The Registered Nurse provides and coordinates health care services to students in a school setting. The RN coordinates care to achieve desired outcomes, participates in student and family teaching, and provides leadership by delegating and working cooperatively with school personnel, community members, and health care agencies to maintain professional nursing practice standards. The RN practices in accordance with the Michigan Public Health Code Act 368 of 1978, Article 15, Part 172, and demonstrates the knowledge and skills necessary to provide age-appropriate care to the students served. The RN promotes patient safety and follows hospital and nursing department policies and procedures, including the Patient’s Bill of Rights and ANA Standards of Professional Performance. These standards include quality of practice, education, professional practice evaluation, collaboration, ethics, evidence-based practice and research, resource utilization, and environmental health. The RN also contributes to the professional development and training of peers, colleagues, and students. As the health care expert in the school setting, the RN assesses the overall system of care and develops plans for meeting health needs, including wellness policies, emergency and disaster plans, infectious disease prevention, and crisis prevention. The RN coordinates care in the school community, supervises delegated activities, participates in school committees and administrative roles, and supports organizational goals and quality initiatives. The RN assesses student health needs, maintains and evaluates health records, identifies measurable and culturally appropriate outcomes, and serves as case manager for students with acute or chronic health needs. The RN develops individualized health care plans and emergency procedures, coordinates their implementation, conducts health screenings, responds to emergencies, communicates recommendations, documents care, and evaluates and revises plans and school health initiatives as needed. The RN also provides health promotion, education, and prevention activities for students, families, and the school environment.