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Scope and Standards of Practice define the
practices that school nurses are expected
to perform competently. The scope affirms
the broad range, essence, and evolving
boundaries of school nursing practice.
SCOPE OF STANDARDS The standards of practice describe the
OF PRACTICE level of competency expected for each
step of the nursing process. The standards
of professional performance describe
the competent level of behavior in the
professional school nurse role (ANA & NASN,
2017).

*Definitions of the framework principles and components were taken from the original articles that developed the
Framework for 21st Century School Nursing Practice™ (NASN, 2016a; Maughan, Duff, et al., 2016). Where applicable
the original source is cited. Permission to use granted by the National Association of School Nurses. Reprinted with
permission by the National Association of School Nurses.

IDEAS: How can I use this principle in my practice?
• Clinical guidelines: Resource for school nurse practice. Collaboration and partner with
multiple agencies health and education related facilitates inter-disciplinary sharing and
use of guidelines.

• Code of ethics: Education administration and school staff on confidentiality and privacy
related to HIPAA and FERPA. Fosters collegial relationships with school staff and advances
ethical role of the school nurse in safeguarding student privacy.
• Evidence-based practice: Obesity prevention. Community research that supports
community engagement through partnering with outside resources.
• NASN position statements: Facilitate broad use of NASN practice standards throughout
the state by targeting school nurses, administrators and parents.
• Nurse practice act: Disseminate most current information to all school nurses. Improves
student care and outcomes, promotes professionalism and competency.
• Scope and standards of practice: Develop guidelines for private physical exam of minors.
Uniform standards developed in collaboration with multiple agencies and stakeholders
promotes education and communication of school nurse responsibilities to advocate for
student safety, privacy and confidentiality.

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