School Nurse Corps

School Nurse Corps2020-12-07T14:47:24-08:00

School Nurse Corps Overview

Research shows that access to a registered nurse in the school setting promotes student safety, improves attendance, fosters academic achievement, reduces health and educational disparities, and contributes to creating engaged and informed citizens. Unfortunately, not all school districts have the resources to support registered nursing services. This is particularly the case in smaller, rural districts with limited resources. School Nurse Corps (SNC), a collaborative partnership between the Office of Superintendent of Public Instruction and Educational Service Districts, promotes equitable student access to registered nursing services.


All children receive equitable, full access to school nursing services to be healthy, safe and successful in school and life.


The School Nurse Corps, in partnership with schools, families and communities, improves student health outcomes, safety, and readiness to learn. School Nurse Corps promotes equity by increasing access to student health services and by expanding a school’s capacity to provide a safe and healthy learning environment.


  • Provide school health consultation, professional development, mentoring, resources and technical guidance on school nurse practice and health services administration within NCESD region.
  • Assist school administrators in reviewing and planning for health services.
  • Assist school nurses and administrators in collecting and analyzing health services data.
  • Provide direct services support (as funding allows).
  • Work in partnership with national, state and regional agencies on practice and quality improvement efforts that ultimately impact NCESD districts.

Immunization Information

Immunization Information:

This page is intended to provide school nurses and districts with quick access to Washington State and national resources and examples. In the event of a disease outbreak, the health district with jurisdiction in the school district’s county is the lead agency and will provide specific district directions.


To access web page school resources and tools and a Frequently Asked Questions document, click here

WA State Measles Toolkit for Schools and Child Care

This toolkit, developed specifically for schools and child care centers/providers, is posted on the WA State DOH Measles Outbreak 2019 webpage:

  • Immunization Requirements
  • Templates: Parent/Guardian Letters, Staff/Teacher Letters, Exclusion for Noncompliance Letters
  • Tracking Forms for Susceptible Staff and Students
  • General Measles Information
  • Infographics for Parents and Staff in Various Languages

WA State DOH Measles Guidelines

A clinical reference guide on measles reporting and surveillance. (WA DOH, 2018)

OSPI Infectious Disease Control Guide

A reference guide on the control and reporting processes for many infectious diseases common in the school-age population and among staff members of schools in WA State. Includes links to applicable RCW and WACs. (OSPI, 2014)

Immunization Manual for Schools, Preschools, and Childcare Centers

A reference guide for school and child care staff who process Certificates of Immunization Status (CIS), complete immunization status reports, and answer questions from parents, guardians and staff about immunization requirements, exemptions, and exclusion of inadequately immunized (susceptible) students and staff during a disease outbreak. Includes links to applicable RCW and WACs. (WA DOH, 2020)

Forms & Samples

Additional samples are available in the WA State Measles Toolkit for Schools, the OSPI Infectious Disease Control Guide and the Immunization Manual for Schools.

Immunization Information: Continuity of Teaching and Learning During Exclusion

Provides recommendations to help schools maintain the continuity of learning for 1) individual or small groups of students who are out-of-school for extended periods and 2) large groups of students disrupted by school dismissals or large number of faculty absences. The content is useful for absences due to other events besides the flu.

Provides recommendations to help schools maintain the continuity of learning for 1) individual or small groups of students who are out-of-school for extended periods and 2) large groups of students disrupted by school dismissals or large number of faculty absences as a result of infectious disease issues.

This fact sheet focuses on the Section 504 and Title II rights of students with disabilities with respect to measles, especially students who are medically unable to receive vaccines due to a disability. is intended to 1) inform parents and assist school official in implementing CDC’s measles recommendations in a manner consistent with civil rights requirements and 2) explain, in those uncommon situations where a student is legitimately excluded from school, what school officials must do to ensure a continuity of learning.

