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In defense of the school nurse

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We are all keenly aware, as it has been drummed into our heads for a couple of years now, that the School District of Philadelphia is in financial crisis. We further understood that this deficit — more than $600 million and yet somehow still rising — would lead to painful cuts in programs and personnel.

We’ve watched helplessly as extracurricular activities, sports, art and music fell one by one to the budget axe. We sat on our hands through the first few rounds of layoffs, even while some favored private contractors (and a few administrators) gorged shamelessly at the public trough District officials swore had run dry.

The money coming in never quite equaled the money going out, and virtually none of it ever made its way to the communities, the schools and the students who needed it most. Long-suffering parents, taxpayers and stakeholders endured each indignity, assured that tighter fiscal controls and better oversight would pave the way for better days ahead. Of course, we were given those assurances by the same band of gypsies who stole the money in the first place, but that’s another story for another time.

My roundabout point here is someone is going to have to draw a line somewhere.

Effective Dec. 31, 141 District employees — including 47 nurses, 28 secretaries, 18 non-teaching assistants and others — will lose their jobs in the latest game of musical chairs the District calls “belt tightening measures.”

If you don’t think that’s a big deal, you’re mistaken. As a product of the Philadelphia public schools, and as one who spent significant portions of those years in the nurse’s office, taking away school nurses is easily the most shortsighted, band-aid-on-a-bullet-wound budgetary move yet devised.

True, I had more sprains, broken bones, contusions, concussions, scrapes, bumps, bruises and boo-boos than most — but still, fewer than others. Multiple sports activities, plus a teenager’s natural penchant for stupid human tricks and boneheaded stunts often resulted in a trip to the nurse’s office. Having a trained, qualified health care professional in every school is not a luxury — it is the right of every child and parent in the system.

If school nurses were essential back in the ’70s, they are irreplaceable today, when so many more students have so many more problems requiring medical attention. The number of kids who are asthmatic has skyrocketed since those old days, not to mention the numbers of students on various medications, which must be dispensed and monitored during school hours.

Imagine what happens when a child gets sick — I mean really sick — and no one is trained on what to do. Imagine what happens when the parents then sue the school district for negligence, and probably win. How much money will we have saved from pink slipping the school nurses then?

You might as well remove all the handrails and banisters from the stairwells in every school and sell them as scrap iron for ten cents a pound. Then you can brag about pulling in a couple of thousand bucks in savings — while personal injury attorneys station themselves at the bottom of the stairs offering a fat payday for each turned ankle.

It was a school nurse who first recommended that my eyesight be re-tested in elementary school. She was right, and I’ve been wearing glasses ever since. How many other kids with hearing loss, vision problems and a host of other ailments owe that initial diagnosis to a caring school nurse? And the converse question: How many will now go unnoticed, undiagnosed and untreated when those nurses are gone?

We’re not just talking about taking away band instruments or after school clubs here (although that would be bad enough). A school nurse can, and has, made the difference in certain life-saving situations, by providing a trained eye when every second counts.

It’s hard to imagine the back-and-forth among school administrators that day when the conversation turned to the subject of getting rid of school nurses. What bothers me more than whoever made the idiotic recommendation in the first place is that everyone else in the room didn’t shout it down as the exercise in stupidity that it clearly is.

The lawsuits alone will bankrupt the system so fast their heads will spin.

Next brilliant idea: Since new cars aren’t selling very well, perhaps auto manufacturers can save some money by eliminating unnecessary gadgets — like brakes, air bags and seat belts.

That should save a few bucks, right?

 

Daryl Gale is the Philadelphia Tribune's city editor.

9 comments

  • John Doe

    What about all the drug addict school nurses and their junkie husbands???!!!

    John Doe Monday, 30 January 2012 13:43 Comment Link
  •  Diane Mohney

    Thank you for your support of school nurses and the students of Philadelphia public schools. I am a retired Philadelphia school nurse, having worked for 29 years for the children of the School District of Philadelphia and their families.. Everything you wrote rings true. Your understanding of the way school nurses promote health and safety, help schools function, and children learn is to be commended.

    Public education in Philadelphia is barely on life support, this is an emergency situation, not just where nurses and school children's health and safety are concerned. All positions, including school nurse positions should be immediately restored to September 2010 levels. The community, and politicians at all levels MUST immediately come together, not just to do CPR, but to build an educational system that matches those in affluent areas. Politicians, and administrators be held responsible for the actions, and lack thereof, which have led to the current state of affairs in many urban and poor rural public schools.

    Public schools do a marvelous job in affluent areas where classes are small, teachers are given the materials they need to teach, students with problems receive special attention, and buildings are safe and sound.

    Every citizen of this city,state, and nation, and especially the politicians, should be ashamed that any child has to go to school where classrooms are crowed, buildings are crumbling (even dangerous), and there are not enough specialized staff (nurses, counselosrs, etc.) to deal with students' problems. The United States certainly has had its economic problems as of late. We are still the richest country in the world, with vast resources, which only adds to the shameful situation we find ourselves in.

    Every bank that gets bailed out at taxpayers' expense, every war waged, every millionaire and billionaire who benefits from tax loopholes takes money away from our children and their education.

    Priorities must be reassessed. We might as well be eating our young.

