CSN role vs LPN

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Specializes in LPN, school nursing.

Hello,  I am an LPN in PA working as an "nurse assistant" alongside a CSN. I started this role last year and had no prior experience.The school we serve has approx 800 students. My coworker plans to take a leave next year meaning that I will be alone. There is a chance an agency nurse could help out but my gut tells me I will just be overseen by the other district CSNs. "Overseen" as in they will be there for any specific questions or needs. I am unable to find anything officially stating what duties a CSN can perform vs other nursing staff. Does such a thing exist, and where can I find it? What are some things that only the CSN can do in your PA school? Understandably I'm trying not to be taken advantage of on top of being stressed and alone. My coworker does significantly more in regard to the SHARRS report, screenings, and vaccinations and does so because she feels it's with in her role. We don't have any sort of policy regarding this matter and devised our own routines. If I will be performing the same job for MUCH LESS pay, and alone I seriously need to consider what I'm doing... any help is appreciated! 

Specializes in kids.

I suggest you contact you school nurse consultant and also read your nurse practice act. Good Luck!

My state has a REALLY good chart about breaking down what a credentialed nurse can do, and what others can do. You can try browsing the database your state has. 

Specializes in Vents, Telemetry, Home Care, Home infusion.

In my walk through PA's School Health regulations, there is not a decision tree re tasks non-credentialed nurse can do.

Pennsylvania Association of School Nurses and Practitioners has a resource list 

PA 2024 School Health Update lists consultant contact info.

PA: Medical Professionals Assisting the School Health Program

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The LPN regulations require that they function as a member of the healthcare team. In the school setting, they serve as Supplemental Staff under the Certified School Nurse (CSN).

In my walk through PA's School Health regulations, there is not a decision tree re tasks non-credentialed nurse can do.

SHARRS info

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The SHARRS report will open May 15 and close September 30.  The report may only be submitted by the Superintendent/CEO.... A CSN should review the report prior to submission to ensure healthcare data is accurate.

Hope you enjoy this role!

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