Substitute Nurse

Sylvania; Seguin (TX); Hybrid; USD 16,000 - 22,000; Full time

Job summary

Sylvania is seeking a Nurse Substitute to provide temporary on-call health room coverage across district campuses in Seguin, TX, ensuring student health, safety, and medical care needs are met when permanent staff are unavailable.

The role requires a high school diploma or GED, a Texas nursing license (RN or LVN) preferred, and CPR/First Aid certification. Experience with children and healthcare settings is desired; training will be provided.

Qualifications

• High school diploma or GED required.
• Texas RN or LVN license preferred.
• CPR/First Aid certification preferred.

Responsibilities

• Provide immediate first aid and routine comfort care for minor injuries.
• Administer medications per district policy and training.
• Perform routine health procedures including glucose monitoring and delegated care.
• Assist students with personal care while maintaining sanitation and infection control.

Skills

Basic computer literacy

Strong communication

Arithmetic skills

Education

High school diploma/GED

Texas nursing license (RN or LVN) preferred

CPR/First Aid Certification preferred

Tools

Computer

Job description

Keep students safe, healthy, and ready to learn – on a schedule that works around your life!

*** Note that this is a draft job description and subject to change. ***

Primary Purpose:

Provide temporary, on-call health room coverage across district campuses to ensure student health, safety, and medical care needs are maintained in the absence of permanent staff.

Education/Certification:

• High school diploma/GED required
• Valid Registered Nurse or Licensed Vocational Nurse license to practice in Texas from the State Board of Nurse Examiners preferred
• Current CPR/AED and First Aid Certification preferred

Pay rates 2026-2027

Nurse Substitute: $105 per day, $52.50 per half day

Pre-Employment Requirements

1. Complete in-person orientation session
2. Complete fingerprinting process for criminal background check

Special Knowledge / Skills

• Basic computer literacy for logging visits and strong communication/arithmetic skills
• Strong organizational, communication, and interpersonal skills

Experience:

• Healthcare experience preferred
• Experience working with children preferred

Core Responsibilities:

1. Basic First Aid & Triage: Provide immediate first aid, ice packs, and routine comfort care for minor injuries or illnesses.
2. Medication Administration: Administer daily or emergency student medications in strict accordance with district policy, state guidelines, and completed district training/delegation.
3. Delegated Specialized Care: Perform routine health procedures—including blood glucose monitoring and G‑tube/GI tube feedings—following completion of district-provided training and under the delegation of a district Registered Nurse.
4. Hygiene & Personal Care: Assist students with personal care, diapering, changing, and clean‑up, maintaining strict sanitation, universal precautions, and infection control standards.
5. Documentation & Records: Accurately log student visits, treatments, medication administration, and health observations in campus health records.
6. Parent & Staff Communication: Contact parents, guardians, and campus leadership regarding student illness, injury, or emergency care.
7. Clinic Management: Keep health room facilities sanitized, organized, safe, and fully stocked during assigned coverage shifts.

Note that level of responsibility and supervision will depend on professional nursing qualifications and prior healthcare training and experience.

Equipment Used:

Computer. Medical equipment as appropriate based on nursing licensure and healthcare training.

Mental Demands / Physical Demands / Environmental Factors:

Maintain emotional control under stress. Frequent standing or walking. Potential exposure to body secretions, bloodborne pathogens, medicine and medicinal supplies, and communicable illnesses and diseases.

The foregoing statements describe the general purpose and responsibilities assigned to this job and are not an exhaustive list of all responsibilities and duties that may be assigned or skills that may be required.