Substitute Nurse

Substitute Nurse

Job : 5839760

Final date to receive applications: Posted until filled

Posted: Jul 17, 2026 4:00 AM (UTC)

Starting Date: To Be Determined

Job Title: Substitute School Nurse

FLSA Status: Exempt

Reports to: District Wellness Coordinator/Nurse Leader

The substitute school nurse is responsible for implementing the school health program in the absence of the permanent school nurse. The Substitute School Nurse scope of responsibilities includes providing school nursing services for a designated school population, for the health needs of a specific student, for a group of students participating in a school sponsored field trip or out of school setting activity, or in collaboration with the permanent school nurse to implement mandated health screenings or other special nursing activities.

• Current license to practice as a Registered Nurse in the Commonwealth of Massachusetts, per the Board of Registration in Nursing (BORN)
• Minimum two (2) years supervised nursing experience
• Current BLS for Healthcare Provider certification

• Baccalaureate degree in nursing (accredited college or university)
• MA DESE Professional Support Personnel license
• Previous pediatric nursing experience
• Familiarity with Health Office Anywhere (Electronic Health Record) documentation
• Knowledge about Massachusetts school health standards, rules and regulations

Using sound clinical knowledge and judgment, adhering to the Nurse Practice Act, pertinent regulations governing nursing practice in Massachusetts, the guidelines and standards of care established by the Massachusetts Department of Public Health (MDPH) and the Massachusetts Department of Elementary and Secondary Education (MDESE) and in accordance with the policies and procedures established by the Public Schools of Northborough and Southborough, the Substitute School Nurse routinely performs the following duties:

• Provides high quality nursing care to students and staff
• Performs health screenings as requested
• Coordinates referrals to private healthcare providers
• Serves as a liaison between school personnel, family, and community healthcare providers to ensure a healthy school environment.
• Administers medication and medically prescribed procedures
• Properly document student and staff encounters
• Collaborates with the school nurse team
• Fulfills the duties of the assigned school nurse in their absence

The job responsibilities of a Substitute School Nurse include but are not limited to:

• Gathering and organizing student records
• Organization of files of incoming students
• Reviewing registration and enrollment forms
• Developing, implementing, monitoring and evaluating plans for student care
• Providing a nurturing, welcoming, trusting and safe atmosphere
• Serving as a consultant with other school professionals
• Providing health-related education to students and staff in both individual and group settings
• Collaborating with staff and administration to ensure a healthy and safe school environment
• Monitoring immunizations, managing communicable diseases, and assessing the school environment as to prevent injury and ensure safety
• Developing health care plans and emergency action plans
• Overseeing infection control measures
• Overseeing medication administration and health care procedures
• Overseeing mandated screenings, referrals and follow-up
• Making decisions related to the delegation of healthcare tasks as directed by state laws and professional practice guidance
• Providing health advice to school educational teams both general education and special education
• Assisting families with locating outside care and obtaining health insurance
• Maintaining up-to-date cumulative health records on all students
• Consulting with Nurse Leader and/or school physician when appropriate
• Informing appropriate staff members of students with special health needs when necessary
• Collaborating with local public health departments when necessary

Work Environment: Work is generally performed in a school environment during the school day, however there may be occasions for after school meetings.

Physical Requirements: While performing the duties of this job, the nurse is frequently required to walk, stand, sit, talk, and hear. The nurse is regularly required to bend, stoop, crouch and/or kneel. The nurse is occasionally required to lift and/or move objects weighing up to 25 pounds. Must have sufficient mobility to navigate within a large school building.

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Date Updated: 07/13/26

Northborough-Southborough Public Schools is an Equal Opportunity Employer. Northborough-Southborough Public Schools ensures equal employment…