School Health

Schools rely on consistent pricing to manage tight budgets. But when prices change without warning, it becomes harder to buy what students need — and harder to stretch every dollar.

Unexpected prices can derail even the best planned school budgets. According to a recent report by the Institute for Local Self-Reliance, Amazon Business does not guarantee locked-in prices, resulting in huge pricing swings for schools. Traditionally, schools use contracts with local suppliers, like School Health, who bid to offer the best rates.

So, what does using a platform with fluctuating pricing mean for schools? Well, an employee of one school district could purchase a 12-pack of markers for $8, but an employee at a different school district in the same area might end up buying the same pack of markers for $20.

That deal you think you are getting? You may want to reconsider!

School budgets are already very tight and the lack of transparency when it comes to business practices like this make it even harder for schools to get what they need and use their budgets efficiently. Plus, according to the report, a price comparison between Amazon and an independent supplier found that the independent supplier was able to beat Amazon’s prices on 68 percent of products.

Shop Smarter & Discover the School Health Difference

School Health offers reliable, budget-friendly pricing, support for multiple state and national contracts, and PunchOut integration — making the buying process simple. Plus, our team of Specialists can guide you to the solutions that fit your students’ needs and meet your unique budget.

Shop the brands you trust: With our curated selection of quality supplies and name-brand equipment at consistent prices, you’ll always know what you’re getting with School Health.

This is great news for school-based professionals, like our customer, Brenda, who said, “Your company never fails our school nurse. Everything that we order is always in stock and shipped out within 2 to 3 days of placing the order."

Real-person support from start to finish: Our team is here to help you place your order and ensure it’s delivered to you on time. Not satisfied with your order, or have questions? Our in-house customer care team is here to help. Plus, our experts offer product training on vision and hearing screening devices, professional development for our curriculum, and more.

One of our customers, Elizabeth, had this to say about her experience: “The customer service representative I spoke was so kind, she made my experience so easy!!"

Taking the guesswork out of shopping: From our catalogs to our pre-made supply lists, we’re your one-stop partner – helping you make shopping more convenient and purchasing more streamlined.

Another one of our customers, Ashley, said, “I find your site easy to use and love that I can search by a product number for quicker ordering. I also had an issue getting a coupon to work and emailed School Health Representative, Tim Michigan, back to let him know that it was causing an error and he got back to me so quickly and was willing to help me.”

Price Match Guarantee and Free Shipping: Our products are competitively priced, and our price matching policy guarantees we will match a price in a competitor’s catalog for the same published year, for identical items and quantities. Plus, qualifying orders over $125 get free shipping!

For the last 70 years, our mission has been to support education professionals, like you, by providing the quality supplies and equipment you need to help students succeed and stay healthy. Ready to discover the School Health difference? Connect with us today.

Clear vision is foundational to student success, but traditional screening tools often slow down workflows, miss key indicators, or create challenges for students who can’t complete standard eye charts. That’s why more districts are turning to instrument-based screening, and one device consistently leads the charge: the Spot Vision Screener.

In our latest webinar, Micah Freeman, MSN, RN, from Trenton Public School District, shared firsthand from the school nurse’s perspective how the Spot truly allows schools to screen smarter and improve overall academic performance in the classroom.

Why the Spot is a Game Changer:

Unlike traditional tools that require verbal responses, letter recognition, or precise student cooperation, the Spot Vision Screener is a portable, instrument-based device that empowers nursing staff to screen children of all ages both accurately and efficiently in a short amount of time.

• Screens from a comfortable, three-foot distance—no touching, no complicated instructions.
• Uses lights and gentle sounds to hold students’ attention.
• Features a 97% capture rate, generating results of both eyes in just seconds.
• Displays results instantly so nurses know immediately if a full eye exam is recommended.

“Purchasing the Spot Vision Screeners was an investment in our nursing staff. We knew it would make their jobs easier to complete.” – Micah Freeman

Spot’s Benefits from Nurses’ Lens:

Nurses have been specifically impressed with how quick the Spot screens, its ease of use, and how it helps them productively meet district goals for screenings. They have also observed improvements in students with vision issues who received follow-up care, such as enhanced reading skills and positive behavioral changes. Core benefits include:

• Speed: Screens an entire class quickly, with minimal training required for new staff.
• Accessibility: Ideal for individuals with special needs, attention issues, or language barriers.
• Accuracy: Identifies amblyopia and refractive errors that standard charts often miss.
• Consistency: Offers objective, repeatable results, ensuring state screening requirements are met.

“We consider these strategic purchases that allow us to meet state mandates, but more importantly, help support overall academic success of our students, as vision loss is often tied to literacy and behavior issues in the classroom.” – Micah Freeman

To get the most out of instrument-based screening, schools have found these strategies especially effective:

• Using a dimmed room to reduce glare.
• Keeping students lined up and ready to maintain flow.
• Positioning the device about three feet away for optimal capture.
• Reducing environmental distractions to help students stay engaged.
• Leveraging teachers or support staff to assist younger grades or large groups.

Tips for Implementation & Training:

• Host a professional development day to kick off initial Spot Vision Screener training.
• Bring in the School Health team for on-site, hands-on instruction.
• Have nurses complete at least two screenings to build confidence with the device.
• Schedule refresher sessions a few months later with School Health for any refresher training needed.
• Encourage experienced users to train new staff within the district.

