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 Department of Education
(NHDOE) 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” located on the Board of Education website:
Also refer to the NH Board of Nursing website at www.state.nh.us/nursing for Nur 404
references noted in the NH Department of Education Technical Advisory.
A list of the most requested School Health Services topics including the NH laws and rules as
well as key resources can be found on the NH DOE website:
If you have questions regarding these documents or other rules and regulations contact the NH
Department of Education at 271-3494 or the Department of Health and Human Services at
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).