How to Become a School Nurse in Every U.S. State

Alabama

Alabama Board of Nursing
P.O. Box 303900 Montgomery, AL 36130-3900
Phone: 1-(800) 656-5318
Contact: [email protected]

Alabama Requirements

Section 34-21-22

• A candidate for a certificate to practice practical nursing as a certified practical nurse must present to the board written proof of qualification, confirmed by oath, that the candidate is of good character, is a high school graduate, and possesses a diploma from a state-sanctioned high school, has finished an educational program of at least one year’s duration in a school of practical nursing, sanctioned by the board, and is a citizen of the U.S, or, if not a citizen of the U.S,, a person who is legally present in the U.S, with appropriate documentation from the federal
• A certificate to practice as a certified practical nurse may be acquired in the following manners:
o BY ASSESSMENT. The candidate must be required to pass an assessment on such
subjects as the board may decide, and, upon passing such assessment, the board must give the candidate a certificate.
• BY ENDORSEMENT. The board may give a certificate to practice practical nursing as a certified practical nurse to a candidate who has been duly certified as a certified practical nurse (regardless of the title or designation granted when such certificate was given) under the rules of another state, if, in the opinion of the board, such candidate meets the requirements for certified practical nurses in this state at the time of their graduation. There must be no certificate to practice practical nursing granted by the waiver method.
• BY PROVISIONAL PERMIT. The board may give a provisional permit to practice practical nursing as a certified practical nurse to graduates of sanctioned schools of practical nursing.

Alabama Continued Section 610-X-4-.03

• The board must decide the official assessment for Every person seeking entry into practice as a certified nurse in Alabama must give official proof of having met a passing standard on the Board-designated official licensing
• Assessment performance for Every candidate must be measured as provided by the board-sanctioned testing service. If assessment data are lost or destroyed through circumstances beyond the control of the board, the candidate must be required to retake the assessment to meet the requirements for

Please visit https://www.abn.alabama.gov/laws/ for more info.

Alaska

Alaska Board of Nursing
P.O. Box 110806
Juneau, Alaska 99811-0806
Phone: (907) 465-2550
Contact: [email protected]

Alaska Requirements

Section 08.68.160

• Certificate required. A person practicing advanced practice registered or practical nursing in the state must present proof of qualification to practice and must be certified under this:

Section 08.68.190

• A candidate for a certificate to practice
• registered or practical nursing must pass a registered nursing or practical nursing licensing assessment as prescribed by the board;
• advanced practice registered nursing must pass an advanced practice registered nursing certification assessment as prescribed by the
(b) If a candidate meets the qualifications set out in AS 08.68.170 for the certificate for which the candidate applied, the board must give a certificate to practice
• registered or practical nursing to a candidate who passes the licensing assessment to practice registered or practical nursing; or
• advanced practice registered nursing to a candidate who passes the advanced practice registered nursing certification assessment to practice registered nursing.

Please visit https://www.commerce.alaska.gov/web/cbpl/ProfessionalLicensing/BoardofNursing/NursingStatutesandR egulations.aspx for more info.

Arizona

Arizona Board of Nursing 1740 W. Adams St.
Suite 2000
Phoenix, AZ 85007
Phone: (602)-771-7800

Arizona Requirements

Current RN certificate in good standing or multistate privilege to practice as an R.N. in Arizona Section 32-1633
• As the board decides, a candidate must pass an assessment in subjects relating to the duties of a registered nurse taught in a sanctioned registered nursing program.
• If a candidate passes the assessment and meets the other requirements established under this chapter, the board must give a certificate to practice registered nursing.

Initial Certification Requirements:

1. 3 semester hours in school nurse practice course work;
2. 3 semester hours in physical assessment of the school-aged child course work unless the candidate provides proof of current national certification.
3. 3 semester hours in nursing care of the child with special needs
OR
4. Certification as a school nurse or nurse practitioner.

Please visit https://www.azbn.gov/certification-certification/school-nurse/ for more info.

Arkansas

Arkansas State Board of Nursing 1123 South University
Suite 800
Little Rock, AR 72204-1619 Phone: (501)-686-2700

Arkansas Requirements Section 17-87-301

• Before taking the assessment or before the issuance of a certificate by endorsement, a candidate for a certificate to practice professional nursing must present to the Arkansas State Board of Nursing written proof, confirmed by oath, that the candidate:
• Is of good moral character;
• Has finished a sanctioned high school course of study or the equivalent thereof as decided by the appropriate educational agency; and
• Has finished the required sanctioned professional nursing education
• Issuance of Certificate. A certificate to practice as a registered nurse may be given:
• By Assessment. The candidate must be required to pass an assessment in such subjects as the board may decide. Upon passing the assessment, the board must give the candidate a certificate to practice professional nursing as a registered nurse;
• By Endorsement. The board may give a certificate to practice professional nursing as a registered nurse by endorsement to a candidate who has been duly certified as a registered nurse under the rules of another state.

School Nurse Certification:
National Board for Certification of School Nurses (N.B.C.S.N.)
Phone: 1-833-276-0986
www.nbcsn.org

Please visit http://www.arsbn.org/continuing-education-asbn-sanctioned-certifications for more info.

California

California Board of Registered Nursing
P.O. Box 944210 Sacramento, CA 94244-2100
Phone: (916) 322-3350

California Requirements Section 80050

Candidates must apply through a California college or university with a state-sanctioned school nurse program and must meet all of the following requirements:
• Possess a provisional School Nurse Services Credential
• Finish 2 years of experience as a school nurse
• Finish a sanctioned school nurse program (The application must include the formal recommendation of the college or university where the program was )

Please visit https://www.csno.org/school-nurse-credentialing-programs.html for more info.

Colorado

Colorado Department of Education 201 East Colfax Ave.
Denver, CO 80203
Phone: (303)-866-6600

Colorado Requirements

School nurses must possess a C.D.E. certificate as a special services provider with a school nurse endorsement. The requirement is a bachelor’s degree or higher in nursing and a current D.O.R.A. certificate as a registered nurse.