What You Get Working with School Health:

• Expert training: Receive personalized support tailored to your district’s unique needs from experts who know school workflows and state requirements.
• Baxter Service Program: Enjoy peace of mind with comprehensive coverage, maintenance, and support for your devices, at no extra cost.
• Robust inventory levels: With our wide assortment of screening tools readily available, you’ll always have everything you need to keep your program running smoothly.
• Exclusive rebates: Savings on new Spot Vision Screener purchases help stretch your budget further while implementing cutting-edge vision screening equipment.

At School Health, we’re more than just a distributor. We’re your full-service partner for building a vision screening program that makes a lifelong difference in students’ lives.

Start transforming student vision care today by connecting with our team.

“We praise our school nurses for following up with the referral to the parents to make sure students who need vision corrections get the treatment that they need. When students come to school with their new glasses, our nurses feel they’ve helped make a difference in their lives.” – Micah Freeman

Vision screening isn't just a best practice—it’s a requirement in most states. Experts say that 1 in 4 school-aged children have an undiagnosed vision problem that can interfere with their ability to learn, making regular vision assessments critical. The challenge? The “what, when, and how” of screenings look completely different from state to state— from which grades require testing to what equipment can be utilized.

In our recent webinar, School Health’s Senior EHR, Vision, and Hearing Specialist, Maryellen, broke down state vision screening guidelines and shared best-practice strategies to help districts build a reliable, compliant screening program for better student outcomes.

Why State Screening Mandates are a Must:

• Early detection of amblyopia and refractive errors is crucial to prevent vision disorders from hindering a child’s development.
• Accessibility for children who are non-verbal, have developmental delays, or language barriers (ESL).
• Accuracy in identifying risk factors before school age.
• Education and development to ensure all children have an equal opportunity to succeed in school.
• Improve academic performance as vision problems can directly impact a student’s ability to learn, read, and thrive in the classroom.

Quick Guide to Navigating State-Level Guidelines:

1. Understand state requirements: Each state has its own mandates for frequency, grade levels, and types of vision screening. Find state-specific tools that align with your needs here.
2. Align with evidence-based practices: Use validated screening tools, like the Welch Allyn Spot Vision Screener, and follow standardized procedures.
3. Train and certify screeners: States often specify who can conduct screenings.
4. Foster strong follow-up systems: Track referrals and confirm that students get eye exams and treatment.

State-by-State Vision Screening Requirements:

Approximately 40 states and the District of Columbia mandate vision screening for school-age children, though the specific grade levels and screening frequency vary significantly. Preschool screening is required in about half of all states, and Head Start adds another layer of expectations by requiring evidence-based vision screenings within the first 45 days of enrollment. While not a mandate, the American Academy of Pediatrics (AAP) also influences best practices by recommending instrument-based screening beginning at 12 months and continuing annually until a child is ready for traditional visual acuity testing.

Best Practices Checklist for Compliance

                                                                                                                                                                               Source: Prevent Blindness

Clear vision is the gateway to learning, and a strong program plays a pivotal role in student success. With the right tools and expert guidance from School Health, districts can build confident, effective programs that make a meaningful difference for the students they serve.

Ready to take the next step towards healthier student vision? Connect with our specialist for personalized guidance on navigating your state’s guidelines, training support, and more.

When a student collapses and seconds matter, will your school be ready? Or will confusion slow your response? In our recent webinar, emergency preparedness experts shared what every school health professional needs to know about knowing what to do during a cardiac emergency. AED legislation varies from state to state and changes often, so it’s critical to stay informed and ensure your school is always in compliance.

Types of AED Legislation in Schools

The intricacies of AED legislation can make it challenging for schools to stay compliant, especially if you don’t fully understand what’s required. Each state has its own laws that can vary widely, and nearly every state has proposed new AED legislation. Much of it targets schools, often creating a “follow the leader” effect as states model their requirements after others. Staying on top of these changes isn’t just smart — it’s essential to keeping your school prepared and protected.

Common elements of AED legislation include:

• Good Samaritan/Civil Liability: A legal protection to those who voluntarily offer assistance
  • Schools: Generally covered if they comply with laws and AED is maintained and tested according to manufacturer guidelines.
  • Personnel: Generally covered if staff or bystanders use the AED in an emergency in “good faith” and without “willful or wanton misconduct”.
  • Trainers: Individuals or entities providing training are generally covered if they comply with statutory requirements and without “willful or wanton misconduct”.

• Basic AED Placement Laws: Having AEDs in the proper locations
• AED Use Reporting Laws: Reporting every incident an AED is used
• AED Training Requirements: Who, if any, must be trained?
• AED Placement Laws: Which entities must have an AED?

SH Connect's law center lets you easily review current and upcoming regulations to keep your school informed of urgent updates. 

AED Placement in Schools

• 37 states require at least one AED on site at schools
• Many states require AEDs to be registered with local EMS
• Some states: 
  • Require AEDs at all athletic events
  • Require AEDs at all school sponsored events
  • Require AEDs in prominent locations around buildings
  • Try for AED placement allowing a 3-minute response time
  • Differentiate between public and private schools

Get a better idea of your state's AED requirements using the map below.

*CERP = Cardiac Emergency Response Plan. Learn more about CERPs here.

