School nurses, in conjunction with students' healthcare providers, are the professionals responsible for determining health services for students with identified health needs. They can also provide necessary training and support to ensure the safety of all students in school-sponsored programs. Extended school year programs and before and after school programs that are a part of the school system should, at a minimum, engage the school nurse to act in an advisory capacity to address students' needs (Afterschool Alliance, n.d.). It is the position of the National Association of School Nurses (NASN) that the registered professional school nurse (hereinafter referred to as school nurse) has the knowledge, skills and expertise to assess, plan, and evaluate the health needs of students in programming and activities beyond the regular school day (Clark, 2017). All students, including those with disabilities identified in accordance with the Americans with Disabilities Act (ADA) and Section 504 of the Rehabilitation Act, must have equal opportunity to participate in school-sponsored before, after, and extended school year programs. The school nurse's knowledge of the individual health needs of students uniquely qualifies the school nurse to coordinate care enabling students to fully and safely participate in school-sponsored programs outside of the school day (NASN, 2016). [This statement was adopted January 2014 and revised June 2018. For the 2014 statement, see ED558473.]