system alive, starting with Marthasville and ending with High School. Sure it would be nice to have a full-time RN at every school but lets be reasonable. I wonder how many of these students really take injection yet? With the insulin pump so widely used now, can not see any high school student still injecting and needing help with it. I know on the off chance that I was at school or a school function and needed to to take insulin I just went to the restroom, but that has also been 20 years ago when the two shot a day regime was the rule. What is upsetting is that my neice could not attend all day preschool this year in Augusta because there would be no one to help her test and do her insulin before lunch. If there is no staff that is trainable enough to be taught this simple task, why are they teaching? Yes, she will be one of THEM at Marthasville. What happens when one of these children has a low blood sugar and the nurse isn't there? This is much more serious sitution than cheking a blood sugar or helping with an insulin injection, it is life threating.
Kristine Warnecke, Marthasville, MO

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