AED Training Requirements

Some states have few or no mandates for AED training, while others have multiple. Most commonly, athletic coaches and trainers need to stay certified, usually renewing every two years through the American Heart Association (AHA) or the Red Cross. In some states, schools take it a step further by establishing emergency response teams with certain personnel.

It’s not just staff—many states require students to have AED training or education, sometimes making it a high school graduation requirement. In some places, students start learning as early as 7th grade as part of their health curriculum.

Staying compliant and prepared doesn’t have to be complicated. School Health has the tools and expertise you need to create a complete AED Emergency Plan—so your staff knows exactly what to do when every second counts. 

Our expert, Vince P., can provide a no-obligation consultation to help ensure your school is ready for a cardiac emergency.

HELPFUL RESOURCES

• Sudden Cardiac Arrest Webinar Recording
• SH Connect Compliance Management System
• AED Drill Checklist
• Cardiac Emergency Response Plan Example 1 & Example 2
• CPR & AED Training Equipment & Courses

Cardiac Emergency Response Plans

When a student collapses on the gym floor, there’s no time to wonder who should call 911 or where the AED is kept. Chaos, hesitation, or confusion in those critical moments can cost a life. A Cardiac Emergency Response Plan (CERP) ensures that every second is used to save one. That’s why CERPs are becoming mandated across the country — 38 states and counting now require schools to have a clear, written protocol for exactly what to do when every second matters.

Common elements of a CERP include:

• A designated Cardiac Response Team (CERT)
• Clear protocols for activating the CERP and EMS
• A CERP communication plan for EMS, staff, students, and parents
• Integration with local EMS
• Trained and assigned staff with specific roles
• Accessible AEDs with documented locations
• Annual review and drills (including practice drills)
• Post-event debriefing for review and reflection of what went well and what could be improved on

[See CERP examples: Example 1 & Example 2]

Developing a Cardiac Emergency Response Team

Creating an effective Cardiac Emergency Response Team (CERT) starts with involving your school administration and nurse. The school nurse or health coordinator plays a significant role in planning and implementing the team, while the school administrator or principal provides overall command and coordination during an emergency.

A strong team includes CPR- and AED-trained staff members. Ideally, your team should include a at least 5–6 individuals to ensure coverage across different areas of the school. Athletic staff and coaches, security or custodial staff, and office or front desk personnel are all important members who can respond quickly when minutes matter.

It’s essential to remember that response plans are not one-size-fits-all. Each plan should be tailored to your school’s unique layout, population, and resources.

When developing your response plan, clearly assign the following responsibilities:

• Calling 911: Quickly alerting emergency services
• Retrieving the AED: Ensuring it reaches the scene immediately. AED placement is crucial – our emergency preparedness expert can help you make sure your AEDs are located within 3 minutes of every location in your school.
• Performing CPR: Having a second rescuer ready to assist and switch every two minutes. Need help with CPR training or keeping track of certifications? We have tools to make sure everyone is always ready. Contact us.
• Record Keeper: Documenting actions taken during emergency

By defining roles and responsibilities ahead of time, your school can respond to cardiac emergencies efficiently and effectively, giving students and staff the best chance for survival.

Several states have specific requirements for schools to have CERPS in place:

• Illinois: All public schools must have CERPs starting January 1, 2025
• New York: Requires CERPs with AED plans and trained personnel for all public schools
• Mississippi: Mandates CERPs beginning with the 2024–2025 school year
• Virginia: All public elementary and secondary schools must develop and practice CERPs annually.
• Maryland: Middle and high schools must have venue-specific emergency action plans for athletic facilities by July 1, 2024
• Kansas: New requirements take effect January 1, 2025
• Some states: 
  • Require CERPs and AEDs only at athletic events
  • Require CERPs for all school events and hours
  • Differentiate between public and private schools
  • Make compliance dependent on funding availability
    • Funding can entail direct state funding
    • State grant programs focused on disadvantaged schools
    • Allowing for the acceptance of donations

Laws vary by state and frequently change — SH Connect simplifies compliance by helping you track the latest AED and CERP requirements in your state.

Cardiac Emergency Response Team Training

A key part of Cardiac Emergency Response Team (CERT) training involves performing practice drills at least twice a year, which can be done with or without students present. To make drills realistic, it’s recommended to inform your CERP team that a drill will occur within a given timeframe, but don’t tell them the expected day or time.

For the drill, you’ll need:

• A CPR manikin
• An AED trainer
• An AED drill checklist
• CERP team members

After the drill, ask questions like:

• What went well/poorly?
• Were there any delays or confusion?
• Are AEDs accessible and functioning?

We're your one stop partner for everything emergency preparedness. With our tools and equipment

Looking for assistance on building a quality Cardiac Emergency Response Team tailored to your school? Connect with our expert.

HELPFUL RESOURCES

• AED Drill Checklist
• Cardiac Emergency Response Plan Example 1 & Example 2
• SH Connect Compliance Management System
• Sudden Cardiac Arrest Webinar Recording
• CPR & AED Training Equipment & Courses

October isn’t just the month for costumes and candy. It’s also Sudden Cardiac Arrest Awareness Month — a time to spotlight the leading cause of death that strikes without warning and affects over 350,000 people outside of hospitals each year.

