School Health Nurse | LVN | Full Time

Job Description Job Description: 1:1 School LPN (Medically Fragile Student)
District: Lenoir County Schools Department: Exceptional Children (EC) / Student Services Reports To: School Principal & Lead School Nurse (RN) Employment Type: Full-Time
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. 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).
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. Tracheostomy care and suctioning (oral/nasal/trach).
• Seizure monitoring and administration of emergency medication (e.g., 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.

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., Assist with Activities of Daily Living, including toileting, diapering, feeding, and hygiene.
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).
Current, unrestricted license to practice as a Licensed Practical Nurse (LPN) in North Carolina.
Current Basic Life Support (BLS) / CPR certification for Healthcare Providers (American Heart Association or Red Cross).
Minimum of 1 year of nursing experience preferred.
Experience with specific equipment (ventilators, feeding pumps) relevant to the student's needs.

Working knowledge of the NC Board of Nursing laws regarding delegation and scope of practice.
Ability to remain calm and proficient during medical emergencies.
Sensitivity to the social and emotional needs of students with disabilities.