WA State Immunization Laws and Rules

Direct links to WA State RCWs and WACs related to schools and immunizations, including:

  • Immunization requirements for school attendance.
  • Student health record maintenance.
  • Criteria for excluding students from schools or child care centers.
  • Written notification requirements prior to school exclusions.
  • Control of communicable (contagious) diseases.
  • Responsibilities of schools to work with public health officials and maintain confidentiality.

RCW 28A.201.080

1. Attendance of every child at every WA State public and private school is conditioned upon the presentation before or on each child’s first day of attendance at a particular school or center, of proof of either:

  • Full immunization against vaccine-preventable diseases.
  • Initiation of and compliance with an immunization schedule that will bring a child that is not fully immunized into full immunization compliance.
  • A Certificate of Exemption (COE).

2. Beginning with sixth grade entry, every public and private school in the state shall provide parents and guardians with information about meningococcal disease and its vaccine as defined in RCW 28A.201.080 at the beginning of every school year.

3. Beginning with sixth grade entry, every public school in the state shall provide parents and guardians with information about human papillomavirus disease and its vaccine as defined in RCW 28A.201.080 at the beginning of every school year.

WAC 246-105-020

“Full immunization” or “fully immunized”: The status designation where a child has provided proof of acquired immunity or has been vaccinated with immunizing agents against each of the vaccine-preventable diseases listed in WAC 246-105-030 according to the national immunization guidelines described in WAC 246-105-040.

Conditional Status: A type of temporary immunization status where a child is not fully immunized against one or more of the vaccine-preventable diseases required by this chapter. A child in this status is allowed to attend a school or child care center only if the parent provides proof of immunization consistent with the schedule established in WAC 246-105-060 .  When the immunizations are part of a series with recommended intervals between doses, each additional missing immunization must be received no later than thirty calendar days past the recommended date of administration of the next dose as established by the national immunization guidelines.

Exempt Status: The designation given to a child that has not been immunized against one or more vaccine-preventable diseases required by WAC 246-105-020 due to medical, religious, philosophical, or personal reasons. A child in “exempt status” is allowed to attend school only by providing a required WA State DOH Certificate of Exemption (COE) form.

WAC 246-105-050

Required Documentation of Immunization Status

1. Before a child may attend a school or child care center, a parent must provide proof of immunization status. Documentation requirements are defined in WAC 246-105-050.

2. In cases in which a parent declines immunization due to medical, religious, personal or philosophical reasons, or when immunizations are deferred on a temporary basis for medical reasons, a WA State DOH-approved Certificate of Exemption (COE) form must be completed as defined in WAC 246-105-050.