SCA Survival Depends on Two Things:

1. Immediate and effective CPR
2. Quick access to and implementation of a working AED

The scariest part of all is when an AED is simply not ready when you need it most, which can cost lives. Manual AED checks are like chasing shadows. One moment they’re there—checked boxes, scribbled signatures, clipboard in hand—and the next, they’ve vanished. Paper logs mysteriously disappear. Tasks slip through the cracks. Human error sneaks in. And just when you think you're compliant...surprise! You're not.

This October, Ask Yourself:

• Have any AED pads or batteries expired?

• Do we know when each AED was last fully inspected — or even who’s responsible for doing the checks?

• Can we provide compliance and readiness if asked today — by parents, administrators, or regulators?

No More Haunting “What Ifs?” — with SH Connect

In schools, where safety matters most, relying on paper trails and guesswork is similar to walking through a haunted house blindfolded.

SH Connect is your all-in-one solution for emergency equipment management. No more late-night hunts for missing logs or second-guessing what was checked — or if it was checked at all. Our platform gives you real-time oversight of every inspection, every asset, and every requirement, all on one spooky-free, stress-free dashboard.

Chasing compliance shouldn't be a nightmare. Let SH Connect help you keep students and staff safe this spooky season and the ones to come. 

Connect with us to learn more.

We want to extend our heartfelt thanks to school nurses for the incredible work you do each day. Your role is vital in protecting the health and well-being of students across our schools. Whether you're administering medication, treating injuries, offering emotional support, or promoting healthy habits, your dedication is truly invaluable.

In honor of School Nurse Day, we asked you to share what inspired you to become a school nurse or the moment you knew this profession was meant for you. Your stories gave us a deeper appreciation for the powerful impact you have on students’ lives. Below are just a few of the wonderful responses we received.

What paved your path to school nursing?

• “I decided to become a school nurse because I never had a safe person to help me learn about my body growing up. I strive to be a known, safe person to the children in the schools I work at and teach them to advocate for themselves so they can feel empowered to care for their bodies in a healthy way.” - Chelsea W.
• “When I was 14, I had a strep infection and was hospitalized. I saw nurses taking great care of me. They were thoughtful and kind when I was apprehensive about being in the hospital. I knew from then on that I wanted to be a nurse! Being a school nurse was a great way to inspire other kids to go into this profession as well.” – Marjorie B.
• “My school nurse from high school inspired me to become a school nurse. I was a 'nurse’s assistant' to her during my study period and learned a lot about school nursing and what they do which inspired to go to nursing school when I graduated and follow my dream of being a school nurse!” – Caitlin J.
• “What inspired me to become a school nurse was the positive impact a school nurse had on me during my own time as a student. I remember feeling anxious and overwhelmed some days, and she was always a calm, caring presence. Her ability to make students feel seen, safe and supported left a lasting impression on me. I realized how important it is to have someone like that in school setting, and I knew I wanted to be that person for others.” – Dolores G.
• “I truly enjoy working with children, and I believe that becoming a school nurse is one of the best ways to make a meaningful impact in their lives. Interacting with children from ages 3 to 13 brings me immense joy and fulfillment. They are our future, and it is our responsibility to provide them with the best and safest care possible in schools. By doing so, we help pave the way for their success both academically and in life.” – Delia M.
• “I was an oncology nurse for years and was facilitating a monthly cancer survivors' support group at the hospital that I worked at. One of the patients that came was a retired school nurse. She led me to look in school nursing; I have been a school nurse for 8 years now and am glad that I made the career change! I love serving the students, families, and staff.” – Jamie H.
• “My great grandmother was a nurse and she used to let me look at her nursing books when I was young. I was so intrigued with them at such an early age and watching her in her uniform. I started saying then that I wanted to be a nurse. As I grew older, I continued with that passion. When she passed, she left me her books. I still have them to this day and love my passion and drive for nursing. I owe it all to her.” – Racheal T.
• “My passion for caring for the students in a holistic way. If they need comfort when they're away from their parents or fell on the playground, I want to be a safe place where they can come to talk, rest or get an ice pack. For the older students who might be struggling in middle school with friends or figuring out this new phase of life, I want to be a place they can come for reassurance. Meeting the needs of every student where they are is why I became a school nurse.” – Katie B.
• “Being a mom myself, I wanted to be the advocate, protector, and safe place for students while they are at school. In order to create the ideal environment for learning, students and their families must feel safe and well taken care of. I just want to provide that for my students as I would want someone to care for my own children.” – Kaitlin H.
• “I was inspired to work in school health because I believe every person deserves to feel loved, seen, and valued. I want every student and staff member to know they are important and that they matter. It only takes one caring adult to change the trajectory of a child's life, helping them find success, confidence, and purpose. Being that supportive presence for others is my passion and my calling.” – Kelly W.

School nurses are the heart of every school community — providing care, comfort, and compassion to students, staff, and families alike. This School Nurse Day, we asked principals to share why they love and appreciate the incredible nurses in their schools. Their words are a powerful reminder of the lasting impact school nurses make each and every day. Today, we celebrate you — the heroes who bring healing and hope to every hallway.

"Nurse England is extremely responsive and goes above and beyond for all students as well as community members. She is often split between two schools to ensure that adequate coverage is available. She is a great asset to our school no matter the need big or small she provides customer service at the highest level."

