Job Description

Job Title: School Nurse (Registered Nurse (RN) Wage/Hour Status: Exempt

Reports to: Student Health Services Coordinator Pay Grade: AP3

Dept./School: PreK-12 Length of Contract: 10 & 11 mos.

Date Revised: 2/5/19

Primary Purpose:

Responsible for the implementation and management of the student health services program on the campus level. Assesses and intervenes to manage acute, chronic and emergency health care needs of students and staff. Provides direct instruction and assists classroom teachers in health related content areas as deemed necessary and appropriate. Provides related services and specialized nursing care to students. Provides specialized training for appropriate campus staff regarding student specific health needs. Conducts State and District mandated health screenings in appropriate grade levels and makes appropriate referrals and follow-up. Articulates mission of health services to faculty, staff, parents, administrators and community at large. Serves as liaison and resource to parents and community in developing school-linked services and resources for students.

Qualifications

Education/Certification:

Graduate of an accredited professional nursing education program

Associate Degree in Nursing

Valid Registered Nurse License to practice professional nursing in Texas from the State Board of Nurse Examiners

Minimum of three years nursing experience in community health, hospital environment, physician's office, or school health

Current Cardiopulmonary Resuscitation (CPR/AED) Certification

Valid Texas Driver's License with driving record that meets the requirements of the District

Preferred:

Pediatric/adolescent experience preferred

Bachelor's Degree in Nursing from a four year college or university preferred

Certified by Texas Department of Health to conduct vision, hearing, and scoliosis screening

Major Responsibilities and Duties:

Nursing Services

1. Assesses student health status; identifies acute, chronic and emergency needs and notifies parents/guardian of accident or illness; and makes appropriate referrals utilizing knowledge base and strategies applicable to the preschool aged child through the young adult.
2. Monitors and provides direct services and care to student maintaining accountability for all care and services provided. Administers medications to students according to district guidelines.
3. Documents thoroughly all nursing assessments and care provided and maintains complete and confidential Student Health Records.
4. Identifies and implements appropriate interventions to address physical and emotional health needs of all students (i.e. teen pregnancy, suicide, substance abuse, depression and physical/mental abuse) � Responds to students in crisis and provides appropriate counseling, care and referrals.
5. Provides and evaluates outcomes of direct and skilled nursing care services and procedures for medically fragile students, integrating the medically fragile student safely into the school setting.
6. Encourages students to adopt healthy lifestyles and self-responsibility by promoting wellness through collaboration with Health teachers and other departments.
7. Provides consultation to school administrators in crisis/emergency situations. Reports potential health and safety hazards to principal and nursing supervisor.
8. Collaborates with campus administration and staff regarding communicable diseases, infection control, health and safety matters and implementation of health-related plans on Individualized Health Plans (IHPs).
9. Responsible for the care and well-being of students and others with bloodborne pathogens and for the establishment of universal precautions and confidentiality guidelines on each campus.
10. Provides direct instruction to students in health related content areas i.e. maturation, wellness, disease prevention, Human Sexuality and Abstinence Education and acts as resource in these areas of instruction � Provides overview of programs to the community/parents in this area of instruction.
11. Records, documents and reports service units for District Medicaid reimbursement programs (School Health related Services (SHARS) and Medicaid Administrative Claims (MAC).
12. Develops and provides in-service for faculty, special education, custodial and transportation personnel on health related matters, i.e. Cardiopulmonary Resuscitation (CPR), hepatitis, seizures, bloodborne pathogens, child abuse, diabetes care and use of the automated external defibrillator (AED) as needed.
13. Trains and supervises all clinic paraprofessional personnel and participates in their annual performance evaluation as requested by nursing supervisor.
14. Provides anti-victimization instruction for the young child, acting as a resource for child abuse/neglect identification and prevention.
15. Serves as a health advocate for students.
16. Reviews, evaluates and maintains all campus immunization records and follows district guidelines and state laws.
17. Establish and implement effective procedures for mandatory health screening programs and makes referrals as necessary.
18. Makes home visits to help with student health problems as necessary with permission of principal.
19. Develops and implements individualized health care plans for medically fragile students and as needed for other students with special health concerns.
20. Develops and implements emergency health plans on identified students. Communicates regularly with principal, student health services coordinator, school counselor, teachers, parents, food services and other staff retarding health service issues.
21. Participates in collaborative/consultative role in Admission-Referral-Dismissal (ARD) process for special education services interpreting medical information for ARD Committee.
22. Accountable for all assessments, judgments and referrals in the health of students including child abuse, pregnancy and mental health areas.
23. Oversees and monitors all student health records and delivery of school health programs on campus as mandated by State Law and District Policy maintaining confidentiality in all written records and verbal interactions with parents, students, faculty and staff.
24. Provides health care and consultation to employees in collaboration with the Departments of Risk Management and Safe and Healthy Schools.
25. Participates in campus committee activities (PTA, CIC, 504, Emergency Response Team, Campus Leadership Team), and articulates health related issues and concerns.
26. Maintains adequate inventory of clinic supplies, equipment to provide efficient operation of the clinic and prompt effective management of student, faculty/staff and visitor illnesses or injuries.
27. Serves as community liaison and resource to parents and community in the development of community and school linked services (i.e. health fairs, resources for parents and students to access needed health care) and resource for students.
28. Participates in professional development and other activities as directed by the Coordinator of Student Health Services and as mandated by the Texas Nursing Practice Act to maintain professional nursing skills and knowledge.
29. Reports to work every day.
30. Comply with all district and campus routines and regulations. Models behavior that is professional, ethical and responsible.
31. Performs other duties as may be assigned.

