The areas affected by lake-effect snow are called snowbelts. These include areas east of the Great Lakes, the west coasts of northern Japan, the Kamchatka Peninsula in Russia, and areas near the Great Salt Lake, Black Sea, Caspian Sea, Baltic Sea, and parts of the northern Atlantic Ocean. A lake-effect blizzard is the blizzard-like conditions resulting from lake-effect snow.
I was looking at one school's HR page about the School Nurse and it said must be certified by Texas Department of Health to conduct vision and hearing screening.
In each state of the U.S.A., a state board of nursing sets the rules for nursing practice within the state, including RN licensure. These rules, often called a Nursing Practice Act, determine what care registered nurses can provide and set procedures for investigating and penalizing misconduct by nurses.