Candace Nixon at Tench Tilghman Elementary & Middle School |  School Nurse Lisa England 

"Our school nurse not only cares for our students but for the entire staff. She attends to all needs and make each person feel comfortable and 'seen.' She goes beyond addressing all health concerns to caring for our overall wellness. She motivates the staff to be healthy through fun challenges and initiates. Our school nurse of not just part of the FCS team but an essential member that makes us all BETTER. We love and appreciate Mrs. Cruz greatly!"

Patricia Perez at Florida Christian School  |  School Nurse Eva Cruz

"She gives her all each and everyday.  She sees about 70 students a day in the nurses office.  She is kind, compassionate, and treats every student as if they were her own. She is flexible and a forward thinker.  Always positive and a definite asset to our team."

Tara Peacock at Winston Churchill School  |  School Nurse Megan Brackin

"Nurse Tate came to us this year after a horrible experience with out previous school nurse.  She is totally Outstanding.  She is here early everyday, stands up front and greets all the students, takes care of us all and does her duties exceptionally. She has also taken on the charge of buying gifts for all our special days. She is The BEST!"

Michaela Granger at Shadow Oaks Elementary  |  School Nurse Kayla Tate

"Krystal Little is an extraordinary professional whose impact on students, families, and staff at East Dover Elementary and throughout the Capital School District cannot be overstated. With over a decade of service as a school nurse and currently serving as the Lead Nurse for the district, Krystal redefines what it means to care for the whole child. She seamlessly blends her clinical expertise with compassion, using a trauma-informed approach to support students‚ physical, emotional, and mental well-being. Her ability to deescalate crises, mentor students, and connect families to essential resources has made her a lifeline in the community. Krystal's leadership has advanced equitable access to health services and helped normalize conversations around mental health in schools. She is not only a trusted healthcare provider but also a tireless advocate, confidante, and a foundational force in creating a nurturing, responsive school environment. Quite simply, Krystal Little is awesome because she leads with heart, integrity, and an unwavering commitment to making every child feel safe, seen, and supported."

Nicole Ickes at East Dover Elementary  |  School Nurse Krystal Little

"Nurse Ury is awesome because she is a part of our school community during and beyond the school day. In addition to being a fantastic school nurse that cares for our students, she works as our Dance Team coach and volunteers for various after-school events such as Battle of the Classes and the proms!"

Adam Brusotti at Manalapan High School  |  School Nurse Kristie Ury

"Nurse Shaikh is a phenomenal school nurse who is dedicated to ensuring the well-being of our students. Nurse Shaikh is innovative and consistently works to bring new ideas that will benefit our school from a health and safety perspective."

Adam Brusotti at Manalapan High School  |  School Nurse Shafqat Shaikh

"Nurse Smith is awesome for her unwavering dedication to the Carnegie School community. Nurse Smith takes care of our students with the utmost compassion, as if they were her very own. Her commitment to supporting students goes beyond just medical care; she continually explores new ways to ensure our students are safe, healthy, and supported. In addition to her dedication to our students, Nurse Smith works tirelessly to maintain a well-organized and efficient nurse's office, ensuring all necessary structures are in place for a smooth operation. She collaborates closely with Nurse Goldman on some days, and together, they keep our school running smoothly and in compliance with health standards. We are incredibly grateful for Nurse Smith's hard work, care, and commitment to the well-being of our students and staff."

Shirley Roberson at Carnegie School  |  School Nurse Iris Smith

"Ms. Duru is an invaluable member of our school community‚ compassionate, dependable, and always there when we need her most. Whether she's caring for a student with a sudden illness, offering a calm presence during stressful moments, or checking in just to make sure someone is okay, she brings empathy and professionalism to everything she does. Her ability to support our students' physical health while also caring for their emotional well-being is truly remarkable. What makes Ms. Duru amazing isn't just her medical knowledge‚ it's the way she makes every student feel seen, safe, and supported. She goes above and beyond every single day, partnering with families, collaborating with staff, and advocating for what's best for our kids. She is a steady, reassuring presence in our building, and her impact reaches far beyond the walls of the nurse's office. We are lucky to have her as part of our team!"

Luis Lima at Coppin Academy High School

"Nurse Christy works super hard everyday to take care of our students and staff. She is always smiling and willing to help. We love her so much and Helen could not function without her."

Crissy Burley at Helen Edwards Early Childhood Center  |  School Nurse Christy Roberts

"Our School Nurse is amazing due to her kindness and calm. She is also a graduate of the school district. She is warm and welcoming. She offers support snd healthy advice to all school community members. We are extremely grateful for her!"

Paula Bethea at Joyce Kilmer Intermediate School  |  School Nurse Melodie Flores

"Mrs. Lorie Simos is a new school nurse with CCSD and has already demonstrated a strong commitment to her role. She consistently goes above and beyond by staying beyond her contracted hours to ensure she is aligned with district protocols and procedures. Her warm and compassionate demeanor has helped establish a more welcoming and supportive environment in the health office. Mrs. Simos treats every student interaction‚ no matter how minor‚ with genuine care and attention, fostering a sense of importance and respect. In a short time, she has built meaningful relationships with students and families alike. Mrs. Simos is just who we want representing Gibson to our community. Thank you Lorie, for all you do."

