Yes and I do. VERY few schools around here have nurses, even part time. We are a small district, about 3,000 kids I believe and six buildings. There is not a nurse on the district payroll at all. Yes I have to do a lot of training but it has worked just fine for four years now. We have at least two, usually three trained staff members in the building at all times. I have my cell phone on me at all times when at work and answer if not immediately within a couple of minutes (you know if I have to use the bathroom or am in a meeting and need to excuse myself). I have used up reams of paper making up instructions, put together kits for teachers. I think training, written instruction and being able to be reached by phone are key. That and caring and intelligent school staff.