2026-2027 SUBSTITUTE NURSE

JOB TITLE: SCHOOL NURSE (RN)
TEAM: SUPPORT STAFF
REPORTS TO: HEAD OF SCHOOL
SUPERVISES: LVN or Nurse Assistant
FLSA STATUS: EXEMPT
SALARY: $59,280-$71,576 ANNUALLY
CALENDAR DAYS: 192
LOCATION: GATEWAY COLLEGE PREPARATORY SCHOOL, GEORGETOWN, TEXAS

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

QUALIFICATIONS:

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:

Nursing Services
• 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.
• Evaluate and assess staff condition during medical emergency situations only, providing emergency-level intervention as appropriate. This role does not include routine or ongoing medical care for staff.
• 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.

Instruction
• 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.

Consultation
• 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.

Administration
• 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.

Professional Development
• 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