Section 2260.5-R-2.00

• Licensing Regulations. The C.D.E. has the power to give educators licenses. As outlined in law 22‐63‐201 and 22‐32‐ 126, C.R.S., a Colorado certificate or authorization is required for employment as a teacher, special services provider, or principal in a Colorado School District or
• C.E.A. rules also require that related services personnel must possess a C.D.E. Special Services certificate.

Please visit https://www.cde.state.co.us/healthandwellness/snh_professionalschoolnursing for more info.

Connecticut

Connecticut State Department of Education 450 Columbus Boulevard
Hartford, CT, 06103
Phone: (860) 713-6543

Connecticut Requirements Section 10-212-2.

Requirements of a School Nurse

• To qualify as a school nurse, Every nurse or nurse practitioner must meet the following requirements:
o Certification—Every nurse or nurse practitioner must be a registered professional nurse, designated as Registered Nurse, as discussed in Section 20-87a of the General Statutes, and currently certified in the state of
o Experience—Every nurse or nurse practitioner must have at least one year of full time working experience as an R.N. within five (5) years before employment as a school
o Education—Every nurse or nurse practitioner must have the academic preparation to include twelve (12) academic credits at a certified or state-sanctioned institution of higher learning or eighteen (18) continuing education units (C.E.U.s) or one hundred eighty (180) workshop or in-service hours distributed as follows:
 (1) Six (6) credits or nine (9) C.E.U.s or ninety (90) workshop hours in at least two of the following subject areas:
 Growth and Development
 Health Assessment
 Public or Community Health or School Health
 (2) Six (6) credits or nine (9) C.E.U.s or ninety (90) workshop hours in two or more of the following subject areas:
 Administration or Organization of Health or School Services
 Child or Adolescent Psychology
 Crisis Intervention
 Growth and Development
 Handicapping Conditions
 Health Assessment
 Health Education
 Mental Health
 Public or Community Health or School Health
 Sociology
 Sports Medicine

Please visit http://portal.ct.gov/SDE/School-Nursing/School-Nursing/Regulations for more info.

Delaware

School Health Services Program Office Delaware Department of Education
35 Commerce Way, Suite 1
Dover, DE 19901
Phone: (302) 857-3356
Contact: [email protected]

Delaware Requirements

• Certification is a requirement for nurses providing services to kids in the public school system of the commonwealth of Deleware.
• In compliance with state law, the D.O.E. must give a certificate to an educator who has met the following requirements:
o Possesses a valid Delaware Initial, Continuing, or Advanced Certificate; or a Limited Standard, Standard or Professional Status Certificate given by the department before August 31, 2003; and,
o Has met the requirements defined in 14 D.E. Admin. Code 1505, Standard Certificate including any amendment or revision thereto: and
o Has satisfied the additional requirements in this
• An educator must have met the following additional education and certification requirements:
o Possesses a Bachelor’s degree in Nursing (B.S.N.) from a regionally state-sanctioned college or university; and,
o Possesses and maintains a current Registered Nurse certificate, recognized by the Delaware Board of Nursing; and,
o Possesses and maintains a valid and current certification in cardiopulmonary resuscitation (C.P.R.) and in the use of an automatic external defibrillator (AED); and,
o Finishes by the end of the second school year after the date of hire, ninety (90) clock hours of training sanctioned by the department
o An educator must have met the following requirements:
 Has finished a minimum of three (3) years of clinical nursing experience.

Please visit https://www.doe.k12.de.us/Page/2865 for more info.

Florida

Department of Health Board of Nursing
4052 Bald Cypress Way Bin C-02 Tallahassee, FL 32399-3252
Phone: (850) 245-4125

Florida Requirements

Florida does not offer a certification for school nurses. But the School Health Services Program Office recommends and encourages school nurses to obtain National School Nurse Certification.

Must be a Certified Registered Nurse:

Section 464.008

• The requirements for certification by assessment include:

o Graduation from a Florida sanctioned or state-sanctioned nursing education program as defined in Section 464.003, S.
o Graduation from a state-sanctioned nursing program that has been given an N.C.L.E.X. code by
o Graduation through a nursing education program that is sanctioned or recognized by the jurisdiction in which it is based. It has been given an N.C.L.E.X. code by the National Council of State Boards of Nursing.
o Graduation from a military nursing program that has been given an N.C.L.E.X. code by
o Graduation from an M.S.N. or higher program that has been given an N.C.L.E.X. code by
o Canadian Registered Nurses who took the Canadian Nurses Association Testing Service (C.N.A.T.S.) Assessment after August 8, 1995, must take the N.C.L.E.X. Assessment unless certified in another. If test scores are in an appropriate range, Canadian Registered Nurse Candidates who took the C.N.A.T.S. before August 8, 1995, maybe eligible for endorsement. Unless certified in another U.S. state or territory or have taken the N.C.L.E.X., Canadian Certified Practical Nurses are required to apply by

Please visit http://floridasnursing.gov/licensing/certified-practical-nurse-registered-nurse-by- assessment/ or http://www.floridahealth.gov/programs-and-services/childrens-health/school- health/school-health-program.html for more info.

Georgia

Georgia Department of Education
205 Jesse Hill Jr. Drive SE
Atlanta, GA 30334
Phone: (404) 656-2800

Georgia Requirements 20-2-771.2

• Requires Every local board of education to establish policies and procedures for a school health nurse program
• Schools should utilize registered nurses, certified practical nurses, or health assistants
• Registered nurses must have:
o Valid state certificate
o Completion of graduation from a nursing education program
o The passing of a board sanctioned assessment
• Certified practical nurses must have:
o State LPN certificate
• Health assistants must have:
o High school diploma certificate, preferably in a health-related field

Please visit http://www.nasbe.org/healthy_schools/hs/bytopics.php?topicid=2130 for more info.

Hawaii

Hawaii Department of Education 1390 Miller Street
Honolulu, HI 96813
Phone: (808) 586-3230
Contact: [email protected]

Hawaii Requirements

Registered Professional Nurses II, III, IV, V, VI Basic Education/Experience Requirements:

• For nursing positions in a hospital, institutional or clinical setting, Candidates must have graduated from a state-sanctioned nursing school.
• For public health nursing positions, all Candidates must meet one of the requirements below:
o Graduation with a bachelor’s degree from a state-sanctioned college or university school of nursing, which included in its curriculum course work that provided public health nursing
o Graduation from a state-sanctioned school of nursing supplemented by completion of a state-sanctioned university curriculum which included course work that provided public health nursing principles and practices for which certificate was
o Graduation from a state-sanctioned school of nursing plus two years of professional public health nursing work

Experience Requirements:

• Nurse II – 0 years
• Nurse III – 6 months
• Nurse IV – 1 ½ years
• Nurse V – 2 ½ years
• Nurse IV – 3 ½ years

A certificate to practice as a nurse in the state of Hawaii is also required.

