School health and school-based care — branching viva

Stem

Parent attends with school paperwork for a child with food allergy and rising absences. A school nurse may call about a possible reaction. [1] [4]

Examiner: What is school health for, beyond signing forms? [1]

Strong answer: Day-to-day safety and learning support through nursing, plans, medication systems, emergency readiness and clinic–school partnership — not stationery. [1] [2]

Examiner: How would you structure an anaphylaxis school plan? [4]

Strong answer: Triggers, early signs, IM adrenaline first, emergency call, positioning, second-dose pathway, contacts, training and on-site device access. [4]

Examiner: The nurse is only on site 2 days a week. Implications? [1]

Strong answer: Plan must be executable by trained non-nurse staff; storage, self-carry rules and training become critical; do not assume continuous nurse coverage. [1]

Examiner: How should an SBHC relate to the medical home? [2] [3]

Strong answer: Expand access with shared information and consent; avoid silent parallel records. [2] [3]

Examiner: After concussion, sport wants full return while schoolwork still triggers headache. [6]

Strong answer: Pace return-to-learn first; full sport waits until cognitive load is tolerated and medical clearance pathway is complete. [6] [7]

Examiner: School reports unexplained bruises labelled as ‘behaviour’. [10]

Strong answer: Treat as possible safeguarding; history, examination and mandatory reporting pathway — do not reframe as pure behaviour without assessment. [10]