District NurseEmailPhone
BrewsterAllM. Elvia Martinez, RNmmartinez@brewsterbears.org509.689.2581
BrewsterAllNicole Smith, RNnsmith@brewsterbears.org509.689.2581
Bridgeport AllSusan Sloan, RNssloan@bridgeport.wednet.edu509.422.5700
AllShelly Zehm, 509.548.5839
AllKesha Smith, RN
AllAmber Varrelman, RN
Coulee-Hartline AllSarah Kruger, RN
Eastmont HS
Blanca Salgado, RNsalgadob@eastmont206.org509.860.2951
Eastmont Rock Island
Clovis Pt.
Phyllis Fries, RN
Eastmont Cascade
Eastmont JH
Erica Brooks, RN
Eastmont Lee
Sylvia Renteria, RN
AllJudy Black-Schmidt, RN
Ephrata AllPam Cleveringa, RN
EphrataColumbia Ridge
Parkway MS
Shellie Hansen, RNshansen@
Grand Coulee Dam AllMelissa Dunlap, RN
Lake Chelan Lake Chelan ESErika Scroggie, RN
Lake Chelan
Lake Chelan JH/HSEric Flynn, RN
MansfieldAllBrenda Webster RN
Manson AllMichelle Rogge, RNmrogge@manson.org509.687.9502
Methow Valley
AllAdriana Vanbianchi, RNavanbianchi@methow.org314.223.3246
Moses Lake Moses Lake HSLisa Ballard, RN
Moses Lake
Park OrchardCathie Hunt, RN
Moses Lake
Chief Moses
Jennifer Zook, RNjzook@mlsd161.org509.793.7547
Moses Lake
Sage Point
Liz Pray, RN
Moses Lake
Debbie Johnson, RN
Moses Lake
Knolls Vista
CB Tech
Courtney Russell, RN
Moses LakeLakeview
Garden Heights
Michelle Starnes, 509.793.7548
Moses LakeLarsen Heights
Cindy Welsh, RNcwelsh@mlsd161.org509.793.7549
Nespelem AllKaren Wapato, RN
kwapato@nsdeagles.org509.634.4541, X134
OkanoganAllLacey Chamberlin, RNlaceychamberlin@gmail.com509.710.9346
East Omak
North Omak
Laura Snider, RN
Omak JH
Omak HS
Shawna Hollenbeck, RN
Orondo AllBrenda Webster, RN bwebster@orondo.wednet.edu509.784.1333
AllCaryn McNair, RN
AllBlanca Salgado, RN 509.884.8071
PaterosAllAmanda Davis, RNadavis@pateros.org509.923.2343
Mountain View
Quincy HS
Ellen Bush, RN
Quincy JH
Quincy HS
Lenore Low, RN
Soap Lake
AllLinda Baker, RN
St. Joseph’s Catholic SchoolAllAnn Benadom, RNnurse@
509.663.2644, x 119
AllJill Wehmeyer, RN
Warden AllKimberly Hansen, RN
Waterville AllJackie Finkbeiner, RNjfinkbeiner@waterville.
509.745.8585, x117
Wenatchee HS
Katy Boreson, RN
Wenatchee Pioneer
Katie Dreyer, RNdreyer.katherine@
Wenatchee Lewis & Clark
Jennifer Douglas, RN
Wenatchee Foothills
Tech Center
Valley Academy
WA Special Ed/PS
Julie Robinson, RN
Wenatchee Columbia
Melanie Wallace, RN
Mission View
Rochelle Jessup, RN
Wilson Creek
AllSarah Kruger, RN

Please report any directory additions or revisions to Barbara Nuxoll via email or phone at 509-665-2617.

BrewsterNicole Smith, RNnsmith@brewsterbears.org509.689.2581
MansfieldBrenda Webster, RNbwebster@mansfield.wednet.edu509.683.1012
NCESD Program ManagerCathy Meuret, MAEd, BSN, RN cathyme@ncesd.orgO: 509.665.2625
C: 509.668.2934

Please report any directory additions or revisions to Barbara Nuxoll via email or phone at 509-665-2617.

Washington State ESD SNC Nurse Administrators

OSPI Health Services
Annie Hetzel
ESD 171 WenatcheeCathy Meuretcathyme@ncesd.org509.665.2625
ESD 101 SpokaneJulie Schultz
ESD 105 YakimaAmy Norton
ESD 112 VancouverJulia Kintz
ESD 113 OlympiaLynn Nelson
ESD 114 BremertonJudy McCrudden
ESD 121 Renton
ESD 123 PascoLes Stahlnecker
ESD 189 AnacortesLynnette Ondeck

Please report any directory additions or revisions to Barbara Nuxoll via email or phone at 509-665-2617.


NCESD School Nurse Corps Calendar lists events related to School Nursing and School Nurse Case Management: educational events, webinars, meetings and tasks. Click the title for information about the event, including registration and/or connection information.

To post an event:
Event postings are related to school nurse practice. Postings require: event title, date, start and end time, location (with street address), and an event description (including a contact name, phone or email, and, if applicable, an agenda, electronic address and event code, event flyer, or photo).

There is no charge for event postings.

Please submit posting requests to: Barbara Nuxoll at

Please note that all requests are subject to review. We hold the right to refuse a posting without explanation.

School Nurse Resource Guide

The School Nurse Resource Guide is a collection of resources that school nurses can use in their practice and adapt to their needs. The guide was developed by School Nurse Corps (SNC) Administrators in an effort to compile useful resources in one location. The electronic guide is maintained on the ESD 189 website.

