School Health Professional Salary Survey



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School Health Pressional Salary Survey December

New York Statewide School Health Pressional Salary Survey December School Health Services, delivered by licensed nursing personnel, provide a vital student support in New York s schools. The provision nursing services to our state s children and youth promotes their health and well being, increasing their time in the classroom and impacting their academic achievement. The Basic Educational Data System (BEDS) the New York State Education Department indicates the following numbers school health services personnel in our schools for the 9 school : School Nurses 331 School Nurse Teachers 1 Licensed Practical Nurses 16 Nurse Practitioners The numbers students served by these health pressionals are as follows: 9 K 1 NY State Public school enrollment,71,3 K 1 NY State Non Public school,76 enrollment K 1 NY City Public school enrollment 1,1,73 K 1 NY City Non Public school 9,1 enrollment For this voluntary salary survey, we requested that nurses across New York State answer a short online survey on our website. We had 199 respondents to the survey with the information presented in this report divided into the following sections: Survey Participants School Nurses (RNs) School Nurse Teachers (SNTs) Licensed Practical Nurses (LPNs) Nurse Practitioners (NPs) As illustrated by the information in this report, there is a range salaries reported based on educational preparation and certification, as well as geographic location across the state.

New York Statewide School Health Services Center Salary Survey ~ December Salary Survey Respondents: 199 Survey Participants Survey respondents were divided into four categories licensure or certification for school health pressionals. The vast majority participants were registered nurses working as school nurses School School Health Health Personnel Personnel Licensure/Certification Licensure/Certification School Nurse School Nurse Teacher Teacher Nurse Practitioner Nurse Practitioner % % Licensed Practical Licensed Practical Nurse Nurse 3% 3% (17) with 96 School Nurse Teachers and Nurse Practitioners answering the survey. In addition, we had 7 licensed practical nurses who work in a school setting in New York respond to the survey. School Nurse (RN) School Nurse (RN) 9% 9% Survey participants are listed below and in the chart at the left in percentages those responding to the survey. o School Nurse (RN) 9% Respondents o School Nurse Teacher (SNT) Respondents o Licensed Practical Nurse (LPN) 3% Respondents o Nurse Practitioner (NP) % Respondents 3

School Nurse (RN) Responses for December Salary Survey Total School Nurses (RNs) Responding to Survey: 17 School Setting NonPublic NonPublic % % School Setting for RNs Responding to Survey School Setting for RNs Responding to Survey BOCES BOCES % % Charter Charter Other Other Public Public 6% 6% The majority school nurse responding to the survey are employed in public school settings. Duties include, but are not limited to: Assessment student health needs Administration medication and medical treatments as prescribed by the healthcare provider Provision first aid, illness and injury care Development Individualized Healthcare Plans and Emergency Care Plans to direct nursing care at school Management and completion mandated health screenings (vision, hearing, scoliosis) Receipt and recording health certificates, scheduling and assistance with mandated school health appraisals Completion mandated state reporting for Immunizations and Weight Status Category Preparation and maintenance accurate cumulative health records Consultation with faculty and staff on student health concerns as needed and appropriate Reporting suspected cases abuse, surveillance and necessary reporting communicable diseases Acting as a liaison between the student, the parent, school administration and staff and the family s medical home Location Reporting Schools 6% school nurses responding to this survey were located in Upstate New York while 36% respondents indicated that they were located in Downstate New York. 36% 36% Location Reporting Schools Location Reporting Schools 6% 6% Upstate New York Downstate New York Upstate New York Downstate New York

New York Statewide School Health Services Center Salary Survey ~ December Hours Employment for School Nurse (RN) The majority school nurses reported that they are employed full time for 1 months the, similar to the schedule a classroom teacher or other student support services pressional. 1 1 16 16 1 1 1 1 1 1 6 6 Hours Hours Employment Employment Full time/1 Full time/1 Part-time: or Part-time: 1 - Part-time: 1-9 Full time/1 Full time/1 Part-time: or Part-time: 1 - Part-time: 1-9 months the months the more 19 hours/week hours /week months the months the more 19 hours/week hours /week hours/week hours/week Schools School Nurse (RN) is Responsible For Schools Responsible For Schools Responsible For 3 3 3% 3% 9% 9% 1 or more 1 or more 6% school nurses stated that they are responsible for one school, while 9% indicated that they have responsibility for schools. Smaller percentages were noted as follows: 3 schools: 3% schools: 1 or more schools: 1 1 6% 6%

