School Nurse
Healthcare Career Guide

In the busy halls of schools, School Nurses serve as the first line of healthcare for students ranging from preschool to high school. These nurses manage everything from minor injuries and chronic conditions to health screenings and immunization tracking, all while promoting wellness and safety in the school environment. They work closely with educators, parents, and public health officials to support both the physical and emotional well-being of students. Let's delve into the School Nurse specialty and explore what it takes to thrive in this essential community-based nursing role.
Overview
What Is a School Nurse?
A School Nurse provides healthcare services to students in educational settings, including elementary schools, middle schools, high schools, and colleges. These nurses play a critical role in promoting student health, managing medical conditions, and responding to on-campus emergencies.
School Nurses work in public and private schools, school districts, and community health programs. They administer medications, perform health screenings, and educate students on hygiene, nutrition, and disease prevention.
This career requires strong assessment skills, health education expertise, and the ability to manage a broad range of student health concerns, from minor illnesses to chronic conditions like asthma or diabetes.
Education
How Do I Become a School Nurse?
Becoming a School Nurse requires a combination of traditional nursing education, clinical experience, certification, and specialized training in pediatric and public health nursing. Follow these steps to enter this challenging and rewarding healthcare career:
- Earn a Nursing Degree. Complete an Associate Degree in Nursing (ADN) or Bachelor of Science in Nursing (BSN). A BSN is preferred for school nursing roles.
- Pass the NCLEX-RN. Obtain your nursing license by passing the National Council Licensure Examination for Registered Nurses (NCLEX-RN).
- Gain Clinical Experience. Work as a Registered Nurse (RN) in pediatrics, community health, or public health settings.
- Obtain School Nursing Certification. Some states require School Nurses to earn certification through the National Board for Certification of School Nurses (NBCSN) or state-specific school nurse credentialing programs.
- Continue Professional Development. Stay updated with advancements in child health, mental health support, and public health policies through continuing education courses.
On average, it takes 4-6 years to become a School Nurse, including nursing school, licensure, and obtaining specialized training. Certification enhances job prospects and credibility in this field.

Average Salary
How Much Does a School Nurse Make?
Salaries for School Nurses vary based on experience, school district funding, and location. On average, a School Nurse can expect to earn between $60,000 and $90,000 annually.
Average annual salary for a School Nurse:
- Entry-level: $60,000 - $70,000 per year.
- Mid-career: $70,000 - $80,000 per year.
- Experienced: $80,000 - $90,000 per year.
The U.S. Department of Labor reports that School Nurses earn an average hourly wage of approximately $32.00 per hour. Assuming a 40-hour workweek, this equates to an annual salary of $66,560. The lowest 10% earn less than $28.00 per hour, while the highest 10% earn more than $38.00 per hour, resulting in an annual salary range of $58,240 to $79,040 per year.
Job Duties
What Does a School Nurse Do?
School Nurses provide healthcare services and promote wellness within school communities. Their role includes assessing student health, responding to medical emergencies, and educating students on preventive care.
The most common job duties of a School Nurse:
- Assessing Student Health. Perform routine health screenings for vision, hearing, and growth monitoring.
- Administering Medications. Provide prescribed medications, including asthma inhalers and insulin for diabetic students.
- Responding to Medical Emergencies. Provide first aid, CPR, and manage allergic reactions or injuries.
- Managing Chronic Conditions. Assist students with diabetes, epilepsy, asthma, and other long-term medical conditions.
- Providing Health Education. Teach students about hygiene, nutrition, mental health, and substance abuse prevention.
- Promoting Vaccination Compliance. Ensure students meet school immunization requirements and provide vaccine education.
- Collaborating with School Staff. Work with teachers, counselors, and administrators to support student health needs.
- Advanced Duties. Experienced School Nurses may oversee school-wide health programs, mental health initiatives, or work in public health policy.
School Nurses typically work in public and private schools, district health offices, and educational outreach programs. Their role is essential in ensuring student wellness and supporting academic success.

Essential Skills
What Skills Does a School Nurse Need?
School Nurses require a combination of pediatric nursing skills, emergency response training, and health education abilities. These skills enable them to provide effective care for students of all ages.
Here are some of the skills a School Nurse needs to succeed:
- Pediatric Assessment. Evaluate student health concerns and determine appropriate care.
- First Aid and Emergency Response. Provide immediate care for injuries, allergic reactions, and medical emergencies.
- Medication Administration. Manage daily medications and emergency treatments for students with chronic conditions.
- Public Health Knowledge. Understand immunization requirements, communicable disease prevention, and community health concerns.
- Critical Thinking. Assess student symptoms and determine if they require further medical attention.
- Communication. Effectively educate students, parents, and staff on health-related topics.
- Collaboration. Work with educators and school administrators to create a safe and healthy school environment.
- Empathy and Patience. Support students with medical concerns and provide reassurance during stressful situations.
One of the biggest challenges of being a School Nurse is balancing the health needs of many students with limited resources. However, the role is highly rewarding, as it allows nurses to promote lifelong wellness and make a difference in students' lives.
Last updated: March 19, 2025
References:
- Registered Nurses. Bureau of Labor Statistics, U.S. Department of Labor. Occupational Outlook Handbook. Retrieved March 19, 2025.
- NCLEX Nurse Licensure Exam. National Council of State Boards of Nursing (NCSBN). Retrieved March 19, 2025.
- School Nurse. Johnson & Johnson, Nursing Careers. Retrieved March 19, 2025.
- School Nurse Salary in the United States. ZipRecruiter, Healthcare Career Path. Retrieved March 19, 2025.
- School Nursing Certification. National Board for Certification of School Nurses (NBCSN). Retrieved March 19, 2025.
- School Nurse Workforce. National Association of School Nurses (NASN). Retrieved March 19, 2025.
- School Nurse Standard Certificate. New Jersey Department of Education. Retrieved March 19, 2025.
- Clinical Procedure Guidelines for Connecticut School Nurses. Connecticut State Department of Education. Retrieved March 19, 2025.
- Responsibilities of School Health Services. Commonwealth of Massachusetts, Department of Public Health. Retrieved March 19, 2025.
- Should You Become a School Nurse. Purdue University Global, Healthcare Academic Programs. Retrieved March 19, 2025.