Please direct any questions or suggestions about this guide and content to Cathy Meuret at NCESD: phone 509-665-2625 or email

Resource Guide Table of Contents

Section 1 – Resource Guide Overview
Section 2 – School Nurse Practice
Section 3 – Individualized Health Care Plans (IHPs) and Emergency Care Plans (ECPs)
Section 4 – Chronic Conditions Commonly Seen in Schools
Section 5 – Medications
Section 6 – Health Screenings
Section 7 – Immunizations and Communicable Diseases
Section 8 – Management of Emergencies/Disaster Preparedness
Section 9 – Health Education and Staff Training Resources
Section 10 – Legal Issues
Section 11 – Special Education / 504 / Home Hospital Planning Resources
Section 12 – Data Collection / Reports / School Nurse Research
Section 13 – School Nurse Corps Program
Section 14 – Links and Resources
Section 15 – Forms and Templates

Disclaimer: The School Nurse Resource Guide is not an official publication. It is not endorsed by any agency or organization. The inclusion of links to particular resources is not intended to endorse any particular product, service, or information source, but rather to provide examples that WA State School Nurses have found useful.

School Nurse Practice Manuals and Guides

School Nurse practice is directed by national and state laws, regulations and standards.

The following manuals and guides, developed by WA State Office of Superintendent of Public Instruction (OSPI), WA State Department of Health (DOH), WA State Health and Human Services (HHS), National Association of School Nurses (NASN), American School Health Association (ASHA) and other national and state agencies, provide guidelines and evidence-based practices for School Nurse actions and responsibilities in the K – 12 setting.

Refer to the School Nurse Resource Guide for links to related WA State RCWs and WACs.


Secure Resources

School Nurse Practice

Technical Manuals and Job-Aids

School Nurse Case Management

In addition to the School Nurse Corps, North Central ESD serves as a Washington School Nurse Case Management site. The Nurse Case Management Program, developed in 2010, is the result of a partnership between Washington State Office of Superintendent of Public Instruction (OSPI) and their Institutional Education and Health Services Departments.

School Nurse Case Managers work with students who are at risk of failing academically due to health-related issues, such as chronic health conditions or emotional concerns that interfere with their ability to participate regularly and fully in school activities. Case Managers work collaboratively with the student, the district’s School Nurse, staff and administrators, providers, parents/families and community agencies, addressing factors that contribute to student absenteeism and poor academic performance and limit student potential.

The objectives of the program are to:

  • Improve health and self-management of health conditions
  • Increase student attendance
  • Improve academic achievement

Since the program’s inception, case management services have been implemented in eleven school districts in Educational Service Districts 171, 123 and 113. Districts were selected based on multiple risk factors such as high levels of poverty and unemployment, and a demonstrated need for more school nursing hours.

The Washington School Nurse Case Management Program is supported by Federal Title 1 Part D, Health Services funding. Districts eligible for case management services meet specific criteria outlined in the Title 1, Part D program and demonstrate a need for increased nursing hours as documented by the Washington State Assessment of District Student Health Services. Funding in North Central Washington supports School Nurse Case Management in two school districts.


Check and Connect © Forms:

Motivational Interviewing (MI)

Manuals and Tools:


© 2018 Regents of the University of Minnesota. All rights reserved.


August 13-14

2019 Slide Deck

  • Module 1: Introduction to Education System, ESDs and School Nurse Corps, Role of the School Nurse, Scope and Standards of Practice, Legal Guidance for Schools
  • Module 2: Assessment, Planning Implementation, Evaluation, Chronic Disease Management, Life-threatening Health Conditions, IHPs/ECPs/504s, Staff Training, Delegation, Documentation
  • Module 3: Medication Management, Field Trip Management, Concussions, Emergencies/First Aid, Health Room Management, AEDs, Immunizations
  • Module 4: Communicable Disease, Vision and Hearing Screenings, Mental Health, Sexual Health, Home Hospital, DNR, Coordinating School Nurse Activities


Welcome to the School Nurse Lending Library

The School Nurse Corps Lending Library contains training aids, books, manuals and curriculum. Library materials are available to all school nurses in Chelan, Douglas, Grant and Okanogan counties as well as other healthcare professionals. The library’s collection is managed in an electronic system, Lend-Items. To request a library account, contact Barbara Nuxoll at A completed SNC Lending Library Borrower Agreement is required. For additional information regarding SPOT Vision screener access, please see SPOT Screener instructions below.

