During the span of 25 years of employment with the Kenai Peninsula Borough School District, this writer has had the responsibility of a multitude of schools, stretching from Hope and Cooper Landing Community Schools, through Tustumena, Ninilchik, Homer Middle School, Homer High School, Homer Alternative School, Mc Neil Canyon School, Kenai Central High School, Nikoleavsk, Anchor Point, Nikiski High School, Soldotna High School, and the Community Schools of Seldovia, Port Graham, Nanwalek, and Tyonek. School assignments have primarily ranged from two to seven schools per year. Nursing responsibility is primarily focused toward the student body, although staff is attended as needed. Regularly assigned duties are at least as follows:

Student Safety Identification, Documentation and Implementation as appropriate for the prevention of accidents or further accidents.

Evaluate Immunization Records for proper dates of receipt and spacing with respect to State of Alaska Mandates. Verbal and written instruction provided to parents as needed to correct, and/or augment Student Immunization status.

Assess medical needs with plans for accommodation written independently and communicated to those staff who will have a need to know this students plan.

Assess diabetic students and write accommodation plans with respect to each individual and the orders written by their attending physician.

Health education of students and staff with respect to their individual health needs.

Independent Triage, Evaluation and recommendation of health concerns as presented to the Nursing clinic.

Communication with parents and health care providers concerning student health needs.

Referrals to health care providers.

Accept safety reports and implement appropriate referrals.

Assess and Inspect for safety and health concerns with respect to students, staff, and visitor injuries and/ or accidents.

Safety and Health concerns followed as appropriate.

Maintenance and Dispensing of over-the-counter (OTC), prescription and Emergency Medication with associated documentation.

Assessment, Management, Monitoring and Documentation of asthma students, with appropriate intervention as needed to maintain target Blood Glucose levels.

Tracking of communicable disease with associated documentation, to include communication with KPBSD, Public Health and State epidemiology.

Tracking and management of Head Lice, and associated follow up and successful recommendation for eradication.

Screening, evaluation and documentation of students and staff for Tuberculosis and communicate with Public Health staff for follow up medication administration.

Referral to the Office of Children Services as appropriate, with appropriate follow up and OCS staff meetings.

Evaluation and education of staff concerning Bloodborne Pathogens Exposure based on specific job titles and exposure opportunity, with administration, documentation and tracking of Hepatitis Vaccine Series.

Maintenance of student health records.

Annual screening of students within specific grades unless further follow up is required. Screening may include at least: Height, Weight, Vision, Audiometry, Eye Balance, Ishihara Color Plate evaluation.

Class room teaching with respect to various health subjects based upon teacher request.

Reference for teaching staff and students.

Medic First-Aid Instructor for Adult, Pediatric and Infant CPR/AED and First-aid classes taught to both staff and students.

Outdoor First-aid classes taught for high school students.

OSHA Instructor for Bloodborne Pathogen classes taught to the teaching staff who are deemed to have a greater chance for exposure to Bloodborne pathogens and body fluids.

Maintenance, tracking and ordering of Nursing Office medical supplies and equipment.

Communication and problem solve with fellow Nursing staff of other schools.

Computer entry of Nursing Office Visits, Health Records and Immunizations.

Preparation of student records to be transfered to other facilities.

Participate in team evaluation of students in need of supportive education to further their education success, (IEP/ I-team).

Orientate New School Nurse Staff.

Precept Nursing Students...

I am employed full time in this office. I am responsible for well baby assessments, weight and blood pressures for all patients, all subcutaneous and intramuscular injections, accurate documentation, medication and symptom counseling, dressing changes, consulting with pharmacies, arranging referrals to other physicians and assisting in scheduling of appointments, answering telephones and registering patients.