1:1 Registered School Nurse

This position provides dedicated nursing care for an assigned student in the school setting to promote health and well-being and enable full participation in educational opportunities. The 1:1 school nurse works closely with classroom teachers to meet the physical and health care needs of medically fragile and special needs students during the school day, adapting educational materials and activities to support student learning.

Clinical Setting

This is a school-based nursing position within the Northshore School District. You will be assigned to work with one student throughout the school day, accompanying the student during classroom activities, school-based activities, and potential field trips held within school hours. You may also be required to ride the school bus with students or attend field trips occurring during school hours.

Responsibilities

• Provide necessary medical and nursing care for the assigned student
• Work closely with classroom teachers to adapt work, homework, and materials to support student learning and comprehension
• Actively participate in the assigned student's school day activities
• Maintain medical equipment and supplies at school as needed for the student
• Collaborate with the classroom teacher and building school nurse regarding implementation of 504 Plans, Individual Education Plans, Individual Health Care Plans, Emergency Care Plans, and emergency evacuation procedures
• Establish a plan of communication between the building school nurse, parents, and medical provider
• Maintain accurate health records on the assigned student and document health-related activities and treatments as appropriate
• Delegate and monitor health care tasks conducted by or delegated to unlicensed assistive personnel according to district policy, state nurse practice act, and professional judgment
• Perform other duties as assigned in collaboration with the nursing supervisor
• In the event the assigned student will not be attending a full school day, perform other duties consistent with the assignment

Required Qualifications

• Current Washington State licensure as a Registered Nurse
• Current First Aid certification
• Current CPR/AED (Cardiopulmonary Resuscitation/Automated External Defibrillator) certification
• Crisis Prevention Institute (CPI) training or equivalent
• Ability to independently perform a health assessment
• Ability to perform clean intermittent catheterization
• Ability to provide gastrostomy tube feedings, deep tracheal suctioning, tracheostomy care, and respiratory care
• Ability to read, write, and communicate effectively with correct grammar, spelling, and English usage
• Ability to operate a computer and learn specific software programs used to chart medical information in a school setting
• Ability to organize and set priorities
• Ability to exercise independent judgment, remain flexible, and work effectively under pressure
• Ability to maintain confidential information and records
• Ability to interact with children in a warm, confident manner
• Ability to supervise others
• Ability to establish and maintain effective working relationships with students, staff, and the community
• Demonstrated ability to work effectively as a member of a team

Preferred Qualifications

• Pediatric, adolescent, or school nursing experience

Working Conditions

This position is physically demanding with frequent interruptions. You may spend your workday on your feet, standing, and walking or sitting. Tasks may require bending, stretching, lifting, or adjusting medical equipment. Fine motor dexterity is necessary for medication administration, injections, putting on gloves, performing medical procedures, working with computerized records, and completing paperwork. Specific vision abilities required include close vision, distance vision, color vision, and the ability to adjust focus. You may be exposed to communicable disease and bodily secretions.

Schedule

Hours and days vary. This is a non-exempt position under the Fair Labor Standards Act (FLSA).

Compensation and Benefits

Salary is based upon the current ESP Collective Bargaining Agreement and will be in accordance with the current ESP salary schedule (Level III, 2025/26 ESP Salary Schedule).

Washington state health insurance coverage (SEBB) and a Washington state retirement package are available for eligible positions. You are generally eligible for SEBB benefits if you are anticipated to work at least 630 hours per school year (September 1 through August 31). SEBB benefits include:

• Medical plans with prescription benefits
• Dental plans
• Vision plans
• Life and AD&D insurance
• Long-term disability insurance
• Medical Flexible Spending Arrangement
• Dependent Care Assistance Program

Reporting Relationship

You will report to the School Principal and Supervisor of Nursing Services.

Additional Requirements

All offers of employment are contingent upon satisfactory results of background checks with prior employers and/or character references, satisfactory outcome of a criminal history background check (includes fingerprinting), satisfactory outcome of sexual misconduct information from prior school district employers, and approval by the Northshore School Board.