SPOT Vision Screener Program

Tools & Samples

Data Sharing Tools

Tell your district’s health services story with data. Modify / customize these tools to create Health Services Reports for district Administrators and School Boards:

Naloxone in Schools Toolkit

This toolkit is available to all North Central ESD school districts interested in a naloxone school program. WSSDA policy and procedure templates (3424 and 3424P) are available to all schools. A second template version (Policy and Procedure Template #2) expands the content of the WSSDA templates. Policy and procedure templates can be adopted or revised, in alignment with RCWs, WACs, and professional licensing standards, to meet specific district needs. Additional information, resources and supplies are available to districts at no cost through funding support from North Central Accountable Community of Health (NCACH) and School Nurse Corps. Contact for additional support.

Mic-Key Gastric Tube Toolkit

  • coming soon…

School Nurse Competency

About the School Nurse Role

School nursing is a unique and challenging specialty within the nursing profession. The school nurse is often the only licensed healthcare professional in a school district, providing health services oversight for district students ranging from grades Pre-K to 12. With expertise in health improvement and health management, primary prevention, emergency response, care coordination, and team collaborations, school nurses are uniquely qualified to support school and student efforts toward academic success. On a day-to-day basis, the school nurse conducts student assessments of physical and behavioral issues and social determinants of health status, develops healthcare plans and emergency care plans, conducts staff training, connects with parents, connects with student support staff, such as counselors, therapists and special education teachers, connects with providers, conducts a wide range of service referrals to meet student needs, ensures screening and reporting requirements are met, ensures that medication management and administration and treatments are performed safely, collects district, state and national health data, manages health room activities, and serves as the health consultant on issues impacting student and staff health and safety. The work is varied, rewarding and fast-paced, with a workload impacted by school nurse-to-student ratios, student health conditions, and potentially limited contract hours. School nurses adhere to nationally-defined scope and standards of practice and are required to maintain competence in the position.

Employment Categories

Classified School Nurse Position

A nurse in a classified position may hold a Bachelor of Science degree in Nursing (BSN) or advanced nursing degree from an accredited program or an Associate Degree in Nursing (ADN), a Washington State Registered Nurse license, or a Licensed Practical Nurse (LPN) license. Classified positions are district support positions that do not require certification or licensure (or are not eligible for WA State certification) to perform a job. Classified nurse positions align with non-teaching support staff under a district’s classified employee contract and pay scale.

Certificated School Nurse Position

A school nurse in a certificated position holds a Bachelor of Science degree in Nursing or advanced nursing degree from an accredited program, a Washington State Registered Nurse license, and Educational Staff Associate (ESA) certification from the Office of the Superintendent of Public Instruction (OSPI). Certificated school nurse positions align with the district’s teacher contract and pay scale. A district may require their school nurse to obtain and maintain school nurse ESA certification.

School Nurse Certifications

WA State ESA Certification for School Nurses

Educational Staff Associate (ESA) certificates are awarded to qualified registered nurses by the Office of Superintendent of Public Instruction (OSPI) under administration of the State of Washington Professional Educator Standards Board. See the OSPI School Nurse webpage for information on  certification qualifications, Initial and Continuing levels of school nurse certification, and renewal requirements. Both the ESA Initial and Continuing Certificates are valid for five years and are eligible for renewal.

