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School Nursing Resources
School Nursing Resources
School Nursing Resources
Resource documents to support maintaining school nurse positions that may be reduced or eliminated due reduction in school budgets
School Nurse Advocacy Letter
[AAP-VT; January 2025 - Breena Holmes, MD, FAAP, President]
Template
Letter Advocating for School Nursing Positions in an SD/SU
[VSSNA; January 2025, PDF Version]
Template
Letter Advocating for School Nursing Positions in an SD/SU
[VSSNA; January 2025, MSWord Version]
Recent News Articles or Blog Posts regarding School Nurse Staffing
Public Perceptions of School Nurses: Results From a Recent Public Opinion Poll
(NASN; January 2025]
The Relentless School Nurse: Move Beyond Nurse to Student Ratios and Focus on Staffing for Safe Care
[Robin Cogan, MEd, RN, NCSN; February 21, 2024, Blog Post]
What School Nurses Do and Why Schools Need More of Them
[Education Week; September 6, 2023]
CT schools address nursing shortages as their roles become more than 'Band-Aids and ice packs'
[CT Insider; May 4, 2024]
Reference Documents
School Nurse Workload: Staffing for Safe Care
[NASN; June 2020, Position Statement]
Student Access to School Nursing Services
[NASN; January 2022, Position Statement]
Standards of Practice: School Health Services Manual
[Vermont Department of Health]
Massachusetts Department of Public Health School Health Services Unit
[Mass.gov; March 2023]
The 1998 legislative report Options for Developing School Health Services in Massachusetts recommended the school nurse to student ratio be 1.0 fulltime equivalent (FTE) professional school nurse (RN) in each building with 250 to 500 students. In buildings with more than 500 students, an additional 0.1 FTE is recommended for each additional 50 students. For buildings with fewer than 250 students, the recommended ratio is 0.1 FTE: 25 students.
Implementation and Evaluation of a School Nurse Toolkit to Reinforce Best Practices for Asthma Care in Schools
[CDC; August 22, 2024]
School nurses fill the gap between health care and education, provide both acute and chronic care, treat and assess behavioral health concerns, and connect students and families to community resources (6). Although school nurses are well positioned in their role to support students with asthma, inadequate time to devote to asthma management, due in part to competing student needs and multiple roles, impedes completion of these activities (7). Additionally, school nurses in Michigan practice in various models, and they may be responsible for covering more than 1 building or an entire school district. As such, a medically qualified person may not always be available to meet the emergent needs of students, and the oversight is shifted to school staff, teachers, and administrators (7).
Infographics
Public School Nurses in the United States: National School Nurse Workforce Study 2.0
[NASN; 2024]
School Nursing & School Based Health Centers in the United States
[NASN & School Based Health Alliance; May 2021, Joint Statement]
School Nursing Practice Framework
[NASN; 2024]
School Nurses & Youth Mental Health
[Wisconsin Office of Children's Mental Health; October, 2024]
Tools
Acuity Toolkit
[Oregon School Nurses Association]
Although there was little evidence to support the identified ratios, many states and the National Association of School Nurses recommended one school nurse to 750 students in the general student population; 1:225 for student populations requiring daily professional nursing services; 1:125 for student populations with complex healthcare needs; and 1:1 for individual students requiring daily continuous professional nursing services.
Instructions and Tools to conduct a "local" Cost-Benefit Study of School Nursing Services
[NASN; 2016]
Vermont Department of Health
Vermont Agency on Education
National Association of School Nurses
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