Kinetic Pediatric Therapy·Kinston, North Carolina
The LPN provides continuous, direct medical care and support to a medically fragile student throughout the school day. Responsibilities include performing specialized medical procedures, administering medications, and ensuring student safety during transport and daily activities.
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. 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
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.
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).
Education & Licensure License: 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. 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.
Candidates must hold a current, unrestricted LPN license in North Carolina and possess current BLS/CPR certification. A minimum of one year of nursing experience is preferred, with specific experience in pediatric or school-based settings highly desirable.
Market context
In North Carolina, school support staff roles like this are often shaped by steady demand for licensed nurses who can support student health needs in educational settings. These positions are competitive because they combine clinical experience with child and adolescent care, comfort in a Christian learning environment, and practical skills such as Microsoft Office proficiency. Review the AI-summarized requirements and benefits on this platform to save research time, then confirm your RN license status and prepare examples of pediatric or adolescent care experience before applying.
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