While nearly every school in the Warren County R-III School District has a comparable student-visit-to-school-population ratio, one school deviates from that norm.

At the December school board meeting, Lead District Nurse Holly Faerber presented a report to those assembled concerning the state of nursing and student healthcare in the district.

The most notable figure in her presentation was related to Daniel Boone Elementary. According to the report, 20.4 percent of the student population has been seen daily so far during the 2025-26 school year.

“Daniel Boone has about the same number of students as last year,” Faerber said. “But they have seen quite an increase in the number of visits, with almost 1,300 visits more this year. There is a new nurse there. There are some students who have made 75 visits and we haven’t had that many days. We’ve been in discussions about that.”

As Faerber stated, Daniel Boone has visits from 20.4 percent of its 331 kindergarten through fifth-grade students, while the nursing staff at Rebecca Boone sees 9.3 percent of its 470 students, and Warrior Ridge sees 9.1 percent of its 498 students per day.

Black Hawk Middle has an 8.9 percent daily visit rate amongst the school’s 709 students while 5.2 percent of the 969 students at Warrenton High School visit the nurse on a given day.

“Warrior Ridge does have a few visits more than last year,” Faerber said. “But they do have two diabetics, so that’s a change because we see those students more often than we see other students. Blackhawk also has two diabetics that they did not have last year.”

At the Early Childhood location, 1.8 percent of the facility’s students are seen per day.

Of the areas of treatment, Faerber said that ADD/ADHD and asthma have seen an increase in the number of cases.

“Statewide, we have noticed a little bit more AH/HD,” Faerber said. “I think that’s being diagnosed a bit more. It’s the same with asthma.”

Faerber added that over the nine care days between the start of school and the end of November, there were 184 total visits, or 20.4 percent of students seen per day.

“We have seen quite a few more visits this year, compared to last year,” Faerber said. “There are 85 more visits compared to last year at this time. That’s nearly 11 students seen more per day. I’m not sure if that’s because we have more people attending. I don’t know that. I’m just thinking it’s that we have more people utilizing that.”

Faerber was asked how the care days are staffed throughout the school year.

“All of us nurses rotate,” Faerber said. “We all work four Care Days and we pick those.”

Faerber went on to add that, for the district to come into compliance with Missouri Senate Bill 68, its healthcare staff has had to make changes.

“The cardiac emergency response plan is new,” Faerber said. “That was in the Senate bill that passed. We’ve all been working on those for our buildings, trying to get people CPR certified. That’s a bit of a challenge because only so many people can be in a class at a time. All of the nurses did the ‘stop the bleed’ training, which was also part of the Senate bill.”

Board Secretary Carolyn Spraggs asked Faerber about who needed to be trained in “Stop the Bleed” protocols.

“We have to have one person per building, the nurse, be certified, unless there isn’t a nurse,” Faerber said. “At Alpha, the counselor is certified because someone has to be.”

Assistant Superintendent of Personnel Services Dr. Brad Ross said that the nurses or the delegate is the bare minimum of those to be trained.

“We would like to have more people trained,” he said. “If you need a tourniquet, you’re not going to wait for the nurse.”

Faerber added that there is an avenue to train more district personnel in the practice.

“Robin Hermann, the health occupation teacher, is a trainer,” Faerber said. “Apparently, we (nurses) can all be trainers now since we took the class.”