Health Care Assistant/Licensed Nurse SUBSTITUTE (12/31/2020) 190 views

Job Description / Essential Elements:



Under the general supervision of the site administrator and district nurse, and direction of the office manager, the Health Care Assistant/Licensed Nurse will provide specialized physical health care services (SPHCS) for or assist with serving students with medically complex needs. The Health Care Assistant/Licensed Nurse is responsible for planning and administering student health care safely within the scope of the Licensed Nurse Practice Act under the direction of the credentialed school nurse in compliance with physician’s orders. This job class assists the assigned school nurse and other staff to meet the specialized physical health care needs of designated students. Employees in this classification receive direct and indirect supervision from the school nurse regarding health-related training. General supervision with a framework of policies and procedures is provided


This job classification is intended to describe the general nature and level of work to be performed by an employee assigned to this position. This job description is not designed to provide an exhaustive list of all duties, responsibilities, knowledge, skills, abilities, and working conditions associated with this position. All requirements are subject to possible modification to reasonably accommodate an individual with a disability.


  • Provides a variety of health related and staff services at an assigned school site
  • Administers basic first aid and CPR to ill and injured students and determines need for emergency, supervisory or administrative assistance and contacts parents or other personnel as required by the nature of the situation
  • Consults with district nurse on a regular basis
  • Assists students with medications as ordered by physician and according to district guidelines, and maintains students’ medication records
  • Maintains daily log of first aid services to students and student health records
  • Maintains and prepares a variety of records, files and reports related to immunizations and student health
  • Performs a variety of work requiring computer knowledge. (Tasks may include compiling data and preparing reports, checking and recording information, proofreading, and maintaining filing/record systems)
  • Answers the telephone, routes calls or relays messages
  • Supervises children while in health office
  • Assists with classroom inspections for communicable diseases
  • Assists with preparation and arrangements for health screening and testing programs
  • Maintains health room supplies, ordering, receiving and distributing first aid supplies as needed
  • Assists students with specialized health needs according to the student’s individual health care plan with ongoing training under the technical direction of the district nurse, e.g. use of bathroom facilities, breathing machines, insulin injections, diastat, and glucometer testing, etc
  • Attends in-service training activities and meetings
  • Assists students with medications and treatments according to physician orders and under the direction of the credentialed school nurse
  • Performs gastrostomy tube feedings and oral feedings to designated students requiring strict adherence to clearly defined procedures and instructions
  • Performs tracheostomy suctioning and other specialized procedures in accordance with medical orders/procedures, clearly defined instructions, and established guidelines
  • Documents SPHCS procedures, medications, changes regarding student’s condition, and responses to procedures on appropriate logs
  • Reports unusual situations and ongoing changes in the student’s condition and/or needs to the credentialed school nurse/site administrator, teacher, and parent as needed
  • Provides a safe and sanitary environment for the students and follows Universal Precautions at all times
  • Responds to student medical emergencies, and administers appropriate First Aid/CPR
  • Assists in physically positioning, transferring, and/or lifting students as required; lifts, turns, and moves students from place to place
  • Assists with personal hygiene, toileting, and diapering of students
  • Attends staff inservices and seeks appropriate educational opportunities
  • Assists in the supervision and monitoring of students to maintain effective learning and/or safe play/recreational environments; notes behavioral and other problems observed; reinforces designated discipline management program as appropriate
  • Checks patient equipment needs and utilizes existing equipment correctly and safely
  • Demonstrates attendance sufficient to complete the duties of the position as required
  • Performs other duties as assigned

Knowledge of:

  • English usage, punctuation, spelling and grammar
  • Routine record keeping
  • Basic arithmetical concepts
  • Computers and computer software utilized in office procedures
  • Use, operation, and care of standard office equipment
  • Specialized Physical Health Care Procedures
  • Universal Precautions and Control of Infectious Diseases
  • Laws and regulations relating to the role of an LVN or RN
  • Procedures related to confidentiality
  • Child abuse reporting requirements and prevention strategies
  • CPR/First Aid policies and procedures relating to health care

Ability to:

  • Maintain confidentiality
  • Remain calm in emergency situations
  • Adjust to frequent interruptions in work schedules and routines
  • Assume responsibility for supervising and caring for students with exceptional limitations
  • Perform routine clerical work and to maintain accurate records
  • Understand and carry out oral and written instructions
  • Learn district policies and procedures
  • Interact with students, staff, parents and the general public in a warm, friendly and cooperative manner
  • Typing speed of 40 w.p.m. desirable
  • Understand the needs of medically complex students
  • Effectively monitor the health status of a student while administering designated procedures according to State licensure
  • Understand and follow both oral and written instructions
  • Exercise tact, diplomacy, sensitivity, and good judgment in dealing with all students
  • Effectively communicate in English in both oral and written forms
  • Work within tight deadlines to successfully complete the duties of the position
  • Provide own transportation to and from different sites within a reasonable time frame
  • Pass the pre-placement physical
  • Meet physical requirements necessary to safely and effectively perform required duties

License, Education, and Training:

  • Possession of a valid license as a Licensed Vocational Nurse (LVN) or Registered Nurse (RN) in the State of California,
  • Required to take or must participate in specialized training in designated procedures necessary to this position
  • Possess and maintain valid CPR/First Aid certificates issued by an authorized agency
  • Possess and maintain valid California Drivers License


  • Visual ability to read handwritten or typed documents, and the display screen of various office equipment and machines
  • Able to conduct verbal conversation
  • Able to hear normal range verbal conversation (approximately 60 decibels)
  • Able to sit, stand, stoop, kneel, and walk
  • Able to push, pull, grasp, bend, twist and reach on a frequent basis
  • Able to sit for sustained periods of time
  • Able to kneel or squat for extended periods of time
  • Able to climb slopes, stairs, steps, ramps and ladders
  • Able to lift and carry up to 40 pounds frequently, and 50 pounds occasionally (Safety guidelines must be followed for lifting students or equipment that weighs over 50 pounds.)
  • Able to push and pull objects weighing up to 60 pounds
  • Able to navigate stairs while carrying equipment and assisting students as some facilities do not have elevators
  • Able to sustain strenuous manual labor for .25 hrs.
  • Able to exhibit full range of motion for:
  • shoulder external rotation and internal rotation
  • shoulder abduction and adduction
  • elbow flexion and extension
  • shoulder extension and flexion
  • back lateral flexion
  • hip flexion and extension
  • knee flexion
  • Able to demonstrate manual dexterity necessary to operate a computer and other office equipment in a safe and efficient manner
  • Able to demonstrate manual dexterity necessary to assist students with buttoning clothing and eating,
  • Able to perform fine manipulation; simple and power grasping
  • Able to work with cleaning solutions, disinfectants and sanitizers in a safe and effective manner without allergic reaction

While the ideal candidate will possess all these abilities, duties assigned can be modified to accommodate some physical restrictions.

Requirements / Qualifications

On-line application, letter of introduction, Resume
Two letters of recommendation dated within the past 12 months (one from current or most recent supervisor),
Valid Vocational Nurse or Registered Nurse license in the State of California,
Valid CPR and First Aid certificate.

  • Certification ((LVN or RN license))
  • CPR/First Aid Certification
  • Letter of Introduction
  • Letter(s) of Recommendation
  • Resume

Comments and Other Information

Please make sure application is complete before submitting.
*********************Complete Application w/ Attachments needs to be submitted for consideration***************

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