Lina Rogers Struthers makes a presentation to students in the early 20th century. Working in New York, she was the nation's first school nurse. photo

Lina Rogers Struthers makes a presentation to students in the early 20th century. Working in New York, she was the nation's first school nurse.

School nurses’ role evolves with time

By Carolyn Thompson

The Associated Press

11 Comments | Leave a Comment

ELMA, N.Y. – “Nurse Zak’s” office at Elma Primary School has all the Band-Aids, ice packs and cotton balls expected in a place tasked with treating the bumps, bruises and paper cuts of school life.

But there’s also a rocking chair and stuffed animal for when comfort is the best medicine, a few pairs of sneakers to lend so forgetful kids don’t miss gym and some shirts and pants in case of a spill or mishap in the lab.

Nurse Zak – Jane Zakrzewski – has found that being prepared as a school nurse means being ready for pretty much anything.

In 30 years on the job, the tummy aches, headaches and bouts of lice and strep throat have remained consistent, she said. But today, school nurses also see things such as life-threatening food allergies, behavioral and emotional issues and, in today’s culture of inclusion, conditions that would have kept children out of the mainstream in the past.

Now, school nurses might suction tracheostomies, clean gastrostomy tubes, monitor wearable insulin pumps, keep track of inhalers and epinephrine injectors, give medicine for attention-deficit hyperactivity disorder and seizures and dispense birth control.

It’s a far cry from what Lina Rogers Struthers might have seen in 1902, when she was the nation’s first school nurse as an experiment to stem the spread of contagious diseases such as diphtheria and scarlet fever in New York City schools.

“In general, people want their children to be as normal as possible, so they want to send their children to a public school setting and want them to be part of the public school community and grow up just as any other child would grow up,” Zakrzewski said.

“I really, in my heart of hearts, feel like there’s nothing we can’t handle,” she said.

Zakrzewski is one of about 74,000 registered nurses working as school nurses in the almost 100,000 public elementary and secondary schools. Their offices are seen as an intersection between health and education.

“Students that are healthy stay in school, have fewer absences and they learn better,” said Carolyn Duff, president of the National Association of School Nurses, “and students that are well educated become healthier adults.”

Through annual screenings, school nurses often are the ones to catch hearing and vision loss in students and identify those at risk for obesity and related problems.

They also can influence school policy on topics from concussion management to hand-washing, said Mark Bishop, spokesman for the Chicago-based Healthy Schools Campaign. The initiative offers school nurse leadership training as part of its efforts to create healthy school environments.

“School nurses can really provide leadership and direction in a school to really create this environment of health,” Bishop said, “whether it is identifying conditions that are hampering students’ ability to learn through looking at the exposures to chemicals and indoor air quality to really providing prevention services in schools.”

The goal is to keep attendance as high as possible at a time of increasingly challenging curricula and graduation requirements, he and others said.

It’s a tall order, especially considering a school nurse is often the lone medical professional in buildings with hundreds of students, varying numbers of whom may be without access to outside health care.

“It’s not for every nurse,” said Duff, who practices in a Columbia, S.C., elementary school with 430 students.

Confidence, independence and the ability to interact with teachers and parents are musts, she said, as well as continued education to keep up with ever-changing issues, from the peanut allergies that emerged in the 1990s to the H1N1 pandemic of 2009 and anti-bullying efforts of today.

“It’s a different milieu than a hospital setting” where in an emergency, help is always near, Duff said. “That isn’t the case in schools,” she said. “You can call one of your colleagues in another school, but basically it’s you.”

It’s not just physical ailments that fill nurses’ days. A 2005 study published by the Department of Health and Human Services found that school nurses spend about a third of their time providing mental health services, ranging from referrals and crisis planning to simply listening.

“When I worked in the high school I may have been more of a counselor than an actual nurse at times because of the amount of time I spent listening to students and their issues,” Zakrzewski said.


This job is really hard, when

This job is really hard, when you know people trust your aptitudes and let themselves be treated and cured by you. It`s recommended to give your best, to care about the patients and put love in what you`re doing. At you can find such devoted people, that would do their best to help you, give you the best medication and take care of you with the best medical equipment.

Dentist roles

It is incredible to see the advancements in medical technology made over the last centuries. Patients can now be assisted faster and more efficient than ever before. This is also true for the dentists in Clintonville, Ohio for example. Healthy teeth help create a seductive smile.

Nurses understand

Medical schools evolved in time. Modern health care systems pose are faced with new challenges for both the patients and the doctors. This is why understanding Medicare can be very important for many. There are no other healthier options.

Nurses have an honorable job!

Nurses have an honorable job! This kind of devoted women you can also find at Regency nursing home who will take care of your loved ones and you know they`re on good hands.

Being a nurse is such a

Being a nurse is such a difficult but yet beautiful job! You really have to be ready for every situation. Keeping the kids healthy minded and healthy bodied is really hard but very satisfying but now the nurses don`t have to worry about kids physical condition because there are people like those from which can help anyone to be fit right at their homes. The kids should be only supervised.

Stop! Dentist time!

Health care changed a lot in order to get to the present situation. Some voices argue it actually devolved but one cannot deny the progress that took place in the medical field. Searching for a invisalign dentist North Providence makes it possible to access the best dental care possible. Putting one step in front of the other is how things go.

This may be true, but even

This may be true, but even so, they still play an important role in the health care services. They are the ones who must enforce doctor's orders and to properly administer any medical treatment. But their job description doesn't stop here. For instance, in an emergency clinic they are more important than ever, their fast reactions and attention can save peoples' lives every day and night.

You are right, these days

You are right, these days nurses are much better treated and have more responsibilities than they used to have. For example, in nursing homes in Dallas, TX nurses are working closely together with the doctors in order to provide their patients a flawless health care.

Nurses are often busy at work

Nurses are often busy at work and for that they don't have a normal social life. But the work and dedication that they offer to the patients is the best compensation for them. They are so busy that they choose to shop online and buy almost everything using this method, even their scrubs from

Although the role of nurses

Although the role of nurses has evolved in time, there is no doubt that they are still important for the hospitals, but also for the patients. It is best to be healthy, to eat well and to take supplements, like 4Life Transfer Factor than to get sick and hospitalized. But, when you are there, rest assure, that the nurses will take good care of you.

Nurses are very important in

Nurses are very important in the health care system. They are the ones who take care of the patients, after they are diagnosed and hospitalized for further investigations or proper treatments. Also, they take blood for Rapid Test analyzes, give the drugs, clean the patient and the bed, etc. As you can see, their work is very demanding and important!

Add comment

Login or register to post comments
Down East Talent Search