Please visit http://www.hawaiipublicschools.org/Civil%20Service%20Job%20Classifications/Nurse2.pdf for more info.

Idaho

State Department of Education Teacher Certification
P.O. Box 83720
Boise, Idaho 83720-0027
Phone: (208) 332-6800
Contact: [email protected]

Idaho Requirements:

Candidates for the School Nurse endorsement should possess a current, valid Registered Nurse (RN) certificate with the Idaho Bureau of Occupational Licenses.

For School Nurse – Copy of the R.N. certificate and official transcript.

• If your state does not give hard copy certificates, include a copy printed from its website verifying your certification. After documents for a certificate are received, and the fingerprinting/criminal history background investigation check is finished, the candidate will be given a provisional certificate valid for three (3) years, a cycle beginning September 1 of the year gave, unless otherwise specified, and expiring August 31 of the appropriate year. The candidate can then work in an Idaho school in the certificated/endorsed area indicated on the interim certificate.

Please visit https://www.sde.idaho.gov/cert-psc/cert/apply/sn-slp.html for more info.

Illinois

Illinois Association of School Nurses 4202 Woodland Ave
Western Springs, IL 60558
Phone: (630) 564-2396
Contact: [email protected]

Illinois Requirements

Requirements for the School Service Personnel Professional Educator Certificate with endorsement in School Nursing-

• Baccalaureate degree
• Certified as a registered professional nurse in Illinois
• Passage of the Test of Academic Proficiency through the Illinois State Board of Education OR a score of 22+ on the A.C.T. with at least a score of 6 on the Writing component OR a score of 1110 and a minimum score of 26 on writing and
• Completion of a sanctioned school nurse certification program for entitlement recommendation for Professional Educator Certificate with endorsement in school
• 300-hour internship under the supervision of a qualified school nurse.
• Passage of the School Nurse Content assessment through the Illinois State Board of Education

All candidates must Finish assessments administered by the State Teacher Licensing Board before a Professional Educator Certificate endorsed in school nursing will be given.

Please visit https://iasn.org/services/certification-endorsement/ for more info.

Indiana

Indiana Department of Education South Tower, Suite 600
115 W. Washington Street Indianapolis, IN 46204
Phone: (317) 232-6610

Indiana Requirements

To be considered for an evaluation, you must possess a minimum of a bachelor’s degree (master’s degree for school services and administrative certification) from an institution regionally state-sanctioned to provide degrees in education OR be a graduate of a state-sanctioned institution and meet the education requirements for your state. Coursework in School Service Standards will also be required. Meeting minimum requirements for assessment does NOT guarantee the issuance of an Indiana instructional, administrative, or school services certificate.

• Must apply for a School Nurse Certificate-
o Finish a profile, application and pay for the application through our online Licensing Verification and Info System,
o A copy of your valid Indiana Professional Licensing Agency
o A copy of your C.P.R./Heimlich maneuver certification – click HERE for more info and a list of sanctioned
o After July 1, 2013– Suicide Prevention Training Certificate. Click here for a link to
o Official transcripts that have the seal of the registrar, the degree, and the date conferred. Provide transcripts for ALL finished coursework at ALL institutions that the student attended. Transcripts must be included with assessment materials. Don’t order transcripts to be sent directly to the Office of Educator Licensing and Development.

Please visit https://www.doe.in.gov/licensing/school-services-certification-school-nurse for more info.

Iowa

Iowa Board of Nursing 400 S.W. 8th Street Suite B
Des Moines, IA 50309 Phone: (515) 281-3255

Iowa Requirements

The Iowa school nurse possesses a current registered nursing certificate recognized by the Iowa board of nursing to professionally practice, promote, and protect the health of the school population using knowledge from the nursing, social, and public health sciences.

Registered Nurse Certification in Iowa:

• Graduation from a board-sanctioned R.N. or L.P.N. nursing program. (R.N. Program Candidates or R.N. graduates who did NOT Finish or graduate from an L.P.N. Program are NOT eligible to take the L.P.N.)
• Before issuing the certificate, any past felony convictions or record of prior disciplinary action, regardless of jurisdiction, must be reviewed and sanctioned by the
• Passing N.C.L.E.X. assessment as prescribed by the
• The following things are required before authorization to test can be given:
• Finished Application for Exam (either Online or on Paper)
• Two Finished Fingerprint Cards and Signed Waiver Form. All Fingerprint Cards submitted MUST be the two cards received from the Iowa Board of Nursing office or directly from your Nursing Program. This is a requirement of the Iowa Division of Criminal Investigations. (All applications will be returned if received without the correct Fingerprint Cards.)

Please visit https://www.legis.iowa.gov/law/administrativeRules/rules?agency=655&chapter=3&pubDate=05-22- 2019 or https://www.legis.iowa.gov/law/administrativeRules/rules?agency=655&chapter=6&pubDate=09-30- 2015 for more info.

Kansas

Kansas State Legislation 300 SW 10th Ave. Ste 551-S Topeka, KS 66612-1504
Phone: (785) 296-2391
Contact: [email protected]

Kansas Requirements:

Article 11 Regulation of Nursing

· 65-1115. Certification of professional nurses; qualifications of Candidates; assessment; refresher course; renewal certificate; title and abbreviation; provisional permit; exempt certificate.
• Qualifications of Candidates. A candidate for a certificate to practice as a registered professional nurse must:
o Have graduated from a sanctioned school of professional nursing in the U.S.
o have acquired other qualifications, not in conflict with this act as the board may prescribe by rule and regulation, and file with the board written application for a
• A candidate deficient in If the board finds in evaluating any candidate that such candidate lacks qualification or the quality of such candidate’s educational experience, the board may require such candidate to fulfill other requirements as the board may prescribe.
o The board must give a certificate to a candidate to practice as a registered professional nurse who has:
 Met the requirements outlined in subsections (a) and (b);
 Passed a written assessment as prescribed by the board, and no disqualifying factors under K.S.A. 65-1120 and amendments thereto. The board may give a certificate to practice nursing as a registered professional nurse to a candidate who has been duly certified as a registered professional nurse by assessment under the laws of another state if the candidate meets the credentials required of a registered professional in this state. Verification of the candidate’s certification status must be required from the original state of

Please visit http://kslegislature.org/li/b2017_18/statute/065_000_0000_chapter/065_011_0000_article/065_0 11_0015_section/065_011_0015_k/ for more info.