New York Statewide School Health Services Center Salary Survey ~ December Students RN is Responsible For Students Students Less than 1 Less than 1 1-99 1-99 3-99 3-99 - 699-699 7-999 7-999 1-199 1-199 1-1999 1-1999 - 99-99 - 999-999 Over 3 Over 3 Students Students RN RN is is Responsible Responsible For For RNs Responding to Survey RNs Responding to Survey 1 3 6 1 3 6 There is a disparity in the number students that individual school nurses are responsible for with the majority nurse being responsible for 3 7 students as a part their regular contractual agreement. The National Association School Nurses recommends that school districts should provide a full-time pressionally prepared registered nurse all day, every day in each building the following ratios: o o o o 1:7 for students in the general population, 1: in the student populations that may require daily pressional school nursing services or interventions, 1:1 in student populations with complex health care needs, and 1:1 may be necessary for individual students who require daily and continuous pressional nursing services. Years Employed as a School Nurse (RN) School nurses had a varied number experience as illustrated here: 3 3 3 3 1 1 1 1 Years Years Employed Employed as as a a School School Nurse Nurse (RN) (RN) Under 1 Under 1 1 - - 9 1 - - 9 1-1 1-19 - - 9 1-1 1-19 - - 9 More More than 3 than 3 6

New York Statewide School Health Services Center Salary Survey ~ December Annual Salary for School Nurses (RNs) Annual Salaries for School Nurses statewide reflect a wide range compensation. The most commonly reported school nursing salaries fall into the $, - $, range. Respondents Respondents Annual Annual Salary Salary for for Statewide Statewide School School Nurses Nurses (RNs) (RNs) 3 3 3 3 1 1 1 1 Less than $1, Less than $1, $1,1 - $1,999 $1,1 - $1,999 $1, - $19,999 $1, - $19,999 $, - $,999 $, - $,999 $, - $9,999 $, - $9,999 $3, - $3,999 $3, - $3,999 $3, - $39,999 $3, - $39,999 $, - $,999 $, - $,999 $, - $9,999 $, - $9,999 $, - $,999 $, - $,999 $, - $9,999 $, - $9,999 $6, - $6,999 $6, - $6,999 $6, - $69,999 $6, - $69,999 $7, - $7,999 $7, - $7,999 Over $7, Over $7, School nursing salaries are significantly below those other pressionals in the area student support services. As recorded from the 7 data from the Basic Educational Data System (BEDS), the following salary ranges are recorded for the following pressionals: Position Salary th Percentile Salary 9 th Percentile School Psychologist $,7 $11,9 Social Worker $,176 $16,3 Guidance Counselor $, $1,96 School Nurse & Practitioner $3,66 $61,9 7

School Nurse Teacher (SNT) Responses for December Salary Survey Total School Nurse Teachers (SNT) Responding to Survey: 96 School Setting The vast majority School Nurse Teachers work in the public school setting. Their duties usually include those the school nurse mentioned previously, but also may include presenting health information in the classroom setting. School Setting for Reporting School Nurse Teachers School Setting for Reporting School Nurse Teachers BOCES NonPublic BOCES NonPublic 3% 3% Public Public 9% 9% Location Reporting Schools Location Reporting Schools Location Reporting Schools 73% SNTs responding to the survey indicated that they practiced and taught in Upstate New York, while 7% indicated they were located in Downstate New York. 7% 7% 73% 73% Upstate New York Upstate New York Downstate New York Downstate New York

New York Statewide School Health Services Center Salary Survey ~ December Hours Employment for School Nurse Teacher (SNT) Hours Hours Employment Employment 1 1 9 9 7 7 6 6 3 3 1 1 Full time/1 months Full time/1 months Part-time: or more Full time/1 months Full time/1 months Part-time: or more the the hours/week the the hours/week Part-time: 1-19 Part-time: 1-19 hours/week hours/week The majority School Nurse Teachers reported that they are employed full time for 1 months the, similar to the schedule a classroom teacher or other student support services pressional. Schools School Nurse Teacher (SNT) is Responsible For Schools Responsible For Schools Responsible For 1 or more 3% 1 or more % 3% % 3 3 1 1 Most School Nurse Teachers (%) indicated that they were responsible for students in one school building with % noting that their responsibilities take them to two or more buildings. 1 1 % % 9

