PHYSICAL HEALTH SCREENING OF SCHOOL-CHILDREN Extended Health Care Responsibilities for School-nurses

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Abstract
Children (410), 10 and 12 yr old, in a school district, underwent 2 repeated physical examinations within the school services, the 1st by the school nurse and the 2nd by the school doctor. The assessments were compared to see if physical class examinations can be delegated to the nurse in the future to release doctor''s time. More than half of the children had slight deviations from normal; most common were deviations of the spine and skin. The nurse detected many more deviations than the doctor but the assessments showed good agreement concerning functionally important deviations. Newly detected, functionally important deviations were noted in 8 children (2%). The routine physical examination can be delegated to the school nurse who has the necessary prerequisites to take this responsibility and screen out those children in need of a doctor''s assessment; in this study, 20%. Valuable time for the doctor could be freed.

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