Jill Keith at James Gibson Elementary  |  School Nurse Lorie Simos

"Cindy Peterson is a true gift to our school community. As a compassionate and loving presence, she brings calm and comfort to every student she serves. Her warm and personable nature makes her approachable to students, staff, and parents alike, while her deep sense of loyalty ensures she is a constant and reliable support in every situation. Cindy's trustworthy care reflects not just her professional excellence but also her deeply rooted, grace-filled faith that shines through in every interaction. We are incredibly blessed to have such a devoted and nurturing nurse caring for our students each day."

Carrie Smith at Rockford Lutheran School  |  School Nurse Cindy Peterson 

"Nurse Daidone is one of the most caring, diligent nurses I have had the pleasure of working with. She puts children first and addresses the whole child when they are in her office. She gets to know them, builds relationships with them, and their families. If they need ice, a hug, a water bottle, change of clothes, she has got that all covered! We are lucky to have her!"

Lorie Beard at Academy Street Elementary School   |  School Nurse Angela Daidone 

"She is kind, student-focused, friendly, helpful, forward-thinking, flexible, and just all-around awesome to students, families, and staff."

Bill Knittle at Rowe Elementary School  |  School Nurse Lydia Brisson

"Nurse Powell is the utmost nurse professional; she is caring and proficient when ensuring the safety and wellbeing of our students. I am grateful to her for her unwavering devotion to our students at Rosemont!"

Dr. Dorie Banks  |  School Nurse Shakera Powell 

"We have two school nurses who have each served our school for more than 20 years. They know all of our students and families, and provide daily tender loving care.  The nurse's office is 'home base' for many students -- a place to find a listening ear and caring assistance for so many different needs.  We love both of our school nurses and truly hope to celebrate them on this special day and all year through!"

Catherine Butel at Faithful Shepherd Catholic School  |  School Nurse Carolyn and School Nurse Cheryl

"Our school nurses are the best! They help keep our kids in class learning and have gone above and beyond in training our staff to handle medical emergencies. They also created a 'care closet' for students that need help accessing basic supplies needed to have a healthy life without having to be embarrassed by asking for things like toothepaste."

Matthew Raper at Ivy Academy

"My nurse is awesome for so many reasons! She is a true community nurse! She not only follows up on immunizations and physicals as any nurse would do, but she also does home visits to provide health and hygiene support, support to families to encourage consistent attendance at school, provides packages to families to prevent lice and to address lice when it happens. She serves on our Attendance Committee so that she is sharing who is struggling with major health situations and who is struggling with just getting to school. I cannot say enough about our elementary school nurse! She is outstanding!"

Lauriel McCoy at Deposit Elementary School  |  School Nurse Kaeli Rutledge

"Ms. Katelyn Carusso is Northwest's amazing school nurse! Katelyn is truly the heart of our Northwest nurse's office, and she does SO much more than just take care of scrapes and sniffles. She makes our students feel safe, loved, and heard every single day. Whether she's bandaging up a knee, listening to a student who needs a safe space, or handling a challenging situation, she approaches everything with genuine kindness, compassion, and professionalism. Katelyn has a naturally caring demeanor, always ready to jump in and assist wherever she's needed. She supports not only our students but our staff as well, meeting everyone's needs with a calm, reassuring presence. She is incredibly friendly, always greeting others with a smile, and is constantly looking on the bright side, even on the toughest days. Her positive attitude is contagious, and her ability to balance care with professionalism makes her an irreplaceable part of our school family. Northwest is beyond lucky to have Katelyn!"

Jennifer Nordall at Northwest Elementary School  |  School Nurse Katelyn Carusso

Thank you to all the principals who took the time to recognize their school nurses and help make School Nurse Day special!

Written by: Alexandrea Wiegand, MBA, MS, BCBA, IBA

 I've been an athlete since I was a child, and once my collegiate years ended, fitness became my go-to for managing stress and staying healthy (as well as supporting my love for food). I've been a behavior analyst since 2010, and I’m thrilled to combine my passion for fitness with my professional practice. My Autism Exercise Specialist certification has allowed me to incorporate exercise into my clinical practice, positively impacting my clients' lives more than ever before.

 It's no secret that ABA (Applied Behavior Analysis) therapy has faced criticism, especially from autistic adults who received services in the past. Critics often point out that ABA methods can be rigid, focusing on compliance and behavior change through extrinsic reinforcement, sometimes leading to individuals feeling like they are being forced to conform to neurotypical standards. Concerns about ableism, punishment, and encouraging masking behaviors (i.e., consciously or unconsciously) are valid and must be addressed. The perception of ABA creating "robots" instead of celebrating individual differences and promoting neuroaffirming practices has been a significant issue.

 However, I believe society has created a difference between ABA therapy and the science of behavior analysis that isn’t really there. The principles of behavior analysis—understanding how environment, motivation, punishment, and reinforcement history shape behavior—are present in everyone's daily life. There is no denouncing the science of human behavior.

 Let’s look at how behavior analysis is present in everyday life. Imagine a child finishing their homework more often because they know they can play their favorite game afterward. This would be an example of positive reinforcement. The behavior (completing homework) is reinforced by the reward (playing the game). Simple, right? Now, think about when we avoid speeding in the presence of a police car or speed cameras to avoid getting a ticket. Here, the behavior (driving the speed limit) is reinforced by avoiding the consequence (ticket). Unless, of course, you have millions of dollars, in which case, the fine might be more annoying than an actual deterrent.