New York Statewide School Health Services Center Salary Survey ~ December Students SNT is Responsible For Students Students SNT SNT is is Responsible Responsible For For School Nurse Teachers, with their expanded role in the school setting, are usually responsible for the care and teaching 3 1 students on a daily basis. Students Students SNTs Responding to Survey SNTs Responding to Survey 1 1 1 1 3 3 Less than 1 Less than 1 3-99 3-99 7-999 7-999 1-1999 1-1999 - 999-999 Years Employed as a School Nurse Teacher (SNT) 1 1 1 1 Years Years Employed Employed as as a a School School Nurse Nurse Teacher Teacher Most School Nurse Teachers indicate that they have been employed between 1 and. Under 1 Under 1 1-1 - - 9-9 1-1 1-1 1-19 1-19 - - - 9-9 More More than 3 than 3 1

New York Statewide School Health Services Center Salary Survey ~ December Annual Salary for School Nurse Teachers (SNT) The School Nurse Teacher salary reflects the increased responsibility the SNT, as well as the fact that most SNTs have a higher degree educational preparation. The School Nurse Teacher is ten a part the Teacher s Union and on a similar pay scale. Respondents Respondents 1 1 16 16 1 1 1 1 1 1 6 6 Annual Annual Salary Salary for for Statewide Statewide School School Nurse Nurse Teachers Teachers Less Less than than $1, $1, $1,1 $1,1 - $1,999 - $1,999 $1, $1, - $19,999 - $19,999 $, $, - $,999 - $,999 $, $, - $9,999 - $9,999 $3, $3, - $3,999 - $3,999 $3, $3, - $39,999 - $39,999 $, $, - $,999 - $,999 $, $, - $9,999 - $9,999 $, $, - $,999 - $,999 $, $, - $9,999 - $9,999 $6, $6, - $6,999 - $6,999 $6, $6, - $69,999 - $69,999 $7, $7, - $7,999 - $7,999 Over Over $7, $7, 11

Licensed Practical Nurse (LPN) Responses for December Salary Survey Total Licensed Practical Nurses (LPN) Responding to Survey: 7 School Setting BOCES BOCES 19% 19% NonPublic NonPublic 7% 7% School Setting for LPNs Responding to Survey School Setting for LPNs Responding to Survey Charter Charter % % Other Other % % Public Public 7% 7% Licensed Practical Nurses (LPNs) responding to the survey report that their main assignment is to work in the public school setting, with many also working in our BOCES districts. In the state New York, the LPN functions in a dependent role at the direction the RN or or other appropriate healthcare provider. The LPNs may work in a school setting, but a school nurse is defined as a RN in the Commissioner s Regulations. The LPN, in that dependent role, may prepare and administer medications, assist in preparing students for physical exams, and gather student health data, including signs and symptoms that can be used by the RN in making decisions about the nursing care specific students. Location Reporting Schools Location Reporting Schools Location Reporting Schools % LPNs responding to the survey reported working in Upstate New York, while respondents with LPN licensure responded that they were employed by a school in Downstate New York. % % Upstate New York Upstate New York Downstate New York Downstate New York 1

New York Statewide School Health Services Center Salary Survey ~ December Hours Employment (LPN) Most LPNs work full time for 1 months the, consistent with most school employees. 6 6 Hours Hours Employment Employment 3 3 1 1 Full time/1 months the Full time/1 months the Full time/1 months the Full time/1 months the Part-time: or more Part-time: or more hours/week hours/week Schools the LPN Works In Representing a majority LPNs, 7 the LPNs responding to this survey report that they work in one school. Smaller percentages reported include: schools: 1 3 schools: schools: % 1 or more schools: Schools LPN Works In Schools LPN Works In 1 or more 1 or more % % 3 3 1 1 1 1 7 7 13

New York Statewide School Health Services Center Salary Survey ~ December Students LPN Works With Students Students LPN LPN Works Works With With There is a broad range in the number students that LPNs report working with ranging from less than 1 students to nearly students. There are no established or recommended ratios currently available to address the caseload assignments licensed practical nurses in the school setting. Students Students Less than 1 Less than 1 1-99 1-99 3-99 3-99 - 699-699 7-999 7-999 1-199 1-199 1-1999 1-1999 - 99-99 - 999-999 Over 3 Over 3 LPNs Responding to Survey LPNs Responding to Survey 6 1 1 1 6 1 1 1 Years Employed as an LPN in the School Setting Years Years Employed Employed as as a a School School LPN LPN 1 1 16 16 1 1 1 1 1 1 6 6 Under 1 Under 1 1-1 - - 9-9 1-1 1-1 1-19 1-19 - - - 9-9 More More than 3 than 3 LPNs in our schools report being employed in the school setting mostly between 1 and 19. 1