General Employee Requirements:

• Support and align work with the mission, vision, and beliefs of the district.
• Follow and support board policies in areas of related responsibility.
• Ensure district resources are managed effectively to maximize resources for student learning.
• Share in the development and implementation of district success plans.
• Actively participate in ongoing development to improve work quality and district contribution.
• Model integrity, work ethic, and professionalism as a suitable example for LISD students.

Supervisory Responsibilities:

Be a Lead Nurse to LVN if so assigned and be a Mentor to a new RN as assigned.

Working Environment:

While performing these duties, the employee is required to demonstrate an above average degree of concentration, communication (verbal and written), interpretative skills, understanding verbal instructions, analyzing, differentiating, reading, coordinating, compiling, instructing, emotional control, confidentiality, creativity in organizations, critical thinking skills and self-direction. Average skills are required in memorizing and computing.

The work environment characteristics described here are representative of those an employee encounters while performing the essential duties of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is occasionally exposed to outside weather conditions and risk of electrical shock. The noise level in the work environment is usually moderate. Maintain emotional control under stress. Exposure to bacteria and communicable diseases.

Physical:

While performing the duties of this job, the employee is regularly required to use hands to finger, handle, or feel; reach with hands and arms; and talk or hear. The employee frequently is required to stand, walk, and taste or smell. The employee is occasionally required to sit; climb or balance; and stoop, kneel, crouch, or crawl. The employee must regularly lift and/or move up to 25 pounds and occasionally lift and/or move up to 50 pounds. The employee must be able to run at least 20 yards or more in order to respond to an emergency. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and ability to adjust focus. The employee is occasionally required to drive personal vehicle in the performance of assigned tasks. The employee is involved in the lifting and transferring of students.

Mental:

While performing these duties, the employee is required to demonstrate an above average degree of concentration, communication (verbal and written), interpretative skills, understanding, verbal instructions, analyzing, differentiating, reading, coordinating, compiling, instructing, emotional control, confidentiality, creativity in organization, critical thinking skills and self-direction. Average skills are required in memorizing and computing.

Other Responsibilities and Duties:

Special Knowledge/Skills:

Knowledge of first aid skills and safe medication administration

Knowledge of health appraisal to identify student health defects

Strong organizational, communication, and interpersonal skills

Ability to implement policies and procedures

Possess the ability to maintain composure and make accurate decisions quickly under emergency situations

Possess the ability to handle multiple tasks simultaneously with constant interruptions

Ability to use personal computer and utilization of various software programs

Ability to work well with school age children

Language Skills:

Ability to read, analyzes, and interprets the most complex document

Ability to respond effectively to the most sensitive inquiries of complaint

Mathematical Skills:

Ability to work with mathematical concepts such as probability and statistical inference, and

fundamentals of plane and solid geometry and trigonometry

Ability to apply concepts such as fractions, percentages, ratios and proportions to practical situations.

Reasoning Skills:

Ability to apply principles of logical or scientific thinking to a wide range of intellectual and practical

problems

Ability to deal with nonverbal symbolism (formulas, scientific equations, graphs, musical notes, etc.)

in its most difficult phases

Ability to deal with a variety of abstract and concrete variables

Computer Skills:

To perform this job successfully and individual must possess above average proficiency in the use of a computer and possess above average knowledge and ability to use and/or learn to use Database, Internet, Spreadsheet and Word Processing software. Average skills are required in the use of Design and Project Management software.

Equipment Used:

Computer, Printer, Copier, Telephone, Facsimile Machine, Sphygmomanometer, Otoscope, Peak Flow Meter, Nebulizer, Oxygen, Suction Machine, Gastric Feeding Tube, Feeding Pump, Insulin Pump, Pulse Oximeter, Glucometer, Sloan Eye Chart, Stethoscope, Electronic and Tympanic Thermometers, Pen Light, Audiometer, Eye Wash, Scales, Scoliometer, Stadiometer, Hoyer Lift, Wheelchair, Automated External Defibrillator, CPR Microshield, Epi-Pen, Vagal Nerve Stimulator, Ambu Bag, Two-way Radio, Personal Vehicle

The foregoing statements describe the general purpose and responsibilities assigned to this job and are not an exhaustive list of all responsibilities and duties that may be assigned or skills that may be required.

Approved by Date

Reviewed by Date