Published
I am an LVN working full-time in the Health Office. The RN is only here for screenings, and IEP meetings. She comes in 1/2 day ONCE a week to just catch up on anything. It's been really challenging for me. I had to try to explain Nurse chain of command to my boss (Principal) and almost got fired for not going out of my scope when I was asked to. :nono:The staff has been more challenging than any other student/parent Ive dealt with.
According to the Texas Education Agency only a RN can be a school nurse. There are plenty of LVNs, CMAs, EMTs, etc., that are employed to work in Texas public school clinics, and all of them are quite competent and able I'm sure, but none of them can officially hold the title of school nurse; regardless if the district employs RNs or not. School nurses are not required by statute in Texas - most school districts employ them, however. Another twist is that only RNs can bill medicaid for medication and procedures performed through the special ed department. If a LVN administers the medicine the RN has to bill it as a delegated task.
kidzcare
3,393 Posts
Since I am leaving, my current school has posted my job and the first applicant is an LPN. The Asst. Superintendent said "Nope, RN only"
I will confess that I don't really know the specifics about the differences. Can anyone shed any light about why an LPN would not be able to do the school nurse position?