Job Description:
Position Summary
The Substitute Nurse provides temporary nursing services in the absence of the regularly assigned
school nurse. The substitute promotes the health, safety, and well-being of students and staff by
providing skilled nursing care, managing health concerns, responding to emergencies, and
maintaining a safe learning environment. This would be on an "as-needed" basis.
 
Knowledge and Skills
• Knowledge of pediatric nursing principles and evidence-based nursing practice
• Ability to recognize and respond appropriately to medical emergencies
• Working knowledge of confidentiality requirements, including FERPA, HIPAA (as applicable), and
district policies
• Ability to work independently while collaborating effectively with school staff
• Strong verbal and written communication skills
• Basic computer skills and ability to utilize electronic health records and district software
Essential Duties and Responsibilities
Student Health Care
• Assess and provide nursing care for student illness and injury.
• Administer prescription and over-the-counter medications according to physician orders and
district policy.
• Perform nursing procedures within the scope of licensure and as authorized by physician orders
and district policy.
• Monitor students with chronic health conditions.
• Provide first aid and emergency care.
• Maintain accurate, timely, and confidential documentation of all health office encounters.
Emergency Response
• Respond promptly and effectively to medical emergencies throughout the school.
• Activate Emergency Medical Services (EMS) when appropriate.
• Implement emergency care plans for students experiencing asthma, seizures, diabetes-related
emergencies, allergic reactions, cardiac events, traumatic injuries, and other medical emergencies.
• Assist with emergency preparedness activities and follow district emergency response procedures
during drills and actual emergencies.
• Support a safe learning environment through implementation of individualized healthcare plans
(IHPs), emergency action plans (EAPs), trauma response protocols, and district health and safety
procedures.
Medication Management
• Safely administer medications in accordance with physician orders and district policy.
• Maintain secure storage and accountability of medications.
• Complete accurate medication administration documentation.
Health Records
• Maintain student health records in accordance with FERPA, HIPAA (as applicable), district
policies, and nursing standards.
• Review Individualized Healthcare Plans (IHPs), Emergency Action Plans (EAPs), medication
authorizations, and physician orders.
• Update documentation throughout the school day as needed.
Collaboration
• Communicate professionally with students, families, teachers, administrators, and healthcare
providers regarding student health concerns.
• Collaborate with school staff to support student health, attendance, and academic success.
• Refer students for additional medical evaluation when appropriate.
Health and Safety
• Follow district infection prevention and communicable disease procedures.
• Assist with health screenings and wellness initiatives as assigned.
• Maintain a clean, organized, and safe health office.
• Promote a healthy and safe school environment through proactive nursing practices and health
education.

 Minimum Qualifications
• Current unrestricted Missouri nursing license as a Licensed Practical Nurse (LPN) or Registered
Nurse (RN)
• Graduate of an accredited practical nursing or registered nursing program (LPN, ADN, Diploma, or
BSN)
• Current CPR/BLS certification
• Successful completion of all required background checks
• Preferred experience in school nursing, pediatrics, emergency nursing, public health, or
community health
• Excellent communication, organizational, critical-thinking, and interpersonal skills