RN/LPN Substitute School Nursing

Substitute Regional School Nurse or School District LPN (2026-27 SY)
Job Description
General Responsibilities

Regional School Nurse: Reporting directly to the Health Services Director, the Regional School Nurse implements, manages and delivers school health services to school districts and/or agencies. The school nurse scope of practice is defined by law and regulation and professional school nursing standards.

School District LPN: Under the direction of the Regional School Nurse, the School District LPN implements, manages and delivers school health services to school districts and/or agencies. The school nurse scope of practice is defined by law and regulation and professional school nursing standards.

Salary: LPN: $32.89 per hour; RN: $42.59 per hour.

Assignment/Location: Building a substitute pool for School Nurses - RN or LPN. Substitutes are on-call, as needed.

Essential Functions

Assess the critical health needs of students, review Emergency Care Plans for students with life‑threatening medical conditions, medically fragile students, and those requiring nursing treatments.

Collaborate and consult with administrators and staff to identify school safety and environmental health needs.

Assess the physical and emotional health of students within the scope of the Regional School Nurse practice; initiate referrals, communicate health concerns that impact learning to staff, and coordinate mandated health screenings including referral and follow‑up.

Supervise, train, and delegate medication administration and nursing treatments as allowed by law.

Provide health counseling and crisis intervention to students; advocate for their health rights and serve as a liaison between the school, family, and health community.

Perform professional nursing tasks including emergency services.

Serve as a resource for health education to classroom teachers.

Consult and collaborate with staff, parents, and other professionals to assess student health status and make recommendations consistent with the individualized education plan.

Collect health care services data.

Assist school districts with policies and procedures for school health services based on current laws and accepted practices.

School District LPN Functions

Assist the Regional School Nurse in performing nursing assessments.

Provide nursing care to students within LPN scope of practice and in accordance with district policies and procedures.

Implement student health care plans and emergency plans as directed by the Regional School Nurse.

Collaborate and consult with the Regional School Nurse and other staff to address school safety and environmental health needs.

Maintain accurate records of medication and treatment administration, immunizations, screening results, and injury records.

Advocate for students’ health rights; serve as a liaison between the school, family, and health community.

Coordinate and implement mandated health screenings.

Collect health care services data.

Participate in health‑promoting and prevention efforts.

Other Functions

Other duties as assigned.

Minimum/Preferred Qualifications & Skills

Regional School Nurse Minimum Qualifications: Valid Washington State registered nurse (RN) license; experience in pediatrics and willingness to delegate care in a school setting; current CPR/1st aid certification; experience in the health care of school‑age children.

School District LPN Minimum Qualifications: Hold or be eligible to hold a valid Washington State Licensed Practical Nurse (LPN); current CPR/1st aid certification.

Regional School Nurse Preferred Qualifications: Bachelor’s degree in Nursing; valid Washington ESA certificate as a school nurse; experience in public or private schools; experience working with community service agencies; experience providing health education training; experience in pediatrics and health care of school‑age children.

School District LPN Preferred Qualifications: Experience as an LPN in a school setting; experience in pediatrics.

Working Conditions / Employment Requirements

Exposed to diseases carried by students; exposed to student noise levels.

Travel to school buildings and districts to provide services.

Physical ability to move or lift equipment up to 35 lb.

Regular attendance during assigned work schedule.

Successful completion of a criminal history and fingerprint check through Washington State Patrol and FBI.

Proof of immunization/disease including MMR/Td/Hepatitis B/Varicella.

Position Type: Part‑time. Salary: $32 to $42 per hour.

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