Students’ ability to excel in school and retain what they learn is influenced by many factors including their mental and physical wellbeing. Students whose health is impaired or put at risk are less able to focus on their lessons and are more likely to miss school. That’s why school nursing is an important aspect of primary and secondary education.
A strong school nursing program at an elementary, middle or high school may improve the health of the student population. This, in turn, helps students learn, achieve good grades, graduate and move on to further education, training and careers.
If you’re interested in the nursing field and have a strong desire to advocate for the health, well-being and educational success of students, you may want to consider a career as a school nurse.
School nurses are essential in providing students with much-needed care, advocating for students’ mental, physical and social needs, and connecting students and their families with additional resources.
School Nursing Is Unique from Other Nursing Practices
School nurses encounter different problems than nurses in traditional hospital settings or private practices. Before moving into this field, understand that your role will be both medical and educational. A school nurse is a leadership role, and it may be up to you to drive physical and mental health care education and programs.
The National Association of School Nurses advocates for school nurses playing a vital role in promoting positive behavioral health among their students. School nurses often work with school psychologists and counselors to provide holistic support and care for physical and mental health.
It’s important for school nurses to be aware of the social and economic factors that affect the student population. You may need to address the many issues outside of school that can harm students individually and as a whole.
Because school nurses communicate with teachers, administrators, parents and other medical providers, strong written and oral communication skills are important. You’ll also have to understand the students’ communication skills and create messages students can understand and implement.
How To Become a School Nurse
1. Earn a Bachelor's Degree in Nursing
You must first graduate from an accredited nursing program or with a bachelor’s degree and become a registered nurse.
To become licensed, you must apply with your state’s board of nurses. The board will inform you if you are eligible to take the National Council Licensure Examination, which is proctored and graded by the National Council of State Boards of Nursing. All nurses are required to pass this exam in order to become a registered nurse.
3. Meet Your State’s Requirements for Becoming a School Nurse
The next step depends on your state’s requirements. Each state governs the requirements for school nursing. Some have specific certification or licensing requirements beyond obtaining your RN license. To determine your state’s requirements for school nurses, you can contact your state’s affiliate of the NASN.
On a daily basis, school nurses perform assessments, screenings, referrals and follow-ups with students. They can diagnose and treat mild conditions or ensure students move on to appropriate medical treatment for more serious mental health conditions or physical injuries, according to the article “Role of the School Nurse in Providing School Health Services” in the academic journal Pediatrics.
However, a school nurse’s day is not solely focused on medical care. Nurses continuously focus on community and public health initiatives. According to NASN, community health encompasses many factors, such as educating students about:
Physical, dental, mental and social health
Alcohol and substance abuse
Risky versus risk-reducing behaviors
Sexual health and pregnancy
Sexually transmitted infections
Reducing the risk of communicable diseases
Care coordination is essential to many students and a significant part of a school nurse’s role. There will always be students with conditions who need medical care or advocacy throughout the school year.
Common issues include:
Students might need to receive medications, such as insulin, at certain times during the school day.
Students might need to avoid certain foods or substances due to severe allergies.
Students might need to receive additional educational tools or assistance due to dyslexia or autism.
Staff needs to be aware of any student’s increased risk of a medical event, such as seizures, anaphylaxis or cardiac arrest.
School nurses coordinate essential care with the students, parents, medical providers, teachers and staff. They often help develop individualized education plans or Section 504 plans to ensure students’ health and medical needs are not barriers to their education. Nurses also create and implement individualized health care plans.
Social issues, including household income, housing instability, transportation issues, food insecurity, access to health insurance and other environmental factors impact student health and education. School nurses must identify relevant issues and ways to address them at school to improve students’ health, academic outcomes and career opportunities.
Nurses also play a role in connecting students and their families with health care services, shelter, food, financial services and other social resources. They are critical in informing families about Medicaid and the state’s health insurance programs for children and low-income families.
A fundamental aspect of school nursing is continuous quality improvement. Nurses are expected to assess their populations, identify issues, develop action plans, implement action plans and evaluate outcomes. This process entails collecting measurable data, analyzing results and making improvements.
Where Do School Nurses Work?
School nurses work in a variety of settings, including:
Pre-school and kindergartens
Public elementary, middle and high schools
Private and parochial schools
Colleges and universities
Local health departments
Overseas military bases
School Nurse Salary
The Bureau of Labor Statistics on registered nurses reported the national median salary for registered nurses in educational services was $61,850 as of January 2019. Given that this is the median pay, nurses may make more or less than this salary. It often depends on the location, work environment and nurse’s years of experience.