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The Relentless School Nurse:  The Day I Stopped Wearing Scrubs

By Robin Cogan, MEd, RN, NCSN, FNASN, FAAN posted 11-26-2017 07:58

  

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My school was called a Family School, PK – 8th grade with a census of 900 students and me, the solo school nurse.  When asked to describe my day, I usually said it was a “chaotic ballet” with a mind-numbing number of students, staff, and parents spinning in and out of the health office.  It was fast-paced with moments of quiet before the storm that was a three-hour lunch period to accommodate all of the students.  If I made it through to 1:30 (when the final lunch ended) without calling 911, that was a good day.

Our school is a public school, but one of the first in the city to adopt wearing uniforms.  At the time, there was only one other school that chose this policy.  To support the students, the staff decided to also wear uniform colors, blue and white.  That made it quite easy for me, as a school nurse, I wore blue scrubs and a white lab coat.  What I did not take into consideration was who else at school wore blue scrubs and the confusion that it could potentially cause.

My office was often very hot and the air conditioner unit was on life support.  The extra layer of my white lab coat made it too uncomfortable to keep on during the hottest days in my office.  So, most days I wore my blue scrubs and hung up my lab coat. What I did not anticipate was that wearing scrubs could be confusing to students and maybe even to staff or visitors.

One very hot day I was walking through the lunchroom checking on some students when one student came up to me with a very quizzical expression.  He said, “Mrs. Cogan, are you the lunch lady and the school nurse?” I looked around and for the first time, I noticed that all of the lunch aides were also wearing blue scrubs. I realized that my decision to wear scrubs could create role confusion. That was the last day that I wore scrubs to school.

The very next day, I wore business casual clothes, no more scrubs for me.  What was so interesting is that I began to notice that I was treated with more respect when I was out of scrubs. I began to see that a more professional dress presence changed the way I was perceived.  I know many school nurses that do wear scrubs and have strong feelings about the necessity to do so and I respect their decision.  This was my experience and I believe there is room for all of our personal choices and beliefs on the matter of professional dress as a school nurse.  Food for thought and a space for discussion is the purpose of this post. Please feel to comment and share!

Special thank you to Dr. Martha Dewey Bergren for reminding me of this story.

 

 

 

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Robin, I shared your blog with the University of Illinois Chicago school nurse certificate students when they asked me what they should wear during their 300 internship hours.  

I elaborated:  

My first published publication was on nurses' attire.  

Campbell-Heider, N. & Hart, C.A. & Bergren, M.D. (1994). Conveying professionalism:  Working against old stereotypes.  In B. Bullough, B. & V.L. Bullough, V. (Eds.)  Nursing issues for the nineties and beyond (pp. 212-231). New York: Springer.

I do not recommend wearing scrubs even if the other nurses do....   I wore washable slacks (navy & black) and a few long or 3/4 length sleeve shirts with collars and flat leather shoes I could run in.  I kept a blazer hung on the back of my door just in case....

Do wear school colors on Spirit Days, but do not wear jeans or sweatshirts.  You never have a second chance to make a good first impression.

In a school about 10 years ago, the media was informed on Spirit Friday that the music teacher had been sexually abusing abusing students for years and even though parents had reported suspicions, no one reported it to authorities.  That day, a school district official was interviewed and it was played on the evening news at 5 and 10 pm.  He was wearing a school sweatshirt, shorts and Birkenstocks.  It did not give the community much confidence in the districts' professionalism.  https://www.chicagotribune.com/news/ct-xpm-2010-07-09-ct-met-berwyn-suit-verdict-20100709-story.html 

Dress like Action News could show up at your door.  Dress like you deserve to be paid more.  Dress like someone with a college degree (you would not believe the number of teachers over the years who were shocked that I was college educated - duh).  Dress like a professional and do not dress in a way that would give the impression any caring mom with an ice pack and band-aids can do your job.

03-13-2018 13:16

I really enjoyed and appreciate your post.  I completely understand your reasoning for changing your work attire from scrubs to casual professional. I came from working in pediatric acute care and nursery settings where particular colored scrubs (depending on what unit or type of health professional you were) was the mandatory work uniform. So, when I took my current school nurse position 4 years ago, I admit I became anti-scrubs because I could.  But, over time I realized students would confuse me with being a teacher or the office secretary, and I was proud of my "R.N." title and wanted respect for my hard work and 15 years of being a R.N..  I took several of my white and black lab coats and had my name and credentials embroidered on them and now wear them with my causal professional work wardrobe. Oh, and had some scrub vest embroidered as well, also for those hot days.  I do at times will wear scrub pants with my school t-shirts.

Thank you for sharing your story and helping me feel better in my decision to dump the scrubs.
Lisa Hughbanks, RN