A day in the life of a school nurse

No two days are ever the same as a school nurse (SCPHN) – and that’s exactly what makes the role so rewarding. 

As part of the first ever Wales School Nursing Week, we’re highlighting the impact of our school nursing teams. 

Ashleigh is based at Ysbyty Cwm Cynon and shared some insights into her role. 

“Most days begin by checking in on messages, referrals, and any safeguarding concerns that may have come through. Safeguarding underpins everything we do, and there’s always that awareness that something we notice or act on could make a real difference in a child’s life. 

A big part of the role is being present in schools, offering a safe and approachable space for children and young people. Whether it’s through drop-in sessions or planned contacts, young people come with a whole range of worries and questions – sometimes about their health, sometimes about friendships, family life, or how they’re feeling in themselves. Being someone they trust and can talk to openly is one of the most important parts of the job. 

Health promotion weaves naturally into these conversations. It might be supporting someone with their emotional wellbeing, talking about sleep or healthy habits, or discussing growing up and changes in their body. Often, it’s those everyday conversations that can have the biggest impact. 

Immunisation work is another key part of school nursing. Working alongside the wider team, we help deliver vaccination programmes in schools, protecting children and young people from preventable illnesses. It’s also about building understanding and confidence – answering questions, easing worries, and making the experience as positive as possible. 

There’s also a lot happening behind the scenes. Telephone calls to parents, carers, and young people are a regular part of the day – offering advice, following up on concerns, or just providing reassurance. These conversations help keep support going beyond the school setting and ensure families feel listened to and supported. 

Safeguarding remains central throughout everything. School nurses are often involved in multi-agency meetings, working alongside education, social care, and other health professionals. These conversations can be challenging, but they are vital in making sure children are protected and supported in the right way. 

Alongside this, there’s always planning, reflecting, and recording. Good documentation helps ensure that care is safe, consistent, and that nothing important is missed. It also helps build a bigger picture of what children and families might need. 

What makes school nursing so special is the variety – but more than that, it’s the relationships. Being a consistent, trusted adult in a young person’s life, even for a short time, can have a lasting impact. It’s not always easy, and some days can be tough – but knowing you’ve listened, supported, protected, or helped a young person feel understood makes it all worthwhile.” 

Read more about the Cwm Taf Morgannwg School Nursing Service and get in touch with the teams. 

Sue Tranker, Chief Nursing Officer for Wales, has also recorded a video to support School Nursing Week. Watch the video below.