Substitute Nurse

Primary Purpose:
Implement district health services program to best meets the needs of the student population on the assigned campus.
Provide health services to students.

Qualifications:
Education/Certification:
Graduate of an accredited professional nursing education program
Valid Registered Nurse license (RN) or Licensed Vocational Nurse (LVN) from the Texas Board of Nursing
Current automatic external defibrillator (AED) and cardio pulmonary resuscitation (CPR) certificates

Special Knowledge/Skills:
Knowledge of health appraisal to identify student health defects Ability to implement policies and procedures
Knowledge of basic first aid
Ability to write routine reports and correspondence
Strong organizational, communication, and interpersonal skills

Experience:
Nursing experience

Major Responsibilities and Duties:
Nursing Services
1.     Provide direct care using professional assessment skills, the nursing process, individualized healthcare plans (IHPs), and
established school health protocols. Provide health counseling and instruction to individual students.
2.     Assess student problems, communicate with parents regarding individual students, and ensure appropriate referrals and
follow up as needed. Serve as a liaison between school personnel, the family, healthcare professionals, and the community.
3.     Notify parents of accident or illness. Secure emergency medical care for students as needed.
4.     Implement individualized healthcare plans (IHPs) and evaluate outcomes of skilled and direct nursing care and
procedures for medically fragile students to ensure safe integration of the student into the school environment.
5.     Ensure that medications are administered to students according to district policy and procedures.
Consultation
6.     Collaborate closely with campus principal and other staff to ensure a healthy school environment. Work to meet the
health needs of the general school population and those students with identified health conditions.
7.     Advise campus administration in crisis or emergency situations and participate in assessment and reporting of suspected
child abuse.
Administration
8.    Compile and Maintain Daily records, and other documents required, including clinic records and accurate and confidential
student health records such as immunization records, medication administration records, individual student treatment
records, and IHPs.
9.    Comply with policies established by federal and state laws, Texas Department of Health rule, State Board of Education
rule, and board policy. Comply with all district and campus routines and regulations.
10.  Report potential health and safety hazards to principal.
Professional Development
11.  Maintain professional nursing skills and knowledge as required by the Texas Nurse Practice Act and the Texas Board of
Nursing including certification for mandated screenings and Basic Life Support for Healthcare providers (CPR/AED).

Mental Demands/Physical Demands/Environmental Factors:
Tools/Equipment Used: Standard medical clinic equipment including automated external defibrillator (AED); special needs
adaptive equipment; standard office equipment including computer and peripherals
Posture: Frequent standing, sitting, kneeling/squatting, bending/stooping, pushing pulling, and twisting
Motion: Frequent walking, grasping/squeezing, wrist flexion/extension
Lifting: Frequent light lifting and carrying (less than 15 pounds); may require regular heavy lifting (45 pounds or more) and
position of students with physical disabilities; controlling behavior through physical restraint, assisting nonambulatory 
students
Environment: Exposure to biological hazards, bacteria, and communicable diseases
Mental Demands: Work with frequent interruptions; maintain emotional control under stress

*Adapted from Recommended School Health Staff Roles published by the Texas Department of Health School Health Advisory
Committee, January 14, 2013.

Substitute Nurse  LVN OR RN

CERTIFICATION FOR LVN:
High School diploma or GED
Valid Texas license (LVN) issued by the Board of Vocational Nurse Examiners
Current cardio pulmonary resuscitation (CPR) and automated external defibrillator (AED) certificates

CERTIFICATION FOR RN:
Graduate of an accredited professional nursing education program
Valid registered nurse license (RN) from the Texas Board of Nursing
Current automatic external defibrillator (AED) and cardio pulmonary resuscitation (CPR) certificates

Professional Substitute Teaching Assignment | Pay Rates
Non-Degreed                                            $100.00 per full day                      
Degreed (Bachelors or higher)              $110.00 per full day                       
Certified Teacher                                     $120.00 per full day                        
                   
Long Term Assignments      Additional $10.00 per day of assignment, after working 10 or more consecutive school days

Long Term Substitute Pay
Long-term assignments are those in which the teacher substitutes for any KISD teacher for 10 or more consecutive school
days.  Long-term assignments that are for the same teacher for 10 or more consecutive days shall be established prior to the
beginning of the assignment.

Should a break in service occur, the pay reverts back to the standard substitute pay until the substitute works another 10 or
more consecutive school days.

Salary : $100 - $120