In the current discourse surrounding school operations, the call to “reopen schools!” often dominates the conversation. While this sentiment is entirely valid—who doesn’t want their children back in the classroom and for the pandemic to end?—simply repeating the phrase overlooks the complex realities that make reopening challenging, if not impossible, at this time. It’s a multifaceted issue that cannot be solved by a blanket statement, especially until vaccines are widely accessible to all.
Reopening schools is not merely about the students. We understand that in-person learning is essential, particularly for younger children who struggle with virtual education. The past year has been an endless cycle of challenges, and the educational experience has been significantly impacted.
However, safely reopening school doors requires the commitment of numerous adults—many of whom may be immunocompromised or unvaccinated. These individuals will be engaging closely with hundreds of children, many of whom may not wear masks effectively or may unknowingly carry the virus. Therefore, it’s crucial to consider the safety and wellbeing of these adults when discussing school reopenings.
Moreover, it’s not just teachers who face risks as schools prepare to reopen. Office staff, cafeteria workers, custodians, bus drivers, and social workers are all part of the equation. Yet, one group stands out as particularly vulnerable: the school nurses.
If you have been involved in your child’s school or have attended board meetings, you may be aware that there was already a significant shortage of school nurses before the pandemic. According to the National Association of School Nurses, 25% of schools lack a full-time nurse, and 35% only have part-time nurses.
The absence of a full-time school nurse poses serious issues. It means that untrained staff may be asked to manage students’ medical needs, including administering medications, monitoring allergies and asthma, and responding to emergencies. While educators have basic first aid training, there is no substitute for a trained medical professional in critical situations.
Additionally, school nurses play vital roles beyond immediate care. They collaborate with school leaders, educate families on health and safety, and provide essential training for staff. Brea Sanders, a nurse from the Whitnall School District, emphasizes that the role of a school nurse involves much more than just treating minor injuries; it includes comprehensive case management for students with chronic health conditions.
Over the past year, school nurses have faced overwhelming responsibilities, especially if they are shared between multiple locations. With the added burden of navigating constantly changing COVID-19 protocols, conducting daily screenings, assessing symptoms, and isolating sick students, the challenges have intensified. The nurse’s office itself is often not designed for social distancing, further complicating matters.
It is no wonder that many school nurses are experiencing burnout. Some are hesitant to return to work under such precarious conditions, fearing they may contract or spread the virus to students, colleagues, and their own families.
Amy Carter, a former school nurse in Georgia, expressed her frustrations in an op-ed, highlighting that her job encompassed much more than simply taking temperatures. She passionately recounted her dedication to helping students with special needs and supporting overall wellbeing. Yet, upon learning about her school’s inadequate COVID precautions—such as making masks optional—she chose to leave her post, stating that she could not risk endangering others.
Carter poignantly noted that returning to work without adequate safety measures would betray the trust she had built with families and students. She also pointed out that many schools lack sufficient space to isolate potentially infected students, and even if isolation is possible, a single nurse must manage multiple students, often without the protective equipment that hospital staff have access to.
These concerns have led to a growing number of school personnel resigning from their positions as the pandemic continues. We recognize that school nurses are invaluable, contributing to reduced absenteeism, higher immunization rates, and improved health outcomes for students with chronic conditions. The pandemic has amplified the need for dedicated full-time nurses in every school.
As we confront an uncertain future with lingering COVID-19 effects, it is imperative that schools prioritize hiring qualified nurses. Discussions about reopening cannot proceed without ensuring that trained medical professionals are present, that there are proper facilities for isolating symptomatic students, and that adequate protective gear is provided for the staff. The health of our children and the entire school community hinges on these factors.
The desire to return to in-person learning is strong, but we must only consider reopening schools when it is genuinely safe. Supporting and protecting school nurses is an essential part of this equation.
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Summary:
Nurses are vital to the ongoing discussions about reopening schools, especially in light of the COVID-19 pandemic. The shortage of school nurses has serious implications for student health and safety. As schools consider reopening, it is essential to prioritize the hiring of full-time nurses, ensure adequate isolation spaces for symptomatic students, and provide necessary protective gear for staff. Only by addressing these concerns can we safely return to in-person learning.
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