This report captures insights from hundreds of school nurses, revealing the hidden complexity of their day-to-day work and the growing demands placed on them. It highlights major challenges like excessive paperwork, fragmented systems, and the time spent tracking down information—illustrated by findings such as 2 in 5 nurses spending 15+ hours weekly on documentation and 93% re-entering data across systems . The data also shows how administrative burden limits direct student care, with only a third of nurses spending most of their time with students. Collaboration is frequent but often inefficient, and many nurses feel under-recognized or unsupported by existing tools and workflows. Ultimately, the report makes a strong case that improving technology, streamlining documentation, and enabling better data access are critical to supporting nurses—and by extension, improving student safety and outcomes.