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School   (593 Views | 15 Replies)
by littleduckrn5 littleduckrn5 (New) New Nurse

278 Profile Views; 5 Posts

This is a curiosity post...is everyone here officially considered a school nurse legally by their state?

I technically am not a licensed school nurse in my state but I work as a registered nurse in a school health clinic. I work thru an educational/health services company. I am the only registered nurse at this private K-8 school so I am the district nurse as well. I delegate to a health aide. I am going back for my BSN now and am debating whether I should work towards becoming a licensed school nurse. I have a bachelors in another field. This is my first year in school nursing and I enjoy it compared to previous RN jobs.  I tell family and friends I am a school nurse because trying to explain that I am not a licensed school nurse confuses them. 

Sorry for the long post. I am just curious about everyone's background here. Thank you for reading! 

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SaltineQueen specializes in School Nurse, past Med Surge.

1 Follower; 881 Posts; 6,377 Profile Views

I am not a CSN, it's not required in my state.  I always say I'm a school nurse.  I'm licensed as an RN, I don't feel the need to go into more detail.  I would venture to guess that most people I know don't even realize that getting certified in school nursing is even an option.

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164 Posts; 982 Profile Views

We don't have "licensed school nurses" in our state. We have certified school nurses (to the tune of a $10,000 certification program), which I would assume would be comparable to a LSN.

I feel that our state is different in that anyone is allowed to be solely in charge of the nurse's office...schools can either have a CSN, an RN (BSN or associates), LPN, CNA, paramedic, high school grad off the street without any medical training, or nothing at all (ie, secretaries take care of everything). The credentials hired is 100% dependent on what the school wants to hire.

For my state, you can only write the health portion of IEPs if you have your CSN (or if you were grandfathered into some IEP course that was given by the state, but I think they did away with that). Also, with your CSN, you're placed on the teacher contract and teacher salary schedule. If you aren't certified, then you are considered support staff and are paid hourly and don't get quite the perks as the teachers do.

Hope this helps a little!!

Edited by ihavealltheice

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iggywench has 9 years experience as a ADN, RN and specializes in Pediatrics, school nursing.

286 Posts; 6,784 Profile Views

I am not a CSN; it's not required, nor would there be any financial incentive for me to get it.  I am an RN, and call myself a school nurse.  Our district staffs every school with an RN, and we have a director above us.  We are on the teacher salary scale.

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k1p1ssk has 9 years experience as a BSN, RN and specializes in pediatrics.

378 Posts; 4,761 Profile Views

No licensing in our state, just certification through the Dept. of Elem. & Secondary Ed. You do this by taking the certification exam through NASN or obtaining a master's degree in a relevant field (I.e. nursing, education, or public health), in addition to a series of classes sponsored through a private university in our state. On top of that, the school district does not need to require certification, though most do from what I understand.

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Glitternurse has 3 years experience as a LVN and specializes in pediatrics.

231 Posts; 1,530 Profile Views

I am an LVN. I am supervised by a certified school nurse with a BSN PHN. I Identify my self as the district LVN, but most refer to me as the school nurse.(the 2 of us cover five k-6 and a pre school totalling around 3000 students). as far as meds, treatments and procedures I do them all independently. I am certified to teach first aid and CPR as well. I have been an LVN for almost 30 years. I have done floor nursing (back in the day when LVNs worked on the floor). urgent care, ambulatory (doctor's office) nursing and home health before I came to the school health clinic 3 years ago. The RN does all the health plans, IEPs and 504s. There are a very few things that she has to do that are out of my scope. For example we have a newly diagnosed diabetic (diagnosed in November) that has PE after lunch. I cannot adjust his insulin, even though I know he will crash after PE. I have to call her and she will tell me how much to decrease his insulin coverage before lunch.

I realize I am not an RN, but I thought I'd give my 2 cents.

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BrisketRN has 4 years experience as a BSN, RN.

685 Posts; 2,754 Profile Views

I am an RN at a private school on semester 1 of the 2 semester CSN program.  CSN isn't required in my state but all of the public schools require it according to their job listings.

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LikeTheDeadSea has 6 years experience as a BSN, RN and specializes in School Nursing.

1 Follower; 556 Posts; 5,119 Profile Views

CSN - my state only allows RNs to practice as Staff Nurses under the caseload management of a CSN. $$$ is a huge incentive - CSNs are part of professional contract and RNs are on paraprofessional contract.  Depending on the district, a 10k (ish) graduate program to get the CSN is totally worth it, as it can be the difference of 40-70k per year in the long run. 

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164 Posts; 982 Profile Views

1 minute ago, LikeTheDeadSea said:

CSN - my state only allows RNs to practice as Staff Nurses under the caseload management of a CSN. $$$ is a huge incentive - CSNs are part of professional contract and RNs are on paraprofessional contract.  Depending on the district, a 10k (ish) graduate program to get the CSN is totally worth it, as it can be the difference of 40-70k per year in the long run. 

I got a $12K raise once I received my CSN! To work in essentially the same capacity that I already was, work less hours in a day (7.25 vs 8 ) AND make more money...it was definitely a no brainier for me!

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SchoolNurse91 has 8 years experience as a BSN, RN and specializes in School Nursing.

134 Posts; 2,288 Profile Views

In my state, a school nurse is an RN that has a bachelor degree and a teaching certificate. You are not considered a school nurse without all three. I'm the only RN in district. We have two LPNs, too. They can pretty much do what I can, aside from 504, IEPs and IHPs... although we do not do IHPs in our district. 

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OyWithThePoodles has 10 years experience as a RN and specializes in Med-surg, school nursing..

1 Follower; 1,313 Posts; 12,290 Profile Views

I'm not a CSN. It's not required in my state an unfortunately there is no pay incentive in my district. But I AM a school nurse. 

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CanIcallmymom has 4 years experience.

381 Posts; 1,106 Profile Views

33 minutes ago, OyWithThePoodles said:

I'm not a CSN. It's not required in my state an unfortunately there is no pay incentive in my district. But I AM a school nurse. 

same here.

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