Substitute School Nurse (All School Buildings)

Albemarle County Public Schools and Government
Newcomb Hall, VA
Closing date
Dec 4, 2023

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Nursing, General Nursing
Organization Type
Substitute School Nurse (All School Buildings)

We are seeking qualified LPNs and RNs to substitute in our schools. Assignments may be one day, several days, or longer, depending on the need of the particular school.
  • Competitive Pay -$24.70/hour for LPN's and $30.35/hour for RN's
  • Flexible Schedule - you choose which days you want to work
  • Variety - every day is new and exciting!
  • Convenience - you choose which schools you want to work in
  • Impact - ensuring every student gets the medical support they need while at school despite the regular nurse being absent
Retired ACPS School Nurses with active licenses earn an increased rate of $30.35/hour for LPN's and $40.22/hour for RN's.

After you have completed the application, please wait for a follow-up email regarding your status and any next steps that may need to be taken. Thank you!


The substitute school nurse is responsible for implementing the school health program, assisting with student and staff well-being and completing health related tasks; does related work as required in order to provide a consistent continuum of services in the schools.

  • Administers medication to appropriate students, with parental permission and a doctor's order for prescription medication after checking medication permission forms on file; may not give medication without form on file
  • Assists sick or injured students and staff, performs routine and emergency first aid;
  • Performs and documents medical procedures as prescribed by physician;
  • Appropriately document clinic services to students;
  • Calls parents of ill students; assists ill students as needed until parent arrives;
  • Manages outbreaks of infectious illnesses with input from the school health coordinator; the health department and district guidelines as appropriate; follows health department directives regarding management of such illnesses when applicable;
  • Refers additional health concerns as appropriate to a guidance counselor, school psychologist, physician, Child Protective Services, school administrator or health department officials;
  • May be responsible for maintaining student health records, may review records of entering students for immunizations, may ensure all components of the School Health Entrance Requirements including immunization are complete and up to date, may note health conditions documented, may collect information for reports.
  • May inform administrators and school personnel about students with health issues, in compliance with medical privacy regulations;
  • May need to train staff to administer medications under certain circumstances in the nurse's absence or for field trips; Ensures proper documentation;
  • May be responsible for supplies and adequately maintaining the school clinic (notify office administration if supplies are out or low); secures medications including controlled substances as required;
  • May serve as a liaison with the public health department and other community agencies;
  • May conduct basic screening as mandated in hearing and vision; refers students for follow-up;
  • May provide guidance to staff for health-related procedures for students with special health needs;
  • Assists special needs students with personal comfort and movement;
  • May train/supervise unlicensed personnel to provide necessary health care;
  • May develop or assist with development of Individual Health Care Plans for students with medical conditions, including allergies; may educate appropriate staff on necessary components of such health care plan including criteria for medical emergencies and specific actions to take;
  • Ensures compliance with all laws protecting the confidentiality of medical information and obtains written consent of parent/guardian to share information;
  • May serve as a member of the School Crisis Team;
  • Conducts health related counseling that is sensitive to the emotional and physical needs of students;
  • Assists in special activities, fire drills and field trips as assigned by principal;
  • Performs clerical duties including typing, filing and duplicating related to school nurse functions;
  • May assist teachers with designated instructional activities as assigned by the Principal/Assistant Principal;
  • May assist in enforcing rules and discipline; performs student supervision duties as required;
  • May advise administrators on appropriate interventions to meet student needs;
  • May advise administrators, teachers, and cafeteria staff (with consent) on all students with food allergies; develops or obtains care plans for students with food allergies and advises school personnel in recognizing the signs of food allergies and the appropriate steps to take including the administration of epinephrine;
  • Performs other health related duties as assigned by Principal or designee.

Some of the functions above are dependent upon the nurse serving as either a short or long-term substitute nurse.

Functional knowledge of current health issues as they relate to school age children; general knowledge of student behavior management practices, procedures and techniques; general knowledge of school system rules and procedures for classroom, halls, cafeteria, library and transportation; ability to guide, direct, teach, and counsel students; ability to understand and follow written and verbal instructions. Ability and skill to make physical, social and emotional assessments and plan and implement interventions requiring professional nursing knowledge and judgment. Ability to maintain confidentiality.

Must have a valid license to practice as a Licensed Practical Nurse or Registered Nurse (preferred). Must have a minimum of two years of supervised nursing experience in community health or pediatric nursing. Must maintain current certification in cardio-pulmonary resuscitation from a recognized provider (e.g., American Heart Association). Familiarity with basic keyboarding skills. SPECIAL REQUIREMENTS: Satisfactory health condition as certified by a competent medical authority.

Duties are typically performed in a school clinic and other school settings such as classrooms, gym, cafeteria and recreational areas. Frequent movement throughout the school facilities is required. Occasional lifting of objects up to 40 pounds and moving of students weighing up to 150 pounds with assistive equipment may be necessary. The job is performed under conditions of potential exposure to risk of injury and/or illness.

Will be evaluated on the ability and effectiveness in carrying out the above responsibilities as outlined by the Coordinator of Nursing and Health Services or Designee.

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