General Definition of Work:
The school nurse (RN) is responsible for implementing the school health program, assisting with student well-being, and completing health-related tasks. In addition to other related work, the school nurse (RN) may be responsible for teaching and training LPNs and staff on medically related student needs. The school nurse (RN) may also provide coordinating oversight to LPNs in the event that a school has more than one school nurse. This position also applies to the Floating Nurse role, for employees responsible for filling in for an absent school nurse.
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Essential Functions:
- Maintains student health records, reviews records of entering students for immunizations, ensures all components of the School Health Entrance Requirements including immunizations are complete and up-to-date, notes health conditions documented on forms, collects information for reports, and keeps emergency information up-to-date;
- Advises administrators, teachers, and cafeteria staff (with consent) on all students with food allergies; develops or obtains care plans for students with food allergies and advises school personnel in recognizing the signs of food allergies and the appropriate steps to take including the administration of epinephrine;
- Provides emergency response care, when necessary;
- Informs administrators and school personnel about students with health issues, in compliance with medical privacy regulations;
- Trains and delegates teachers, school-based LPNs, administrators, and staff on how to manage certain medical conditions and perform medical procedures in the absence of a Registered Nurse.
- Advises administrators on appropriate interventions to meet student needs;
- In cases where a student is suspected to be under the influence, advise administrators on student status;
- Administers medication to appropriate students, with parental permission and a doctor's order for prescription medication; keeps medication permission forms on file;
- Trains staff to administer medications under certain circumstances in the nurse's absence or for field trips; Ensures proper documentation;
- Supplies and adequately maintains the school clinic; secures medications including controlled substances as required;
- Performs medical procedures as prescribed by a physician;
- Appropriately documents clinic services to students; enters health information in the Student Information System;
- Assists sick or injured students and staff;
- Calls parents of ill students; assists ill students as needed until a parent arrives;
- Manages outbreaks of infectious illnesses with input from physicians, the health department, and district guidelines as appropriate; follows health department directives regarding the management of such illnesses when applicable;
- Refers additional health concerns as appropriate to a guidance counselor, school psychologist, physician, Child Protective Services, school administrator, or health department officials;
- Serves as a liaison with the public health department and other community agencies;
- Conducts basic screening programs as mandated in hearing and vision; refers students for follow-up;
- Provides guidance and trains staff for health-related procedures for students with special health needs;
- Assists special needs students with personal comfort and movement;
- Ensures compliance with a law that all schools with at least one student with diabetes have at all times two staff members trained in the administration of insulin and glucagon;
- Ensures compliance with IDEA legislation that all required medical procedures will be done safely and correctly at school either by the school nurse or a designee trained and supervised by the school nurse or the school nurse supervisor;
- May develop or assist with the development of Individual Health Care Plans for students with medical conditions, including allergies; may educate appropriate staff on necessary components of such health care plan including criteria for medical emergencies and specific actions to take;
- Ensures compliance with all laws protecting the confidentiality of medical information and obtains the written consent of parent/guardian to share information;
- Serves as a member of the School Crisis Team;
- Conducts health-related counseling that is sensitive to the emotional and physical needs of students;
- Assists in special activities, fire drills, and field trips;
- Performs clerical duties including typing, filing, and duplicating related to school nurse functions;
- Assists teachers with designated instructional activities as assigned by the Principal/Assistant Principal;
- Assists in enforcing rules and discipline; performs student supervision duties as required;
- Performs other health-related duties as assigned by a Principal or designee;
- Advises administrators, teachers, and cafeteria staff (with consent) on all students with food allergies; develops or obtains care plans for students with food allergies and advises school personnel in recognizing the signs of food allergies and the appropriate steps to take including the administration of epinephrine;
- Provides emergency response care, when necessary;
- Informs administrators and school personnel about students with health issues, in compliance with medical privacy regulations;
- Trains and delegates teachers, school-based LPNs, administrators, and staff on how to manage certain medical conditions and perform medical procedures in the absence of a Registered Nurse.
- Advises administrators on appropriate interventions to meet student needs;
- In cases where a student is suspected to be under the influence, advise administrators on student status;
- Administers medication to appropriate students, with parental permission and a doctor's order for prescription medication; keeps medication permission forms on file;
- Trains staff to administer medications under certain circumstances in the nurse's absence or for field trips; Ensures proper documentation;
- Supplies and adequately maintains the school clinic; secures medications including controlled substances as required;
- Performs medical procedures as prescribed by a physician;
- Appropriately documents clinic services to students; enters health information in the Student Information System;
- Assists sick or injured students and staff;
- Calls parents of ill students; assists ill students as needed until a parent arrives;
- Manages outbreaks of infectious illnesses with input from physicians, the health department, and district guidelines as appropriate; follows health department directives regarding the management of such illnesses when applicable;
- Refers additional health concerns as appropriate to a guidance counselor, school psychologist, physician, Child Protective Services, school administrator, or health department officials;
- Serves as a liaison with the public health department and other community agencies;
- Conducts basic screening programs as mandated in hearing and vision; refers students for follow-up;
- Provides guidance and trains staff for health-related procedures for students with special health needs;
- Assists special needs students with personal comfort and movement;
- Ensures compliance with a law that all schools with at least one student with diabetes have at all times two staff members trained in the administration of insulin and glucagon;
- Ensures compliance with IDEA legislation that all required medical procedures will be done safely and correctly at school either by the school nurse or a designee trained and supervised by the school nurse or the school nurse supervisor;
- May develop or assist with the development of Individual Health Care Plans for students with medical conditions, including allergies; may educate appropriate staff on necessary components of such health care plan including criteria for medical emergencies and specific actions to take;
- Ensures compliance with all laws protecting the confidentiality of medical information and obtains the written consent of parent/guardian to share information;
- Serves as a member of the School Crisis Team;
- Conducts health-related counseling that is sensitive to the emotional and physical needs of students;
- Assists in special activities, fire drills, and field trips;
- Performs clerical duties including typing, filing, and duplicating related to school nurse functions;
- Assists teachers with designated instructional activities as assigned by the Principal/Assistant Principal;
- Assists in enforcing rules and discipline; performs student supervision duties as required;
- Performs other health-related duties as assigned by a Principal or designee;
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Knowledge, Skills and Abilities:
Must have the use of sensory skills in order to effectively communicate and interact with students, parents, and other employees using the telephone and personal contact as normally defined by the ability to see, read, talk, hear, handle, or feel objects and controls. Functional knowledge of current health issues as they relate to school-age children; general knowledge of student behavior management practices, procedures, and techniques; general knowledge of school system rules and procedures for classroom, halls, cafeteria, library, and transportation; ability to guide, direct, teach, and counsel students; ability to understand and follow written and verbal instructions. Ability and skill to make physical, social, and emotional assessments and plan and implement interventions requiring professional nursing knowledge and judgment. Ability to maintain confidentiality.
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Education and Experience:
Must have a valid license to practice as a Registered Nurse; Two years of supervised nursing experience, in community health or pediatric nursing, is preferable. Must maintain current certification in cardio-pulmonary resuscitation from a recognized provider (e.g., American Heart Association). Familiarity with basic keyboarding skills. SPECIAL REQUIREMENTS: Satisfactory health condition as certified by a competent medical authority.
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Physical Conditions and Nature of Work Contacts:
Duties are typically performed in a school clinic and other school settings such as classrooms, gym, cafeteria, and recreational areas. Frequent movement throughout the school facilities is required. Occasional lifting of objects up to 40 pounds and moving of students weighing up to 150 pounds with assistive equipment may be necessary. The job is performed under conditions of potential exposure to risk of injury and/or illness.
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