School nurses play an important role in maintaining the health and safety of everyone in the building—including staff members. While nurses are not responsible for managing employees’ chronic or ongoing medical conditions, they must respond to urgent or emergency situations in the same way they would for students. The information below explains what staff can expect if a medical situation occurs during the workday.
Answer: If a school nurse determines that you may be experiencing a medical emergency (for example, chest pain, shortness of breath, or dangerously high blood pressure), they are required to respond immediately. This includes notifying the building principal, calling 911 if needed, and ensuring you do not return to work until you have been medically cleared. These steps are taken to protect your safety and well-being.
Answer: If you decline care, the nurse must inform the principal. This is not a violation of privacy laws. Under N.J.S.A. 18A:16-2, the district has both the authority and responsibility to act when an employee’s health condition raises safety concerns.
If the nurse and principal believe it is unsafe for you to remain at work, you may be required to leave and seek medical attention. In serious situations, you may need to be transported to the hospital or leave with your designated emergency contact. You cannot remain at work in a medically unsafe condition, even if you prefer to stay.
Answer: If the situation does not require emergency services but still raises health or safety concerns, you may be advised to go home and follow up with a healthcare provider. In some cases, the district may require written medical clearance before you return to work.
Answer: Yes. The school nurse will handle any medical situation with discretion and professionalism. However, if your condition appears to pose a safety risk to yourself or others, the nurse is required to take appropriate action. While the nurse keeps health information confidential, privacy laws do not prevent action in a medical emergency or when a safety concern exists. These steps reflect the district’s responsibility to protect the health and safety of everyone in the building.