An initial certification requirement, the ESA Certification Preparation Course introduces new knowledge and skills specific to working with students in the K-12 academic setting and transitioning to the academic system. These courses, offered by Puget Sound ESD, Washington State University College of Nursing, and Pacific Lutheran University, introduce the registered nurse to:

  • National, state and local school and special education laws and policies and their application to decision-making processes in the educational setting
  • How to work within the culture of schools to create an environment that fosters safety, health and learning for students
  • How to access appropriate resources in the school setting
  • How to collaborate with team members, including parents, teachers, counselors, administrators, and others to support learning outcomes for all students
  • Use of appropriate strategies to support student outcomes, including scientifically-based practices, collaborative teaming and ethical decision making
  • Necessary professional standards to inform professional development
  • Use of human, community and technological resources

WA State Conditional ESA for School Nurses

 A Conditional ESA Certificate is available for employers that would like to hire a nurse to a certificated school nurse position on the basis of experience and expertise, recognizing that the nurse does not meet the required qualifications to obtain ESA Certification. The Conditional ESA Certificate is valid for two years or less and may be renewed. This certificate must be initiated by the employer. Once the employer request has been submitted to OSPI, the nurse can submit an application for a conditional certificate. See the OSPI Conditional ESA webpage for information

Maintaining ESA Certification

Continuing education is a requirement for ESA certification renewal. For educators, continuing education units of credit are referred to as “clock hours”. For ESA certificated staff who hold a WA State Department of Health registered nurse license, acceptable units of credit for ESA renewal include other credit types – those that satisfy the continuing education requirements for their nursing license. ESA certificated school nurses may use continuing education units (CEUs), college credits and clock hours to meet ESA renewal requirements. For additional information, see “Department of Health License Hours as Clock Hours” on the OSPI Continuing Education Clock Hours webpage. ESA certificated nurses are encouraged to check professional development events to determine whether units of credit are available and to maintain documentation of professional development completion in a professional portfolio.

Maintaining Competency for State Licensure

All registered nurses and licensed practical nurses in Washington State are required to actively practice and to earn continuing education hours to meet the clinical competency requirement for licensure renewal. A range of professional development activities meet the continuing education requirement for licensure renewal. See Nurse Licensing Continuing Competency.

National School Nurse Certification

The National Certified School Nurse (NCSN) credential is awarded by the National Board for Certification of School Nurses (NBCSN). Obtaining national certification in the school nursing specialty is a mark of professional distinction for a school nurse, reflecting competence and professionalism.


pdEnroller is a web service used by all Washington State Educational Service Districts to manage professional development courses. pdEnroller supports a course calendar that is searchable by state and by ESD region, course descriptions, course enrollment, course payment, course enrollment cancellation, course evaluations, clock hour purchases, and clock hour tracking. Users are responsible for creating their personal pdEnroller account and maintaining accurate profile information. See NCESD pdEnroller

Professional Practice Resources

Continuing Education and Resources

National Association of School Nurses (NASN)
NASN has many resources, tools, and continuing education opportunities. Some materials and continuing education are also available to non-members.

NCESD CE Credits Online
CE Credits Online offers courses that are approved for clock hours through NCESD and are eligible for graduate-level professional development credit towards Washington State License Renewal from our regionally-accredited university partners. Purchase courses and clock hours through NCESD and graduate credits through CE Credits Online.

HEAL WA is Washington State’s online library for all health practitioners. Create your own free HEAL WA account and access ejournals, ebooks, toolkits, databases, drug information, and continuing education, including Nursing Reference Center Plus.


May 6, 2020

September 26, 2019

May 8, 2019 Workshop

March 25, 2019 Workshop

December 10, 2018 Workshop

September 24, 2018 Workshop

May 9, 2018 Workshop

Below are the materials from the May 9 School Nurse Workshop.  Please contact Cathy Meuret if you have any questions at

March 22, 2018 Workshop

Below are the materials from the March 22 School Nurse Workshop.  Please contact Cathy Meuret if you have any questions

Regional School Nurse Workshops – January 2018

Below are the materials from the Regional School Nurse Workshops held in January.  Please contact Cathy Meuret if you have any questions at

Our School Nurse Corps Staff

Cathy Meuret

Cathy Meuret

Nurse Corps Director

Barbara Nuxoll

Barbara Nuxoll

Pro Serv Team Leader

Latest Program News

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