sional nursing by school nurses occurs within the complex and unpredictable setting of the 
educational institution, not in a medical facility.  A school nurse usually functions as a sole practitioner in her 
school.  <U> The Comprehensive School Health Manual</U>, published by the Massachusetts Department of Public Health in 
1995, reminds us that the comprehensive and expanding public health nature of school nursing practice demands an 
educational and skill level that enables the school nurse to meet the