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District Nurse Program

District Nursing is a specialized practice of professional nursing that advances the well-being, academic success and life-long achievement of students.
To that end, District nurses facilitate positive student responses to normal development; promote health and safety; intervene with actual and potential health problems; provide management services, and actively collaborate with others to build student and family capacity for adaptation, self-management, self-advocacy, and learning.


  • A Registered Nurse (RN) licensed to practice nursing by the state board of nursing with a bachelor’s degree from an accredited college or university and a School Nurse Services Credential from the State of California 
  • Most of the nurses have a master’s degree and some have clinical nurse specialties such as a nurse practitioner or a clinical nurse specialty.
  • A professional that is accountable to practice in accordance with current:
    • Professional Standards of School Nursing Practice, as stated by the National Association of School Nurses (NASN).
    • State laws, rules and regulations.
  • A nursing professional who advocates for children’s health and safety within the educational setting.
  • Has expertise in the following areas:
    • Pediatric, public health and mental health nursing with strong health promotion, assessment and referral skills.
    • Education and health laws impacting children.
    • Teaching strategies for the delivery of health education to students and staff.


The primary role of the District Nurse is to support student learning.
The nurse accomplishes this by implementing strategies that
promote student and staff health and safety.
  • Provides health assessments, accommodations and direct health services for students with medical concerns. The district nurse is an integral part of the special education team.
  • Serves as a coordinator of nursing services and provides direct nursing care.
  • Serves as a medical supervisor for health care provided in the school setting.
  • Obtains health histories and attends 504 and Individual Educational Plan meetings for students with medical issues.
  • Develops Individual Student Health Plans (ISHP) to accommodate students with different medical conditions.
  • Provides state mandated services such as vision and hearing screening for students in Kindergarten, 2nd, 5th 8th grades.
  • Trains and monitors staff at the school sites to do medical procedures.
  • Provides direct medical services such as giving insulin shots to students who are diabetic.
  • Identifies health and safety concerns in the school environment and promotes a nurturing school environment.


  • The health office is open during school hours, Monday through Friday
  • It is typically staffed by an Licensed Vocational Nurse (LVN) or an unlicensed health assistant, they are both certified in CPR and First Aid
  • Office staff will back-up the health office when the LVN or health assistant is not available
  • The health assistant and back-up office staff are trained by Credentialed School Nurses