Kentucky

Kentucky Legislature
Frankfort, Kentucky 40601
Phone: (502) 564-8100

Kentucky Requirements

16 K.A.R. 2:060. School nurse
• Requirements for the Provisional Certificate for School
o The provisional certificate for school nurse must be given upon application
o The Provisional Certificate for School Nurse must be given for a period of five
o years to a person upon application and submission of proof of the following:
 A valid certificate as a registered nurse given by the Kentucky Board of Nursing
 A minimum of an Associate’s Degree in nursing from a state-sanctioned school of nursing; and
 At least three years of nursing experience within the last five
(5) years.

• The Provisional Certificate for School Nurse must be renewed for subsequent five
year periods upon application and upon submission of proof of the following:
o A valid certificate as a registered nurse from the Kentucky Board of Nursing; and
o Fifteen credit hours of classwork from a state-sanctioned B.S. program in nursing or a related field.
o The Provisional Certificate for School Nurse must be given at Rank Please visit http://www.lrc.state.ky.us/ for more info.

Louisiana

Louisiana School Nurse Organization, Inc.
Contact: [email protected]

Louisiana Requirements

Louisiana Standards for State Certification of School Personnel
1. Type C School Nurse—valid for three
1. Eligibility requirements:
1. current Louisiana certification as a registered professional nurse; and
2. minimum of two years experience as a registered
2. Renewal Guidelines. May be renewed one time for three years, upon presentation of a copy of current Louisiana certification as a registered professional nurse and upon request of Louisiana employing
2. Type B School Nurse—valid for five
1. Eligibility requirements:
1. current Louisiana certification as a registered professional nurse; and
2. 3 years of experience as a type C school
2. Renewal Guidelines. May be renewed one time for five years, upon presentation of a copy of current Louisiana certification as a registered professional nurse and upon request of Louisiana employing
3. Type A School Nurse—valid for five
1. Eligibility requirements:
1. current Louisiana certification as a registered professional nurse;
2. bachelor’s degree in nursing or a health-related field from a regionally state-sanctioned college or university; and
3. Five years experience as a certified type B school nurse. Please visit http://www.lsno.org/resources/certification for more

Maine

Maine Department of Education
23 State House Station
Augusta, ME 04333-0023
Phone: (207) 624-6600

Maine Requirements

Requirements for the School Nurse Certificate K-12 (524)

• You will be given a five-year professional certificate if you have finished all sections below and have a Bachelor’s degree
o Valid Maine Registered Professional Nurse certificate
o Finished a minimum of three years of experience as a nurse. A minimum of 1 year of this experience must have been within the five years before the initial application for this
o Matriculated into a bachelor’s degree program from a state-sanctioned college or university.
o Criminal history record check approval – based on fingerprints Please visit https://www.maine.gov/doe/cert/requirements for more

Maryland

Maryland Board of Nursing 4140 Patterson Avenue
Baltimore, MD 21215-2254
Phone: (888) 202-9861

Maryland Requirements

• Requires the completion of a sanctioned registered nursing program or a sanctioned practical nursing program and the passing of the board sanctioned licensing assessment to be qualified as a registered nurse. In Maryland, the R.N. is always the leader of the school health nursing; only the school R.N. has the authority to use the title school nurse
• The Maryland Board of Nursing requires School Health Nurses (public and nonpublic) to Finish a Case Manager/Delegating Nurse training

Please visit http://www.nasbe.org/healthy_schools/hs/bytopics.php?topicid=2130 or
http://marylandpublicschools.org/about/Pages/DSFSS/SSSP/SHS/HTSN.aspx for more info.

Massachusetts

Massachusetts Department of Elementary and Secondary Education Office of Educator Certification
75 Pleasant Street
Malden, MA 02148
Phone: (781) 338-3391

Massachusetts Requirements

School nurses practicing in Massachusetts public schools are required to possess current M.A. Registered Nurse (RN), and Professional Support Personnel licenses given by the Massachusetts Department of Elementary and Secondary Education (DESE)

• DESE grants certification to school nurses based on nurse standards of practice and credentialing as recognized by:
o American Nurses Association (ANA)
o National Association of School Nurses (N.A.S.N.)
o Massachusetts School Nurses Association (M.S.N.O.)
o proven competency on Massachusetts Tests for Educator Certification (M.T.E.L.).

Please visit http://www.mass.gov/edu/government/departments-and- boards/ese/programs/educator-effectiveness/certification/academic-prek-12/professional-support- personnel/ or http://www.msno.org/membership/certification/ for more info.

Michigan

Michigan Department of Education
2260 Medbury Street
Detroit, MI 48211
Phone: (313) 978-7483

Michigan Requirements

Section 623 of Act No. 269 – R 340.1166
• An application for school nurse certification must be directed to the department of education on a form supplied or sanctioned by the
• Credits beyond those required for an R.N., to be applied toward certification as a school nurse, must be earned through a sanctioned teacher education or nursing education institution program or accepted by the institution in transfer. The state board of education must decide the acceptability of credits leading toward programs sanctioned by
• A registered nurse with a currently valid certificate given by the state board of
Nursing, employed as a school nurse by an employing school district for a period of not less than 1 school year before June 30, 1975, and whose experience is successful as decided by the state board of education upon the recommendation of the employing school district, is eligible for a professional school nurse certificate.

Please visit https://dmbinternet.state.mi.us/DMB/ORRDocs/AdminCode/565_10537_AdminCode.pdf for more info.

