Substitute School Nurse

Substitute School Nurse Lewiston Public Schools

Job TitleSubstitute School Nurse DepartmentHealth Services Reports ToBuilding Principal (daily direction); District Nurse Coordinator (supervision) Approved ByJ. Langlais, Superintendent Effective Date 10/2/2026 StatusSubstitute, on-call, per diem Pay Rate$156 per day Position Summary The Substitute School Nurse fills in for school nurses when they are absent. The Substitute assesses students who need the direct services of a registered nurse, prepares health care plans for those students, and supervises the implementation of required health care procedures. Substitutes may be assigned to any school in the district. Essential Requirements Availability. Substitutes must be available to work on school days, Monday through Friday, according to the Lewiston Public Schools schedule, and able to accept assignments on short notice. Assignments are made as needed and may range from a single day to several weeks. Reliable availability on the days a substitute commits to work is an essential function of the position. Licensure. A current State of Maine Registered Nurse license and the appropriate Maine Department of Education certification are required. How to Apply Apply at www.lewistonpublicschools.org and submit the following:

• Completed application
• Resume
• Cover letter
• Transcripts
• Explanation of any gaps in employment
• Maine certification

Internal candidates: Please provide a letter of interest and a resume. Essential Duties and Responsibilities Other duties may be assigned. The Substitute performs these duties as needed during the assignment. Professional practice

• Practice in accordance with the Standards of Professional School Nursing Practice, the Maine Nurse Practice Act, and federal and state laws that affect school nursing.
• Manage school health services under the direction of the Superintendent and Principal, in compliance with district policy.

Direct student care

• Observe students regularly to detect health needs.
• Provide nursing assessments and nursing diagnoses, and develop plans of care for students who need health and nursing interventions.
• Carry out interventions in each plan of care directly, through delegation, or by overseeing and coordinating other responsible staff, based on the student's health, safety, and welfare.
• Administer medications and treatments prescribed by physicians.
• Administer first aid according to established procedures.
• In the absence of a physician, take responsibility for the care of a student with an injury or emergency illness.

Communication and coordination

• Conduct parent conferences, and serve as a liaison between physicians, parents, and staff.
• Make recommendations to students' primary care physicians on individual health needs.
• Coordinate in-school health care with the student's primary care physician, the school-based health center, and other providers and staff as appropriate.
• Report on student health matters to parents, school staff, physicians, clinics, and other agencies.
• Serve on the IEP Team (formerly the Pupil Evaluation Team) when a student's health is involved.

Prevention, screening, and communicable disease

• Provide preventive health services, including health education, screening, consultation, and referrals.
• Instruct teachers on screening students for health concerns.
• Monitor student immunization levels as required by Maine law.
• Implement School Committee policy on excluding and readmitting students with infectious or contagious diseases or infestations, and arrange exclusions as needed.
• Help school staff maintain sanitary standards.
• Take part in the health portion of kindergarten registration.

Records, training, and planning

• Maintain up-to-date cumulative health records for all students who need nursing intervention.
• Prepare statistical reports required by the Maine Department of Education, the Department of Health and Human Services, and the Superintendent.
• Provide health-related training to school staff, and health and hygiene education to students, including education related to disabilities.
• Provide information to the School Committee and administrators as they develop school health policies, goals, and procedures.
• Help prepare the budget for school health needs.

Supervisory Responsibilities None. The Substitute School Nurse delegates health procedures to, and oversees, trained school staff as allowed by the Maine Nurse Practice Act, but has no formal supervisory authority.

Qualifications

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily, including the availability requirement. The requirements below are representative of the knowledge, skill, and ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Education and/or experience

• Bachelor's or associate degree in nursing
• Experience working with children with disabilities

Certificates, licenses, and registrations

• Current license from the State of Maine to practice as a Registered Nurse
• Appropriate Maine Department of Education certification
• Completed criminal history record check (fingerprinting), as required by Maine law for school employees
• Current CPR certification [recommended]

Compensation

The pay rate for this position is $156 per day. Substitute positions are on-call and are not eligible for the full-time employee benefits package. Physical Requirements and Work Environment The physical demands below are essential functions of the position. Reasonable accommodations may be made to enable individuals with disabilities to perform them.

• Regularly stand, walk, sit, talk, and hear.
• Move quickly to respond to medical emergencies anywhere in the building or on school grounds.
• Bend, kneel, and reach to assess and assist students, including students on the floor.
• Lift and move up to [50] pounds, and assist with student positioning or transfers as needed.
• Perform CPR and other emergency procedures.
• Use hands and fingers to give medications, use medical equipment, and type.
• Use close, distance, color, and peripheral vision, and the ability to adjust focus, to assess students.

Work takes place in a school health office, classrooms, and other school areas. The noise level is usually moderate. The employee may be exposed to communicable diseases, bodily fluids, and medical equipment, and must follow universal precautions and infection control procedures. The employee must stay calm and use sound judgment in emergencies, and often handles several student needs at once. ADA Statement The information in this job description is provided for compliance with the Americans with Disabilities Act (ADA). It is not an exhaustive list of the duties performed in this position. Employees in this role may perform additional duties, and additional duties may be assigned. Equal Employment Opportunity Lewiston Public Schools is an equal opportunity employer. It provides equal employment opportunities to all employees and applicants and prohibits discrimination and harassment based on race, color, religion, sex, sexual orientation, gender identity or expression, physical or mental disability, age, ancestry, national origin, genetic information, protected veteran status, whistleblower activity, previous assertion of a workers' compensation claim, or any other characteristic protected by federal, state, or local law, including the Maine Human Rights Act. This policy covers all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training. Federal Nondiscrimination Notice Lewiston Public Schools does not discriminate on the basis of race, color, national origin, sex, disability, or age in its programs, activities, or employment. It provides equal access to the Boy Scouts and other designated youth groups. This notice is provided in accordance with Title VI and Title VII of the Civil Rights Act of 1964, Title IX of the Education Amendments of 1972, Section 504 of the Rehabilitation Act of 1973, the Americans with Disabilities Act, and the Age Discrimination Act of 1975.