The nurse has authority, accountability, and responsibility for nursing practice; makes decisions; and takes action consistent with the obligation to promote health and provide optimal patient care.
School nurse workplace environments impact the quality of health care; therefore, school nurses collaborate to improve these environments. Working within educational institutions, and in collaboration with education partners, school nurses inform, define, and implement professional standards of practice and school health policy. School nurses must have knowledge relevant to meet the needs of students and maintain the highest level of competency by enhancing professional knowledge and skills. Self-evaluation as well as evaluation by administrators with healthcare experience, based on applicable laws, regulations and policies; professional standards of practice; and the Framework for 21st Century School Nursing PracticeTM assists the school nurse in identifying areas to grow competence and expand practice. As allowed by state nurse practice acts, and in accordance with established best practice, school nurses assume responsibility and accountability for the delegation or assignment of tasks. School nurses take appropriate action when encountering illegal, unethical or inappropriate behavior that places student health and safety at risk.
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