Education literature suggests gender, race, and socioeconomic status o
f students influence the quality and quantity of interactions with the
ir leathers. Studies show that teachers favor White, male, and upper-i
ncome children. This preliminary study was conducted to determine if b
ias was evident in teacher referrals to the school nurse. Referrals fr
om seven elementary schools were studied. The 117 children referred fo
r nonroutine nursing interventions during the nine-week period were co
mpared with 3,787 children not referred. Results showed no differences
by gender, but significant differences occurred by socioeconomic stat
us and race (p < .001). When controlling for gender and race, no diffe
rences existed between White males and African American males. However
, significantly (p < .001) more African American females were referred
than White females.