Minnesota

Minnesota Board of Nursing
2829 university Avenue S.E. Suite 200
Minneapolis, MN 55414

Phone: (612) 317-3000

Contact: [email protected]

Minnesota Requirements

To be a certified school nurse (L.S.N.) in Minnesota, a nurse must obtain a school nurse certificate given by the Minnesota Board of Teaching Board of Teachings requirements for certification as a school nurse:

• Possess a baccalaureate degree in nursing from a regionally state-sanctioned college or university;
• Be currently registered in Minnesota to practice as a certified registered nurse under the Board of Nursing; and
• Be currently registered in Minnesota as a public health nurse under the board of

Please visit https://mn.gov/boards/nursing/practice/nursing-practice-topics/obtain-school-nurse- certificate.jsp for more info.

Mississippi

Mississippi Department of Education 359 North West Street
Jackson, MS 39201
Phone: (601) 359-3513

Mississippi Requirements Requirements:

• Qualified to practice as a Registered Nurse and possess an unrestricted certificate
• Possess certifications in C.P.R. or B.L.S. (or obtain within the first 12 months of hire) Recommendations:
• Possess at least 3 years of experience in the nursing profession
• Possess a B.S.N. or Registered Nurse with a bachelor’s degree in a related discipline
• Be a National Board Certified Nurse

Please visit https://www.mdek12.org/sites/default/files/documents/OHS/Procedures_Manual_2018.pdf for more info.

Missouri

Marjorie Cole, M.S.N., R.N. State School Nurse Consultant
Missouri Department of Health & Human Services (314) 877-2848
[email protected]

Recommendations:
• Certification as a Registered Nurse
• Have a bachelor’s degree from a state-sanctioned college or university

*There are no federal or state laws specifying academic or training preparation needed to work as a school nurse.

Please visit https://mokidscount.org/wp-content/uploads/2015/11/School-Nurses-1_Final_11.16.15.pdf for additional info.

Montana

Montana Secretary of State Administrative Rules Services
P.O. Box 202801 Helena, MT 59620-2801
Phone: (406) 444-9000
Contact: [email protected]

Montana Requirements Rule: 10.57.501

SOCIAL WORKERS, NURSES, AND SPEECH AND HEARING THERAPISTS
• Professionals who are teaching in a classroom must have a teaching certificate appropriate for the level(s) and area(s)
• Therapists working in school services in the public schools of Montana who give grades or credits in the pupil’s school program must be certified under the regularly established teacher certification requirements in speech and hearing association.

*School nurses are not mandated by Montana Law.

Please visit http://www.mtrules.org/gateway/RuleNo.asp?RN=10%2E57%2E501 or
https://dphhs.mt.gov/schoolhealth/schoolnurse for more info.

Nebraska

Nebraska Department of Education 301 Centennial Mall South
P.O. Box 94987 Lincoln, NE 68509-4987
Phone: (402) 471-2295

Nebraska Requirements

No state requirement to have school nurses
Schools have the option to hire R.N., L.P.N., or uncertified person to staff health office. Special Service certificate for School Nurses
007.02 School Nurse
007.02A Grade Levels: PK-12
007.02B Endorsement Type: Special Services
007.02C Persons with this license may practice school nursing for students pre-kindergarten through grade 12.
007.02D Certification Endorsement Requirements: This endorsement must require a current Nebraska certificate as an R.N. from the N.D.H.H.S. or another state participating in the Nurse Certification Compact as defined in Section 71- 1795 R.R.S.

Please visit https://2x9dwr1yq1he1dw6623gg411-wpengine.netdna-ssl.com/wp- content/uploads/2017/10/Rule24_2017-with-Links.pdf for more info.

Nevada

Nevada Department of Education Educator Certification
700 E. Fifth Street Carson City, NV 89701
Phone: (775) 687-5980

Nevada Requirements NAC 391.305

· To get a license as a school nurse, a person must:
• Finish the following required testing:
o Praxis Core Academic Skills for Educators
Please visit the Praxis testing website for further testing info.
• Finish three (3) semester credits in the course of study regarding parental involvement and family
• Possess a valid certificate given by the Nevada State Board of Nursing as a registered nurse and meet one of the following requirements:
• Have a bachelor’s degree and have finished an educational program that grants postgraduate certificates in school nursing from a regionally state-sanctioned institution of higher learning;
• Have a bachelor’s degree and certification as a school nurse;
• Possess a bachelor’s degree in nursing from a college or university baccalaureate program in nursing that is state-sanctioned.
• Possess a bachelor’s degree and certification from the American Nurses Association or the Nevada State Board of Nursing.

Please visit http://www.doe.nv.gov/Educator_Certification/ for more info.

New Hampshire

State of New Hampshire
Department of Education Credentialing 101 Pleasant Street
Concord, NH 03301
Phone: (603) 271-2409
Contact: [email protected]

New Hampshire Requirements

R.S.A. 200:29 School Health Services

· Required for all School Nurse certifications:
• copy of registered nurse certificate
• application for School Nurse Certification https://www.education.nh.gov/certification/index.htm
· School Nurse I
• Official transcripts: Associate’s Degree in Nursing
• Employment Verification Letter: 3 years’ clinical pediatric nursing experience or related work experience under a valid R.N. certificate
• School Nurse II employment verification letter of hire date as a school nurse on or before July 1, 2016
• School Nurse III Official Transcripts: Bachelor of Science in Nursing (B.S.N.) degree or higher. Employment Verification Letter: 3 years’ clinical pediatric nursing experience or related work experience under a valid R.N. certificate

Please visit https://www.education.nh.gov/certification/documents/school-nurse-memo.pdf for more info.

