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Health Services Staff



All students will achieve optimal health, be safe and ready to learn so they can become successful citizens.



To serve as the link between healthcare and education. To promote the health, learning, growth and development of students by assessing, intervening and progress monitoring the physical, psychological, and social health needs of students. To enhance community/public health. To demonstrate leadership in the delivery of health care services. To coordinate health care and ensure quality improvement in the delivery of health care services in the school environment. (Adapted from NASN, 2009)


Healthy Children Learn Better

The Health Services team includes a School Nurse and a Health Assistant assigned to each school. The Health Services Program Specialist schedules monthly meetings of the Health Services staff to address their special needs, provide specialized training, and promote standardization of district health services procedures and practices.

Rachele Azziz

Health Services Program Specialist


Jennifer Ellsworth

Health Services Clerk IV




The Credentialed School Nurse is a bachelor’s degree prepared Registered Nurse, Public Health Nurse licensed by the California Board of Registered Nursing and credentialed as a school nurse by the California Commission on Teacher Credentialing.

School nursing is a specialized practice of professional nursing that advances the well‐being, academic success and lifelong achievement and health of students. To that end, school nurses facilitate positive student responses to normal development; promote health and safety including a healthy environment; intervene with actual and potential health problems; provide case management services; and actively collaborate with others to build student and family capacity for adaptation, self‐management, self-advocacy, and learning (NASN, 2010).

The Credentialed School Nurse uses the nursing process, clinical expertise and professional judgment to design and implement health services programs that ensure that all students will receive the optimum benefit from their educational experience. This is accomplished by working collaboratively with students, families, teachers, other members of the multidisciplinary team, and utilizing resources within the community, to meet the physical, mental, emotional and social health needs of students.


(Health Assistant or LVN)

Under the direction of the assigned administrator and the professional direction of a licensed credentialed school nurse, the health office staff performs specialized physical health care services for pupils with disabilities and chronic health problems. The site health office staff is also available to provide basic first aid to students who present to the health office.


Credentialed School Nurses

Julie Chan, RN, BA
Heather Clinton, RN, BSN, PHN
Kim Danell, RN, MSN, PHN
Kathleen Freeman, RN, BSN, PHN
Kelley Haines, RN, MSN, PHN
Carolyn Kleinsmith, RN, BSN, PHN
Katie Mendoza, RN, BSN, PHN
Iran Rahbar, RN, BSN, PHN
Lynne Watje, RN, BSN, PHN

Health Assistants

Angelica Alcaraz
Suzanne Bird
Cassandra Cancilla
Debra Coker
Mercedes Eisner
Katya Garcia
Sara Garcia
Tanna Hadick
Sarah Lattimer
Theresa LeDuc, LVN
Natalie Leydig
Celena Maestas
Tammy Olivera
Eneida Rogness, LVN
Sharlene Sanchez Arguijo, LVN
Lorena Sepulveda
Sandra Vargas
Laura Villasenor

California School Nurses CSNO

NASN National  Association fo School Nurses



Standards of School Nursing Practice 1- 6

  1. Assessment: The school nurse collects comprehensive data pertinent to the child’s health or situation.

  2. Diagnosis: The school nurse analyzes the assessment data to determine the diagnosis and issues.

  3. Outcomes Identification: The school nurse identifies expected outcomes for a plan individualized to the client or situation.

  4. Planning: The school nurse develops a plan that prescribes strategies and alternatives to attain expected outcomes.

  5. Implementation: The school nurse implements and documents the identified plan using evidence-based interventions and standard language or recognized terminology.
    1. Coordination of Care
    2. Health Teaching and Health Promotion
    3. Consultation
    4. Prescriptive Authority and Treatment

  6. Evaluation: The school nurse evaluates progress towards attainment of outcomes.


Standards of Professional Performance 7: Ethics: The school nurse practices ethically.

  1. Upholds healthcare consumer’s confidentiality within legal, regulatory and ethical parameters of health and education

  2. Advocates for equitable healthcare consumer care

  3. Assists healthcare consumers in self-determination and informed decision-making, as developmentally appropriate

  4. Speaks up when appropriate to question healthcare practice when necessary for safety and quality improvement.


Standards of Professional Performance 8: Education: The school nurse attains knowledge and competency that reflects current nursing practice.

