Saturday, October 23, 2021


Some states entice people back to the workplace by increasing safety standards and higher minimum wage; Bannon held in Contempt of Congress; and the latest cyber security concerns.


House votes to hold Bannon in contempt of Congress; Trump announces new social media platform TRUTH Social; and the Biden administration says it will continue to expel migrants under Title 42.


An all-Black Oklahoma town joins big cities in seeking reparations; a Kentucky vaccination skeptic does a 180; telehealth proves invaluable during pandemic; and spooky destinations lure tourists at Halloween.

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
California has collected more than 600 tons of unwanted prescription drugs since the Take-Back Day program began in 2010. (Dodgerton Skillhause/Morguefile)

Health and Wellness

SACRAMENTO, Calif. - Saturday is National Prescription Drug Take-Back Day, when the Drug Enforcement Administration encourages everyone to clean out …

Health and Wellness

BALTIMORE - This month marks the four-year anniversary of the #MeToo movement, and an art project aims to help incarcerated survivors heal by telling …

Social Issues

OGDEN, Utah - Utah is one of only a handful of states that taxes food, but one state legislator says taxing groceries should become a thing of the …

In a new poll, 71% of all registered voters support strengthening rules to reduce oil and gas methane pollution, including 73% of Independents and 50% of Republicans. (Adobe Stock)


CASPER, Wyo. - A strong majority of voters across party lines say they want national rules similar to those passed in Wyoming to reduce methane …

Social Issues

BISMARCK, N.D. - A portion of American Rescue Plan funding sent to North Dakota has yet to be divvied up. Groups that want to improve the child-care …

Gov. Tom Wolf already has increased the minimum wage for state employees and contractors, which is set to reach $15 an hour by July 2024. (Gov. Tom Wolf/Flickr)

Social Issues

PITTSBURGH - As businesses across the country deal with a massive labor shortage, Pennsylvania aims to entice people back to the workplace by …


ALBANY, N.Y. - Environmental groups want Gov. Kathy Hochul to sign a bill that mandates monitoring the state's drinking water for "emerging …

Social Issues

JEFFERSON CITY, Mo. - Gov. Mike Parson is facing calls to get the Missouri Cybersecurity Commission off the ground after it was created by the …


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