Full-Time 1:1 School Licensed Practical Nurse (LPN)
Location: Tacoma, Washington
Position Overview
- The 1:1 School Licensed Practical Nurse (LPN) provides dedicated, individualized healthcare support to a specific student throughout the school day. This role ensures the students medical, physical, and safety needs are met, allowing them to fully access their educational program. The LPN works under the supervision of a Registered Nurse (RN) in accordance with Washington State nursing regulations and school district policies.
Key Responsibilities
Direct Student Care (1:1 Support)
- Provide continuous, one-on-one nursing care to an assigned student during the school day
- Implement individualized healthcare plans (IHPs), physician orders, and emergency care plans
- Administer medications and treatments in accordance with Washington State law and district policies
- Monitor, assess, and document the students health status, including vital signs and symptom changes
Daily Assistance & Safety
- Assist with activities of daily living (ADLs), including mobility, feeding, toileting, and positioning
- Support use and monitoring of medical equipment (e.g., feeding tubes, oxygen, tracheostomy care, seizure protocols) as required
- Ensure student safety across all school environments (classroom, recess, transportation, field trips)
- Respond quickly and appropriately to medical emergencies
Collaboration & Communication
- Work closely with the supervising RN, teachers, paraprofessionals, and related service providers
- Communicate regularly with parents/guardians regarding student health and daily updates
- Support inclusion by enabling the student to participate in academic and social activities
Documentation & Compliance
- Maintain accurate and confidential medical records in compliance with HIPAA, FERPA, and district requirements
- Document all nursing interventions, medications administered, and incidents
- Follow Washington Administrative Code (WAC) and Nursing Care Quality Assurance Commission (NCQAC) standards
Qualifications-
Required
- Current Washington State Licensed Practical Nurse (LPN) license (active and in good standing)
- CPR and First Aid certification
- Ability to work independently in a 1:1 setting
- Strong clinical skills and attention to detail
Preferred
- Experience in pediatric, school-based, or 1:1 care settings
- Experience supporting students with complex medical needs
- Knowledge of special education environments and student supports
Key Competencies
- Compassion, patience, and student-centered approach
- Strong communication and collaboration skills
- Reliability and consistency in providing care
- Ability to remain calm and respond effectively in emergencies
- Professional discretion and confidentiality
Related Jobs

Licensed Practical Nurse - 1:1 School-Based Support
$27.43 - $47.43 / hour

LPN Radiation Oncology
$27.88 - $46.08 / hour

Licensed Practical Nurse (LPN) - 26/27
$32 - $37 / hour

LPN - School in Federal Way, WA
$27.43 - $47.43 / hour

Licensed Practical Nurse LPN
$34.50 - $37 / hour