The communication can be even more crucial when the school nurse is not-so-interested in getting involved, like in our school district. A couple years ago, one mom asked her to go to the MM site to take the "course’ online and she kept putting it off, and then a couple days before the student (a 2nd grader!) was to start pumping, the nurse said she didn’t think she’d get involved in “any of that”. So needless to say, the mom would rather communicate with her daughter directly because she knows more, esp now in 5th grade!
