2026-2027 SUBSTITUTE NURSE

School Nurse (RN)

Implement comprehensive program of health services for campus. Provide health services to students. Promote health education and preventive health practices for students.

Education/Certification: Bachelor or Associate degree in Nursing, Valid Registered Nurse license to practice professional nursing in Texas from the State Board of Nurse Examiners, Certified by Texas Department of Health to conduct vision, hearing, scoliosis, and Acanthosis Nigricans screenings, CPR Certification

Special Knowledge/Skills: Knowledge of health appraisal to identify student health defects, Strong organizational, communication, and interpersonal skills, Ability to implement policies and procedures

Experience: Two years nursing experience, preferably in a school setting

Major Responsibilities and Duties:

• Evaluate and provide temporary and emergency care for sick and injured students or staff according to district policy and procedures.
• Notify parents of accident or illness and secure medical care for students in emergency cases (if parents or emergency contact cannot be reached).
• Administer First Aid/CPR/AED when necessary.
• Coordinate management system to administer medications to students at school. Administer medications as prescribed according to state law and district policy.
• Perform state-mandated vision, hearing, spinal, and Acanthosis Nigricans screenings and refer students as needed. Enter screening data for state reporting by the district deadlines.
• Evaluate students for communicable diseases/conditions and follow state reporting and exclusion requirements.
• Perform health procedures for students with health needs per physician orders.
• Develop and implement individualized health plans (IHPs) for students.
• Participate in the evaluation and review of campus health education curriculum.
• Provide healthcare education to individuals and groups as requested.
• Provide or coordinate campus staff training and education related to health services.
• Provide diabetes training to staff throughout the district.
• Serve as health liaison between school, physicians, parents, and community.
• Assess student problems and make appropriate referrals working with students, teachers, parents, and medical and health care professionals as needed.
• Participate in Admission, Review, and Dismissal Committee, 504 team, crisis team, and school committees.
• Participate in assessment and reporting of suspected child abuse.
• Review, evaluate, and maintain student immunization records in compliance with state immunization requirements.
• Enforce procedures to ensure proper program administration according to district policy.
• Supervise, train, and evaluate nursing staff in clinic procedures and responsibilities according to district policy.
• Compile, maintain, and file all physical and computerized reports, records, and other documents required, including clinic records and accurate, updated health records on all students.
• Requisition supplies and equipment needed to maintain clinic inventory.
• Develop and coordinate continuing evaluation of campus health program and make changes based on findings.
• Comply with policies established by federal and state laws, Texas Department of Health rule, State Board of Education rule, and board policy in health services area.
• Report potential health and safety hazards to principal.
• Comply with all district and campus routines and regulations.
• Maintain confidentiality following FERPA and HIPPA requirements.
• Complete AED checks monthly of all building on campus.
• Complete Stop the Bleed Kits checks monthly for expiration and replacement in all buildings.
• Serve on the SHAC (Student Health Advisory Council).
• Serve on the Safety and Security Committee.
• Participate in the preparation of Emergency Operations Plans for the school and district.
• Perform other duties as assigned.
• Maintain certification in CPR, and as a health screener (vision, hearing, and scoliosis).
• Maintain professional nursing skills and knowledge as required by the Texas Nurse Practice Act, the Texas Board of Nursing, and K-12 Texas public school training requirements.
• Model behavior that is professional, ethical, and responsible.

Supervisory Responsibilities: Direct the work of assigned nurse aide(s) and LVNs.

Equipment Used: Thermometer, blood pressure cuff, audiometer, otoscope, sphygmomanometer, vision screening equipment, thermometer, basic clinic equipment, personal computer, and copier.

Working Conditions: Mental Demands/Physical Demands/Environmental Factors: Maintain emotional control under stress. Exposure to bacteria and communicable diseases.

Benefits: Should you enroll in medical plan; Orenda Education makes a $425 monthly contribution towards employees' premiums. We offer a comprehensive package of benefit options, including: Participation in the Texas Teachers Retirement System Health, Dental and Vision Insurance Telehealth Basic Life, Term Life, Permanent Life and Accident Insurance Short-term and Long-term Disability 403b and 457b Investment Plans Health Savings and Flexible Spending Account Options Critical Illness, Cancer Insurance Legal Services