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School nurse: health office visits, accident reports and dental screenings rose this year; district seeks electronic charting
Summary
The district health services report recorded roughly 5,692 health office visits (up from 5,535), increased accident and ambulance incidents, expanded AED coverage and dental services valued at $47,323.51; the nurse outlined training, staffing coverage and next-year goals including electronic charting and Medicaid billing clarification.
Shelby, the district’s health services presenter, delivered the Tomorrow River School District’s annual health services report for the 2025–26 school year, summarizing clinical activity, training, emergency-preparedness steps and program partnerships.
Shelby told the board that total health office visits for the year were approximately 5,692 (up from 5,535 the prior year), accident reports in the main building rose to 60 (from 29), and ambulance calls increased to nine (from four). The district logged 134 health plans on file this year, up from 106. Shelby said about 30 percent of office visits required parent contact and that a typical day sees roughly 40 visits, with a peak day of 56.
The presentation enumerated safety and medical resources: the district has six AEDs on campus (four indoor year-round, two seasonal outdoor), six individual epinephrine auto-injectors plus eight stock pens for offices, two glucagon kits, 18 albuterol inhalers, and one anti-seizure medication (parent-provided). Shelby also described partnerships for screenings and preventive care: Portage County Health and Human Services conducted hearing and vision screening programs, and a school-based SealSmile dental program provided dental services to 252 students and $47,323.51 in preventive dental care (including 89 teeth sealed and 690 fluoride varnish applications).
Shelby outlined staff training delivered this year—Stop the Bleed, EpiPen training, AED overviews, insulin/glucagon competence checks—and noted professional memberships and conferences attended. Looking ahead, Shelby identified priorities including transitioning to electronic charting through Skyward, clarifying Medicaid billing for nursing services tied to IEPs, and defining charter-school nursing obligations.
Shelby emphasized the scope of the nurse’s role and the need for complete medical documentation from families to ensure student safety. "The annual health services report is intended to give administrators and the school board data regarding health services provided to the students and staff of the Tomorrow River School District," Shelby said.
Board members thanked Shelby for the summary and asked clarifying questions about trends, the increased number of health plans and field-trip coverage requirements when an RN must accompany students with unstable conditions.
What’s next: Administration will continue planned steps (electronic charting evaluation and training) and follow up on immunization compliance reporting to Wisconsin DHS in August, and report back to the board on progress.
