In this study, we aimed to clarify the current situation and challenges of nurses providing medical care to children in special-needs schools. We surveyed nurses at special-needs schools throughout Japan; questionnaires were collected by mail. Questionnaire content included basic attributes, overview of special-needs schools, duties of nurses, relationships and information sharing with other professionals and parents, and work environment. The survey period was June through August 2021, and the results were simply tabulated by us. Our survey included 215 facilities and 511 respondents. 86.3% of the respondents had more than ten years of clinical experience and 88.8% were non-regular employees. The most common skills that respondents stated they lacked when entering the profession and remained unsure of were the use of expectorant-assist devices and management of ventilators. Furthermore, 32.5% of respondents were dissatisfied with the training they received, both on and off campus. Less than half of the respondents reported sharing information with the school principal, vice principal, school physician, medical care supervisor, or attending physician. We believe that it is important to respond to the increasing sophistication and diversity of medical care provided by nurses by providing additional training and creating a system of information sharing.