Tuesday, September 28, 2021


Does North Carolina Gov. Roy Cooper's criminal-justice reform go far enough? Plus, Congress is running out of time to prevent a shutdown and default, and Oregon tackles climate change.


The nation's murder rate is up, the Senate votes on raising the debt limit, the DEA warns about fake prescription painkillers, a new version of DACA could be on the way, and John Hinckley, Jr. could go free next year.


A new Oklahoma museum honors tribal nations, while Iowa's history is back on the blacktop; mixed news on COVID-19 comes with a warning about unconventional drugs; and electric cars and buses are coming to rural America.

Pandemic, State Regulations Create Obstacles for NC School Nurses


Tuesday, September 7, 2021   

WILMINGTON, N.C. -- As the school year gets underway, some school nurses are facing hurdles addressing students' health-care needs.

Diane Parker, lecturer at University of North Carolina-Wilmington, family nurse practitioner at Coastal Horizons, and school-based nurse in Wilmington, said school districts are already struggling with teacher shortages, and the state's Advanced Practice Registered Nurse (APRN) supervision requirements contribute to a chaotic situation.

Parker recounted she had to scramble to reinstate her previous supervising physician, at her own cost, after her new supervising physician had to delay their contract due to COVID-19 illness.

"If I didn't have that person to go back to, like, if she wasn't able to take me back, then I would not be able to practice in a school-based setting until my new collaborating physician was well enough to assume those responsibilities," Parker explained.

In 2019, 17% to 19% of students statewide received health care related to a chronic condition, like asthma or diabetes, according to the state Division of Public Health.

Under current state law, APRNs must work under doctor supervision, have a collaborative practice agreement, and meet once every six months with their supervising physician.

Parker added due to statewide nursing shortages, most school nurses work at multiple schools or split their time between a school and hospital or private practice. She lamented it means teachers and school staff, who have no medical training, are left to deal with kids' health emergencies or chronic conditions.

"And our center serves over 2,000 students and faculty," Parker observed. "And so, again, I would not be able to do my job, I would not be able to see patients or staff, without a collaborating physician."

While the American Medical Association and other physician groups argue collaborations are needed for patient safety, Parker argued supervision requirements are not necessary.

"It is nice to know that I have a collaborating physician in the community that I can reach out to if needed," Parker acknowledged. "But in all the time that I've had one, it's very rare that I've needed to do that."

North Carolina is one of the most restrictive states in the country for APRNs, according to a report by the National Academy of Medicine. The SAVE Act, introduced in North Carolina this year, would remove supervision requirements statewide.

get more stories like this via email
Public schools need to minimize arrests at schools by using emergency mental-health teams instead of police officers to address behavioral incidents at school, according to a Sentencing Project report. (Adobe stock)

Social Issues

ARLINGTON, Va. -- As a Northern Virginia school system transitions away from using police officers in schools, a new report suggests COVID stimulus …

Social Issues

DES MOINES, Iowa -- In five weeks, voters in many Iowa cities will cast their ballots for local elections, and the Secretary of State's office is …

Social Issues

AURORA, Colo. -- School districts across Colorado had to get creative to ensure families could access critical meals during pandemic-related closures…

Companies behind a proposed natural-gas plant for Wisconsin hope to break ground by 2025. (Adobe Stock)


SUPERIOR, Wis. -- Legal proceedings continue involving a proposed natural-gas plant for northwestern Wisconsin. The plans have been approved by state …


PORTLAND, Ore. -- Draft rules are out for a program designed to confront climate change in Oregon, but organizations say it does not go far enough to …

West Virginia families have struggled to find and keep work, pay rent and bills, and care for kids and older relatives, and anti-poverty advocates say the pandemic has made things worse. (Adobe Stock)

Social Issues

CHARLESTON, W.Va. -- House Speaker Nancy Pelosi said lawmakers are slated to vote on the $1 trillion bipartisan infrastructure bill Thursday…

Social Issues

RALEIGH, N.C. -- North Carolina Gov. Roy Cooper signed sweeping criminal-justice reform into law this month that is meant to hold police more …

Health and Wellness

BALTIMORE -- Spurred on by COVID challenges, a grant from the Maryland Developmental Disabilities Council to two human services providers is …


Phone: 303.448.9105 Toll Free: 888.891.9416 Fax: 208.247.1830 Your trusted member- and audience-supported news source since 1996 Copyright 2021