New York Statewide School Health Services Center Salary Survey ~ December Annual Salary for Licensed Practical Nurses in the School Setting The annual salary for the Licensed Practical Nurse working in the school setting, according to our survey s respondents, generally ranges from $1, to $, annually. Respondents Respondents 1 1 16 16 1 1 1 1 1 1 6 6 Annual Annual Salary Salary for for Statewide Statewide School School LPNs LPNs Less than $1, Less than $1, $1,1 - $1,999 $1,1 - $1,999 $1, - $19,999 $1, - $19,999 $, - $,999 $, - $,999 $, - $9,999 $, - $9,999 $3, - $3,999 $3, - $3,999 $3, - $39,999 $3, - $39,999 $, - $,999 $, - $,999 $, - $9,999 $, - $9,999 $, - $,999 $, - $,999 $, - $9,999 $, - $9,999 $6, - $6,999 $6, - $6,999 $6, - $69,999 $6, - $69,999 $7, - $7,999 $7, - $7,999 Over $7, Over $7, 1

Nurse Practitioners (NP) Responses for December Salary Survey Total Nurse Practitioners Responding to Survey: School Setting Most nurse practitioners (NP) that work in the school setting report working in a public school district or BOCES setting. The NP in the school setting works closely with school administration, the school medical director and school staff to identify goals, objectives, policies and procedures. The duties NPs in the school setting vary, from acting as a school medical BOCES BOCES 1 1 Other Other 7% 7% School Setting School Setting Public Public % % director to duties similar to that a school nurse or School Nurse Teacher. The NP can perform health appraisals, diagnostic procedures and serve as a school health services consultant to the school district. Location Reporting Schools Location Reporting Schools Location Reporting Schools 3% 3% 6% our NP survey respondents indicated that they work in an Upstate New York setting, while 3% report working in a school in Downstate New York. 6% 6% Upstate New York Upstate New York Downstate New York Downstate New York 16

New York Statewide School Health Services Center Salary Survey ~ December Hours Employment More Nurse Practitioners reported working a 1 month, but as in the other categories school health pressionals, the majority work the standard, full time, 1 month schedule most school employees. 3 3 Hours Hours Employment Employment 1 1 1 1 Full time/1 Full time/1 months the months the Full time/1 Full time/1 months the months the Part-time: or Part-time: 1-19 Part-time: or Part-time: 1-19 more hours/week hours/week more hours/week hours/week Part-time: 1-9 Part-time: 1-9 hours /week hours /week Schools Nurse Practitioner is Responsible For Schools NP is Responsible For Schools NP is Responsible For 1 1 1 or more 1 1 or more 1 33% 33% 3 3 7 7 6 % 6 % 1 1 The Nurse Practitioner (NP) is ten responsible for functions and duties in several schools, and is frequently responsible for schools across the entire school district. NPs responding to the survey reported a wide range responsibilities as illustrated here with the largest answer indicating responsibility for 1 or more schools, with only 1 indicating that they work in only one building. 17

New York Statewide School Health Services Center Salary Survey ~ December Students NP is Responsible for Students Students NP NP is is Responsible Responsible For For Students Students NPs Responding to Survey NPs Responding to Survey 1 1 1 1 Less than 1 Less than 1 1-99 1-99 3-99 3-99 - 699-699 7-999 7-999 1-199 1-199 1-1999 1-1999 - 99-99 - 999-999 Over 3 Over 3 The School Nurse Practitioner, while responsible for multiple buildings, is also responsible for an increased number students. Many NPs report being responsible for over 3 students. Years Employed as a Nurse Practitioner in the School Setting School NPs have a wide range experience, as noted in this chart: 1 1 9 9 7 7 6 6 3 3 1 1 Under 1 Under 1 Years Years Employed Employed as as a a NP NP 1 - - 9 1 - - 9 1-1 1-19 - - 9 1-1 1-19 - - 9 More More than 3 than 3 1

New York Statewide School Health Services Center Salary Survey ~ December Annual Salary for School Nurse Practitioners The Nurse Practitioner s salary range reflects the expanded role that the NP takes on in what is usually a management position within school health services. Respondents Respondents 16 16 1 1 1 1 1 1 6 6 Annual Annual Salary Salary for for Statewide Statewide School School NPs NPs Less than $1, Less than $1, $1,1 - $1,999 $1,1 - $1,999 $1, - $19,999 $1, - $19,999 $, - $,999 $, - $,999 $, - $9,999 $, - $9,999 $3, - $3,999 $3, - $3,999 $3, - $39,999 $3, - $39,999 $, - $,999 $, - $,999 $, - $9,999 $, - $9,999 $, - $,999 $, - $,999 $, - $9,999 $, - $9,999 $6, - $6,999 $6, - $6,999 $6, - $69,999 $6, - $69,999 $7, - $7,999 $7, - $7,999 Over $7, Over $7, 19