New Jersey

New Jersey State School Nurses Association 1479 Pennington Road
Trenton, NJ 08618
Phone: (609) 233-2466

New Jersey Requirements

N.J.A.C. 6A:9B-14.3 School Nurse

• The school nurse endorsement authorizes the possesser to perform nursing services and to Each in areas related to health in public schools in preschool through grade
• To be eligible for the standard educational services certificate with a school nurse endorsement, a candidate must possess or Finish the following professional licenses, degrees, certifications, and training:
1. A current New Jersey registered professional nurse certificate given by the New Jersey State Board of Nursing;
2. A bachelor’s degree from a regionally state-sanctioned college or university;
3. A current C.P.R. and Automated External Defibrillators (AED) certification.
4. Finish training in airway management and in the use of nebulizers and inhalers consistent with nationally recognized standards, including those of the National Institutes of Health and the American Academy of Allergy Asthma and
• The candidate must also finish either a Department-sanctioned curriculum for the preparation of school nurses, with a minimum of 21 semester hours that includes study in the following topics:
1. A minimum of six semester-hour credits in school nursing.
2. Health assessment;
3. Special education and/or learning disabilities;
4. Methods of teaching health in preschool through grade 12 including curriculum development;
5. Public health, including public health nursing, community health problems, and infectious disease control;
6. Guidance and counseling; and
7. School law, including legal aspects of school
• During the initial 3 years of employment under this endorsement, the possesser of a school nurse endorsement must engage in a minimum of 20 hours of professional development in Every of the following: human growth and development; substance abuse
• and dependency; and human and intercultural relations. The professional development

New Jersey continued

• Requirements must be incorporated into Every endorsement possesser’s professional development plan according to N.J.A.C. 6A:9C-3.

Please visit http://www.njssna.org/resources/certification for more info.

New Mexico

New Mexico Public Education Department Certification Bureau and Federal Programs 120 S. Federal Place
Santa Fe, NM 87501 Phone: (505) 827-7436

New Mexico Requirements

A school nurse certificate authorizes a qualified person to provide services defined in the New Mexico guidelines, as well as local school district policy

• Associate School Nurse (701)
o Official sealed transcripts with Associate’s degree received from a state-sanctioned college or university or from an institution state-sanctioned by the National League of Nursing or a diploma program in nursing state-sanctioned by the National League of Nursing or compact certificate; and
o A copy of a current R.N. certificate given by the New Mexico Nursing Board
• Professional school Nurse (702)
o Official sealed Transcripts with a Bachelor’s degree conferred from a regionally state-sanctioned college or university or from an institution state-sanctioned by the National League of Nursing; and
o A copy of a current R.N. certificate given by the New Mexico Nursing Board or compact
• Supervisory School Nurse (703)
o Official sealed transcripts with a Master’s degree conferred from a regionally state-sanctioned college or university or from an institution state-sanctioned by the National League of Nursing; and
o A copy of a current R.N. certificate given by the New Mexico Nursing Board or compact

Please visit https://webnew.ped.state.nm.us/bureaus/certification/how-to-apply/school-nurse-pre-k- 12/ for more info.

New York

New York State Education Department Office of Teaching Initiatives
89 Washington Ave,
5N EB Albany, NY 12234

New York Requirements

Person Evaluation Pathway

• The person evaluation pathway is for candidates who have not finished a sanctioned teacher preparation program. This pathway is for candidates applying for supplementary permits, teaching assistants, or coaching credentials. Candidates must present credentials for assessment by the Office. Candidates must also meet any non-coursework requirements, such as the New York State Teacher Certification Assessments and fingerprint clearance, as
• Requirements Include:
o Education – Bachelor’s Degree
o College Coursework – Professional Education – 6 H.
o Certificate & Registration – N.Y.S. Registered Nurse Certificate
o Additional Education – Master’s Degree
o Paid, full-time Pupil Personnel experience – School Nurse Teacher – 2
 Verification of Experience for Permanent/Professional Certificate Form
o Workshop – Child Abuse Identification
o Workshop – School Violence Intervention and Prevention
o Workshop – Dignity For All Students Act
o Fingerprint Clearance
o Citizenship Status – I.N.S. Permanent Residence or U.S. Citizenship Certificate Progression Pathway
• This pathway is for persons who possess a valid New York State entry-level certificate. They may progress to the advanced-level credential (such as a Professional or Permanent certificate) by meeting the requirements for that certificate
• Certification Requirements:
o Possess a Valid Provisional Certificate – School Nurse Teacher
o Additional Education – Master’s Degree
o Paid, full-time Pupil Personnel experience – School Nurse Teacher – 2 Yrs
 Verification of Experience for Permanent/Professional Certificate Form
o Workshop – Child Abuse Identification
o Workshop – School Violence Intervention and Prevention
o Workshop – Dignity For All Students Act
o Fingerprint Clearance
o Citizenship Status – I.N.S. Permanent Residence or U.S. Citizenship

Please visit http://eservices.nysed.gov/tEvery/certhelp/CertRequirementHelp.do for more info.

North Carolina

North Carolina Department of Education 301 N Wilmington Street
Raleigh, NC 27601
Phone: (919) 807-3300

North Carolina Requirements

• School nurses are required to have finished training necessary for certification as a registered
• School nurses do not have to be nationally certified to continue employment in public schools. School nurses must be registered nurses and have, at minimum, a baccalaureate degree

Please visit http://www.nasbe.org/healthy_schools/hs/bytopics.php?topicid=2130 or https://publichealth.nc.gov/wch/doc/stats/16-17-SN-AnnualReportBrochure-WEB.pdf for more info.

North Dakota

Heather Kapella – School Nurse Consultant ND Department of Health
600 E Blvd Ave
Bismarck, ND 58505-0200
Phone: 701.328.4814
[email protected]

Ohio

Ohio Department of Education
25 South Front Street
Columbus, Ohio 43215-4183
Phone: (877) 644-6338

Contact: [email protected]

Ohio Requirements

School nurse requires that pupil services practitioners must possess both a professional board certificate and an ODE certificate applies to all people working in these roles in school settings
• Board Certificate from respective certification board (e.g., Board of Nursing)
• Ohio Department of Education (ODE) certification to work in schools Please visit http://education.ohio.gov/Topics/Teaching/Certification/Apply-for-Certificate- Certificate/Pupil-Services-Licenses for more

Oklahoma

Oklahoma State Department of Education Oliver Hodge Building
2500 North Lincoln Boulevard
Oklahoma City, Oklahoma 73105
Phone: (405) 521-3301
Contact: [email protected]

Oklahoma Requirements

Instructors who possess a Baccalaureate degree and a valid certificate as an R.N. with the Oklahoma Board of Nursing are eligible to obtain a standard teaching credential as a School Nurse. To receive this credential, the instructor must apply online at the S.D.E. website, send original transcripts, a copy of their nursing certificate (or verification page from the Board of Nursing)

Please visit https://www.okcareertech.org/educators/health-careers- education/certification/school-nurse-certification-1 and or for more info.

