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]