"Why is there such a rush now? Total, for the remainder of the course, for a few months it is not worth removing the mask"

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"Why is there such a rush now?

."

This is how

, a school nurse and spokesperson for the

.

With this, she responds to the proposal made a couple of weeks ago by the Spanish Association of Pediatrics, which drew a roadmap for the de-escalation of the mask in the school environment.

"It is not true that for children it has been a great delay in learning.

."

Rubio emphasizes that from the school infirmary they do not believe that it is the moment to 'relax' the use of this device.

"We can wait a little longer, there are still many respiratory viruses," he insists.

In Spain

of these health professionals in this environment.

From the General Nursing Council they denounce that it is paradoxical that in Spain

, while in schools with several hundred, and even thousands of students,

.

If this data is compared with European countries, great differences are observed.

The

of the International Association of School Nursing estimate that there should be

.

In Finland, the ratio is even lower and stands at 600 students per nurse and in special education schools it drops to 300.

With the pandemic, the figure of the school nurse has taken on a special role because the functions of coordination and control of Covid outbreaks in the centers fell on her, but Rubio emphasizes that "

. In addition to our health role, we have health education and management functions".

During the pandemic, the figure of school nursing has been valued.

But not all educational centers have this position covered by a health professional, why? The lack of school nursing is widespread, indeed.

Fortunately or unfortunately in Madrid it is not that we are well, but we are better than in other autonomous communities.

But well, we are not here because there is an exaggerated deficit.

Is there no demand because there is no supply?

First of all, we must point out that there is an absolute ignorance of the tasks that we carry out, despite the fact that as soon as we arrive at schools, people turn and see their usefulness.

But there is a lack, an absolute ignorance on the part of the people who decide to contract a school disease.

These are contracts with 50% working hours with reduced stability,

since at the end of the course it ends, and you don't know if you are going to return to the next one.

Professionals don't want this. What are those competencies that a school nurse has beyond Covid?

There are other tasks that we carry out that schools have seen to be useful.

And yes, we have experienced a specific moment of demand with the Covid, but it was about focusing our efforts only on that.

And, I am not saying that the teachers who have assumed the role of coordinators have done worse, only that for them it has been an extra burden.

For us it has been to put into practice what we have studied for, it is our job.

Among these other competencies is assistance.

In other words, we take care of both children with chronic illnesses and acute care needs.

Here I refer to small accidents, emergencies.

Regarding the management of children with chronic pathologies, such as asthma, diabetics, allergies, epileptics, heart disease... we teach them to incorporate their clinical routines into their day to day life and we are here to assist them in case of emergency.

In addition, the management function in which we try to act as a bridge between the doctors and the children's families according to their needs.

One reason to have them in a center with a canteen is to avoid anaphylactic shock in a child who 'puts his hand' in the companion's tray... Exactly.

There are more and more children with special food needs due to allergies and intolerances.

For example, for us to put adrenaline in a child who has suddenly touched a classmate's yogurt is our routine, a teacher has to be trained for it.

And that is adding more workload.

That's not why they hire us, but sometimes it's the reason they hide behind to do it.

We are more the simple figure that can give medicine to the child without margin of error to be wrong.

He has mentioned that they also have a teaching part, only for those who have a chronic illness?

Yes, but not only for them, nor is it a teacher from the point of view of traditional teaching of teachers, not at all.

It is about health literacy.

And what is health education?

We teach them to acquire healthy lifestyle habits.

Cleaning routines (teeth, hands...);

activities to avoid sedentary lifestyle;

to practice a balanced diet (fruits, vegetables...), for example, with breakfast or morning meals that they take to school, which is not always the same or based on pastries;

postural hygiene;

CPR techniques... It seems trivial,

but if the message gets through, this translates into healthy adults and without a seed that increases their risk of getting sick.

And they did all this before Covid.

With the pandemic, have they been able to continue?

Nothing.

Almost nothing.

