School Nurse

• Hillsborough Elementary
  Orange County Schools
  329
• Hillsborough Elementary School
• Hillsborough, North Carolina This job is also posted in North Carolina School Jobs, and Orange County School District
• NC
  Job Details
  

Job ID:

5930657

Application Deadline:

Posted until filled

Posted:

Sep 17, 2026 4:00 AM (UTC)

Starting Date:

Immediately

Job Description

School Nurse

Job Description

POSITION

School Nurse

NATURE OF WORK

The employee identifies and treats health disorders among students and provides instruction in the maintenance of good health and disease prevention. The employee must evaluate the physical conditions of students and refer students to appropriate resources as needed. The school nurse functions independently under state and agency guidelines and polices without on-site supervision. Work is self-directed and clinically autonomous. Supervision may be exercised over volunteers, unlicensed personnel, and/or licensed personnel. To accomplish these responsibilities, the school nurse serves in the roles of program manager/coordinator, case manager/direct care provider, collaborator/advocate, educator and health counselor for the entire school/school district. Decisions made by this employee require discretionary judgment and analysis. Errors may not be easily discernible and may result in a serious impact on the individual child and others. This employee's work is seldom reviewed while in progress and is performed under general supervision.

The school nurse works in the Orange County School Health Program and reports to the School Health Nursing Supervisor.

The school nurse will know and comply with OCS policy and procedures. Work requires that the nurse use sound judgment in applying professional standards and guidelines. Problem-solving and critical situation assistance is available by the nursing supervisor or, if unavailable, high-performing colleagues. In addition, the school nurse works as a team member in the assigned school(s) and complies with the directives given by the school principal. Directives, however, must be in line with the essential functions and performance standards for school nurses as well as support professional nursing judgment or legal standards.

ILLUSTRATIVE EXAMPLES OF WORK

Develops policies, procedures, and work standards for school health programs.

Monitors compliance of school health programs with federal, state, and local laws, regulations, and policies.

Initiates program changes as needed.

Manages program allotment efficiently.

Prepares health reports for supervisor, board of education, and health department.

Collaborates with other child-support agencies in designing and providing a school health program.

Negotiates professional and medical services essential to the school health program.

Provides first aid care and medically prescribed services.

Maintains security of school health supplies.

Serves as a resource person on student health issues.

Provides staff development on health-related topics for school staff and volunteers.

Screens and conducts health appraisals for students.

Provides follow-up evaluations on students as required.

Recommends corrective action where problems are identified.

Conducts home visits when appropriate.

Corresponds with parents on health needs of children.

Records immunizations, health findings, and other relevant health data.

Other duties may include but not be limited to:

Back-up coverage for other schools

Kindergarten Registration

Employee Hepatitis B immunizations

Employee Flu shots

Orange County Schools' nurse representative for community/state health initiatives, i.e., asthma coalition, professional organizations, etc.

Staff meetings

Community outreach activities

Precept nursing students in school health and mentor others beginning school nurse practice

Other duties as assigned

KNOWLEDGE, SKILLS, AND ABILITIES

The complex role of the school nurse demands, but is not limited to, an understanding and knowledge of:

Community, including community as a system and aggregates as clients, community assessment, and community resources

Pediatric/adolescent Nursing

Human growth, development, and learning

Public Health/Community Health Nursing

Professional nursing practice including nursing process, effective communication/documentation, professional conduct/ethics, and reflection/professional growth

Health counseling, mental health and crisis intervention

Communicable disease management

Applicable laws, regulations and standards pertaining to school nurse practice (NC Nurse Practice Act, Standards of School Nursing Practice, the Eight Components of a Coordinated School Health Program, and Family Educational Rights and Privacy Act)

School Health law

Special Education legislation and services

Case finding, case management and health advocacy

Program management, including staff supervision

Family theory, assessment and intervention

Leadership, networking, collaboration, and client advocacy

Ethnic and cultural sensitivity and competence

Contemporary health and psychosocial issues that influence children, families and the community

Health care delivery systems and the concepts of the primary health care

Building student, staff and family capacity for adaptation, self-management, self-advocacy and learning

School as a non-traditional health care setting

Development, management and evaluation of school health programs

Environmental health within the school community

Skills related to this important role include, but are not limited to, the ability to:

Plan, coordinate and supervise the work of others

Deal tactfully with others and exercise good judgment in appraising situations, making decisions, and providing nursing care

Make independent and timely nursing decisions and triage into priorities

Secure the cooperation and respect of students, faculty and staff

Elicit needed information and maintain effective working relationships

Utilize effective verbal, non-verbal and written communication skills

Collect data to direct evidence-based practice

Record accurately services rendered and interpret and explain records, reports, activities, health care plans, accommodations and medical interventions

Identify health-related barriers to learning (i.e., at-risk behaviors, financial, cultural, economical, etc.)

Performance and Work Load Standards

At a minimum, the school nurse is expected to:

Attend the New School Nurse Orientation and follow-up session (new school nurses)

Address the six core functions as identified in the School Nurse Funding Initiative (utilized by DHHR as the performance "expectations" for a school health program)

Collect data for the NC DHHS School Health Nursing Survey and Program Summary (end of year report)

Obtain necessary knowledge, skills and CEU's to maintain credentials

Work independently in an uncontrolled environment

Follow the Orange County Schools (OCS) policies, procedures and protocols as set forth in the School Health Program Manual(s), OCS/OCHD Memorandum of Agreement, and OCS Employee Handbook, and the NC Nurse Practice Act as well as other applicable state and federal statutes.

Maintain necessary mental and physical health to effectively make sound nursing assessments/judgments

Functions with precision, exactness, and accuracy at all times

Operate as an inter-disciplinary manager and team member

Job Qualifications

REQUIRED

Registered nurse, currently licensed in North Carolina

Current valid driver's license

Two year clinical experience as RN under supervision

HIGHLY RECOMMENDED

BSN/BS or more advanced nursing education

A minimum of 3 years RN nursing experience dealing with young children and adolescents (ages 3-21)

Public Health Nursing experience

Position Type:

Full-Time

Job Requirements