School Health Nurse

School Health Nurse
Public Health
FLSA: E
GRADE: 19

This position is responsible for providing nursing care to students in assigned schools.

• Triages students; provides a nursing assessment in the school setting to ensure appropriate and safe care; document student encounters.
• Reviews and administers medications as ordered by health care providers, including daily medications as well as emergency medications, such as Epi-Pens; administers medications using injections, feeding pumps, insulin pumps, etc. as needed.
• Trains staff to administer medications and respond to medical emergencies as appropriate; educates staff on the procedures for administering medication in a school setting.
• Collaborates with parents/guardians and health care providers to develop individualized health care plans specific to student’s needs.
• Participates in emergency preparedness and response activities; reports for special assignments during public health emergencies and disaster situations.
• Reviews student health data sheets to identify students with specific health care needs.
• Develops care plans for students as appropriate for diagnosed health conditions in coordination with other members of the student’s health care team.
• Reviews immunization and health assessments of students to ensure compliance with state laws.
• Provides vision, dental, and physical/wellness screenings for students as indicated.
• Responds to medical emergencies in school setting and utilizes emergency services if needed.
• Refsers students in need of medical attention to proper provider.
• Provides health education to students.
• Performs monthly audit of medication administration records, AED/AED supplies, and school-based Epi-Pen expirations; prepares related monthly and annual reports.
• Collaborates with teachers, administrators, guidance counselors, and parents to develop IEP or 504 plans based on specific student needs.
• Develops care plans for students as appropriate for diagnosed health conditions in coordination with other members of the student’s health care team.
• Ensures program operation in compliance with state laws.
• Assists Senior Health Nurse in the management of programs, staff, and budgets as assigned.
• Collaborates with school administration and local health officials to develop a plan for communicable disease outbreaks in the community.
• Participates in emergency preparedness and response activities; reports for special assignments during public health emergencies and disaster situations.
• May be designated as an Elementary School, Middle School or High School team lead to coordinate, disseminate information and assist in onboarding new hires.
• Performs related duties.

• Knowledge of the laws, regulations, and guidelines governing the provision of health care in public schools.
• Knowledge of patient assessment principles.
• Knowledge of current medical technology, procedures, and standards of care.
• Knowledge of anatomy, physiology, chemistry, biochemistry, pathology, and disease processes.
• Knowledge of laboratory tests and equipment.
• Knowledge of pharmacology and drug interactions.
• Knowledge of patient assessment principles.
• Knowledge of nursing care principles and practices.
• Knowledge of school system policies and procedures.
• Skill in the provision of nursing care to patients.
• Skill in problem solving.
• Skill in prioritizing and planning.
• Skill in interpersonal relations.
• Skill in the preparation of required reports.
• Skill in operating computers and job-related software programs.
• Skill in oral and written communication.

The Senior School Health Nurse assigns work in terms of very general instructions. The supervisor spot‑checks completed work for compliance with procedures and the nature and propriety of the final results.

Guidelines include NC public health laws, Board of Nursing guidelines, the School Health Policy and Procedure Manual, the Lincoln County Schools Policy and Procedure Manual, contract requirements, treatment guidelines, pharmacy laws, and other program, department, county, state, and federal guidelines. These guidelines require judgment, selection, and interpretation in application.

• The work consists of varied nursing and administrative duties. The need to collaborate patient care with a variety of other parties contributes to the complexity of the position.
• The purpose of this position is to provide nursing care to assigned schools. Successful performance helps ensure the efficient and effective delivery of health services to students.

• Contacts are typically with coworkers, other county personnel, school administrators, teachers, social workers, parents, students, physicians, other health care providers, and the general public.
• Contacts are typically to exchange information, motivate persons, resolve problems, and provide services.

• The work is typically performed while intermittently sitting, standing, or stooping. The employee…