We have spent more time controlling cases, managing outbreaks in schools, weighing up with the Public Health directorates the closure of classes, calculating quarantines... The truth is that the last wave has passed over us in schools.

The return of Christmas was terrible.

There were dozens of cases a day, infected from home, at school... But now, do you notice the drop?

Yes Yes of course.

It's not January anymore, thankfully.

But this has served to make them see that we are necessary.

Not only because of the functions that I already mentioned, but because with Covid you couldn't isolate a child alone in a class, you had to be with him in that space,

because they were scared and believed that something bad was going to happen to them.

You were also for the emotional part.

Measures are already beginning to relax.

Today the elimination of quarantines in some environments, such as in schools, is being discussed.

Is it time? In this field we must be very cautious before seeing how the text is finally resolved after the approval of the commission and the Interterritorial Council.

In the end, these new measures will be part of the progressive elimination of the measures when advancing in the de-escalation.

It is true that almost the vast majority of confinements due to close contacts were no longer carried out, because there were already many vaccinated and in classes until they were not five or more either, since the epidemiological relationship was studied before.

A) Yes,

The elimination may be part of the de-escalation towards the end or the almost normal return to before the pandemic. In addition to the elimination of quarantines, pediatricians have developed a calendar proposal to gradually remove the mask in schools.

What do you think?

That is not the time.

We have done very well so far.

Why is there such a rush?

Total, for the remainder of the course, for a few months it is not worth removing the mask.

We can wait a little longer, there are still many respiratory viruses.

The classes do not have adequate ventilation, the children do not keep their distance... They are not prepared to take that step.

But pediatricians argue that masks make learning difficult.

It is not true that for children it has meant a great delay in learning.

They have perfectly assumed the rules of the pandemic.

Adults are the ones who most want to take it off.

The mask has been a great barrier to cut transmission.

They already take it off in the yard, and they don't do it right because they don't always wash their hands before and after.

Vaccination also helps curb the infection... It is true that there are already more children vaccinated [16.7% with a complete schedule and 57.1% with at least one dose].

But I think we can continue doing things right and wait a few months, until the summer... I don't know.

We do see how children and adolescents behave in class.

They are not prepared and there is still transmission in society, less yes, but there is.

If we went down a lot, then the idea could be shuffled.

The mask has been a great barrier to cut transmission.

They already take it off in the yard, and they don't do it right because they don't always wash their hands before and after.

Vaccination also helps curb the infection... It is true that there are already more children vaccinated [16.7% with a complete schedule and 57.1% with at least one dose].

But I think we can continue doing things right and wait a few months, until the summer... I don't know.

We do see how children and adolescents behave in class.

They are not prepared and there is still transmission in society, less yes, but there is.

If we went down a lot, then the idea could be shuffled.

The mask has been a great barrier to cut transmission.

They already take it off in the yard, and they don't do it right because they don't always wash their hands before and after.

Vaccination also helps curb the infection... It is true that there are already more children vaccinated [16.7% with a complete schedule and 57.1% with at least one dose].

But I think we can continue doing things right and wait a few months, until the summer... I don't know.

We do see how children and adolescents behave in class.

They are not prepared and there is still transmission in society, less yes, but there is.

If we went down a lot, then the idea could be shuffled.

It is true that there are already more children vaccinated [16.7% with a complete schedule and 57.1% with at least one dose].

But I think we can continue doing things right and wait a few months, until the summer... I don't know.

We do see how children and adolescents behave in class.

They are not prepared and there is still transmission in society, less yes, but there is.

If we went down a lot, then the idea could be shuffled.

It is true that there are already more children vaccinated [16.7% with a complete schedule and 57.1% with at least one dose].

But I think we can continue doing things right and wait a few months, until the summer... I don't know.

We do see how children and adolescents behave in class.

They are not prepared and there is still transmission in society, less yes, but there is.

If we went down a lot, then the idea could be shuffled.

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