Statewide Responses for December Salary Survey Annual Salary for All School Health Pressionals by Region The salary data, when broken down by regions (noted as Upstate New York and Downstate New York) shows that salaries fall into differing ranges in these areas..%.% Annual Salary Salary for for All All School School Health Health Pressionals by by Region Region % Respondants Respondants.%.% 1.% 1.% 1.% 1.%.%.%.%.% Less than $1, Less than $1, $1,1 - $1,999 $1,1 - $1,999 $1, - $19,999 $1, - $19,999 $, - $,999 $, - $,999 $, - $9,999 $, - $9,999 $3, - $3,999 $3, - $3,999 $3, - $39,999 $3, - $39,999 $, - $,999 $, - $,999 $, - $9,999 $, - $9,999 $, - $,999 $, - $,999 $, - $9,999 $, - $9,999 $6, - $6,999 $6, - $6,999 $6, - $69,999 $6, - $69,999 $7, - $7,999 $7, - $7,999 Over $7, Over $7, Upstate Upstate Downstate Downstate

New York Statewide School Health Services Center Salary Survey ~ December Annual Salary for All School Health Pressionals by Licensure/Certification A wide range salaries exist across the continuum for school health personnel. Educational preparation, reflected in licensure and certification levels, accounts for some the wide range. The LPN that works in the school is found at the low end the salary range with the school nurse (RN), school nurse teacher (SNT) and nurse practitioner (NP) following in that predictable order. The table below accounts for all school health pressionals responding to the survey, including both Upstate and Downstate school health pressionals. Respondents % Respondents Annual Annual Salary Salary for for Statewide Statewide School School Health Health Pressionals Pressionals by by Licensure/Certification Licensure/Certification % % 3 3 3% 3% % % 1 1 % % Less Less than than $1, $1, $1,1 $1,1 - $1,999 - $1,999 $1, $1, - $19,999 - $19,999 $, $, - $,999 - $,999 $, $, - $9,999 - $9,999 $3, $3, - $3,999 - $3,999 $, $, - $9,999 - $9,999 $3, $3, - $39,999 - $39,999 $, $, - $,999 - $,999 $, $, - $9,999 - $9,999 $, $, - $,999 - $,999 RN SNT LPN NP RN SNT LPN NP $6, $6, - $6,999 - $6,999 $6, $6, - $69,999 - $69,999 $7, $7, - $7,999 - $7,999 Over Over $7, $7, 1

New York Statewide School Health Pressional Salary Survey December Conclusion This voluntary survey was conducted in an online format. A listserv note was distributed through our Center s managed listserv that reaches 9 school health pressionals. A series eight questions were asked and the results are illustrated by the charts in this survey report. The data collected in this survey reflects that School Health Pressional salaries correspond to the differing levels educational preparation the pressional, but also the geographic location in which the survey participant is located. This survey captured data from School Nurses (RNs), School Nurse Teachers (SNTs), Licensed Practical Nurses (LPNs) and Nurse Practitioners (NPs). The data shows that each category health pressional, with their unique duties and scope practice, has a salary range commensurate with their educational background and licensure or certification. A comparison data from the Basic Educational Data System (BEDS) the New York State Education Department suggests that a disparity may exist between the salaries school health pressionals and other student support services personnel. A comparison data collected in this survey with that a survey by the NYS Board Nursing demonstrates that school nurse salaries lag behind the average salary for nurses in NYS. Even when accounting for the shorter work, there is a $1,- $, difference. 9% the reported salaries for each category school health pressional in this survey fell within the following ranges: Licensed Practical Nurse (LPN) $1, - $39,999 School Nurse (RN) $, - $9, School Nurse Teacher (SNT) $, over $7, Nurse Practitioner (NP) $, over $7, Salaries differed also by the geographic location in which the survey participant works. Upstate New York salaries for all school health pressionals: Mainly in the $, - $9, range Downstate New York salary reports salaries: Mainly in the $3, - $6, range School health pressionals are vital team members in student support services in New York s schools as they work to promote health and the over all well being students. Students who are healthy and present in the classroom have a greater chance for academic achievement and personal success.