School Nurse School Year 2026-2027

SCHOOL NURSE

JOB DESCRIPTION

Salary: State Salary Schedule 

Reports to: Principals & Student Services Coordinator

FLSA Status: Exempt

Supervises: N/a

Work Week Schedule: Monday –Friday with some evenings

Work Hours: 40

Months per year: 10

POSITION PURPOSE:

The School Nurse oversees the management and coordination of the assigned school’s health services program based on requirements established by school division policies, procedures, and protocols, as well as local, state and national regulations and statutes. It is the role of the School Nurse to perform emergency medical and administrative work providing preventive and acute health care as part of the school’s student services program. 

 Work involves administering a variety of health care services, including health screenings and medical examinations and treatments, to school children with a variety of needs. Performing emergency medical functions may include administering medications and providing routine medical services as needed.  Work also involves providing training for teachers in first aid, emergency care and specific treatments; assisting and advising school teachers, staff and students' parents in matters pertaining to the health of students; and serving as a liaison between the school and private medical professionals, clinics, and human services agencies. The School Nurse is also required to maintain a variety of records and reports pertaining to health screening activities, emergency incidents, the status of individual students, etc. The School Nurse is exposed to the normal hazards of emergency medical work, including risk of exposure to infectious diseases.

KNOWLEDGE, SKILLS, AND ABILITIES 

1. Thorough knowledge of the North Carolina Nurse Practice Act
2. Thorough knowledge of universal procedures for communicable diseases and blood borne pathogens
3. Thorough knowledge of potential health problems of school-age and adolescent children, both healthy and regarding those with chronic and/or handicapping conditions
4. Thorough knowledge of emergency and routine medical procedures
5. Considerable knowledge of health care agencies and institutions in the area
6. Considerable knowledge of current literature, trends and developments in the field of school nursing
7. Advanced skills in performing health screenings and medical examinations
8. Ability to perform a variety of emergency medical procedures
9. Ability to train others in first aid and emergency care
10. Ability to assess the needs of students and develop a plan to meet those needs
11. Ability to communicate effectively both orally and in writing
12. Ability to operate standard office, word and data processing equipment
13. Ability to maintain complete and accurate records and to develop simple reports from those records
14. Ability to establish and maintain effective working relationships as necessitated by work assignments
15. Strong sense of professionalism
16. Demonstrated ability to work as part of a school team
17. Ability/willingness to participate in ongoing professional and staff development, both independently and through system-offered opportunities

EDUCATION, TRAINING, AND EXPERIENCE 

• Bachelor’s Degree in Nursing from an accredited institution 
• Three (3) to five (5) years of professional nursing experience
• Any equivalent combination of training and experience that provides the required knowledge, skills and abilities

CERTIFICATION AND LICENSE REQUIREMENTS 

• Registered Nurse by the North Carolina Board of Nursing
• Current School Nursing certificate, or be eligible to obtain one within three (3) years of employment
• Active Basic Life Support CPR/AED for Healthcare Providers certification required with hands-on training preferred 

ESSENTIAL DUTIES AND RESPONSIBILITIES 

1. Ensure compliance with procedures, protocols, and other instructions provided by Health Services or contained in division manuals and protocols
2. Provide nursing care and physical screening to students as appropriate
3. Assess students and implement first aid measures for students as needed

1. Assume responsibility for appropriate assessment, planning, intervention, evaluation, management, and referral activities for students
2. Counsel with students concerning problems such as pregnancy, sexually transmitted diseases and substance abuse in order to facilitate responsible decision making practices as appropriate
3. Implement and record required screening programs; notify parents when further medical evaluation is indicated
4. Establish and update health and immunization records
5. Prepare and maintain student clinic records and prepare required reports
6. Administer daily and PRN (as needed) medications and nursing care procedures prescribed by the student’s physician
7. Initiate emergency procedures for student and staff as needed
8. Develop Individual Health Care Plans for students as needed
9. Develop training for, train, monitor and evaluate unlicensed personnel who provide health services, including delegated procedures, the administration of medication to students and other health-related mandated activities.
10. Present, train and maintain appropriate standards from OSHA regarding contact with, and possible exposure to, blood-borne pathogens and other potentially infectious body materials within the school or employment setting
11. Provide health education and anticipatory counseling
12. Follow procedures for suspected cases of child abuse and neglect
13. Act as a liaison between the school, home health department professionals, and other community agencies
14. Coordinate presentations by various agencies and professionals regarding pertinent health care topics for school staff
15. Maintain clinic equipment and assess the need for consumable supplies on an annual basis
16. Perform additional duties as requested by the Principal and/or Student Services Coordinator

WORKING CONDITIONS

        Physical Demands- Moderate physical work required occasionally up to 50 pounds lifting

        Work Environment- Inside & outside environments; direct contact with staff, students, 

        parents and the public