 In the workplace, we complete tasks on time to avoid nagging, reprimands, or poor performance evaluations from our boss. The behavior (completing assignments on time) is reinforced by avoiding negative consequences (nagging, reprimands, poor evaluation). Or some of us may complete work tasks simply because we enjoy crossing items off our to-do list. The behavior (completing tasks) is reinforced by the satisfaction of crossing off items on our list (some can equate this example of intrinsic reward as automatic reinforcement).

 Ever wondered why we help each other? Well, it is likely because the behavior (kind/helpful actions) is reinforced by positive attention (compliments). And it’s not just in personal interactions; governments also use behavior analysis! For example, they use incentives to promote environmentally friendly practices. By offering reduced fares to frequent users, the government reinforces the behavior of using public transit. The reduced fare is a positive reinforcer, increasing the likelihood that individuals will choose public transportation over other modes. Similarly, providing monetary rewards for recycling increases the frequency of recycling. In both cases, the incentives reinforce and encourage behaviors that contribute to environmental sustainability.

 And how many of you have kids who fake being sick? Maybe it’s because, in the past, when they complained of a stomachache, you allowed them to stay home, and they got extra time to study for an exam. The behavior (complaining) is reinforced by escaping the aversive situation (going to school) and accessing more study time. Now consider why we don’t open doors with a large "closed" sign. The "closed" sign signals that opening the door will not be allowed, discouraging the behavior. And the list goes on! These are simple examples of the science of human behavior, or ABA, in everyday life. ABA is everywhere, all the time. There is no escaping it!

 ABA therapy became popular with the results it produced with the autistic population because it aims to use the principles of human behavior in a structured, individualized manner to help individuals improve their quality of life and bridge developmental gaps by increasing learning opportunities. Despite some misconceptions and criticisms, the field of ABA therapy is continuously evolving to better understand and support neurodiverse individuals. One way behavior analysts can continue strengthening the field’s reputation is to embed other evidence-based practices, such as exercise and the tools provided within Exercise Connections coursework, into their clinical practice to continue to improve outcomes.

 Exercise offers numerous benefits that align perfectly with the typical goals of ABA therapy for neurodiverse individuals. It supports physical health, mental well-being, cognitive function, and development (Toscana et al., 2022). Embedding exercise supports the release of natural hormones and chemicals that can lead to the possible development of intrinsic reinforcement (i.e., automatic reinforcement), such as endorphins, dopamine, norepinephrine, cortisol, adrenaline, testosterone, and growth hormone.

 Did you know that dopamine, norepinephrine, and endorphins are released during exercise? And they act as natural painkillers and mood enhancers and even boost energy levels? They’re like nature’s way of saying, 'Here, have some happy juice!' This can be especially beneficial for individuals with autism who may experience sensory sensitivities, depression, and anxiety. Regular exercise can reduce symptoms of depression and anxiety, which affect 10-54% of autistic individuals and 1-12% of the neurotypical population (Spencer, 2024 & Stewart, 2022).

 Dopamine and norepinephrine also improve mental focus and concentration. This is crucial for individuals with autism and ADHD, as it can enhance their executive functioning skills (e.g., planning, organizing, time management, self-monitoring, task initiation, and problem-solving; Liang et al., 2022; Lang et al., 2022). It’s like giving a child a magical brain boost. Next time they struggle with focus, consider a quick exercise break—it’s like hitting the reset button without the screen time.

 Exercise also helps regulate cortisol levels, reduces stress, and improves behavior regulation—all the same outcomes ABA therapy typically desires to achieve (Best et al., 2010; Tomporowski et al., 2008). And guess what? Structured exercise routines mirror common antecedent interventions used in ABA, such as visual or text schedules, a first-next board, task analysis (breaking down skills into smaller steps), and clear expectations, further supporting behavior regulation.

 We all know that exercise has many health benefits, including cardiovascular health and muscle strength. But have you ever thought about how this can lead to greater independence and participation in other daily activities? Improved strength and coordination help with tasks like brushing teeth and dressing, while increased stamina supports participation in chores and community activities like cleaning, cooking, organizing, sports, volunteering, after-school clubs, concerts, shopping, and more. This fosters a sense of responsibility, belonging, and dignity and provides more opportunities for building meaningful relationships and targeting essential life skills. ABA therapy often targets life skills such as dressing, showering, brushing teeth, and social development. Combining the two is like giving individuals a backstage pass to the world of social skills. Through sports and group activities, they learn teamwork, communication, and how to handle winning and losing gracefully—useful life skills beyond the playground.

 So, why not support strength and coordination while teaching life skills? I would also imagine if we incorporated exercise within our sessions, the rate of skill acquisition would also likely improve… What do you think? Could behavior analysts use exercise to improve outcomes and the reputation of ABA therapy?

 Did you know that 50- 80% of children and adolescents with ASD suffer from sleep problems (Zavier, 2021)? And guess what? Regular exercise improves sleep quality and regulates sleep cycles (Tse, 2023), which leads to better sleep, mood, and cognitive abilities!

