A Licensed Practical Nurse or Vocational Nurse provides basic medical care under the direction of registered nurses and other healthcare specialists. The tasks that they are permitted to perform vary by state, but usually include changing bandages, checking blood pressure, or helping feed patients. May work in hospitals, nursing homes, or other healthcare facilities.
Full-Time Position Summary The 1:1 School LPN is responsible for providing continuous, direct medical care and support to a specific medically fragile student during the school day. This role ensures the student can safely access their education in the least restrictive environment. The LPN functions under the supervision of a Registered Nurse (RN) and in accordance with the North Carolina Board of Nursing Scope of Practice and the student's Individualized Healthcare Plan (IHP). Essential Duties & Responsibilities Direct Clinical Care 1:1
Medical Management:
Provide continuous observation and nursing care for the assigned student throughout the school day.
Procedural Skills:
Perform specialized medical procedures as required by the student's IHP.
Common procedures may include:
Enteral feedings (G-tube/J-tube management). Tracheostomy care and suctioning (oral/nasal/trach). Seizure monitoring and administration of emergency medication (e.g., Diastat, Nayzilam). Catheterization or ostomy care. Oxygen administration and pulse oximetry monitoring. Diabetic care (insulin administration, carb counting, pump monitoring).
Medication Administration:
Administer daily and PRN (as needed) medications in strict accordance with physician orders and district policy.
Student Safety & Transport Transportation Support:
Accompany the student on the school bus to and from school to monitor medical status and intervene during emergencies (this is a standard requirement for 1:1 roles).
Mobility Assistance:
Assist with transfers (e.g., wheelchair to stander), positioning, and lifting as required to prevent skin breakdown and promote comfort.
ADL Support:
Assist with Activities of Daily Living, including toileting, diapering, feeding, and hygiene.
Documentation & Communication Charting:
Maintain accurate, timely, and confidential documentation of all care provided, vital signs, and unusual incidents using the district's health log system.
Collaboration:
Communicate effectively with the supervising RN, classroom teacher, and parents regarding the student's health status.
Emergency Response:
Recognize signs of medical distress and immediately implement the Emergency Action Plan (EAP); initiate CPR/First Aid if necessary and contact EMS (911).
Qualifications Education & Licensure License:
Current, unrestricted license to practice as a Licensed Practical Nurse (LPN) in North Carolina.
Certification:
Current Basic Life Support (BLS) / CPR certification for Healthcare Providers (American Heart Association or Red Cross).
Experience:
Minimum of 1 year of nursing experience preferred. Prior experience with pediatric patients or in a school setting is highly desirable. Experience with specific equipment (ventilators, feeding pumps) relevant to the student's needs. Knowledge, Skills, & Abilities Working knowledge of the NC Board of Nursing laws regarding delegation and scope of practice. Ability to remain calm and proficient during medical emergencies. Physical ability to lift up to 50 lbs and perform duties requiring standing, bending, and kneeling. Sensitivity to the social and emotional needs of students with disabilities.
