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Clinical Practice > School Nursing

Frequently Asked Questions

What is a School RN?

What is the role of the Licensed Practical Nurse (LPN) or Licensed Nursing Assistant (LNA) in Primary and Secondary school settings?

What is a School RN?

A school nurse should hold a broad working knowledge of in-depth physical assessment and pathophysiology, and should be able to function independently. A School RN supports student learning by managing and advocating for child and adolescent health and safety in the educational environment. The School RN promotes optimal health, wellness, and independence of individuals within the school community. The New Hampshire law RSA 200:29, states that "a School nurse shall be a registered professional nurse currently licensed in New Hampshire."

Always keep in mind that you are responsible for knowing your Board of Nursing rules as well as all other state laws and the policies of your workplace. The tasks that you perform under your nursing license must also be in compliance with the policies of your workplace.

Your workplace may limit you from performing tasks that are allowed by the Board of Nursing, but your workplace cannot require you to do more than the Board of Nursing allows.

When a task is allowed via additional training under Nur 404.12 [formerly Nur 305.01 (c) & (d)], refer to these rules. Keep in mind that tasks allowed with the additional training described in these rules must be documented with a written plan for maintaining competence and that the plan must be updated at least annually.

Please refer to the NH Department of Education Technical Advisory titled "Medication during school day PDF fileand to Nur 404.

On the NH Department of Education's web site is a list of the most requested School Health Services topics including the NH laws and rules as well as key resources.

If you have questions regarding these documents or other rules and regulations contact the NH Department of Education at (603) 271-3494 or the Department of Health and Human Services at (603) 271-4688.

What is the role of the Licensed Practical Nurse (LPN) or Licensed Nursing Assistant (LNA) in Primary and Secondary school settings?

When working in the school setting, a LPN or LNA must follow Nur 406.01 of the NHBON regulations. This states that LPNs and LNAs working as employees or volunteers in primary or secondary school settings shall work under the supervision of a registered nurse pursuant to Nur 404.06 (d) through (h). The Registered Nurse supervises the LPN or LNA in the school setting pursuant to NUR 404.06(d) through (h).


New Hampshire Board of Nursing
121 South Fruit Street   |  Concord, NH 03301
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