  1. Participates in ongoing educational activities related to professional issues

  2. Contributes to a work environment conducive to the education of professionals

  3. Shares educational findings, experiences and ideas with peers

  4. Maintains state and national certification and/or credentialing


Standards of Professional Performance 9: Evidence-Based Practice and Research: The school nurse integrates evidence and research findings into practice

  1. Uses current evidence, including research findings to guide practice decisions

  2. Incorporates evidence when initiating changes in school nursing practice

  3. Participates in data collection such as surveys, pilot projects, and formal studies


Standards of Professional Performance 10: Quality of Practice: The school nurse contributes to quality of nursing practice.

  1. Demonstrates quality of practice by documenting the application of the nursing process in a responsible, accountable, and ethical manner

  2. Uses creativity and innovation to enhance school nursing care

  3. Participates in quality improvement practices


Standards of Professional Performance 11: Communication: The school nurse communicates effectively in a variety of formats in all areas of nursing practice.

  1. Seeks continuous improvement of own communication and conflict resolution skills.

  2. Conveys information to healthcare consumers in formats that promote understanding.

  3. Uses communication as a strategy to achieve nursing goals.

  4. Contributes own professional perspective with multidisciplinary team and others.


Standards of Professional Performance 12: Leadership: The school nurse demonstrates leadership in the professional practice setting and the profession.

  1. Seeks ways to advance nursing autonomy and accountability of school nurses.

  2. Participates in school nursing, school health and other professional organizations.

  3. Serves in formal and informal leadership roles in professional organizations and committees at local, state and national levels.

  4. Mentors colleagues for the advancement of nursing practice, the profession, and quality healthcare.


Standards of Professional Performance 13: Collaboration: The school nurse collaborates with the healthcare consumer, the family and others in the conduct of nursing practice.

  1. Partners with others to effect change and generate positive outcomes through the sharing of knowledge about the healthcare consumer and/or situation.

  2. Functions as a liaison between the family, school and community.

  3. Acts as an advocate for the healthcare consumer in multidisciplinary collaboration.


Standards of Professional Performance 14: Professional Practice Evaluation: The school nurse evaluates one’s own nursing practice in relation to professional practice standards and guidelines, relevant statutes, rules and regulations.

  1. Provides age-appropriate and developmentally appropriate care in a culturally and ethically sensitive manner

  2. Engages in self-evaluation on a regular basis, identifying areas of strength and areas in which professional development would be beneficial.

  3. Enhances one’s own professional nursing practice by networking with peers and colleagues.

  4. Demonstrates achievement of goals identified during the evaluation process.


Standards of Professional Performance 15: Resource Utilization: The school nurse utilizes appropriate resources to plan and provide nursing services that are safe, effective, and financially responsible.

  1. Evaluates factors such as safety, effectiveness, availability of cost and benefits, and impact on practice

  2. Assists the healthcare consumer and family in identifying and securing appropriate and available resources

  3. Develops innovative solutions and applies strategies to obtain appropriate resources for nursing initiatives

  4. Assists healthcare consumer and school community in becoming informed consumers about health promotion, health education, school health services and individualized health interventions.


Standards of Professional Performance 16: Environmental Health: The school nurse practices in an environmentally safe and healthy manner.

  1. Promotes a practice environment that reduces environmental health risks of healthcare consumers, including visitors.

  2. Assures communication regarding environmental risks and exposure reduction strategies to student healthcare consumers, families, colleagues, and communities.

  3. Participates in or initiates strategies that promote an emotionally or physically healthy school culture.


Standards of Professional Performance 17: Program Management: The school nurse manages School Health Services.

Standards of School Nursing Practice 1- 6

Standards of School Nursing Practice 1- 6

  1. Conducts school health needs assessments to identify current health problems and identify the need for new programs.

  2. Develops and implements needed health programs using a program planning process

  3. Evaluates ongoing health programs for outcomes and quality of care.

  4. Interprets the role of the school nurse and school health service needs to the school and the community.


Based on ANA School Nursing: Scope and Standards of Practice (2015) and adapted from the California School Nurse Organization website (updated 6/25/2019)


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