• Contact Us

    Texas School Health Program
    P.O. BOX 149347, MC1944,
    Austin, TX 78714-9347
    1100 West 49th
    Austin, Texas 78756

    Phone: 512-776-7279
    Fax: 512-458-7618


Texas School Nurse Program - Nursing Practice Resources

Photo of an apple with a stethoscope and Doctor's Chart

The resources listed on this page will assist the school nurse or other healthcare and school professionals in promoting health and providing health services to students. 

  • National Association of School Nurses is the national association for professional school nurses. NASN provides training, resources and tools to utilize in school nursing practice. 
    • Standard of School Nursing Practice 
  • Texas School Nurse Organization is an affiliate of the National Association of School Nurses. They provide training and information on school nursing practice in Texas.
  • Texas Board of Nursing (BON) is the state agency that regulates the safe practice of nursing in Texas. The BON enforces the Nursing Practice Act and Rules and Regulations by setting minimum standards for nursing practice and nursing education, conducting investigations of complaints against nurses, and adjudicating complaints.
    • Standards of Care 
    • Position Statement on School Nursing Practice
    • LVN Scope of Practice
    • RN Scope of Practice

      Frequently Asked Questions

      Q. Are school nurses required in Texas? 

      A.  There is no statutory requirement for Texas schools to employ a nurse except as indicated in Federal Individuals with Disabilities Education Act, but if the school DOES, it must comply with this section of the Texas Education Code: 

      (a) A person may not be employed as a teacher, teacher intern or teacher trainee, librarian, educational aide, administrator, or counselor by a school district unless the person holds an appropriate certificate or permit issued as provided by Subchapter B.
      (b) A person may not be employed by a school district as an audiologist, occupational therapist, physical therapist, physician, nurse, school psychologist, associate school psychologist, social worker, or speech language pathologist unless the person is licensed by the state agency that licenses that profession. A person may perform specific services within those professions for a school district only if the person holds the appropriate credential from the appropriate state agency.
      Q. What is the ratio of school nurses to students in Texas? 
      A.  The Texas Department of State Health Services utilizes data from the Texas Board of Nursing, in which RNs (and LVNs) self-report as being employed in either school or college health services.  Compared to the number of public school children in the state for the 2014 school year (5,135,880), the ratio would appear to be 784 students per school nurse (RN).  However, remember that the RNs include "college" health and the student count used above includes only public schools.  Hence this ratio is not accurate, but is an estimate.  The Higher Education Coordinating Board for Texas has data on the number of students enrolled in higher education institutions.  They can be reached via telephone at: 512-427-6101 or through their Web site at www.thecb.state.tx.us.

Last updated October 27, 2016