The Illinois State Board of Education is implementing tougher requirements for school nurses.
Most school already a have registered nurse but the board now wants schools to hire certified school nurses.
Certified school nurses are harder to find because the state never required registered nurses to be certified.
The change comes after the school board decided certified nurses will be more qualified to aid any special needs students.
"Our students with severe needs that we have someone to do the review and make the educational recommendations," Superintendent of the Riverdale School District Ron Jacobs said.
Some Illinois districts already have a certified nurse on staff but for those that do not, the Black Hawk Area Special Education Center plans to hire at least one certified nurse and share him or her with the district.