Substitute School

Starting Date: Immediately

Job Title: Substitute School Nurse
Department: Health Services
Reports to: Lead Nurse/Director of Health Services and Building Principal
Classification: Non-Exempt
Employment Status: Substitute/As Needed

The Substitute School Nurse provides nursing coverage for Neosho School District buildings when regular nursing staff are absent or when additional nursing coverage is needed. The Substitute School Nurse works under the direction of the Lead Nurse/Director of Health Services and collaborates with school administrators and other members of the Neosho School Health Team. The Substitute School Nurse is responsible for providing appropriate student health services, responding to medical needs and emergencies, administering medications and treatments, maintaining accurate health records, and following established district health policies and procedures.

The Substitute School Nurse must practice within the scope of their current Missouri nursing license. Registered Nurses (RNs) may perform nursing assessments, develop and evaluate healthcare plans, and provide clinical direction and delegation within their scope of practice. Licensed Practical Nurses (LPNs) work under the direction and supervision of a Registered Nurse and perform duties within their authorized scope of practice.

Provides nursing care, first aid, and emergency response to students, staff, and visitors in accordance with district policies and established procedures.

Administers medications and treatments according to provider orders, parent/guardian authorization, district policies, and applicable laws.

Monitors students with chronic health conditions and follows established Individualized Healthcare Plans (IHPs), Emergency Action Plans (EAPs), and other medical instructions.

Recognizes changes in student health conditions and takes appropriate action, including notifying the Lead Nurse/Director of Health Services.

Performs nursing assessments and clinical decision-making within the scope of their nursing license.

Develops, implements, and evaluates individualized healthcare plans when working within the RN scope of practice.

Implements state‑mandated vision, hearing, and other health screening programs as assigned.

Identifies and reports suspected communicable diseases and follows district procedures for infection prevention and control.

Maintains accurate, confidential, and timely student health records and medication documentation.

Communicates relevant health information to parents/guardians, school administrators, appropriate school personnel, and the Lead Nurse/Director of Health Services while maintaining confidentiality.

Provides health education and guidance to students, staff, and families as appropriate.

Follows district emergency response procedures and participates in emergency drills and training as assigned.

Reports significant health concerns, incidents, medication errors, and changes in student conditions to the Lead Nurse/Director of Health Services promptly.

Maintains familiarity with building‑specific health procedures, emergency supplies, and student healthcare needs.

Performs other duties as assigned.

Education/Experience

Current, unrestricted Missouri Registered Nurse (RN) or Licensed Practical Nurse (LPN) license.

Current CPR certification.

Current First Aid certification or willingness to obtain as required by the district.

Previous nursing or healthcare experience preferred.

Knowledge of medication administration, emergency response, and student healthcare needs.

Basic computer skills and ability to maintain electronic health records.

Clinical Skills

Recognize…