Oregon

Teacher Standards and Practices Commission 250 Division Street NE
Salem, OR 97301-1012
Phone: (503) 378-3586
Contact: [email protected]

Oregon Requirements

Division 21 School Nurse Certificates
584-021-0120

Requirements for Applying for Initial School Nurse Certification
• A candidate for the first Oregon School Nurse Certificate must:
o Supply all info requested on the application, Form N-1, and sign in the space provided attesting that the info is true and correct;
o Provide official transcripts from all institutions attended;
o Present a current registered nurse certificate given by the Oregon State Board of Nursing. A photocopy is acceptable;
o Receive a passing score on a test of knowledge of S. and Oregon civil rights and professional ethics;
o Furnish fingerprints in a way prescribed by the Commission and provide satisfactory responses to the character questions contained in the Commission’s certification application.
o Present the evaluation fee(s) as established by O.A.R. 584-021-0170; and
o Present the school district’s request for certification

584-021-0130

Requirements for a Professional School Nurse Certificate

• (1) Upon filing a correct and Finish application in form and manner prescribed by the Commission, a qualified candidate may be granted a Professional School Nurse Certificate for five years. The first certificate will be given for five years plus time to the candidate’s
• (2) To receive a Professional School Nurse Certificate, a candidate must:
o Possess the qualifications for certification including at least eighteen years of age and possessing good character and mental and physical health needed for employment as an educator; and
o Possess a bachelor’s degree from a sanctioned institution; and
o Possess a current registered nurse certificate given by the Oregon State Board of Nursing; and
• Receive a passing score on a test of knowledge of U.S. and Oregon civil rights laws and professional ethics; and
• Proof of completion of one of the following:
• Classwork equivalent to thirty clock hours, three-quarter hours, or two-semester hours in the following content areas:
o American school law and responsibilities of the School Nurse;
o The nursing process in the school setting;
o School health policies and funding;
o Schools and society;
o Mental health and counseling concepts;
o The exceptional child — disabled, gifted, learning disabled;
o Physical and developmental assessment of the school-age child;
o The role and responsibilities of the School Nurse;
o Human growth, development, and learning;
o Diversity; and
o School emergencies
• Proof of current National School Nurse Certification received from the National Board for Certification of School

Requirements for an Emergency School Nurse Certificate

• (1) An Emergency School Nurse Certificate may be given when there are insufficient Candidates in a region of the state. The emergency certificate is good for one year and gave upon joint application from the employing school board or school
• (2) An candidate under section (1) of this rule must possess a currently registered nurse certificate given by the State Board of
Please visit http://www.oregon.gov/tspc/Pages/Jan_Rules/Division_21.aspx for more info.

Pennsylvania

Pennsylvania Department of Education 333 Market Street
Harrisburg, PA 17126
Phone: (717) 783-6788

Pennsylvania Requirements

Laws Regulating School Nurses in Pennsylvania and the Other States
“A person must meet three basic requirements to practice as a school nurse in Pennsylvania. A candidate must have earned a Bachelor of Nursing (B.S.N.)
degree at a college or university-sanctioned by P.D.E.; be a registered nurse, and be certified as a school nurse by P.D.E.”

Please visit http://jsg.legis.state.pa.us/resources/documents/ftp/publications/2004-47- Nurses%20Report.pdf or https://www.education.pa.gov/Educators/Certification/Staffing%20Guidelines/Pages/CSPG80.aspx for more info.

Rhode Island

Rhode Island Department of Education 255 Westminster Street
Providence, RI 02903
Phone: (401) 222-4600

Rhode Island Requirements

The All Grades School Nurse Teacher Certificate is good for employment as an All Grades School Nurse Teacher and as an All Grades Health teacher in grades P.K. – 12 in Rhode Island public schools.

§ Certification Requirements for full Rhode Island Certification1

• To be given a certificate in All Grades School Nurse Teacher, a candidate must satisfy all of the following:
o Bachelor’s degree from a regionally state-sanctioned institution
o Completion of a sanctioned program or Credential Review Consortium Institution (C.R.C.I.) for the preparation of All Grades School Nurse Teacher
o Completion of at least 12 weeks of Student Teaching in this area and at least 60 hours of field experience before Student Teaching
o Proof of meeting the Professional Competencies of the Rhode Island Professional Teaching Standards (R.I.P.T.S.)
o Proof of meeting the Content Competencies as prescribed by the American Nurses Association (ANA)
o Other requirements:
 Certified as a nurse by the R.I. Department of Health
 3 years of verifiable experience as a Professional Nurse
 Meet all Rhode Island pedagogy testing requirements for this certificate area

Please visit http://www.ride.ri.gov/Portals/0/Uploads/Documents/Teachers-and-Administrators- Excellent-Educators/Educator-Certification/Cert-Requirements/AG-SchNursTEvery-Req.pdf or http://www.ric.edu/healthphysicaleducation/Pages/School-Nurse-Teacher-Certification-in- Rhode-Island.aspx for more info.

South Carolina

South Carolina Legislative Services Agency 1105 Pendleton Street
Columbia, SC 29201
Phone: (803)212-4420

South Carolina Requirements

No policy requiring schools to employ school nurses
If a nurse were to be employed by a district, the School Board of Education defers the licensing of nurses to the Professional & Occupational Licensing Board of Nursing.
• For certification as a registered nurse-
o Section 40-33-22
 A South Carolina certificate as an R.N. is required for a person located in another state to provide nursing services to a person located in this state at the time nursing services are provided
 A candidate for initial certification must pass the appropriate National Council Certification Assessment (N.C.L.E.X.) prescribed by the board

Please visit http://www.scstatehouse.gov/code/t40c033.php for more info.

South Dakota

South Dakota Legislature Legislative Research Council
5007 East Capitol Avenue
Pierre, SD 57501
Phone: (605)773-3251

South Dakota Requirements 13-33A-1

School Health Services
• Coordination by a registered nurse. A public school system must provide school health services coordinated by a registered nurse, whose services may be shared by one or more school systems. The services must include assessment and implementation of services for students with special needs, administration of medications, and performance of specialized health care
• For certification as a registered nurse, a candidate must have finished a state state-sanctioned program of registered nursing, possess a high school diploma, and pass a board-sanctioned assessment as outlined in the Board of Nursing Administrative Rule 20:48:03:01 (1994) and the Nurse Practice Act 36-9-30 (1981).