 And then what about weight!?!?! The prevalence of obesity is on the rise in general. However, it is even higher in autistic children and presents between ages 2 to 5. Studies show that 42.4% of children with autism are overweight and 21.4% are obese, compared to 26.1% and 12.0% in typically developing children. This is caused by a multitude of factors, including selective eating habits, preferences for energy-dense foods, and side effects of medications like antipsychotics. These eating patterns and lower physical activity levels make autistic children more vulnerable to obesity (Iverson & Perry, 2015). With exercise embedded into daily lives and ABA sessions, the prevalence of obesity and other related health issues can be reduced. This could even lead to lowering the number of traumatic experiences in one’s life related to medical care!

 Research indicates that regular exercise can significantly reduce rates of stereotypy—repetitive, non-functional behaviors often seen in individuals with varying abilities (Lang et al., 2010). Although I believe the community should embrace these differences, we aren't yet there as a society, especially in regions outside the Western world. Physical activity can provide a constructive outlet for energy and improve overall well-being, decreasing the frequency and intensity of stereotypic behaviors. In some cases, ABA therapy may focus on reducing stereotypic behaviors, particularly when their rate or form becomes dangerous or significantly hinders learning and the development of meaningful relationships. For example, suppose a child engages in repetitive hand-flapping to the extent that it interferes with their ability to participate in classroom activities or social interactions. Similarly, if an individual engages in head-banging that poses a risk of injury, ABA will likely target this behavior to ensure safety and well-being.

 By incorporating regular exercise into ABA therapy, behavior analysts can reduce stereotypic behaviors in less intrusive and more natural ways than traditional methods. This approach not only effectively addresses the behaviors but also enhances the overall quality of life for neurodiverse individuals. As society gradually learns to accept and embrace differences, integrating exercise can help move toward a more inclusive society.

 Exercise indirectly targets many of the goals of a typical ABA program for diverse individuals. Integrating exercise into ABA therapy not only improves the overall quality of life for neurodiverse individuals but also helps rebrand the field of behavior analysis. Combining the evidence-based practices of exercise and behavior analysis shows the commitment of behavior analysts to holistic, neuro-affirming practices that celebrate individual strengths and promote long-term well-being. Let's embrace this approach and work towards a future where ABA therapy is a supportive, inclusive practice that genuinely enhances lives.

References

Best, J. R., & Miller, P. H. (2010). A developmental perspective on executive function: The importance of biological and environmental influences. Child Development, 81(6), 1641-1660. https://doi.org/10.1111/j.1467-8624.2010.01499.x

Iverson, K. S., & Perry, A. (2015). Obesity and autism. Pediatrics, 136(6), 1051-1061. https://doi.org/10.1542/peds.2015-3497

Lang, R., Koegel, L. K., Ashbaugh, K., Regester, A., Ence, W., & Smith, W. (2010). Physical exercise and individuals with autism spectrum disorders: A systematic review. Research in Autism Spectrum Disorders, 4(4), 565-576. https://doi.org/10.1016/j.rasd.2010.01.006

Liang, X., Li, R., Wong, S. H. S., et al. (2022). The effects of exercise interventions on executive functions in children and adolescents with autism spectrum disorder: A systematic review and meta-analysis. Sports Med, 52, 75–88. https://doi.org/10.1007/s40279-021-01545-3

Spencer, S. D., Pinciotti, C. M., Murphy, C., et al. (2024). Concurrent validity of the anxiety disorders section of the anxiety disorder interview schedule- Autism Spectrum Addendum (ADIS-ASA) in autistic youth. J Autism Dev Disord. https://doi.org/10.1007/s10803-024-06496-y

Stewart, T. M., Martin, K., Fazi, M., Oldridge, J., Piper, A., & Rhodes, S. M. (2022). A systematic review of the rates of depression in autistic children and adolescents without intellectual disability. Psychol Psychother, 95(1), 313-344. https://doi.org/10.1111/papt.12366

Tomporowski, P. D., Lambourne, K., & Okumura, M. S. (2008). Physical activity interventions and children's mental function: An introduction and overview. Preventive Medicine, 52(Suppl), S3-S9. https://doi.org/10.1016/j.ypmed.2011.01.028

Toscano, C. V. A., Ferreira, J. P., Quinaud, R. T., Silva, K. M. N., Carvalho, H. M., & Gaspar, J. M. (2022). Exercise improves the social and behavioral skills of children and adolescent with autism spectrum disorders. Front Psychiatry, 13. https://doi.org/10.3389/fpsyt.2022.1027799

Tse, A. C., Lee, P. H., Sit, C. H., et al. (2023). Comparing the effectiveness of physical exercise intervention and melatonin supplement.

Zaivier. (2021). The relationship between autism spectrum disorder and sleep. Sleep Sci, 2021 Jul-Sep; 14(3), 193-195. https://doi.org/10.5935/1984-0063.20210050

Written By: Dr. Emilee Moore, OTD

Occupational therapy (OT) continues to play a pivotal role in enhancing individuals' quality of life. The Occupational Therapy Practice Framework (OTPF) 4th Edition, highlights physical activity as a key area of intervention that occupational therapists (OTs) are uniquely qualified to address. By focusing on a client-centered approach, OTs can help clients integrate physical activity into their daily routines, ensuring long-term success and satisfaction.