    Diane Mohney Monday, 02 January 2012 20:53 Comment Link
  • Carol McCarthy, PNP-BC, PhD

    Thank you, Mr. Gale. Your understanding of the role, function, and responsibilities of the Certified School Nurse is incredible. Few recognize the integral role the School Nurse plays within the school and the community. For example, School Nurses are members of Comprehensive Student Support Teams, participate in Individualized Educational Plan (IEP) meetings, and develop and monitor 504 Plans. They iniatate the Homebound Instruction process for those students whose health conditions prevent them from attending school, and arrange transportation for children with medical needs. School Nurses coordinate services with community partners and providers to obtain glasses and dental care for children needing these services. Of course, these roles are in addition to the medications, illnesses, injuries, vision, hearing, and growth screening that School Nurses assess and manage. Thank you so much for speaking out on behalf of Philadelphia's school children and their nurses.

    Carol McCarthy, PNP-BC, PhD Monday, 02 January 2012 16:03 Comment Link
  • Ray Goldenberg

    As usual the ones who made all of the poor finial decisions, walk away with their pockets full of tax payers money, Who is watching the purse strings, there is plenty of money in the budget, but when they spend it on useless, non essential personal, these are the the ones that are taking away the dollars that should be used for Nurses and Education!
    When a child can't see the blackboard, or hear the teacher,
    You will reap what you sow! Somebody need to be responsible for this mess!

    Ray Goldenberg Monday, 02 January 2012 11:24 Comment Link
  • Helene Bloch

    Thank you, Mr. Gale for your support of school nurses. I am not one who received a lay off notice. But I am one who will be working in a school with 1600 students 4 days a week by myself. I am not the only one, most of us will be responsible for more students than anyone should be. Principals all over the city will be over seeing the many medical needs of the students. Maybe then they will realize the need to stand up for school nurses.
    A Philadelphia school Nurse

    Helene Bloch Monday, 02 January 2012 08:06 Comment Link
  • Nurse

    Thank you so much for recognizing school nurses are not just distributing band aids now. I am one of the nurses that was laid off from a school with 1300 students. I was the only nurse there with 10 diabetics that require insulin daily (insulin can only be given by a registered nurse). I also worked with sickle cell patients, epileptics, peanut allergies, asthma, and emergency first aid. We also have so many students in the philly district that are mentally sick needing medications through out the school day that must be monitored by a medical professional daily. Schools have so many injuries daily...and one incident that sticks out for me was a child that had a major head injury. I was able to identify that his short term memory was not intact as well as the student having one pupil that was larger then the other. With a proactive nurse and parent, we were able to get the student medical attention immediately. The student had a fractured skull with a brain bleed. If I was not there that day, this student might have been sent back to class because there were no complaints of pain. This student would have most likely died if it wasnt addressed. Please remember also that the nruses are the ones that identify vision and hearing problems. I have been able to get over 50 students a year free glasses through different programs in Philadelphia. Our nurses also identify scoliosis and can refer students early so that they do not have to go through major surgery (most students can manage with physical therapy if this is addressed eaqrly) I appreciate the support from parents and especially my fellow school nurses. Please advocate for your childs health and well-being. Your tax dollars are being wasted on inflated salaries at 440.

    Nurse Sunday, 01 January 2012 23:05 Comment Link
  • Norma Jean Walens

    Thank You for your support Mr. Gale. Working as a school nurse for the last 20 years has been amazing. It has always been rewarding to work with such students as you described yourself. Unfortunately, the press has not gotten the numbers correct. Since June 2011, we have lost close to 100 of my colleagues/school nurses. Fifty Nurses were laid off in June and last week forty seven. I am so very concerned for the safety and health of Philadelphia's school children. I am responsible for 1300 students between 3 schools Monday through Thursday. Last week I received notice that I will now cover a 4th school,on Fridays, with 1200 elementary school students.That is a total of 2500 students. It simply scares the hell out of me!

    Norma Jean Walens Sunday, 01 January 2012 22:12 Comment Link
  • Kathy Wetzel RN

    Thank you Mr. Gale for verbalizing your support of school nursing. As many school staff and parents recognize, school nursing is not about cuts and bandages. It is about identifying children in need of glasses. It is about making certain our diabetics, epileptics, asthmatics etc are properly cared for. When school nurses are able, dental and vision services are provided on site for the children of Philadelphia who are in need of these services. Lest we forget, nurses also monitor immunizations so that all children are up to date per state requirements. All this in addition to boo boo management! Thank you for acknowledging our support to the children of Philadelphia.

    Kathy Wetzel RN Sunday, 01 January 2012 21:36 Comment Link
  • Helen Kelly, RN

    Thanks, Mr Gale. It seems that you are one that understands the ramifications of this poor decision. As a school nurse who didn't get a layoff notice, I will now be responsible for the students in 3 different schools as will many nurses. That means trying to juggle those schools and trying to get to know the students. Unfortunately, I will not get to know everyone and I pray that nothing major occurs when I am not there. The medically fragile population in our schools has risen greatly in the past 10 years that I have been doing this and just when we are needed most, students and schools are having to do without.

    Helen Kelly, RN Sunday, 01 January 2012 21:11 Comment Link

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