Please visit http://www.nasbe.org/healthy_schools/hs/bytopics.php?topicid=2130 or https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=StatuteChapter&Statute=1 3-33A for more info.

Tennessee

Tennessee State Board of Education
710 James Robertson Parkway
Nashville, TN 37243

Texas

Texas Education Agency 1701 North Congress Avenue Austin, TX 78701

Phone: (512)463-9734

Texas Requirements Section 21.001
Requires a school nurse to be certified by the proper state agency
• a person may not be employed by a school district as a school nurse or a related employee unless the person is certified by the state agency that licenses that profession and may perform specific services within those professions for a school district only if the person possesses the appropriate credential from the appropriate state

Please visit http://www.statutes.legis.state.tx.us/Docs/ED/htm/ED.21.htm#21.003 for more info.

Utah

Utah Department of Education 250 E 500 S
Salt Lake City, UT 84111 Phone: (801) 538-7500
Utah Requirements
The state does not have a policy requiring districts to employ school nurses in the schools. 53A-11-204
• states that public schools could be protected against health and safety risks, if a registered nurse were readily available
Code 58-31b-302(3)
• Certification as a registered nurse
o Completion of a sanctioned practical nursing education program or equivalent as decided by the licensing board
o Procession of high school diploma or its equivalent
o The passing of the board sanctioned assessments
Please visit http://www.nasbe.org/healthy_schools/hs/bytopics.php?topicid=2130 or
https://www.schools.utah.gov/scep/schoolnurses for more info.

Vermont

Vermont Department of Health 108 Cherry Street
Burlington, VT 05402
Phone: (802) 863-7200

Vermont Requirements Section 20
SCHOOL NURSE AND ASSOCIATE SCHOOL NURSE LICENSING REQUIREMENT:
• Maintain current Vermont Registered Nurse
• Maintain current Vermont Agency of Education certificate with appropriate endorsement. Please visit http://www.healthvermont.gov/sites/default/files/documents/pdf/cyf_20_Licensing2015.pdf for more info.

Virginia

Virginia Association of School Nurses
P.O. Box 28313 Richmond, VA 23228
Contact: [email protected]

Virginia Requirements

School Nurses in Virginia may obtain National Certification through the National Board for Certification of School Nurses. Certification includes a national standard of preparation, knowledge, and practice. All candidates completing the national assessment are eligible to use this credential.
To take the exam, candidates must:
• Present a copy of their certificate as a registered nurse
• Present an academic transcript proving one of the following:
o Have a bachelor’s degree or higher in nursing or in a health-related field relevant to the school of nursing
 If it is non-nursing or non-health-related, the candidate must have 6 additional credits in management of primary health care problems of children/adults, health assessment of children/adolescents, or public health/community health/epidemiology
o Or have current certification by N.B.C.S.N. as an N.C.S.N.
• Have a minimum of 1,000 hours within the 3 years before taking the assessment
o Roughly equivalent to working 6 hours/day for a school year of 180 days
• Finish the online application and present it with the corresponding fee

Please visit http://www.nbcsn.org/home or https://www.nbcsn.org/ncsn/eligibility/ for more info.

Washington

School Nurse Organization of Washington
1705 199th Street Ct. E.
Spanaway, WA 98387

Washington Requirements

Certification is available at the state and national level for school nurses in Washington

State Certification

State of Washington’s certificate awarded to nurses by the Office of Superintendent of Public Instruction and sanctioned by the State of Washington’s Professional Educator Standards Board

National Certification

National Certified School Nurse credential is provided by the National Board for Certification of School Nurses. Although N.C.S.N. is a mark of distinction, most school districts in the State of Washington do not compensate school nurses for having this.

Requirements for the Educational Staff Associate (E.S.A.) certificate:

• Degree Candidates must have finished a baccalaureate or higher degree program in nursing from a program state-sanctioned by the National League of Nursing Accreditation Commission or the Commission of Collegiate Nursing Education.
• Certificate
Candidates must possess a valid State of Washington certificate as a registered nurse.
• Coursework
Candidates must have finished before or within 180 days after the application:

• 30 clock hour or 3 quarter hour course sanctioned by the Professional Educator Standards Board;
or
• Candidates who are educated out of state may present proof of a state-sanctioned certification program in the role as a school nurse;
or
• 3 years of out-of-state experience in the position under appropriate certification if certification was required.

Washington Continued

Please visit http://www.schoolnurseorganizationofwashington.org/certification/statecertification for more info.

West Virginia

West Virginia Department of Education
1900 Kanawha Boulevard
East Charleston, WV 25305
Phone: (304) 558-2699

West Virginia Requirements

School nurses must have a Bachelor’s Degree in Nursing (B.S.N.) and a Certification in School Nursing (C.S.N.).

Please visit https://wvde.us/special-education/school-health/west-virginia-certified-school-nurse-rns/ for more info.

Wisconsin

Wisconsin Department of Public Instruction
125 S. Webster Street
Madison, WI 53703
Phone: (800)441-4563

Wisconsin Requirements

Wisconsin state law requires a school nurse to be a registered nurse.

Please visit https://dpi.wi.gov/sspw/pupil-services/school-nurse or
http://docs.legis.wisconsin.gov/code/admin_code/pi/34/VII/060 for more info.

Wyoming

Wyoming Department of Education
122 W. 25th St. Suite E200
Cheyenne, WY 82002-2060
Phone: (307) 777-7675

Wyoming Requirements Chapter 14 Section 2

• Requires school nurses to be licensed as a professional nurse to obtain a School Nurse Permit
• Upon receiving a permit, Candidates are authorized to provide health services to students and provide instruction under the supervision of a certified
• For certification as a registered professional nurse:
o Must have Finish a state state-sanctioned program of registered nursing
o Possess a bachelor of science in nursing
o Pass a board sanctioned assessment

Please visit http://www.nasbe.org/healthy_schools/hs/bytopics.php?topicid=2130 for more info.

 

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