Diabetic Kids, All Kids, and School Nurses

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5 Responses

  1. Well, this is a good move led by the schools and the American Association of Diabetes. I don’t see a problem on this, however; it is imperative that extensive training should be conducted to avoid worse problems to surface.

  2. AP says:

    Plus, this will only work if teachers volunteer for the additional training. But, what’s the incentive? I’m sure the additional training looks good on the teacher’s resume, but I doubt it comes with a salary increase. I hope the teachers are granted immunity from liability that may arise from administering the shots.

  3. Kate Shinberg says:

    There are many reasons that every school needs have a full-time Nurse, and this article speaks to just one of the important ones. Anyone can be trained to give a SubQ injection, but there is more to giving insulin than just aiming a needle.

    As the author points out, hyper & hypoglycemia are potentially severe consequences of chronic diabetes. A child could have symptoms ranging from chills, nausea & vomiting to syncope and even something as serious as a seizure. Recognizing the progression of a medical emergency takes more than the training needed to administer an insulin shot- it’s something that’s honed over the years by working medical professionals. I am still learning how to best assess deteriorating patients and I’ve been a Nurse on a critical care oncology/hematology unit for a year.

    School Nurses are a great asset that unfortunately are a limited presence in our educational system. This discouraging reality exists for a variety of reasons and most likely will not be changing any time in the near future. Therefore, due to the fact that School Nurses are a rare resource and funding is virtually unavailable, there needs to be those in the school system that are medically trained in some respect. Whether this a secretary who knows how to administer an inhaler or a teacher who can take a blood glucose and give an insulin shot- additional education is a fundamental necessity.

  4. anon reader says:

    I don’t know which part of “it’s expensive; money is scarce; we need to prioritize our spending” you do not understand. Yes, it’s awesome to have sidewalk curbs for the very rare occasion I need to drag my suitcase, but the costs of this luxury are prohibitive, so I’d happily push and kick my suitcase a few times for the privilege of having lower taxes or having the money spent on other, more valuable to me, projects.

    Same with nurses and diabetic kids. Nurses are very expensive. They are not doing a lot of work, given the schools’ paranoia about liability and the trend to push most medical care to emergency rooms or other, non-school, providers of care. So, the value of having full-time nurses is very limited. Yes, they are valuable to diabetic kids and kids with a few other serious illnesses, but those are few, and they are likely better cared by other professionals outside the school. To the most part, full-time nurses are the luxury that isn’t necessary and cannot be afforded, and therefore the exclamations of the sort “isn’t it really nice to have this and that luxury!” aren’t very helpful.

  5. Danielle Citron says:

    KCz, Thanks so much for your thoughtful, as always, post. School nurses are as fundamental to learning as good nutrition and books, by my lights. Providing these sorts of services are no luxury–they can be life and death for the one million Type 1 diabetics attending schools.