Registered Nurse

Health Services
Reports to: Student Health Services Coordinator Pay Grade: Teacher Salary Schedule
School: PreK-12 Length of Contract: 10 & 11 mos.
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.
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
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
Nursing Services
* Assesses student health status; and makes appropriate referrals utilizing knowledge base and strategies applicable to the preschool aged child through the young adult.
* Monitors and provides direct services and care to student maintaining accountability for all care and services provided. Documents thoroughly all nursing assessments and care provided and maintains complete and confidential Student Health Records.
* 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.
* 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.
* Encourages students to adopt healthy lifestyles and self-responsibility by promoting wellness through collaboration with Health teachers and other departments.
* Reports potential health and safety hazards to principal and nursing supervisor.
* 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).
* 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.
* 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.
* Records, documents and reports service units for District Medicaid reimbursement programs (School Health related Services (SHARS) and Medicaid Administrative Claims (MAC).
* 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.
* Trains and supervises all clinic paraprofessional personnel and participates in their annual performance evaluation as requested by nursing supervisor.
* Provides anti-victimization instruction for the young child, acting as a resource for child abuse/neglect identification and prevention.
* Serves as a health advocate for students.
* Establish and implement effective procedures for mandatory health screening programs and makes referrals as necessary.
* Makes home visits to help with student health problems as necessary with permission of principal.
* Develops and implements individualized health care plans for medically fragile students and as needed for other students with special health concerns.
* 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.
* Participates in collaborative/consultative role in Admission-Referral-Dismissal (ARD) process for special education services interpreting medical information for ARD Committee.
* Accountable for all assessments, judgments and referrals in the health of students including child abuse, pregnancy and mental health areas.
* 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.
* Provides health care and consultation to employees in collaboration with the Departments of Risk Management and Safe and Healthy Schools.
* Participates in campus committee activities (PTA, CIC, 504, Emergency Response Team, Campus Leadership Team), and articulates health related issues and concerns.
* 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.
* 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.
* 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.
* Follow and support board policies in areas of related responsibility.
* Share in the development and implementation of district success plans.
* Actively participate in ongoing development to improve work quality and district contribution.
* 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 employee is occasionally required to drive personal vehicle in the performance of assigned tasks. Knowledge of first aid skills and safe medication administration
Knowledge of health appraisal to identify student health defects
Ability to implement policies and procedures
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
Ability to apply principles of logical or scientific thinking to a wide range of intellectual and practical
Ability to deal with nonverbal symbolism (formulas, scientific equations, graphs, musical notes, etc.)
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