School Health Administration

School Health Administration


Colleen Whitmore, MSN, BSN


Michelle Romani, RN, BSN

Cathy Thren, RN, BSN

Margaret Seebald, RN, BS, MHA

Administrative Staff

Anissa Lyons

Iris Estrada

School Health Staff organizational hierarchy

School Health Services in Frederick County Public Schools are delivered by the Frederick County Health Department, utilizing a cluster model of service delivery. School nurses are Registered Nurses (RN) who serve as the leaders of the school health team in each school. Each school nurse supervises and provides health services for 2 to 3 schools. A dedicated Health Room Technician (HRT) or Licensed Practical Nurse (LPN) is assigned to every school health room and carries out day to day operations of the school health room. HRTs and LPNs are responsible for the following:

  • Providing first aid to students in need
  • Responding to medical emergencies within the school
  • Administering required treatments and medications to students
  • Communicating with parents as needed
  • Reporting to the school nurse

Health Room Technicians (HRTs) are Certified in School Health Services as Nursing Assistants (CNA) and Medication Technicians (CMT) by the Maryland Board of Nursing.

The LPN is an independently functioning nurse who is supervised by the Registered School Nurse. LPNs are assigned to some school health rooms instead of an HRT. In addition to the responsibilities above, the LPN performs nursing tasks and augments nursing services that can’t be delegated to HRTs.

  1. Registered Nurse Role
  2. Licensed Practical Nurse
  3. Health Room Technician
  • Leader of the school health nursing team, which includes LPNs and HRTs
  • Supervise and evaluate LPNs and HRTs in several assigned school buildings
  • Delegate nursing functions HRTs as mandated through the Maryland Board of Nursing
  • Assess, plan, implement and evaluate a health service program for the assigned schools
  • Serve as liaison/collaborator between the schools, students, parents/guardians and health care providers
  • Develop, write and implement health care plans for specific individual students
  • Interpret students' health/developmental status to parents/guardians and school personnel
  • Help families to find and use available health resources and be available to attend medical appointments with families and to visit families in their homes
  • Compile and maintain a file of current health education materials for students and faculty
  • Implement and interpret defined policies and procedures, as well as programs for the prevention and control of communicable diseases
  • Investigate communicable diseases in the school setting
  • Promote effective sharing of information resources among the community, health care professionals and the school(s)
  • Analyze school health records and reports in order to develop and/or modify health programs to meet healthcare needs of school communities
  • Attend and participate in faculty, staff and community meetings as pertains to school health
  • Provide comprehensive and appropriate health education for schools and communities as needed